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