HdBe-GlasgowComaScale
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 | Concept | Status |
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HdBe-GlasgowComaScale | Vijftienpuntschaal waarmee het bewustzijnsniveau van een persoon, van volkomen helder tot diep bewusteloos, kan worden weergegeven in een cijfer, de zogenaamde EMV-score. De Glasgow comascore ofwel EMV (Eye-Motor-Verbal) score is een maat voor de mate van het bewustzijn, gebaseerd op oog-, verbale en bewegingsreacties op specifieke voorgeschreven hoorbare en voelbare prikkels. PurposeDe Glasgow comascore biedt de mogelijkheid om een klinische observatie betreffende de bewustzijnstoestand van een patiënt vast te leggen met een gevalideerd instrument dat gebruikt maakt van de reacties van een patiënt op stimuli. Evidence BaseDe Glasgow Coma Scale wordt gebruikt om gebruikt om het bewustzijn van een patiënt te beoordelen aan de hand van drie componenten:
De drie responswaarden worden afzonderlijk en als totaal beschouwd. Het totaal wordt de EMV-score genoemd. De minimale totale score is 3 en de maximaal mogelijke is 15. Voor zuigelingen (0-2 jaar) en peuters (2-5 jaar) wordt een aangepaste schaal gebruikt. De EMV score kan worden weergegeven als een samenstelling van elk de deelscores bijvoorbeeld E3M2V4 (opent ogen bij aanspreken, heeft een strekreactie van de armen op pijn en produceert onbegrijpelijke geluiden). Als een van de EMV onderdelen niet kan worden beoordeeld - bijvoorbeeld als het subject geïntubeerd is en niet in staat om verbaal te reageren, of verlamd/verslapt en niet in staat om de motor vraag te beantwoorden, dan wordt de deelscore wel opgenomen (score NT), en aangevuld met een extra toelichting. Er moet dan GEEN totaalscore worden doorgegeven. Voor een geïntubeerde patiënt wordt V1T gebruikt, waarbij t = 'tube'. Klinische besluitvorming moet worden gebaseerd op elk van de specifieke gegevens van de ogen, motorische en verbale reacties en de expliciete toelichting als niet kan worden beoordeeld. Normaalwaarden voor de totaal score, afhankelijk van de leeftijd: 0-6 maanden : 9 of hoger 6 maanden : 10 of hoger 6-12 maanden : 11 of hoger 1-2 jaar : 12 of hoger 2-5 jaar : 13 of hoger
References
| draft |
GlasgowComaScale | GlasgowComaScale | ||
id | 0..1 | string | |
extension | I | 0..* | Extension |
GlasgowComaScaleDateTime | 1..1 | dateTime | |
GcsEyes | 0..1 | CodeableConcept | |
GcsMotor | 0..1 | CodeableConcept | |
GcsVerbal | 0..1 | CodeableConcept | |
TotalScore | 0..1 | positiveInt | |
ConditionsDuringMeasurement | 0..* | CodeableConceptBinding | |
Comment | 0..1 | string |
GlasgowComaScale | 0..* | |
GlasgowComaScale.GlasgowComaScaleDateTime | dateTime | 1..1 |
GlasgowComaScale.GcsEyes | CodeableConcept | 0..1 |
GlasgowComaScale.GcsMotor | CodeableConcept | 0..1 |
GlasgowComaScale.GcsVerbal | CodeableConcept | 0..1 |
GlasgowComaScale.TotalScore | positiveInt | 0..1 |
GlasgowComaScale.ConditionsDuringMeasurement | CodeableConcept | 0..* |
GlasgowComaScale.Comment | string | 0..1 |
GlasgowComaScale | |
Definition | Root concept of the GlasgowComaScale information model. This root concept contains all data elements of the GlasgowComaScale information model. |
Cardinality | 0...* |
Invariants |
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Mappings |
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GlasgowComaScale.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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GlasgowComaScale.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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GlasgowComaScale.GlasgowComaScaleDateTime | |
Definition | Time at which the EMV score was determined. |
Cardinality | 1...1 |
Type | dateTime |
Invariants |
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Mappings |
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GlasgowComaScale.GcsEyes | |
Definition | Best eye response to a stimulus. The element is mandatory, but does not require a numerical value. If no value is given, the reason for this is to be provided in the ConditionsDuringMeasurement concept. |
Cardinality | 0...1 |
Type | CodeableConcept |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
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Mappings |
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GlasgowComaScale.GcsMotor | |
Definition | Best motor response to a stimulus. The element is mandatory, but does not require a numerical value. If no value is given, the reason for this is to be provided in the ConditionsDuringMeasurement concept. |
Cardinality | 0...1 |
Type | CodeableConcept |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
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Mappings |
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GlasgowComaScale.GcsVerbal | |
Definition | Best verbal response to a stimulus. The element is mandatory, but does not require a numerical value. If no value is given, the reason for this is to be provided in the ConditionsDuringMeasurement concept. |
Cardinality | 0...1 |
Type | CodeableConcept |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
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Mappings |
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GlasgowComaScale.TotalScore | |
Definition | The sum of the EMV scores, expressed as a number on a scale from 3-15. The value does not have to be recorded, as it can always be calculated based on the individual scores, and as recording the total is not common for a difficult to determine individual score. |
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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GlasgowComaScale.ConditionsDuringMeasurement | |
Definition | Conditions during the measurement that prevent one or more of the subscores from being determined (non testable), such as,e.g. intubation during testing of GCS_Verbal. |
Cardinality | 0...* |
Type | CodeableConcept |
Binding | ConditionsDuringMeasurement codes |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
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Mappings |
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GlasgowComaScale.Comment | |
Definition | Comment on (the context of) the EMV score measurement, such as any problems or factors that may influence interpretation. |
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] | |
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[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 |
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[element.path] |
[category of change] | [Description of change]([Reference to ticket/issue/zulip chat using MarkDown link]) |
Terminology Bindings
Path | Name | Strength | URL |
---|---|---|---|
ConditionsDuringMeasurement | ConditionsDuringMeasurement | extensible | https://fhir.healthdata.be/ValueSet/ConditionsDuringMeasurement |