HdBe-DOSScore
WARNING This page contains a draft CBB, as raw output from the zib export and automatic conversion to CBB. It requires thorough review and adaption to the Belgian realm. This CBB is merely added for informative use.
CBB | Description | Status |
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HdBe-DOSScore | The Delirium Observation Screening Scale is a tool to determine whether a patient has delirium. The DOSS includes 13 observations of behavior (verbal and non-verbal) which represent the symptoms of a delirium. These observations can be performed during regular contact with the patient. PurposeDelirium is one of the most forms of psychopathology among elderly patients and patients in the last phase of their lives. The main characteristic of delirium is the rapid onset and changing of symptoms. The DOSS is meant to qualify and quantify the nature and seriousness of delirium symptoms. This enables a quick start of treatment. The DOSS is used to signal risks and as an evaluation tool. Evidence BaseThe definitions of the concepts are based on the DOS score. | draft |
DOSScore | DOSScore | ||
id | 0..1 | string | |
extension | I | 0..* | Extension |
DosscoreTotal | 0..1 | positiveInt | |
DosscoreDateTime | 1..1 | dateTime | |
DozesOff | 0..1 | positiveInt | |
EasilyDistracted | 0..1 | positiveInt | |
MaintainsAttention | 0..1 | positiveInt | |
UnfinishedQuestionAnswer | 0..1 | positiveInt | |
AnswersNoFit | 0..1 | positiveInt | |
ReactsSlowly | 0..1 | positiveInt | |
ThinksSomewhereElse | 0..1 | positiveInt | |
KnowsPartDay | 0..1 | positiveInt | |
RemembersRecent | 0..1 | positiveInt | |
Restless | 0..1 | positiveInt | |
PullsWires | 0..1 | positiveInt | |
EasilyEmotional | 0..1 | positiveInt | |
Hallucinations | 0..1 | positiveInt | |
Comment | 0..1 | string |
DOSScore | 0..* | |
DOSScore.DosscoreTotal | positiveInt | 0..1 |
DOSScore.DosscoreDateTime | dateTime | 1..1 |
DOSScore.DozesOff | positiveInt | 0..1 |
DOSScore.EasilyDistracted | positiveInt | 0..1 |
DOSScore.MaintainsAttention | positiveInt | 0..1 |
DOSScore.UnfinishedQuestionAnswer | positiveInt | 0..1 |
DOSScore.AnswersNoFit | positiveInt | 0..1 |
DOSScore.ReactsSlowly | positiveInt | 0..1 |
DOSScore.ThinksSomewhereElse | positiveInt | 0..1 |
DOSScore.KnowsPartDay | positiveInt | 0..1 |
DOSScore.RemembersRecent | positiveInt | 0..1 |
DOSScore.Restless | positiveInt | 0..1 |
DOSScore.PullsWires | positiveInt | 0..1 |
DOSScore.EasilyEmotional | positiveInt | 0..1 |
DOSScore.Hallucinations | positiveInt | 0..1 |
DOSScore.Comment | string | 0..1 |
DOSScore | |
Definition | Root concept of the DOSScore information model. This root concept contains all data elements of the DOSScore information model. |
Cardinality | 0...* |
Invariants |
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Mappings |
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DOSScore.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
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DOSScore.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
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Mappings |
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DOSScore.DosscoreTotal | |
Definition | Per shift a total score is calculated (minimum 0 and maximum 13). The total scores of three shifts (day, evening and night shifts) are summed to the total score of the day (minimum 0 and maximum 39). The DOS scale final score is calculated by dividing the total score of the day by 3 (minimum 0 and maximum 13). A DOS scale final score < 3 means that the patient is probably not delirious. A DOS scale final score > 3 means that the patiënt is probably delirious. |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.DosscoreDateTime | |
Definition | The date on which the DOS score is registered. |
Cardinality | 1...1 |
Type | dateTime |
Invariants |
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Mappings |
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DOSScore.DozesOff | |
Definition | DOS observation: patient dozes off during conversation or activities. Score: 0: never 1: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.EasilyDistracted | |
Definition | DOS observation: patient is easily distracted by stimuli from the environment. Someone is easily distracted by stimuli from the environment when he/she responds verbally or non-verbally to sounds or movements that have no relation to him/her and the nature of which does not make you expect a reaction from him/her. Score: 0: never 1: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.MaintainsAttention | |
Definition | DOS observation: patient maintains attention to conversation or action. Someone is maintaining attention to a conversation or action if he/she verbally or non-verbally shows that they are following the conversation or action. Score: 1: never 0: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.UnfinishedQuestionAnswer | |
Definition | DOS observation: patient does not finish question or answer. Score: 0: never 1: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.AnswersNoFit | |
Definition | DOS observation: patient gives answers that do not fit the question. Score: 0: never 1: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.ReactsSlowly | |
Definition | DOS observation: patient reacts slowly to instructions. Someone reacts slowly to instructions when acting is delayed and/or there are moments of stillness/inactivity before moving into action. Score: 0: never 1: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.ThinksSomewhereElse | |
Definition | DOS observation: patient thinks they are somewhere else. Someone thinks they are somewhere else when he/she shows this in words or actions. Score: 0: never 1: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.KnowsPartDay | |
Definition | DOS observation: patient knows which part of the day it is. Someone knows what part of the day it is when he/she shows such in words or actions. Score: 1: never 0: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.RemembersRecent | |
Definition | DOS observation: patient remembers recent events. Someone remembers recent events when he/she can for example tell whether they had visitors or what he/she ate. Score: 1: never 0: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.Restless | |
Definition | DOS observation: patient is picking, disorderly, restless. Score: 0: never 1: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.PullsWires | |
Definition | DOS observation: patient pulls IV tubing, feeding tubes, catheters, etc. Score: 0: never 1: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.EasilyEmotional | |
Definition | DOS observation: patient is easily or suddenly emotional. Someone is easily or suddenly emotional when he/she responds with a fierce emotion without provocation or when the fierceness of the emotion does not seem to match the provocation. Score: 0: never 1: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.Hallucinations | |
Definition | DOS observation: patient sees/hears things which are not there. Someone sees/hears things which are not there when he/she shows this verbally (ask!) or non-verbally. Score: 0: never 1: sometimes-always -: don't know |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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DOSScore.Comment | |
Definition | Comment on the DOS score. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
Invariants |
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Mappings |
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Example instances
[CBB name] | |
---|---|
[Concept name ] | [example value] |
// example of NameInformation
## Example instances
| NameInformation | |
|----------------------|-------------------|
| FirstNames | Johanna Petronella Maria
| Initials | J.P.M.
| GivenName | Jo
| NameUsage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| LastName.Prefix | van
| LastName.LastName | Putten
| LastNamePartner.PartnerPrefix | van der
| LastNamePartner.PartnerLastName | Giessen
| Titles |
zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference
Concept | Category | Description |
---|---|---|
[element.path] |
[category of change] | [Description of change]([Reference to ticket/issue/zulip chat using MarkDown link]) |