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FHIR IG Statistics: StructureDefinition/zib-GlasgowComaScale

Packagenictiz.fhir.nl.r4.zib2020
TypeStructureDefinition
Idzib-GlasgowComaScale
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.zib2020@0.12.0-beta.1&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-GlasgowComaScale
URLhttp://nictiz.nl/fhir/StructureDefinition/zib-GlasgowComaScale
Statusdraft
NameZibGlasgowComaScale
Titlezib GlasgowComaScale
Realmnl
Authorityhl7
DescriptionFifteen-point scale for expressing a person’s level of consciousness, from fully awake to deep unconsciousness, in a number: the so-called EMV score. The 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.
PurposeThis 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)).
CopyrightCopyright 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.
TypeObservation
Kindresource

Resources that use this resource

StructureDefinition
nl-core-GlasgowComaScalenl core GlasgowComaScale

Resources that this resource uses

ValueSet
2.16.840.1.113883.2.4.3.11.60.40.2.12.8.6--20200901000000ConditiesTijdensMetingCodelijst
2.16.840.1.113883.2.4.3.11.60.40.2.12.8.1--20200901000000GCS_EyesCodelijst
2.16.840.1.113883.2.4.3.11.60.121.11.5--20200901000000GCS_MotorCodelijsten
2.16.840.1.113883.2.4.3.11.60.121.11.6--20200901000000GCS_VerbalCodelijsten

Narrative

Note: links and images are rebased to the (stated) source

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.

Source

{
  "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"
          }
        ]
      }
    ]
  }
}