{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Alvaradoscore-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-alvaradoscore-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.alvarado_score.v0"
    }
  ],
  "version": "0",
  "name": "Alvaradoscore",
  "title": "Alvarado score",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Clinical scoring system used to determine the likelihood of appendicitis based on symptoms, signs and laboratory test results.",
  "purpose": "To determine the likelihood of appendicitis based on symptoms, signs and laboratory test results.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "openEHR",
      "uri": "http://openehr.org",
      "name": "openEHR Mapping"
    },
    {
      "identity": "openEHR-natural",
      "uri": "http://openehr.org",
      "name": "openEHR natural path"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "StructureDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "id": "Alvarado_score",
        "path": "Alvarado_score",
        "short": "Alvarado score",
        "definition": "Clinical scoring system used to determine the likelihood of appendicitis based on symptoms, signs and laboratory test results.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Alvarado_score",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.protocol",
        "path": "Alvarado_score.protocol",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.protocol.Extension",
        "path": "Alvarado_score.protocol.Extension",
        "short": "Extension",
        "definition": "Additional information required to capture local content or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Alvarado_score.protocol.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series",
        "path": "Alvarado_score.Event_Series",
        "short": "Event Series",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event",
        "path": "Alvarado_score.Event_Series.Any_event",
        "short": "Any event",
        "definition": "Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data",
        "path": "Alvarado_score.Event_Series.Any_event.data",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Right_lower_quadrant_tenderness_",
        "path": "Alvarado_score.Event_Series.Any_event.data.Right_lower_quadrant_tenderness_",
        "short": "Right lower quadrant tenderness?",
        "definition": "Score 2 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Right_lower_quadrant_tenderness_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Right_lower_quadrant_tenderness_.value",
        "path": "Alvarado_score.Event_Series.Any_event.data.Right_lower_quadrant_tenderness_.value",
        "short": "Right lower quadrant tenderness?",
        "definition": "Score 2 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Right_lower_quadrant_tenderness_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Elevated_temperature_(>37_3°C_or_99_1°F)_",
        "path": "Alvarado_score.Event_Series.Any_event.data.Elevated_temperature_(>37_3°C_or_99_1°F)_",
        "short": "Elevated temperature (>37.3°C or 99.1°F)?",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Elevated_temperature_(>37_3°C_or_99_1°F)_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Elevated_temperature_(>37_3°C_or_99_1°F)_.value",
        "path": "Alvarado_score.Event_Series.Any_event.data.Elevated_temperature_(>37_3°C_or_99_1°F)_.value",
        "short": "Elevated temperature (>37.3°C or 99.1°F)?",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Elevated_temperature_(>37_3°C_or_99_1°F)_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Rebound_tenderness_",
        "path": "Alvarado_score.Event_Series.Any_event.data.Rebound_tenderness_",
        "short": "Rebound tenderness?",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Rebound_tenderness_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Rebound_tenderness_.value",
        "path": "Alvarado_score.Event_Series.Any_event.data.Rebound_tenderness_.value",
        "short": "Rebound tenderness?",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Rebound_tenderness_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Migration_of_pain_to_the_right_lower_quadrant_",
        "path": "Alvarado_score.Event_Series.Any_event.data.Migration_of_pain_to_the_right_lower_quadrant_",
        "short": "Migration of pain to the right lower quadrant?",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Migration_of_pain_to_the_right_lower_quadrant_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Migration_of_pain_to_the_right_lower_quadrant_.value",
        "path": "Alvarado_score.Event_Series.Any_event.data.Migration_of_pain_to_the_right_lower_quadrant_.value",
        "short": "Migration of pain to the right lower quadrant?",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Migration_of_pain_to_the_right_lower_quadrant_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Anorexia_",
        "path": "Alvarado_score.Event_Series.Any_event.data.Anorexia_",
        "short": "Anorexia?",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Anorexia_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Anorexia_.value",
        "path": "Alvarado_score.Event_Series.Any_event.data.Anorexia_.value",
        "short": "Anorexia?",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Anorexia_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Nausea_or_vomiting_",
        "path": "Alvarado_score.Event_Series.Any_event.data.Nausea_or_vomiting_",
        "short": "Nausea or vomiting?",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Nausea_or_vomiting_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Nausea_or_vomiting_.value",
        "path": "Alvarado_score.Event_Series.Any_event.data.Nausea_or_vomiting_.value",
        "short": "Nausea or vomiting?",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Nausea_or_vomiting_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Leukocytosis_>_10,000_",
        "path": "Alvarado_score.Event_Series.Any_event.data.Leukocytosis_>_10,000_",
        "short": "Leukocytosis > 10,000?",
        "definition": "Score 2 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Leukocytosis_>_10,000_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Leukocytosis_>_10,000_.value",
        "path": "Alvarado_score.Event_Series.Any_event.data.Leukocytosis_>_10,000_.value",
        "short": "Leukocytosis > 10,000?",
        "definition": "Score 2 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Leukocytosis_>_10,000_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Leukocyte_left_shift",
        "path": "Alvarado_score.Event_Series.Any_event.data.Leukocyte_left_shift",
        "short": "Leukocyte left shift",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Leukocyte_left_shift",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Leukocyte_left_shift.value",
        "path": "Alvarado_score.Event_Series.Any_event.data.Leukocyte_left_shift.value",
        "short": "Leukocyte left shift",
        "definition": "Score 1 if positive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Leukocyte_left_shift.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Total_score",
        "path": "Alvarado_score.Event_Series.Any_event.data.Total_score",
        "short": "Total score",
        "definition": "The sum of each ordinal score recorded for each of the eight component responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Alvarado_score.Event_Series.Any_event.data.Total_score.value",
        "path": "Alvarado_score.Event_Series.Any_event.data.Total_score.value",
        "short": "Total score",
        "definition": "The sum of each ordinal score recorded for each of the eight component responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Alvarado_score.Event_Series.Any_event.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}