{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Heartscore-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-heartscore-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.heart_score.v0"
    }
  ],
  "version": "0",
  "name": "Heartscore",
  "title": "HEART score",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "An assessment tool tool used to identify patients at low, intermediate, and high risk for short-term adverse outcome resulting from Acute Coronary Syndrome (ACS).",
  "purpose": "To record the results for each component parameter and their total sum for the HEART 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": "HEART_score",
        "path": "HEART_score",
        "short": "HEART score",
        "definition": "An assessment tool tool used to identify patients at low, intermediate, and high risk for short-term adverse outcome resulting from Acute Coronary Syndrome (ACS).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "HEART_score",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HEART_score.protocol",
        "path": "HEART_score.protocol",
        "short": "Item tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HEART_score.protocol.Extension",
        "path": "HEART_score.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": "HEART_score.protocol.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HEART_score.History",
        "path": "HEART_score.History",
        "short": "History",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event",
        "path": "HEART_score.History.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": "*",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data",
        "path": "HEART_score.History.Any_point_in_time_event.data",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.History",
        "path": "HEART_score.History.Any_point_in_time_event.data.History",
        "short": "History",
        "definition": "The level of suspicion from patient history or anamnesis.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.History",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.History.value",
        "path": "HEART_score.History.Any_point_in_time_event.data.History.value",
        "short": "History",
        "definition": "The level of suspicion from patient history or anamnesis.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.History.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.Electrocardiogram",
        "path": "HEART_score.History.Any_point_in_time_event.data.Electrocardiogram",
        "short": "Electrocardiogram",
        "definition": "The interpretation of an electrocardiograph.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.Electrocardiogram",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.Electrocardiogram.value",
        "path": "HEART_score.History.Any_point_in_time_event.data.Electrocardiogram.value",
        "short": "Electrocardiogram",
        "definition": "The interpretation of an electrocardiograph.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.Electrocardiogram.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.Age",
        "path": "HEART_score.History.Any_point_in_time_event.data.Age",
        "short": "Age",
        "definition": "The age of the patient, defined in years.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.Age",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.Age.value",
        "path": "HEART_score.History.Any_point_in_time_event.data.Age.value",
        "short": "Age",
        "definition": "The age of the patient, defined in years.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.Age.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.Risk_factors",
        "path": "HEART_score.History.Any_point_in_time_event.data.Risk_factors",
        "short": "Risk factors",
        "definition": "Presence of risk factors for the development of coronary artery disease (CAD).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.Risk_factors",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.Risk_factors.value",
        "path": "HEART_score.History.Any_point_in_time_event.data.Risk_factors.value",
        "short": "Risk factors",
        "definition": "Presence of risk factors for the development of coronary artery disease (CAD).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.Risk_factors.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.Troponin",
        "path": "HEART_score.History.Any_point_in_time_event.data.Troponin",
        "short": "Troponin",
        "definition": "The single serum troponin obtained during the emergency department assessment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.Troponin",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.Troponin.value",
        "path": "HEART_score.History.Any_point_in_time_event.data.Troponin.value",
        "short": "Troponin",
        "definition": "The single serum troponin obtained during the emergency department assessment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.Troponin.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.Total_score",
        "path": "HEART_score.History.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": "HEART_score.History.Any_point_in_time_event.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.Total_score.value",
        "path": "HEART_score.History.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": "HEART_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": "HEART_score.History.Any_point_in_time_event.data.Risk_category",
        "path": "HEART_score.History.Any_point_in_time_event.data.Risk_category",
        "short": "Risk category",
        "definition": "Risk category & recommended management strategy.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.Risk_category",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HEART_score.History.Any_point_in_time_event.data.Risk_category.value",
        "path": "HEART_score.History.Any_point_in_time_event.data.Risk_category.value",
        "short": "Risk category",
        "definition": "Risk category & recommended management strategy.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HEART_score.History.Any_point_in_time_event.data.Risk_category.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}