FHIR IG Statistics: StructureDefinition/zib-GlasgowComaScale
| Package | nictiz.fhir.nl.r4.zib2020 |
| Resource Type | StructureDefinition |
| Id | zib-GlasgowComaScale |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.zib2020@0.12.0-beta.1&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-GlasgowComaScale |
| URL | http://nictiz.nl/fhir/StructureDefinition/zib-GlasgowComaScale |
| Status | draft |
| Name | ZibGlasgowComaScale |
| Title | zib GlasgowComaScale |
| Realm | nl |
| Authority | hl7 |
| 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.
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. |
| 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. |
| Type | Observation |
| Kind | resource |
Resources that use this resource
Resources that this resource uses
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"
}
]
}
]
}
}
FHIR