<status value="draft" /> <date value="2024-06-18" /> <publisher value="openEHR" /> <contact> <telecom> <system value="url" /> <value value="http://www.veratech.es" /> </telecom> </contact> <description value="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 value="To record the results for each component parameter, the total sum and grade for the GRACE score recorded at or after discharge." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="openEHR" /> <uri value="http://openehr.org" /> <name value="openEHR Mapping" /> </mapping> <mapping> <identity value="openEHR-natural" /> <uri value="http://openehr.org" /> <name value="openEHR natural path" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="StructureDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <snapshot> <element id="GRACE_score_(discharge)"> <path value="GRACE_score_(discharge)" /> <short value="GRACE score (discharge)" /> <definition value="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 value="1" /> <max value="1" /> <base> <path value="GRACE_score_(discharge)" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="GRACE_score_(discharge).protocol"> <path value="GRACE_score_(discharge).protocol" /> <short value="Item tree" /> <definition value="@ internal @" /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).protocol" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="GRACE_score_(discharge).protocol.Extension"> <path value="GRACE_score_(discharge).protocol.Extension" /> <short value="Extension" /> <definition value="Additional information required to extend the model with local content or to align with other reference models/formalisms." /> <min value="0" /> <max value="*" /> <base> <path value="GRACE_score_(discharge).protocol.Extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="GRACE_score_(discharge).Event_Series"> <path value="GRACE_score_(discharge).Event_Series" /> <short value="Event Series" /> <definition value="@ internal @" /> <min value="0" /> <max value="1" /> <base> <path 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value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Age.value" /> <short value="Age" /> <definition value="Age at assessment." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Age.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_heart_failure"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_heart_failure" /> <short value="History of heart failure" /> <definition value="Known history of congestive heart failure?" /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_heart_failure" /> <min value="0" /> <max value="1" /> </base> 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value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_AMI" /> <min value="0" /> <max value="1" /> </base> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_AMI.value"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_AMI.value" /> <short value="History of AMI" /> <definition value="Known history of acute myocardial infarction?" /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.History_of_AMI.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation" /> <short value="Heart rate at presentation" /> <definition value="Category of heart rate at initial hospital presentation." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation" /> <min value="0" /> <max value="1" /> </base> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation.value"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation.value" /> <short value="Heart rate at presentation" /> <definition value="Category of heart rate at initial hospital presentation." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Heart_rate_at_presentation.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation" /> <short value="Systolic blood pressure at presentation" /> <definition value="Category of systolic blood pressure at initial hospital presentation." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation" /> <min value="0" /> <max value="1" /> </base> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation.value"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation.value" /> <short value="Systolic blood pressure at presentation" /> <definition value="Category of systolic blood pressure at initial hospital presentation." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure_at_presentation.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation" /> <short value="Depressed ST segment at presentation" /> <definition value="ST segment depression at initial hospital presentation." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation" /> <min value="0" /> <max value="1" /> </base> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation.value"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation.value" /> <short value="Depressed ST segment at presentation" /> <definition value="ST segment depression at initial hospital presentation." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Depressed_ST_segment_at_presentation.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation" /> <short value="Creatinine level at presentation" /> <definition value="Category of serum creatinine measurement at initial hospital presentation." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation" /> <min value="0" /> <max value="1" /> </base> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation.value"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation.value" /> <short value="Creatinine level at presentation" /> <definition value="Category of serum creatinine measurement at initial hospital presentation." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Creatinine_level_at_presentation.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers" /> <short value="Elevated cardiac enzymes or markers" /> <definition value="Raised cardiac enzymes or markers during hospitalisation." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers" /> <min value="0" /> <max value="1" /> </base> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers.value"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers.value" /> <short value="Elevated cardiac enzymes or markers" /> <definition value="Raised cardiac enzymes or markers during hospitalisation." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Elevated_cardiac_enzymes_or_markers.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation" /> <short value="Percutaneous revascularisation" /> <definition value="In-hospital percutaneous coronary intervention." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation" /> <min value="0" /> <max value="1" /> </base> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation.value"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation.value" /> <short value="Percutaneous revascularisation" /> <definition value="In-hospital percutaneous coronary intervention." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Percutaneous_revascularisation.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Total_score"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Total_score" /> <short value="Total score" /> <definition value="Sum of points assigned for each of the component parameters." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Total_score" /> <min value="0" /> <max value="1" /> </base> </element> <element id="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Total_score.value"> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Total_score.value" /> <short value="Total score" /> <definition value="Sum of points assigned for each of the component parameters." /> <min value="0" /> <max value="1" /> <base> <path value="GRACE_score_(discharge).Event_Series.Any_point_in_time_event.data.Total_score.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Quantity" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> </snapshot> </StructureDefinition>