FHIR IG Statistics: StructureDefinition/zib-GlasgowComaScale

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{
  "resourceType": "StructureDefinition",
  "id": "zib-GlasgowComaScale",
  "text": {
    "status": "empty",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-GlasgowComaScale",
  "name": "ZibGlasgowComaScale",
  "title": "zib GlasgowComaScale",
  "status": "draft",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Fifteen-point scale for expressing a person’s level of consciousness, from fully awake to deep unconsciousness, in a number: the so-called EMV score.\r\nThe Glasgow Coma Scale score or EMV (Eye-Motor-Verbal) score is a scale to measure the extent of consciousness, based on eye, verbal and motor responses to specific prescribed sound and pain stimuli.",
  "purpose": "This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) GlasgowComaScale v3.2 (2020)](https://zibs.nl/wiki/GlasgowComaScale-v3.2(2020EN)).",
  "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "zib-glasgowcomascale-v3.2-2020EN",
      "uri": "https://zibs.nl/wiki/GlasgowComaScale-v3.2(2020EN)",
      "name": "zib GlasgowComaScale-v3.2(2020EN)"
    }
  ],
  "kind": "resource",
  "abstract": true,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "GlasgowComaScale",
        "alias": [
          "GlasgowComaScale"
        ],
        "mapping": [
          {
            "identity": "zib-glasgowcomascale-v3.2-2020EN",
            "map": "NL-CM:12.8.1",
            "comment": "GlasgowComaScale"
          }
        ]
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "35088-4"
            }
          ]
        }
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.effective[x]:effectiveDateTime",
        "path": "Observation.effective[x]",
        "sliceName": "effectiveDateTime",
        "short": "GlasgowComaScaleDateTime",
        "definition": "Time at which the EMV score was determined.",
        "alias": [
          "GlasgowComaScaleDatumTijd"
        ],
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "zib-glasgowcomascale-v3.2-2020EN",
            "map": "NL-CM:12.8.8",
            "comment": "GlasgowComaScaleDateTime"
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.value[x]:valueInteger",
        "path": "Observation.value[x]",
        "sliceName": "valueInteger",
        "short": "TotalScore",
        "definition": "The sum of the EMV scores, expressed as a number on a scale from 3-15. The value does not have to be recorded, as it can always be calculated based on the individual scores, and as recording the total is not common for a difficult to determine individual score.",
        "alias": [
          "TotaalScore"
        ],
        "type": [
          {
            "code": "integer"
          }
        ],
        "minValueInteger": 3,
        "maxValueInteger": 15,
        "mapping": [
          {
            "identity": "zib-glasgowcomascale-v3.2-2020EN",
            "map": "NL-CM:12.8.10",
            "comment": "TotalScore"
          }
        ]
      },
      {
        "id": "Observation.note",
        "path": "Observation.note",
        "max": "1"
      },
      {
        "id": "Observation.note.text",
        "path": "Observation.note.text",
        "short": "Comment",
        "definition": "Comment on (the context of) the EMV score measurement, such as any problems or factors that may influence interpretation.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "zib-glasgowcomascale-v3.2-2020EN",
            "map": "NL-CM:12.8.9",
            "comment": "Comment"
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:gcsEyes",
        "path": "Observation.component",
        "sliceName": "gcsEyes",
        "max": "1"
      },
      {
        "id": "Observation.component:gcsEyes.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "281395000"
            }
          ]
        }
      },
      {
        "id": "Observation.component:gcsEyes.value[x]",
        "path": "Observation.component.value[x]",
        "short": "GCS_Eyes",
        "definition": "Best eye response to a stimulus. The element is mandatory, but does not require a numerical value. If no value is given, the reason for this is to be provided in the ConditionsDuringMeasurement concept.",
        "alias": [
          "GCS_Eyes"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.1--20200901000000"
        },
        "mapping": [
          {
            "identity": "zib-glasgowcomascale-v3.2-2020EN",
            "map": "NL-CM:12.8.2",
            "comment": "GCS_Eyes"
          }
        ]
      },
      {
        "id": "Observation.component:gcsMotor",
        "path": "Observation.component",
        "sliceName": "gcsMotor",
        "max": "1"
      },
      {
        "id": "Observation.component:gcsMotor.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "281396004"
            }
          ]
        }
      },
      {
        "id": "Observation.component:gcsMotor.value[x]",
        "path": "Observation.component.value[x]",
        "short": "GCS_Motor",
        "definition": "Best motor response to a stimulus. The element is mandatory, but does not require a numerical value. If no value is given, the reason for this is to be provided in the ConditionsDuringMeasurement concept.",
        "alias": [
          "GCS_Motor"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.5--20200901000000"
        },
        "mapping": [
          {
            "identity": "zib-glasgowcomascale-v3.2-2020EN",
            "map": "NL-CM:12.8.4",
            "comment": "GCS_Motor"
          }
        ]
      },
      {
        "id": "Observation.component:gcsVerbal",
        "path": "Observation.component",
        "sliceName": "gcsVerbal",
        "max": "1"
      },
      {
        "id": "Observation.component:gcsVerbal.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "281397008"
            }
          ]
        }
      },
      {
        "id": "Observation.component:gcsVerbal.value[x]",
        "path": "Observation.component.value[x]",
        "short": "GCS_Verbal",
        "definition": "Best verbal response to a stimulus. The element is mandatory, but does not require a numerical value. If no value is given, the reason for this is to be provided in the ConditionsDuringMeasurement concept.",
        "alias": [
          "GCS_Verbal"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.6--20200901000000"
        },
        "mapping": [
          {
            "identity": "zib-glasgowcomascale-v3.2-2020EN",
            "map": "NL-CM:12.8.6",
            "comment": "GCS_Verbal"
          }
        ]
      },
      {
        "id": "Observation.component:conditionsDuringMeasurement",
        "path": "Observation.component",
        "sliceName": "conditionsDuringMeasurement"
      },
      {
        "id": "Observation.component:conditionsDuringMeasurement.code",
        "path": "Observation.component.code",
        "comment": "The code to identify this concept (SNOMED 271000124103) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-2040](https://bits.nictiz.nl/browse/ZIB-2040) for more information.",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "271000124103"
            }
          ]
        }
      },
      {
        "id": "Observation.component:conditionsDuringMeasurement.value[x]",
        "path": "Observation.component.value[x]",
        "short": "ConditionsDuringMeasurement",
        "definition": "Conditions during the measurement that prevent one or more of the subscores from being determined (non testable), such as,e.g. intubation during testing of GCS_Verbal.",
        "alias": [
          "ConditiesTijdensMeting"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.6--20200901000000"
        },
        "mapping": [
          {
            "identity": "zib-glasgowcomascale-v3.2-2020EN",
            "map": "NL-CM:12.8.11",
            "comment": "ConditionsDuringMeasurement"
          }
        ]
      }
    ]
  }
}