{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Modifiedbarthelindex-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-modifiedbarthelindex-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.modified_barthel_index.v0"
    }
  ],
  "version": "0",
  "name": "Modifiedbarthelindex",
  "title": "Modified Barthel index",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Modification of the Barthel index, used as a functional assessment for activities of daily living (ADL).",
  "purpose": "To record a functional assessment for activities of daily living using the modified version of the Barthel index.",
  "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": "Modified_Barthel_index",
        "path": "Modified_Barthel_index",
        "short": "Modified Barthel index",
        "definition": "Modification of the Barthel index, used as a functional assessment for activities of daily living (ADL).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.protocol",
        "path": "Modified_Barthel_index.protocol",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.protocol.Extension",
        "path": "Modified_Barthel_index.protocol.Extension",
        "short": "Extension",
        "definition": "Additional information required to capture local content or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Modified_Barthel_index.protocol.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History",
        "path": "Modified_Barthel_index.History",
        "short": "History",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event",
        "path": "Modified_Barthel_index.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": "Modified_Barthel_index.History.Any_event",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data",
        "path": "Modified_Barthel_index.History.Any_event.data",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Bowels",
        "path": "Modified_Barthel_index.History.Any_event.data.Bowels",
        "short": "Bowels",
        "definition": "Over the previous week, occasional accident is once per week.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Bowels",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Bowels.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Bowels.value",
        "short": "Bowels",
        "definition": "Over the previous week, occasional accident is once per week.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Bowels.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Bladder",
        "path": "Modified_Barthel_index.History.Any_event.data.Bladder",
        "short": "Bladder",
        "definition": "Assessment of urinary control over the previous week, occasional accident <= 1 time per week.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Bladder",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Bladder.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Bladder.value",
        "short": "Bladder",
        "definition": "Assessment of urinary control over the previous week, occasional accident <= 1 time per week.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Bladder.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Grooming",
        "path": "Modified_Barthel_index.History.Any_event.data.Grooming",
        "short": "Grooming",
        "definition": "Ability over the previous 24-48 hours to attend to personal hygiene such as brushing teeth, shaving and washing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Grooming",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Grooming.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Grooming.value",
        "short": "Grooming",
        "definition": "Ability over the previous 24-48 hours to attend to personal hygiene such as brushing teeth, shaving and washing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Grooming.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Toilet_use",
        "path": "Modified_Barthel_index.History.Any_event.data.Toilet_use",
        "short": "Toilet use",
        "definition": "Ability to use toilet over the previous 48 hours.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Toilet_use",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Toilet_use.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Toilet_use.value",
        "short": "Toilet use",
        "definition": "Ability to use toilet over the previous 48 hours.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Toilet_use.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Feeding",
        "path": "Modified_Barthel_index.History.Any_event.data.Feeding",
        "short": "Feeding",
        "definition": "Ability to eat food.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Feeding",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Feeding.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Feeding.value",
        "short": "Feeding",
        "definition": "Ability to eat food.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Feeding.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Transfer",
        "path": "Modified_Barthel_index.History.Any_event.data.Transfer",
        "short": "Transfer",
        "definition": "Transfer from bed to chair and back.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Transfer",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Transfer.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Transfer.value",
        "short": "Transfer",
        "definition": "Transfer from bed to chair and back.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Transfer.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Mobility",
        "path": "Modified_Barthel_index.History.Any_event.data.Mobility",
        "short": "Mobility",
        "definition": "Ability to get about the house or institution.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Mobility",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Mobility.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Mobility.value",
        "short": "Mobility",
        "definition": "Ability to get about the house or institution.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Mobility.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Dressing",
        "path": "Modified_Barthel_index.History.Any_event.data.Dressing",
        "short": "Dressing",
        "definition": "Ability to choose clothes, put them on and fasten them.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Dressing",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Dressing.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Dressing.value",
        "short": "Dressing",
        "definition": "Ability to choose clothes, put them on and fasten them.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Dressing.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Stairs",
        "path": "Modified_Barthel_index.History.Any_event.data.Stairs",
        "short": "Stairs",
        "definition": "Ability to negotiate stairs.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Stairs",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Stairs.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Stairs.value",
        "short": "Stairs",
        "definition": "Ability to negotiate stairs.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Stairs.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Bathing",
        "path": "Modified_Barthel_index.History.Any_event.data.Bathing",
        "short": "Bathing",
        "definition": "Independent = without supervision or help when getting in and out of the bath and when washing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Bathing",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Bathing.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Bathing.value",
        "short": "Bathing",
        "definition": "Independent = without supervision or help when getting in and out of the bath and when washing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Bathing.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Total_score",
        "path": "Modified_Barthel_index.History.Any_event.data.Total_score",
        "short": "Total score",
        "definition": "Sum of the individual scores assigned for each of the contributing variables.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Total_score.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Total_score.value",
        "short": "Total score",
        "definition": "Sum of the individual scores assigned for each of the contributing variables.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Comment",
        "path": "Modified_Barthel_index.History.Any_event.data.Comment",
        "short": "Comment",
        "definition": "Additional narrative about the modified Barthel index, not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Comment",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.data.Comment.value",
        "path": "Modified_Barthel_index.History.Any_event.data.Comment.value",
        "short": "Comment",
        "definition": "Additional narrative about the modified Barthel index, not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.data.Comment.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.state",
        "path": "Modified_Barthel_index.History.Any_event.state",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.state.Confounding_factors",
        "path": "Modified_Barthel_index.History.Any_event.state.Confounding_factors",
        "short": "Confounding factors",
        "definition": "Narrative descripiton of any issues or factors that may impact on the scoring.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.state.Confounding_factors",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Modified_Barthel_index.History.Any_event.state.Confounding_factors.value",
        "path": "Modified_Barthel_index.History.Any_event.state.Confounding_factors.value",
        "short": "Confounding factors",
        "definition": "Narrative descripiton of any issues or factors that may impact on the scoring.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Modified_Barthel_index.History.Any_event.state.Confounding_factors.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}