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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="logicalmodel-Has-bledscore-R4" />
  <url value="http://linkehr.com/fhir/logicalmodel-has-bledscore-R4" />
  <identifier>
    <system value="openEHR-CKM" />
    <value value="openEHR-EHR-OBSERVATION.has_bled.v0" />
  </identifier>
  <version value="0" />
  <name value="Has-bledscore" />
  <title value="HAS-BLED score" />
  <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="A risk assessment score to assess the bleeding risk in individuals with atrial fibrillation." />
  <purpose value="To record the results for each component parameter and their total sum for the HAS-BLED bleeding risk score." />
  <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="HAS_BLED_score">
      <path value="HAS_BLED_score" />
      <short value="HAS-BLED score" />
      <definition value="A risk assessment score to assess the bleeding risk in individuals with atrial fibrillation." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="HAS_BLED_score.protocol">
      <path value="HAS_BLED_score.protocol" />
      <short value="Item tree" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.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="HAS_BLED_score.protocol.Extension">
      <path value="HAS_BLED_score.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="HAS_BLED_score.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="HAS_BLED_score.Event_Series">
      <path value="HAS_BLED_score.Event_Series" />
      <short value="Event Series" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event" />
      <short value="Any point in time event" />
      <definition value="Default, unspecified point in time event which may be explicitly defined in a template or at run-time." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data" />
      <short value="Tree" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Hypertension">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Hypertension" />
      <short value="Hypertension" />
      <definition value="The systolic blood pressure is &gt;160 mmHg." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Hypertension" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Hypertension.value">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Hypertension.value" />
      <short value="Hypertension" />
      <definition value="The systolic blood pressure is &gt;160 mmHg." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Hypertension.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="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_renal_function">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_renal_function" />
      <short value="Abnormal renal function" />
      <definition value="The presence of chronic dialysis or renal transplantation or serum creatinine ≥200µmol/L." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_renal_function" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_renal_function.value">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_renal_function.value" />
      <short value="Abnormal renal function" />
      <definition value="The presence of chronic dialysis or renal transplantation or serum creatinine ≥200µmol/L." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_renal_function.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="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_liver_function">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_liver_function" />
      <short value="Abnormal liver function" />
      <definition value="Chronic hepatic disease (eg. cirrhosis) or biochemical evidence of significant hepatic derangement (eg. bilirubin &gt;2x upper limit of normal, in association with AST/ALT/ALP &gt;3x upper limit normal, etc)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_liver_function" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_liver_function.value">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_liver_function.value" />
      <short value="Abnormal liver function" />
      <definition value="Chronic hepatic disease (eg. cirrhosis) or biochemical evidence of significant hepatic derangement (eg. bilirubin &gt;2x upper limit of normal, in association with AST/ALT/ALP &gt;3x upper limit normal, etc)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Abnormal_liver_function.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="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Stroke">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Stroke" />
      <short value="Stroke" />
      <definition value="A previous history of stroke, particularly lacunar." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Stroke" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Stroke.value">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Stroke.value" />
      <short value="Stroke" />
      <definition value="A previous history of stroke, particularly lacunar." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Stroke.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="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Bleeding_history_or_predisposition">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Bleeding_history_or_predisposition" />
      <short value="Bleeding history or predisposition" />
      <definition value="A previous bleeding history and/or predisposition to bleeding ." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Bleeding_history_or_predisposition" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Bleeding_history_or_predisposition.value">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Bleeding_history_or_predisposition.value" />
      <short value="Bleeding history or predisposition" />
      <definition value="A previous bleeding history and/or predisposition to bleeding ." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Bleeding_history_or_predisposition.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="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Labile_INR">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Labile_INR" />
      <short value="Labile INR" />
      <definition value="Unstable/high INRs or poor time in therapeutic range." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Labile_INR" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Labile_INR.value">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Labile_INR.value" />
      <short value="Labile INR" />
      <definition value="Unstable/high INRs or poor time in therapeutic range." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Labile_INR.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="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Elderly">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Elderly" />
      <short value="Elderly" />
      <definition value="Age &gt;65 yrs." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Elderly" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Elderly.value">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Elderly.value" />
      <short value="Elderly" />
      <definition value="Age &gt;65 yrs." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Elderly.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="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Drugs_concomitantly">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Drugs_concomitantly" />
      <short value="Drugs concomitantly" />
      <definition value="The concomitant use of drugs, such as antiplatelet agents, non-steroidal anti-inflammatory drugs, etc." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Drugs_concomitantly" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Drugs_concomitantly.value">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Drugs_concomitantly.value" />
      <short value="Drugs concomitantly" />
      <definition value="The concomitant use of drugs, such as antiplatelet agents, non-steroidal anti-inflammatory drugs, etc." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Drugs_concomitantly.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="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Alcohol_concomitantly">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Alcohol_concomitantly" />
      <short value="Alcohol concomitantly" />
      <definition value="Alcohol consumption ≥ 8 units per week." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Alcohol_concomitantly" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Alcohol_concomitantly.value">
      <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Alcohol_concomitantly.value" />
      <short value="Alcohol concomitantly" />
      <definition value="Alcohol consumption ≥ 8 units per week." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Alcohol_concomitantly.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="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Total_score">
      <path value="HAS_BLED_score.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="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Total_score" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="HAS_BLED_score.Event_Series.Any_point_in_time_event.data.Total_score.value">
      <path value="HAS_BLED_score.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="HAS_BLED_score.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>

name : Has-bledscore

{

}

<name value="Has-bledscore" />