{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Criticalcarepainobservationtool_cpot_-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-criticalcarepainobservationtool_cpot_-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.critical_pain_observation_tool.v0"
    }
  ],
  "version": "0",
  "name": "Criticalcarepainobservationtool_cpot_",
  "title": "Critical care pain observation tool (CPOT)",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "A pain scale for uncommunicative and sedated intensive care unit (ICU) patients based on clinical observation.",
  "purpose": "A pain assessment scale for uncommunicative and sedated intensive care unit (ICU) patients based on clinical observation.",
  "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": "Critical_care_pain_observation_tool_(CPOT)",
        "path": "Critical_care_pain_observation_tool_(CPOT)",
        "short": "Critical care pain observation tool (CPOT)",
        "definition": "A pain scale for uncommunicative and sedated intensive care unit (ICU) patients based on clinical observation.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT)",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).protocol",
        "path": "Critical_care_pain_observation_tool_(CPOT).protocol",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).protocol.Extension",
        "path": "Critical_care_pain_observation_tool_(CPOT).protocol.Extension",
        "short": "Extension",
        "definition": "Additional information required to capture local context or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).protocol.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series",
        "short": "Event Series",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event",
        "path": "Critical_care_pain_observation_tool_(CPOT).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": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Ventilator_compliance",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Ventilator_compliance",
        "short": "Ventilator compliance",
        "definition": "Used in mechanically ventilated patients.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Ventilator_compliance",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Ventilator_compliance.value",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Ventilator_compliance.value",
        "short": "Ventilator compliance",
        "definition": "Used in mechanically ventilated patients.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Ventilator_compliance.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Vocalization",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Vocalization",
        "short": "Vocalization",
        "definition": "Used in non-ventilated patients.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Vocalization",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Vocalization.value",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Vocalization.value",
        "short": "Vocalization",
        "definition": "Used in non-ventilated patients.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Vocalization.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Facial_expression",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Facial_expression",
        "short": "Facial expression",
        "definition": "The state and changes in the patient's facial gestures.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Facial_expression",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Facial_expression.value",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Facial_expression.value",
        "short": "Facial expression",
        "definition": "The state and changes in the patient's facial gestures.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Facial_expression.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Body_movements",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Body_movements",
        "short": "Body movements",
        "definition": "The patient's pattern of movements.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Body_movements",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Body_movements.value",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Body_movements.value",
        "short": "Body movements",
        "definition": "The patient's pattern of movements.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Body_movements.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Muscle_tension",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Muscle_tension",
        "short": "Muscle tension",
        "definition": "Generally evaluated by performing a passive flexion and extension of the patient’s arm.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Muscle_tension",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Muscle_tension.value",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Muscle_tension.value",
        "short": "Muscle tension",
        "definition": "Generally evaluated by performing a passive flexion and extension of the patient’s arm.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Muscle_tension.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Total_score",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Total_score",
        "short": "Total score",
        "definition": "The value which results from adding up the four variables measured.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Total_score",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Total_score.value",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Total_score.value",
        "short": "Total score",
        "definition": "The value which results from adding up the four variables measured.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Comment",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Comment",
        "short": "Comment",
        "definition": "Additional information regarding pain which were not captured by the structured variables but which might be of interest in the individual patient's assessment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Comment",
          "min": 0,
          "max": "1"
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      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Comment.value",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Comment.value",
        "short": "Comment",
        "definition": "Additional information regarding pain which were not captured by the structured variables but which might be of interest in the individual patient's assessment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.data.Comment.value",
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        },
        "type": [
          {
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
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      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Intubated_",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Intubated_",
        "short": "Intubated?",
        "definition": "True if the patient is intubated.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Intubated_",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Intubated_.value",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Intubated_.value",
        "short": "Intubated?",
        "definition": "True if the patient is intubated.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Intubated_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Confounding_factors",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Confounding_factors",
        "short": "Confounding factors",
        "definition": "Any incidental factors related to the state of the subject which may affect clinical interpretation of the measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Confounding_factors",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Confounding_factors.value",
        "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Confounding_factors.value",
        "short": "Confounding factors",
        "definition": "Any incidental factors related to the state of the subject which may affect clinical interpretation of the measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Critical_care_pain_observation_tool_(CPOT).Event_Series.Any_event.state.Confounding_factors.value",
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        "isSummary": true
      }
    ]
  }
}