{ "resourceType": "StructureDefinition", "id": "HdBe-GlasgowComaScale", "language": "en-US", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod", "valuePeriod": { "start": "2020-08-31T22:00:00+00:00" } } ], "url": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-GlasgowComaScale", "name": "HdBeGlasgowComaScale", "_name": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "HdBeGlasgowComaScale" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "title": "HdBe GlasgowComaScale", "status": "draft", "date": "2022-07-07T15:04:03.2592055+00:00", "publisher": "Healthdata.be (Sciensano)", "contact": [ { "name": "Service portal – healthdata.be", "telecom": [ { "system": "url", "value": "https://sciensano.service-now.com/sp", "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.\r\n\r\n#### Purpose\r\nThe GCS score provides the opportunity to document a clinical observation of a patient’s conscious state with a validated instrument which makes use of a patient’s responses to stimuli.\r\n#### Evidence Base\r\nThe Glasgow Coma Scale is used to evaluate a patient’s consciousness by means of three elements: \r\n\r\n1. opening eyes (eye response); \r\n\r\n1. answering questions (verbal response); \r\n\r\n1. motor response. \r\n\r\n\r\nThe three response values are looked at individually and as a whole. The total is referred to as the EMV score. The minimum total score is 3 and the maximum is 15. A slightly altered scale is used for infants (age 0-2) and toddlers (age 2-5). \r\n\r\nThe EMV score can be expressed as a combination of each of the three individual scores, such as: E3M2V4 (opens eyes when spoken to, arms stretch in response to pain and patient produces incomprehensible sounds). \r\nIf one of the EMV elements cannot be evaluated - such as might be the case if a patient is intubated and incapable of verbally responding, or is paralyzed/weak and incapable of fulfilling the motor request, then the individual score is included (score NT), with an extra comment. Er moet dan GEEN totaalscore worden doorgegeven.\r\nV1T is used for an intubated patient, in which t = 'tube'. \r\nClinical decisions must be based on each of the specific data of the eyes, motor and verbal responses and, if evaluation is not possible, an explicit explanation. \r\n\r\nStandard values for the total score, depending on age: \r\n0-6 months : 9 and up\r\n6 months: 10 and up\r\n6-12 months : 11 and up \r\n1-2 : 12 and up \r\n2-5 : 13 and up \r\n> 5 : 14 and up", "_description": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Vijftienpuntschaal waarmee het bewustzijnsniveau van een persoon, van volkomen helder tot diep bewusteloos, kan worden weergegeven in een cijfer, de zogenaamde EMV-score.\r\nDe Glasgow comascore ofwel EMV (Eye-Motor-Verbal) score is een maat voor de mate van het bewustzijn, gebaseerd op oog-, verbale en bewegingsreacties op specifieke voorgeschreven hoorbare en voelbare prikkels.\r\n#### Purpose\r\nDe Glasgow comascore biedt de mogelijkheid om een klinische observatie betreffende de bewustzijnstoestand van een patiënt vast te leggen met een gevalideerd instrument dat gebruikt maakt van de reacties van een patiënt op stimuli.\r\n#### Evidence Base\r\nDe Glasgow Coma Scale wordt gebruikt om gebruikt om het bewustzijn van een patiënt te beoordelen aan de hand van drie componenten: \r\n\r\n1. de ogen openen; \r\n\r\n1. op vragen antwoorden; \r\n\r\n1. bewegingsreactie. \r\n\r\n\r\nDe drie responswaarden worden afzonderlijk en als totaal beschouwd. Het totaal wordt de EMV-score genoemd. De minimale totale score is 3 en de maximaal mogelijke is 15. Voor zuigelingen (0-2 jaar) en peuters (2-5 jaar) wordt een aangepaste schaal gebruikt.\r\n\r\nDe EMV score kan worden weergegeven als een samenstelling van elk de deelscores bijvoorbeeld E3M2V4 (opent ogen bij aanspreken, heeft een strekreactie van de armen op pijn en produceert onbegrijpelijke geluiden).\r\n\r\nAls een van de EMV onderdelen niet kan worden beoordeeld - bijvoorbeeld als het subject geïntubeerd is en niet in staat om verbaal te reageren, of verlamd/verslapt en niet in staat om de motor vraag te beantwoorden, dan wordt de deelscore wel opgenomen (score NT), en aangevuld met een extra toelichting. Er moet dan GEEN totaalscore worden doorgegeven.\r\nVoor een geïntubeerde patiënt wordt V1T gebruikt, waarbij t = 'tube'. \r\nKlinische besluitvorming moet worden gebaseerd op elk van de specifieke gegevens van de ogen, motorische en verbale reacties en de expliciete toelichting als niet kan worden beoordeeld.\r\n\r\nNormaalwaarden voor de totaal score, afhankelijk van de leeftijd:\r\n0-6 maanden : 9 of hoger\r\n6 maanden : 10 of hoger\r\n6-12 maanden : 11 of hoger\r\n1-2 jaar : 12 of hoger\r\n2-5 jaar : 13 of hoger\r\n> 5 jaar : 14 of hoger\r\n\r\n\r\n**References**\r\n\r\n1. Glasgow Coma Scale (GCS) [Online] op [https://www.openehr.org/ckm/ ](https://www.openehr.org/ckm/)[Geraadpleegd: 22 mei 2020].\r\n1. Paediatric Glasgow Coma Scale (pGCS) [online] beschikbaar via [https://www.openehr.org/ckm/ ](https://www.openehr.org/ckm/ ) [Geraadpleegd: 22 mei 2020].\r\n1. Performance of the Pediatric Glasgow Coma Scale Score in the Evaluation of Children With Blunt Head Trauma, Dominic A. Borgialli, et. all. 2016 by the Society for Academic Emergency Medicine, doi: 10.1111/acem.13014 \r\n1. [https://www.glasgowcomascale.org](https://www.glasgowcomascale.org) [geraadpleegd: 22 mei 2020]" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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", "kind": "logical", "abstract": true, "type": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/GlasgowComaScale", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element", "derivation": "specialization", "snapshot": { "element": [ { "id": "GlasgowComaScale", "path": "GlasgowComaScale", "short": "GlasgowComaScale", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "GlasgowComaScale" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Root concept of the GlasgowComaScale information model. This root concept contains all data elements of the GlasgowComaScale information model.