HdBe-DOSScore

CBB	Concept	Status
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. Purpose Delirium 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 Base The definitions of the concepts are based on the DOS score.	draft

CBB

Concept

Status

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.

Purpose

Delirium 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 Base

The definitions of the concepts are based on the DOS score.

draft

Dosscore		Dosscore	There are no (further) constraints on this element Element Id Dosscore Short description DOSScore Definition Root concept of the DOSScore information model. This root concept contains all data elements of the DOSScore information model. Data Type Dosscore
DosscoreTotal	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.DosscoreTotal Short description 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. Data Type Count
DosscoreDateTime	1..1	dateTime	There are no (further) constraints on this element Element Id Dosscore.DosscoreDateTime Short description DOSScoreDateTime Definition The date on which the DOS score is registered. Data Type dateTime
DozesOff	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.DozesOff Short description DozesOff Definition DOS observation: patient dozes off during conversation or activities. Score: 0: never 1: sometimes-always -: don't know Data Type Count
EasilyDistracted	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.EasilyDistracted Short description 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 Data Type Count
MaintainsAttention	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.MaintainsAttention Short description 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 Data Type Count
UnfinishedQuestionAnswer	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.UnfinishedQuestionAnswer Short description UnfinishedQuestionAnswer Definition DOS observation: patient does not finish question or answer. Score: 0: never 1: sometimes-always -: don't know Data Type Count
AnswersNoFit	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.AnswersNoFit Short description AnswersNoFit Definition DOS observation: patient gives answers that do not fit the question. Score: 0: never 1: sometimes-always -: don't know Data Type Count
ReactsSlowly	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.ReactsSlowly Short description 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 Data Type Count
ThinksSomewhereElse	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.ThinksSomewhereElse Short description 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 Data Type Count
KnowsPartDay	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.KnowsPartDay Short description 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 Data Type Count
RemembersRecent	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.RemembersRecent Short description 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 Data Type Count
Restless	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.Restless Short description Restless Definition DOS observation: patient is picking, disorderly, restless. Score: 0: never 1: sometimes-always -: don't know Data Type Count
PullsWires	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.PullsWires Short description PullsWires Definition DOS observation: patient pulls IV tubing, feeding tubes, catheters, etc. Score: 0: never 1: sometimes-always -: don't know Data Type Count
EasilyEmotional	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.EasilyEmotional Short description 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 Data Type Count
Hallucinations	0..1	Count	There are no (further) constraints on this element Element Id Dosscore.Hallucinations Short description 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 Data Type Count
Comment	0..1	string	There are no (further) constraints on this element Element Id Dosscore.Comment Short description Comment Definition Comment on the DOS score. Data Type string

Dosscore		0..*
Dosscore.DosscoreTotal	Count	0..1
Dosscore.DosscoreDateTime	dateTime	1..1
Dosscore.DozesOff	Count	0..1
Dosscore.EasilyDistracted	Count	0..1
Dosscore.MaintainsAttention	Count	0..1
Dosscore.UnfinishedQuestionAnswer	Count	0..1
Dosscore.AnswersNoFit	Count	0..1
Dosscore.ReactsSlowly	Count	0..1
Dosscore.ThinksSomewhereElse	Count	0..1
Dosscore.KnowsPartDay	Count	0..1
Dosscore.RemembersRecent	Count	0..1
Dosscore.Restless	Count	0..1
Dosscore.PullsWires	Count	0..1
Dosscore.EasilyEmotional	Count	0..1
Dosscore.Hallucinations	Count	0..1
Dosscore.Comment	string	0..1

DOSScore
Definition	Base definition for all elements in a resource.
Cardinality	0...*
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
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	System.String
Mappings	rim:n/a
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	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
DOSScore.Dosscore
Definition	Root concept of the DOSScore information model. This root concept contains all data elements of the DOSScore information model.
Cardinality	0...*

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])

HdBe-DOSScore

Purpose

Evidence Base

Example instances

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Terminology Bindings