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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="logicalmodel-Neurologicassessmentinneuro-oncology_nano_scale-R4" />
  <url value="http://linkehr.com/fhir/logicalmodel-neurologicassessmentinneuro-oncology_nano_scale-R4" />
  <identifier>
    <system value="openEHR-CKM" />
    <value value="openEHR-EHR-OBSERVATION.neurologic_assessment_in_neuro_oncology_scale.v0" />
  </identifier>
  <version value="0" />
  <name value="Neurologicassessmentinneuro-oncology_nano_scale" />
  <title value="Neurologic Assessment in Neuro-Oncology (NANO) scale" />
  <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 NANO scale is a tool for assessing neurologic function in patients with brain tumor." />
  <purpose value="To record the result for each component parameter for the NANO-scale and to calculate the total 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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale" />
      <short value="Neurologic Assessment in Neuro-Oncology (NANO) scale" />
      <definition value="The NANO scale is a tool for assessing neurologic function in patients with brain tumor." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.protocol">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.protocol" />
      <definition value="ITEM_TREE" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History" />
      <short value="History" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event" />
      <short value="Any event" />
      <definition value="Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data" />
      <short value="Tree" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Gait">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Gait" />
      <short value="Gait" />
      <definition value="Walking is ideally assessed by at least 10 steps." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Gait" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Gait.value">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Gait.value" />
      <short value="Gait" />
      <definition value="Walking is ideally assessed by at least 10 steps." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Gait.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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Strength">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Strength" />
      <short value="Strength" />
      <definition value="Test each limb separately. Recommend assess proximal (above knee or elbow) and distal (below knee or elbow) major muscle groups. Score should reflect worse performing area. Patients with baseline level 3 function in one major muscle group/limb can be scored based on assessment of other major muscle group/limbs." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Strength" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Strength.value">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Strength.value" />
      <short value="Strength" />
      <definition value="Test each limb separately. Recommend assess proximal (above knee or elbow) and distal (below knee or elbow) major muscle groups. Score should reflect worse performing area. Patients with baseline level 3 function in one major muscle group/limb can be scored based on assessment of other major muscle group/limbs." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Strength.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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Ataxia(upper_extremity)">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Ataxia(upper_extremity)" />
      <short value="Ataxia(upper extremity)" />
      <definition value="Non-evaluable if strength is compromised. Trunk/lower extermities assessed by gait domain. Particulary important for patients with brainstem and cerebellar tumors. Score based on test respons of at least 3 attempts." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Ataxia(upper_extremity)" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Ataxia(upper_extremity).value">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Ataxia(upper_extremity).value" />
      <short value="Ataxia(upper extremity)" />
      <definition value="Non-evaluable if strength is compromised. Trunk/lower extermities assessed by gait domain. Particulary important for patients with brainstem and cerebellar tumors. Score based on test respons of at least 3 attempts." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Ataxia(upper_extremity).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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Sensation">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Sensation" />
      <short value="Sensation" />
      <definition value="Recommend evaluating major body areas separately (face, limbs, trunk). Score should reflect worse performing area. Sensory modality includes but not limited to light touch, pinprick, temperature and proprioception. Patients with baseline level 2 function in one major body area can be scored based on assessment of other major body areas." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Sensation" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Sensation.value">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Sensation.value" />
      <short value="Sensation" />
      <definition value="Recommend evaluating major body areas separately (face, limbs, trunk). Score should reflect worse performing area. Sensory modality includes but not limited to light touch, pinprick, temperature and proprioception. Patients with baseline level 2 function in one major body area can be scored based on assessment of other major body areas." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Sensation.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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Visual_fields">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Visual_fields" />
      <short value="Visual fields" />
      <definition value="Patients who require corrective lenses should be evaluated while wearing corrective lenses. Each eye should be evaluated and score should reflect the worst performing eye." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Visual_fields" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Visual_fields.value">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Visual_fields.value" />
      <short value="Visual fields" />
      <definition value="Patients who require corrective lenses should be evaluated while wearing corrective lenses. Each eye should be evaluated and score should reflect the worst performing eye." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Visual_fields.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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Facial_strength">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Facial_strength" />
      <short value="Facial strength" />
      <definition value="Particularly important for brainstem tumors. Weakness includes nasolabial fold flattening, asymmetric smile and difficulty elevating eyebrows." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Facial_strength" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Facial_strength.value">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Facial_strength.value" />
      <short value="Facial strength" />
      <definition value="Particularly important for brainstem tumors. Weakness includes nasolabial fold flattening, asymmetric smile and difficulty elevating eyebrows." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Facial_strength.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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Language">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Language" />
      <short value="Language" />
      <definition value="Asses based on spoken speech. Non-verbal cues or writing should not be included." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Language" />
        <min value="0" />
        <max value="1" />
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    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Language.value">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Language.value" />
      <short value="Language" />
      <definition value="Asses based on spoken speech. Non-verbal cues or writing should not be included." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Language.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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Level_of_consciousness">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Level_of_consciousness" />
      <short value="Level of consciousness" />
      <definition value="ELEMENT" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Level_of_consciousness" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Level_of_consciousness.value">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Level_of_consciousness.value" />
      <short value="Level of consciousness" />
      <definition value="DvOrdinal" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Level_of_consciousness.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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Behavior">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Behavior" />
      <short value="Behavior" />
      <definition value="Particulary important for frontal lobe tumors. Alteration includes but is not limited to apathy, disinhibition and confusion. Consider subclinical seizures for significant alteration." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Behavior" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Behavior.value">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Behavior.value" />
      <short value="Behavior" />
      <definition value="Particulary important for frontal lobe tumors. Alteration includes but is not limited to apathy, disinhibition and confusion. Consider subclinical seizures for significant alteration." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Behavior.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="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Total_sum_of_score">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Total_sum_of_score" />
      <short value="Total sum of score" />
      <definition value="ELEMENT" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Total_sum_of_score" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Total_sum_of_score.value">
      <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Total_sum_of_score.value" />
      <short value="Total sum of score" />
      <definition value="DV_COUNT" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Neurologic_Assessment_in_Neuro_Oncology_(NANO)_scale.History.Any_event.data.Total_sum_of_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 : Neurologicassessmentinneuro-oncology_nano_scale

{

}

<name value="Neurologicassessmentinneuro-oncology_nano_scale" />