{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Curb-65score-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-curb-65score-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.curb_65.v1"
    }
  ],
  "version": "0",
  "name": "Curb-65score",
  "title": "CURB-65 score",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "An assessment score used within an acute hospital setting to estimate the severity of community-acquired pneumonia.",
  "purpose": "To record the results for each component parameter and their total sum for the CURB-65 score.",
  "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": "CURB_65_score",
        "path": "CURB_65_score",
        "short": "CURB-65 score",
        "definition": "An assessment score used within an acute hospital setting to estimate the severity of community-acquired pneumonia.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CURB_65_score",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.protocol",
        "path": "CURB_65_score.protocol",
        "short": "Item tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.protocol.Extension_SLOT",
        "path": "CURB_65_score.protocol.Extension_SLOT",
        "short": "Extension SLOT",
        "definition": "Additional information required to extend the model with local content or to align with other reference models or formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "CURB_65_score.protocol.Extension_SLOT",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.History",
        "path": "CURB_65_score.History",
        "short": "History",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event",
        "path": "CURB_65_score.History.Any_point_in_time_event",
        "short": "Any point in time 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": "CURB_65_score.History.Any_point_in_time_event",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data",
        "path": "CURB_65_score.History.Any_point_in_time_event.data",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Confusion",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Confusion",
        "short": "Confusion",
        "definition": "Does the patient have recent onset confusion?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Confusion",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Confusion.value",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Confusion.value",
        "short": "Confusion",
        "definition": "Does the patient have recent onset confusion?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Confusion.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Urea",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Urea",
        "short": "Urea",
        "definition": "Does the patient have a blood urea of >7 mmol/L (or 19 mg/dL)?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Urea",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Urea.value",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Urea.value",
        "short": "Urea",
        "definition": "Does the patient have a blood urea of >7 mmol/L (or 19 mg/dL)?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Urea.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Respiratory_rate",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Respiratory_rate",
        "short": "Respiratory rate",
        "definition": "Does the patient have a respiratory rate equal to or greater than 30 /min?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Respiratory_rate",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Respiratory_rate.value",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Respiratory_rate.value",
        "short": "Respiratory rate",
        "definition": "Does the patient have a respiratory rate equal to or greater than 30 /min?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Respiratory_rate.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Blood_pressure",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Blood_pressure",
        "short": "Blood pressure",
        "definition": "Does he patient have a systolic blood pressure <90 OR a diastolic blood pressure ≤60 mmHg?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Blood_pressure",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Blood_pressure.value",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Blood_pressure.value",
        "short": "Blood pressure",
        "definition": "Does he patient have a systolic blood pressure <90 OR a diastolic blood pressure ≤60 mmHg?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Blood_pressure.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Age",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Age",
        "short": "Age",
        "definition": "Is the patient 65 years or older?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Age",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Age.value",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Age.value",
        "short": "Age",
        "definition": "Is the patient 65 years or older?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Age.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Total_score",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Total_score",
        "short": "Total score",
        "definition": "The total sum of each component variable for the CURB-65 score.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Total_score.value",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Total_score.value",
        "short": "Total score",
        "definition": "The total sum of each component variable for the CURB-65 score.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Grade",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Grade",
        "short": "Grade",
        "definition": "Severity assessment based on the CURB-65 score.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Grade",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "CURB_65_score.History.Any_point_in_time_event.data.Grade.value",
        "path": "CURB_65_score.History.Any_point_in_time_event.data.Grade.value",
        "short": "Grade",
        "definition": "Severity assessment based on the CURB-65 score.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CURB_65_score.History.Any_point_in_time_event.data.Grade.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}