{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Hscore-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-hscore-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.hscore.v0"
    }
  ],
  "version": "0",
  "name": "Hscore",
  "title": "HScore",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Estimate an individual's risk of having reactive hemophagocytic syndrome.",
  "purpose": "To record an estimation of an individual's risk of having reactive hemophagocytic syndrome.",
  "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": "HScore",
        "path": "HScore",
        "short": "HScore",
        "definition": "Estimate an individual's risk of having reactive hemophagocytic syndrome.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "HScore",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.protocol",
        "path": "HScore.protocol",
        "short": "Item tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.protocol.Extension",
        "path": "HScore.protocol.Extension",
        "short": "Extension",
        "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": "HScore.protocol.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History",
        "path": "HScore.History",
        "short": "History",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event",
        "path": "HScore.History.Any_event",
        "short": "Any 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": "HScore.History.Any_event",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data",
        "path": "HScore.History.Any_event.data",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data.Temperature",
        "path": "HScore.History.Any_event.data.Temperature",
        "short": "Temperature",
        "definition": "Range category for the body temperature measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Temperature",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HScore.History.Any_event.data.Temperature.value",
        "path": "HScore.History.Any_event.data.Temperature.value",
        "short": "Temperature",
        "definition": "Range category for the body temperature measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Temperature.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data.Organomegaly",
        "path": "HScore.History.Any_event.data.Organomegaly",
        "short": "Organomegaly",
        "definition": "Findings of any enlargement of the liver or/and spleen in the individual.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Organomegaly",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HScore.History.Any_event.data.Organomegaly.value",
        "path": "HScore.History.Any_event.data.Organomegaly.value",
        "short": "Organomegaly",
        "definition": "Findings of any enlargement of the liver or/and spleen in the individual.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Organomegaly.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data.Number_of_cytopenias",
        "path": "HScore.History.Any_event.data.Number_of_cytopenias",
        "short": "Number of cytopenias",
        "definition": "Number of cytopenias present - in red cells, white cells and/or platelets.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Number_of_cytopenias",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HScore.History.Any_event.data.Number_of_cytopenias.value",
        "path": "HScore.History.Any_event.data.Number_of_cytopenias.value",
        "short": "Number of cytopenias",
        "definition": "Number of cytopenias present - in red cells, white cells and/or platelets.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Number_of_cytopenias.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data.Triglycerides",
        "path": "HScore.History.Any_event.data.Triglycerides",
        "short": "Triglycerides",
        "definition": "The triglycerides category, measured in mmol/L or mg/dL.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Triglycerides",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HScore.History.Any_event.data.Triglycerides.value",
        "path": "HScore.History.Any_event.data.Triglycerides.value",
        "short": "Triglycerides",
        "definition": "The triglycerides category, measured in mmol/L or mg/dL.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Triglycerides.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data.Fibrinogen",
        "path": "HScore.History.Any_event.data.Fibrinogen",
        "short": "Fibrinogen",
        "definition": "The fibrinogen category, measured in g/L or mg/dL.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Fibrinogen",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HScore.History.Any_event.data.Fibrinogen.value",
        "path": "HScore.History.Any_event.data.Fibrinogen.value",
        "short": "Fibrinogen",
        "definition": "The fibrinogen category, measured in g/L or mg/dL.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Fibrinogen.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data.Ferritin",
        "path": "HScore.History.Any_event.data.Ferritin",
        "short": "Ferritin",
        "definition": "The ferritin category, measured in ng/mL or μg/L.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Ferritin",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HScore.History.Any_event.data.Ferritin.value",
        "path": "HScore.History.Any_event.data.Ferritin.value",
        "short": "Ferritin",
        "definition": "The ferritin category, measured in ng/mL or μg/L.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Ferritin.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data.Aspartate_aminotransferase",
        "path": "HScore.History.Any_event.data.Aspartate_aminotransferase",
        "short": "Aspartate aminotransferase",
        "definition": "An individvals serum aspartate aminotransferase level measured in U/L.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Aspartate_aminotransferase",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HScore.History.Any_event.data.Aspartate_aminotransferase.value",
        "path": "HScore.History.Any_event.data.Aspartate_aminotransferase.value",
        "short": "Aspartate aminotransferase",
        "definition": "An individvals serum aspartate aminotransferase level measured in U/L.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Aspartate_aminotransferase.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data.Haemophagocytosis_on_bone_marrow_aspirate",
        "path": "HScore.History.Any_event.data.Haemophagocytosis_on_bone_marrow_aspirate",
        "short": "Haemophagocytosis on bone marrow aspirate",
        "definition": "Presence of hemophagocytosis features in bone marrow aspirate.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Haemophagocytosis_on_bone_marrow_aspirate",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HScore.History.Any_event.data.Haemophagocytosis_on_bone_marrow_aspirate.value",
        "path": "HScore.History.Any_event.data.Haemophagocytosis_on_bone_marrow_aspirate.value",
        "short": "Haemophagocytosis on bone marrow aspirate",
        "definition": "Presence of hemophagocytosis features in bone marrow aspirate.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Haemophagocytosis_on_bone_marrow_aspirate.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data.Known_immunosuppression",
        "path": "HScore.History.Any_event.data.Known_immunosuppression",
        "short": "Known immunosuppression",
        "definition": "Presence of known underlying immunosuppression.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Known_immunosuppression",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HScore.History.Any_event.data.Known_immunosuppression.value",
        "path": "HScore.History.Any_event.data.Known_immunosuppression.value",
        "short": "Known immunosuppression",
        "definition": "Presence of known underlying immunosuppression.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Known_immunosuppression.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data.Total_HScore",
        "path": "HScore.History.Any_event.data.Total_HScore",
        "short": "Total HScore",
        "definition": "The total sum for each component variable for the HScore.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Total_HScore",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HScore.History.Any_event.data.Total_HScore.value",
        "path": "HScore.History.Any_event.data.Total_HScore.value",
        "short": "Total HScore",
        "definition": "The total sum for each component variable for the HScore.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Total_HScore.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "HScore.History.Any_event.data.Probability_of_HS",
        "path": "HScore.History.Any_event.data.Probability_of_HS",
        "short": "Probability of HS",
        "definition": "Probability of an individual having reactive hemophagocytic syndrome.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Probability_of_HS",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "HScore.History.Any_event.data.Probability_of_HS.value",
        "path": "HScore.History.Any_event.data.Probability_of_HS.value",
        "short": "Probability of HS",
        "definition": "Probability of an individual having reactive hemophagocytic syndrome.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HScore.History.Any_event.data.Probability_of_HS.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}