{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Gracescore_admission_-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-gracescore_admission_-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.grace_admission.v0"
    }
  ],
  "version": "0",
  "name": "Gracescore_admission_",
  "title": "GRACE score (admission)",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "The original 8 variable version of an assessment tool used to risk stratify patients diagnosed with Acute Coronary Syndrome - specifically to estimate their risk of death in-hospital and up to 6 months after the ACS event.",
  "purpose": "To record the results for each component parameter, the total sum and grade for the GRACE score recorded at presentation or on admission.",
  "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": [
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        "id": "GRACE_score_(admission)",
        "path": "GRACE_score_(admission)",
        "short": "GRACE score (admission)",
        "definition": "The original 8 variable version of an assessment tool used to risk stratify patients diagnosed with Acute Coronary Syndrome - specifically to estimate their risk of death in-hospital and up to 6 months after the ACS event.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission)",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(admission).protocol",
        "path": "GRACE_score_(admission).protocol",
        "short": "Item tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
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          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(admission).protocol.Extension",
        "path": "GRACE_score_(admission).protocol.Extension",
        "short": "Extension",
        "definition": "Additional information required to extend the model with local content or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "GRACE_score_(admission).protocol.Extension",
          "min": 0,
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        },
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          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(admission).Event_Series",
        "path": "GRACE_score_(admission).Event_Series",
        "short": "Event Series",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series",
          "min": 0,
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          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event",
        "short": "Any point in time event",
        "definition": "Default, unspecified point in time event which may be explicitly defined in a template or at run-time.",
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        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event",
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        ],
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      },
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        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data",
        "short": "Tree",
        "definition": "@ internal @",
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      },
      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Age",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Age",
        "short": "Age",
        "definition": "Age at admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Age",
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      },
      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Age.value",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Age.value",
        "short": "Age",
        "definition": "Age at admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Age.value",
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        "type": [
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        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Heart_rate",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Heart_rate",
        "short": "Heart rate",
        "definition": "Category of heart rate on admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Heart_rate",
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      },
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        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Heart_rate.value",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Heart_rate.value",
        "short": "Heart rate",
        "definition": "Category of heart rate on admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Heart_rate.value",
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        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure",
        "short": "Systolic blood pressure",
        "definition": "Category of systolic blood pressure on admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure",
          "min": 0,
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        }
      },
      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure.value",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure.value",
        "short": "Systolic blood pressure",
        "definition": "Category of systolic blood pressure on admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure.value",
          "min": 0,
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        },
        "type": [
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            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Creatinine_level",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Creatinine_level",
        "short": "Creatinine level",
        "definition": "Category of creatinine measurement on admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Creatinine_level",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Creatinine_level.value",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Creatinine_level.value",
        "short": "Creatinine level",
        "definition": "Category of creatinine measurement on admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Creatinine_level.value",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Cardiac_arrest_at_admission",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Cardiac_arrest_at_admission",
        "short": "Cardiac arrest at admission",
        "definition": "Resuscitated after cardiac arrest at admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Cardiac_arrest_at_admission",
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      },
      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Cardiac_arrest_at_admission.value",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Cardiac_arrest_at_admission.value",
        "short": "Cardiac arrest at admission",
        "definition": "Resuscitated after cardiac arrest at admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Cardiac_arrest_at_admission.value",
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        ],
        "mustSupport": false,
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      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.ST_segment_deviation_on_ECG",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.ST_segment_deviation_on_ECG",
        "short": "ST segment deviation on ECG",
        "definition": "ST segment deviation on admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.ST_segment_deviation_on_ECG",
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      },
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        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.ST_segment_deviation_on_ECG.value",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.ST_segment_deviation_on_ECG.value",
        "short": "ST segment deviation on ECG",
        "definition": "ST segment deviation on admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.ST_segment_deviation_on_ECG.value",
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        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Elevated_abnormal_cardiac_enzymes",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Elevated_abnormal_cardiac_enzymes",
        "short": "Elevated/abnormal cardiac enzymes",
        "definition": "Cardiac enzymes out of normal range on admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Elevated_abnormal_cardiac_enzymes",
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      },
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        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Elevated_abnormal_cardiac_enzymes.value",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Elevated_abnormal_cardiac_enzymes.value",
        "short": "Elevated/abnormal cardiac enzymes",
        "definition": "Cardiac enzymes out of normal range on admission.",
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        "max": "1",
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          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Elevated_abnormal_cardiac_enzymes.value",
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        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Killip_class",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Killip_class",
        "short": "Killip class",
        "definition": "Killip Classification at admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Killip_class",
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        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Killip_class.value",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Killip_class.value",
        "short": "Killip class",
        "definition": "Killip Classification at admission.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Killip_class.value",
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      {
        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Total_score",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Total_score",
        "short": "Total score",
        "definition": "Sum of points assigned for each of the component parameters.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Total_score",
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        "id": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Total_score.value",
        "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Total_score.value",
        "short": "Total score",
        "definition": "Sum of points assigned for each of the component parameters.",
        "min": 0,
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          "path": "GRACE_score_(admission).Event_Series.Any_point_in_time_event.data.Total_score.value",
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        },
        "type": [
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            "code": "Quantity"
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    ]
  }
}