{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Gracescore_discharge_-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-gracescore_discharge_-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.grace_discharge.v0"
    }
  ],
  "version": "0",
  "name": "Gracescore_discharge_",
  "title": "GRACE score (discharge)",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "The original 9 variable version of an assessment tool used to risk stratify patients diagnosed with Acute Coronary Syndrome - specifically to estimate their risk of death on discharge 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 or after discharge.",
  "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": "GRACE_score_(discharge)",
        "path": "GRACE_score_(discharge)",
        "short": "GRACE score (discharge)",
        "definition": "The original 9 variable version of an assessment tool used to risk stratify patients diagnosed with Acute Coronary Syndrome - specifically to estimate their risk of death on discharge and up to 6 months after the ACS event.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge)",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).protocol",
        "path": "GRACE_score_(discharge).protocol",
        "short": "Item tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).protocol.Extension",
        "path": "GRACE_score_(discharge).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_(discharge).protocol.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series",
        "path": "GRACE_score_(discharge).Event_Series",
        "short": "Event Series",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event",
        "path": "GRACE_score_(discharge).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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data",
          "min": 0,
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        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Age",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Age",
        "short": "Age",
        "definition": "Age at assessment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Age",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Age.value",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Age.value",
        "short": "Age",
        "definition": "Age at assessment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Age.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_heart_failure",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_heart_failure",
        "short": "History of heart failure",
        "definition": "Known history of congestive heart failure?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_heart_failure",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_heart_failure.value",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_heart_failure.value",
        "short": "History of heart failure",
        "definition": "Known history of congestive heart failure?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_heart_failure.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_AMI",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_AMI",
        "short": "History of AMI",
        "definition": "Known history of acute myocardial infarction?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_AMI",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_AMI.value",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_AMI.value",
        "short": "History of AMI",
        "definition": "Known history of acute myocardial infarction?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_AMI.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation",
        "short": "Heart rate at presentation",
        "definition": "Category of heart rate at initial hospital presentation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation.value",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation.value",
        "short": "Heart rate at presentation",
        "definition": "Category of heart rate at initial hospital presentation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation",
        "short": "Systolic blood pressure at presentation",
        "definition": "Category of systolic blood pressure at initial hospital presentation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation",
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        }
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation.value",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation.value",
        "short": "Systolic blood pressure at presentation",
        "definition": "Category of systolic blood pressure at initial hospital presentation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation.value",
          "min": 0,
          "max": "1"
        },
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          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation",
        "short": "Depressed ST segment at presentation",
        "definition": "ST segment depression at initial hospital presentation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation.value",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation.value",
        "short": "Depressed ST segment at presentation",
        "definition": "ST segment depression at initial hospital presentation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation",
        "short": "Creatinine level at presentation",
        "definition": "Category of serum creatinine measurement at initial hospital presentation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation",
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          "max": "1"
        }
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation.value",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation.value",
        "short": "Creatinine level at presentation",
        "definition": "Category of serum creatinine measurement at initial hospital presentation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation.value",
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        },
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          }
        ],
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        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers",
        "short": "Elevated cardiac enzymes or markers",
        "definition": "Raised cardiac enzymes or markers during hospitalisation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers",
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        }
      },
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        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers.value",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers.value",
        "short": "Elevated cardiac enzymes or markers",
        "definition": "Raised cardiac enzymes or markers during hospitalisation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers.value",
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        },
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        ],
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        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation",
        "short": "Percutaneous revascularisation",
        "definition": "In-hospital percutaneous coronary intervention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation.value",
        "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation.value",
        "short": "Percutaneous revascularisation",
        "definition": "In-hospital percutaneous coronary intervention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation.value",
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          "max": "1"
        },
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        ],
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        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Total_score",
        "path": "GRACE_score_(discharge).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_(discharge).Event_Series.Any_point_in_time_event.data.Total_score",
          "min": 0,
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        }
      },
      {
        "id": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Total_score.value",
        "path": "GRACE_score_(discharge).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,
        "max": "1",
        "base": {
          "path": "GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Total_score.value",
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        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
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        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}