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Rootconcept van de bouwsteen GlasgowComaScale. Dit rootconcept bevat alle gegevenselementen van de bouwsteen GlasgowComaScale." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*", "base": { "path": "GlasgowComaScale", "min": 0, "max": "*" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "GlasgowComaScale.id", "path": "GlasgowComaScale.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "GlasgowComaScale.extension", "path": "GlasgowComaScale.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "GlasgowComaScale.GlasgowComaScaleDateTime", "path": "GlasgowComaScale.GlasgowComaScaleDateTime", "short": "GlasgowComaScaleDateTime", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "GlasgowComaScaleDatumTijd" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Time at which the EMV score was determined.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Tijdstip waarop de EMV score werd bepaald." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "max": "1", "base": { "path": "GlasgowComaScale.GlasgowComaScaleDateTime", "min": 1, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "GlasgowComaScale.GcsEyes", "path": "GlasgowComaScale.GcsEyes", "short": "GCS_Eyes", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "GCS_Eyes" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Beste response van de ogen op een stimulus. Het element is verplicht, maar er hoeft geen getalmatige waarde toegekend te zijn. Als er geen waarde is toegekend, dan wordt de reden hiervan vermeld in het concept ConditiesTijdensMeting." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "GlasgowComaScale.GcsEyes", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "strength": "required", "description": "GCS-Eyes codes", "valueSet": "https://fhir.healthdata.be/ValueSet/GCS_Eyes" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "GlasgowComaScale.GcsMotor", "path": "GlasgowComaScale.GcsMotor", "short": "GCS_Motor", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "GCS_Motor" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Beste motorische response op een stimulus. Het element is verplicht, maar er hoeft geen getalmatige waarde toegekend te zijn. Als er geen waarde is toegekend, dan wordt de reden hiervan vermeld in het concept ConditiesTijdensMeting." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "GlasgowComaScale.GcsMotor", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "GlasgowComaScale.GcsVerbal", "path": "GlasgowComaScale.GcsVerbal", "short": "GCS_Verbal", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "GCS_Verbal" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Beste verbale response op een stimulus. Het element is verplicht, maar er hoeft geen getalmatige waarde toegekend te zijn. Als er geen waarde is toegekend, dan wordt de reden hiervan vermeld in het concept ConditiesTijdensMeting." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "GlasgowComaScale.GcsVerbal", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "GlasgowComaScale.TotalScore", "path": "GlasgowComaScale.TotalScore", "short": "TotalScore", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "TotaalScore" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "De som van de EMV scores, uitgedrukt als getal in het bereik 3-15. De waarde hoeft niet te worden vastgelegd, omdat deze altijd op grond van de deelscores berekend kan worden, en omdat het vastleggen van het totaal bij een niet goed te bepalen deelscore niet gebruikelijk is." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min": 0, "max": "1", "base": { "path": "GlasgowComaScale.TotalScore", "min": 0, "max": "1" }, "type": [ { "code": "Count" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "qty-3", "severity": "error", "human": "If a code for the unit is present, the system SHALL also be present", "expression": "code.empty() or system.exists()", "xpath": "not(exists(f:code)) or exists(f:system)", "source": "http://hl7.org/fhir/StructureDefinition/Quantity" }, { "key": "cnt-3", "severity": "error", "human": "There SHALL be a code with a value of \"1\" if there is a value and it SHALL be an expression of length. If system is present, it SHALL be UCUM. If present, the value SHALL a whole number.", "expression": "(code or value.empty()) and (system.empty() or system = %ucum) and (code.empty() or code = '1') and (value.empty() or value.toString().contains('.').not())", "xpath": "(f:code or not(f:value)) and (not(exists(f:system)) or (f:system/@value='http://unitsofmeasure.org' and f:code/@value='1')) and not(contains(f:value/@value, '.'))", "source": "http://hl7.org/fhir/StructureDefinition/Count" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "SN (see also Range) or CQ" }, { "identity": "rim", "map": "PQ, IVL, MO, CO, depending on the values" } ] }, { "id": "GlasgowComaScale.ConditionsDuringMeasurement", "path": "GlasgowComaScale.ConditionsDuringMeasurement", "short": "ConditionsDuringMeasurement", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "ConditiesTijdensMeting" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Condities tijdens de meting die verhinderen dat een of meer van de subscores bepaald kan worden (niet testbaar), zoals bijvoorbeeld intubatie van het bepalen van GCS_Verbal." