{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Crusadebleedingriskscore-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-crusadebleedingriskscore-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.crusade_bleeding_risk_score.v0"
    }
  ],
  "version": "0",
  "name": "Crusadebleedingriskscore",
  "title": "Crusade Bleeding Risk Score",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Crusade Bleeding Risk Score is used to stratify risk for major bleeding in patients presenting with NSTEMI or STEMI prior to initiation of treatment.",
  "purpose": "The CRUSADE bleeding score is used to quantify risk for in-hospital major bleeding across all postadmission treatments, which enhances baseline risk assessment for NSTEMI care.",
  "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": "Crusade_Bleeding_Risk_Score",
        "path": "Crusade_Bleeding_Risk_Score",
        "short": "Crusade Bleeding Risk Score",
        "definition": "Crusade Bleeding Risk Score is used to stratify risk for major bleeding in patients presenting with NSTEMI or STEMI prior to initiation of treatment.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.ItemTree",
        "path": "Crusade_Bleeding_Risk_Score.ItemTree",
        "short": "ItemTree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.ItemTree",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.ItemTree.Score_version",
        "path": "Crusade_Bleeding_Risk_Score.ItemTree.Score_version",
        "short": "Score version",
        "definition": "The version of the score used, normally recorded as the year.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.ItemTree.Score_version",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.ItemTree.Score_version.value",
        "path": "Crusade_Bleeding_Risk_Score.ItemTree.Score_version.value",
        "short": "Score version",
        "definition": "The version of the score used, normally recorded as the year.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.ItemTree.Score_version.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.ItemTree.Extension",
        "path": "Crusade_Bleeding_Risk_Score.ItemTree.Extension",
        "short": "Extension",
        "definition": "Additional information required to capture local content or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.ItemTree.Extension",
          "min": 0,
          "max": "*"
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        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History",
        "path": "Crusade_Bleeding_Risk_Score.History",
        "short": "History",
        "definition": "*",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History",
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            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event",
        "short": "Any event",
        "definition": "A specific date and/or time which may be explicitly defined in a template or at run-time.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
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        ],
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        "isModifier": false,
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      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree",
        "short": "ItemTree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
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          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree",
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        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Baseline_HCT___Hematocrit",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Baseline_HCT___Hematocrit",
        "short": "Baseline HCT / Hematocrit",
        "definition": "Score based on hematocrit % measurements.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Baseline_HCT___Hematocrit",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Baseline_HCT___Hematocrit.value",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Baseline_HCT___Hematocrit.value",
        "short": "Baseline HCT / Hematocrit",
        "definition": "Score based on hematocrit % measurements.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Baseline_HCT___Hematocrit.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Creatinine_Clearance",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Creatinine_Clearance",
        "short": "Creatinine Clearance",
        "definition": "Score for Creatinine Clearance estimated using the Cockcroft-Gault equation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Creatinine_Clearance",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Creatinine_Clearance.value",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Creatinine_Clearance.value",
        "short": "Creatinine Clearance",
        "definition": "Score for Creatinine Clearance estimated using the Cockcroft-Gault equation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Creatinine_Clearance.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Heart_Rate",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Heart_Rate",
        "short": "Heart Rate",
        "definition": "Heart rate score based on measurements in beats/min.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Heart_Rate",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Heart_Rate.value",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Heart_Rate.value",
        "short": "Heart Rate",
        "definition": "Heart rate score based on measurements in beats/min.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Heart_Rate.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Sex",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Sex",
        "short": "Sex",
        "definition": "Patient sex.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Sex",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Sex.value",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Sex.value",
        "short": "Sex",
        "definition": "Patient sex.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Sex.value",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Signs_of_CHF_at_presentation",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Signs_of_CHF_at_presentation",
        "short": "Signs of CHF at presentation",
        "definition": "Did the patient show signs of Congestive Heart Failure at presentation?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Signs_of_CHF_at_presentation",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Signs_of_CHF_at_presentation.value",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Signs_of_CHF_at_presentation.value",
        "short": "Signs of CHF at presentation",
        "definition": "Did the patient show signs of Congestive Heart Failure at presentation?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Signs_of_CHF_at_presentation.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Prior_vascular_disease",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Prior_vascular_disease",
        "short": "Prior vascular disease",
        "definition": "Does the patient have history of vascular disease?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Prior_vascular_disease",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Prior_vascular_disease.value",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Prior_vascular_disease.value",
        "short": "Prior vascular disease",
        "definition": "Does the patient have history of vascular disease?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Prior_vascular_disease.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Diabetes_mellitus",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Diabetes_mellitus",
        "short": "Diabetes mellitus",
        "definition": "Does the patient have a history of diabetes mellitus?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Diabetes_mellitus",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Diabetes_mellitus.value",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Diabetes_mellitus.value",
        "short": "Diabetes mellitus",
        "definition": "Does the patient have a history of diabetes mellitus?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Diabetes_mellitus.value",
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        },
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            "code": "CodeableConcept"
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        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
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      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Systolic_blood_pressure",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Systolic_blood_pressure",
        "short": "Systolic blood pressure",
        "definition": "Score based on systolic blood pressure ranges measured in mm Hg.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Systolic_blood_pressure",
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        }
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      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Systolic_blood_pressure.value",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Systolic_blood_pressure.value",
        "short": "Systolic blood pressure",
        "definition": "Score based on systolic blood pressure ranges measured in mm Hg.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.Systolic_blood_pressure.value",
          "min": 0,
          "max": "1"
        },
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        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
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      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.CRUSADE_Risk_Score",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.CRUSADE_Risk_Score",
        "short": "CRUSADE Risk Score",
        "definition": "The total summed score of all recorded individual risks.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.CRUSADE_Risk_Score",
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        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.CRUSADE_Risk_Score.value",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.CRUSADE_Risk_Score.value",
        "short": "CRUSADE Risk Score",
        "definition": "The total summed score of all recorded individual risks.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.CRUSADE_Risk_Score.value",
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        },
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          {
            "code": "Quantity"
          }
        ],
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      {
        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.CRUSADE_Risk_Grade",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.CRUSADE_Risk_Grade",
        "short": "CRUSADE Risk Grade",
        "definition": "Overall CRUSADE risk score.",
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        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.CRUSADE_Risk_Grade",
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        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.CRUSADE_Risk_Grade.value",
        "short": "CRUSADE Risk Grade",
        "definition": "Overall CRUSADE risk score.",
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        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.ItemTree.CRUSADE_Risk_Grade.value",
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        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.state_ItemTree",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.state_ItemTree",
        "short": "ItemTree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.state_ItemTree",
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        "type": [
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            "code": "BackboneElement"
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        "mustSupport": false,
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        "isSummary": true
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        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.state_ItemTree.Confounding_factors",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.state_ItemTree.Confounding_factors",
        "short": "Confounding factors",
        "definition": "Issues that may affect interpretation of the score.",
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        "max": "1",
        "base": {
          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.state_ItemTree.Confounding_factors",
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        "id": "Crusade_Bleeding_Risk_Score.History.Any_event.state_ItemTree.Confounding_factors.value",
        "path": "Crusade_Bleeding_Risk_Score.History.Any_event.state_ItemTree.Confounding_factors.value",
        "short": "Confounding factors",
        "definition": "Issues that may affect interpretation of the score.",
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          "path": "Crusade_Bleeding_Risk_Score.History.Any_event.state_ItemTree.Confounding_factors.value",
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    ]
  }
}