HdBe-GlasgowComaScale

CBB	Concept	Status
HdBe-GlasgowComaScale	Fifteen-point scale for expressing a person’s level of consciousness, from fully awake to deep unconsciousness, in a number: the so-called EMV score. The Glasgow Coma Scale score or EMV (Eye-Motor-Verbal) score is a scale to measure the extent of consciousness, based on eye, verbal and motor responses to specific prescribed sound and pain stimuli. Purpose The GCS score provides the opportunity to document a clinical observation of a patient’s conscious state with a validated instrument which makes use of a patient’s responses to stimuli. Evidence Base The Glasgow Coma Scale is used to evaluate a patient’s consciousness by means of three elements: opening eyes (eye response); answering questions (verbal response); motor response. The three response values are looked at individually and as a whole. The total is referred to as the EMV score. The minimum total score is 3 and the maximum is 15. A slightly altered scale is used for infants (age 0-2) and toddlers (age 2-5). The EMV score can be expressed as a combination of each of the three individual scores, such as: E3M2V4 (opens eyes when spoken to, arms stretch in response to pain and patient produces incomprehensible sounds). If one of the EMV elements cannot be evaluated - such as might be the case if a patient is intubated and incapable of verbally responding, or is paralyzed/weak and incapable of fulfilling the motor request, then the individual score is included (score NT), with an extra comment. Er moet dan GEEN totaalscore worden doorgegeven. V1T is used for an intubated patient, in which t = 'tube'. Clinical decisions must be based on each of the specific data of the eyes, motor and verbal responses and, if evaluation is not possible, an explicit explanation. Standard values for the total score, depending on age: 0-6 months : 9 and up 6 months: 10 and up 6-12 months : 11 and up 1-2 : 12 and up 2-5 : 13 and up 5 : 14 and up	draft

CBB

Concept

Status

Fifteen-point scale for expressing a person’s level of consciousness, from fully awake to deep unconsciousness, in a number: the so-called EMV score. The Glasgow Coma Scale score or EMV (Eye-Motor-Verbal) score is a scale to measure the extent of consciousness, based on eye, verbal and motor responses to specific prescribed sound and pain stimuli.

Purpose

The GCS score provides the opportunity to document a clinical observation of a patient’s conscious state with a validated instrument which makes use of a patient’s responses to stimuli.

Evidence Base

The Glasgow Coma Scale is used to evaluate a patient’s consciousness by means of three elements:

opening eyes (eye response);
answering questions (verbal response);
motor response.

The three response values are looked at individually and as a whole. The total is referred to as the EMV score. The minimum total score is 3 and the maximum is 15. A slightly altered scale is used for infants (age 0-2) and toddlers (age 2-5).

The EMV score can be expressed as a combination of each of the three individual scores, such as: E3M2V4 (opens eyes when spoken to, arms stretch in response to pain and patient produces incomprehensible sounds). If one of the EMV elements cannot be evaluated - such as might be the case if a patient is intubated and incapable of verbally responding, or is paralyzed/weak and incapable of fulfilling the motor request, then the individual score is included (score NT), with an extra comment. Er moet dan GEEN totaalscore worden doorgegeven. V1T is used for an intubated patient, in which t = 'tube'. Clinical decisions must be based on each of the specific data of the eyes, motor and verbal responses and, if evaluation is not possible, an explicit explanation.

Standard values for the total score, depending on age: 0-6 months : 9 and up 6 months: 10 and up 6-12 months : 11 and up 1-2 : 12 and up 2-5 : 13 and up

5 : 14 and up

draft

GlasgowComaScale		GlasgowComaScale	There are no (further) constraints on this element Element Id GlasgowComaScale Short description GlasgowComaScale Definition Root concept of the GlasgowComaScale information model. This root concept contains all data elements of the GlasgowComaScale information model. Data Type GlasgowComaScale
GlasgowComaScaleDateTime	1..1	dateTime	There are no (further) constraints on this element Element Id GlasgowComaScale.GlasgowComaScaleDateTime Short description GlasgowComaScaleDateTime Definition Time at which the EMV score was determined. Data Type dateTime
GcsEyes	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id GlasgowComaScale.GcsEyes Short description GCS_Eyes 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. Data Type CodeableConcept Binding GCS-Eyes codes https://fhir.healthdata.be/ValueSet/GCS_Eyes (required)
GcsMotor	0..1	CodeableConcept	There are no (further) constraints on this element Element Id GlasgowComaScale.GcsMotor Short description GCS_Motor 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. Data Type CodeableConcept
GcsVerbal	0..1	CodeableConcept	There are no (further) constraints on this element Element Id GlasgowComaScale.GcsVerbal Short description GCS_Verbal 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. Data Type CodeableConcept
TotalScore	0..1	Count	There are no (further) constraints on this element Element Id GlasgowComaScale.TotalScore Short description 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. Data Type Count
ConditionsDuringMeasurement	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element Id GlasgowComaScale.ConditionsDuringMeasurement Short description 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. Data Type CodeableConcept Binding ConditionsDuringMeasurement codes ConditiesTijdensMeting (extensible)
Comment	0..1	string	There are no (further) constraints on this element Element Id GlasgowComaScale.Comment Short description Comment Definition Comment on (the context of) the EMV score measurement, such as any problems or factors that may influence interpretation. Data Type 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	Count	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	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
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	System.String
Mappings	rim:n/a
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	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
GlasgowComaScale.GlasgowComaScaleDateTime
Definition	Time at which the EMV score was determined.
Cardinality	1...1
Type	dateTime
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
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
Binding	GCS-Eyes codes https://fhir.healthdata.be/ValueSet/GCS_Eyes (required)
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	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
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	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
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	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
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	Count
Comments	The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` cnt-3:There SHALL be a code with a value of "1" if there is a value. If system is present, it SHALL be UCUM. If present, the value SHALL be a whole number. `(code.exists() or value.empty()) and (system.empty() or system = %ucum) and (code.empty() or code = '1') and (value.empty() or value.hasValue().not() or value.toString().contains('.').not())`
Mappings	rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values
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 ConditiesTijdensMeting (extensible)
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	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
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	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a

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])

Terminology Bindings

Path	Name	Strength	URL
GcsEyes	GCS_Eyes	required	https://fhir.healthdata.be/ValueSet/GCS_Eyes
ConditionsDuringMeasurement	ConditiesTijdensMeting	extensible	https://fhir.healthdata.be/ValueSet/ConditiesTijdensMeting