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "*", "base": { "path": "GlasgowComaScale.ConditionsDuringMeasurement", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "strength": "extensible", "description": "ConditionsDuringMeasurement codes", "valueSet": "https://fhir.healthdata.be/ValueSet/ConditiesTijdensMeting" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "GlasgowComaScale.Comment", "path": "GlasgowComaScale.Comment", "short": "Comment", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Toelichting" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Comment on (the context of) the EMV score measurement, such as any problems or factors that may influence interpretation.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Opmerking over de (context van de) meting van de EMV score, zoals eventuele problemen of factoren die van invloed kunnen zijn op de interpretatie." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "GlasgowComaScale.Comment", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] } ] }, "differential": { "element": [ { "id": "GlasgowComaScale", "path": "GlasgowComaScale", "short": "GlasgowComaScale", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "GlasgowComaScale" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Root concept of the GlasgowComaScale information model. This root concept contains all data elements of the GlasgowComaScale information model.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Rootconcept van de bouwsteen GlasgowComaScale. Dit rootconcept bevat alle gegevenselementen van de bouwsteen GlasgowComaScale." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*" }, { "id": "GlasgowComaScale.GlasgowComaScaleDateTime", "path": "GlasgowComaScale.GlasgowComaScaleDateTime", "short": "GlasgowComaScaleDateTime", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "GlasgowComaScaleDatumTijd" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Time at which the EMV score was determined.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Tijdstip waarop de EMV score werd bepaald." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "max": "1", "type": [ { "code": "dateTime" } ] }, { "id": "GlasgowComaScale.GcsEyes", "path": "GlasgowComaScale.GcsEyes", "short": "GCS_Eyes", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "GCS_Eyes" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Beste response van de ogen op een stimulus. Het element is verplicht, maar er hoeft geen getalmatige waarde toegekend te zijn. Als er geen waarde is toegekend, dan wordt de reden hiervan vermeld in het concept ConditiesTijdensMeting." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "description": "GCS-Eyes codes", "valueSet": "https://fhir.healthdata.be/ValueSet/GCS_Eyes" } }, { "id": "GlasgowComaScale.GcsMotor", "path": "GlasgowComaScale.GcsMotor", "short": "GCS_Motor", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "GCS_Motor" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Beste motorische response op een stimulus. Het element is verplicht, maar er hoeft geen getalmatige waarde toegekend te zijn. Als er geen waarde is toegekend, dan wordt de reden hiervan vermeld in het concept ConditiesTijdensMeting." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ] }, { "id": "GlasgowComaScale.GcsVerbal", "path": "GlasgowComaScale.GcsVerbal", "short": "GCS_Verbal", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "GCS_Verbal" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Beste verbale response op een stimulus. Het element is verplicht, maar er hoeft geen getalmatige waarde toegekend te zijn. Als er geen waarde is toegekend, dan wordt de reden hiervan vermeld in het concept ConditiesTijdensMeting." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ] }, { "id": "GlasgowComaScale.TotalScore", "path": "GlasgowComaScale.TotalScore", "short": "TotalScore", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "TotaalScore" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "De som van de EMV scores, uitgedrukt als getal in het bereik 3-15. De waarde hoeft niet te worden vastgelegd, omdat deze altijd op grond van de deelscores berekend kan worden, en omdat het vastleggen van het totaal bij een niet goed te bepalen deelscore niet gebruikelijk is." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "Count" } ] }, { "id": "GlasgowComaScale.ConditionsDuringMeasurement", "path": "GlasgowComaScale.ConditionsDuringMeasurement", "short": "ConditionsDuringMeasurement", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "ConditiesTijdensMeting" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Condities tijdens de meting die verhinderen dat een of meer van de subscores bepaald kan worden (niet testbaar), zoals bijvoorbeeld intubatie van het bepalen van GCS_Verbal." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "extensible", "description": "ConditionsDuringMeasurement codes", "valueSet": "https://fhir.healthdata.be/ValueSet/ConditiesTijdensMeting" } }, { "id": "GlasgowComaScale.Comment", "path": "GlasgowComaScale.Comment", "short": "Comment", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Toelichting" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Comment on (the context of) the EMV score measurement, such as any problems or factors that may influence interpretation.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Opmerking over de (context van de) meting van de EMV score, zoals eventuele problemen of factoren die van invloed kunnen zijn op de interpretatie." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "string" } ] } ] } }