ISiKGCS (Glasgow Coma Score)

Mit diesem Profil lässt sich ein Glasgow Coma Score (GCS) erfassen.

Alle bestätigungsrelevanten Systeme für dieses Modul, welche GCSs verwalten, MÜSSEN Ressourcen verarbeiten können, die zu diesem Profil konform sind.

Profil

NameCanonical
ISiKGCShttps://gematik.de/fhir/isik/StructureDefinition/ISiKGCS

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusS Σ ?!1..1codeBinding
surveyS1..1CodeableConceptBindingPattern
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ1..1codePattern
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1Reference(Patient)
focusΣ I0..*Reference(Resource)
encounterS Σ I0..1Reference(Encounter)
effectiveDateTimedateTime
issuedΣ0..1instant
performerS Σ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
id0..1string
extensionI0..*Extension
valueS Σ0..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ0..1string
systemS Σ I0..1uri
codeS Σ0..1code
dataAbsentReasonS I0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..0CodeableConcept
methodS0..1CodeableConcept
specimenI0..0Reference(Specimen)
deviceS I0..1Reference(Device | DeviceMetric)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeS Σ1..1CodeableConcept
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
id0..1string
extensionI0..*Extension
valueΣ0..1decimal
comparatorΣ ?!0..1codeBinding
unitS Σ0..1string
systemS Σ I0..1uri
codeS Σ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeS Σ1..1CodeableConceptPattern
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeS Σ1..1CodeableConceptPattern
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeS Σ1..1CodeableConceptPattern
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)

Beispiele

Valides Minimalbeispiel für das Profil ISiKGCS:

{
    "resourceType": "Observation",
    "id": "ISiKGCSExample",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/ISiKGCS",
            "http://fhir.de/StructureDefinition/observation-de-score-gcs"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "9269-2",
                "display": "Glasgow coma score total"
            },
            {
                "system": "http://snomed.info/sct",
                "code": "248241002",
                "display": "Glasgow coma score (observable entity)"
            }
        ]
    },
    "valueQuantity": {
        "system": "http://unitsofmeasure.org",
        "code": "1",
        "value": 11,
        "unit": "Punktwert"
    },
    "component":  [
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "9270-0",
                        "display": "Glasgow coma score verbal"
                    }
                ]
            },
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "LA6560-2",
                        "system": "http://loinc.org",
                        "display": "Confused"
                    }
                ]
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "9268-4",
                        "display": "Glasgow coma score motor"
                    }
                ]
            },
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "LA6566-9",
                        "system": "http://loinc.org",
                        "display": "Localizing pain"
                    }
                ]
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "9267-6",
                        "display": "Glasgow coma score eye opening"
                    }
                ]
            },
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "LA6555-2",
                        "system": "http://loinc.org",
                        "display": "Eye opening to verbal command"
                    }
                ]
            }
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "effectiveDateTime": "2020-10-11"
}