{ "resourceType": "StructureDefinition", "id": "zib-GlasgowComaScale", "text": { "status": "empty", "div": "
No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.
" }, "url": "http://nictiz.nl/fhir/StructureDefinition/zib-GlasgowComaScale", "name": "ZibGlasgowComaScale", "title": "zib GlasgowComaScale", "status": "draft", "publisher": "Nictiz", "contact": [ { "name": "Nictiz", "telecom": [ { "system": "url", "value": "https://www.nictiz.nl", "use": "work" } ] } ], "description": "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.\r\nThe 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": "This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) GlasgowComaScale v3.2 (2020)](https://zibs.nl/wiki/GlasgowComaScale-v3.2(2020EN)).", "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.", "fhirVersion": "4.0.1", "mapping": [ { "identity": "zib-glasgowcomascale-v3.2-2020EN", "uri": "https://zibs.nl/wiki/GlasgowComaScale-v3.2(2020EN)", "name": "zib GlasgowComaScale-v3.2(2020EN)" } ], "kind": "resource", "abstract": true, "type": "Observation", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation", "derivation": "constraint", "differential": { "element": [ { "id": "Observation", "path": "Observation", "short": "GlasgowComaScale", "alias": [ "GlasgowComaScale" ], "mapping": [ { "identity": "zib-glasgowcomascale-v3.2-2020EN", "map": "NL-CM:12.8.1", "comment": "GlasgowComaScale" } ] }, { "id": "Observation.code", "path": "Observation.code", "patternCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "35088-4" } ] } }, { "id": "Observation.effective[x]", "path": "Observation.effective[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "open" } }, { "id": "Observation.effective[x]:effectiveDateTime", "path": "Observation.effective[x]", "sliceName": "effectiveDateTime", "short": "GlasgowComaScaleDateTime", "definition": "Time at which the EMV score was determined.", "alias": [ "GlasgowComaScaleDatumTijd" ], "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "zib-glasgowcomascale-v3.2-2020EN", "map": "NL-CM:12.8.8", "comment": "GlasgowComaScaleDateTime" } ] }, { "id": "Observation.value[x]", "path": "Observation.value[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "open" } }, { "id": "Observation.value[x]:valueInteger", "path": "Observation.value[x]", "sliceName": "valueInteger", "short": "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.", "alias": [ "TotaalScore" ], "type": [ { "code": "integer" } ], "minValueInteger": 3, "maxValueInteger": 15, "mapping": [ { "identity": "zib-glasgowcomascale-v3.2-2020EN", "map": "NL-CM:12.8.10", "comment": "TotalScore" } ] }, { "id": "Observation.note", "path": "Observation.note", "max": "1" }, { "id": "Observation.note.text", "path": "Observation.note.text", "short": "Comment", "definition": "Comment on (the context of) the EMV score measurement, such as any problems or factors that may influence interpretation.", "alias": [ "Toelichting" ], "mapping": [ { "identity": "zib-glasgowcomascale-v3.2-2020EN", "map": "NL-CM:12.8.9", "comment": "Comment" } ] }, { "id": "Observation.component", "path": "Observation.component", "slicing": { "discriminator": [ { "type": "value", "path": "code" } ], "rules": "open" } }, { "id": "Observation.component:gcsEyes", "path": "Observation.component", "sliceName": "gcsEyes", "max": "1" }, { "id": "Observation.component:gcsEyes.code", "path": "Observation.component.code", "patternCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "281395000" } ] } }, { "id": "Observation.component:gcsEyes.value[x]", "path": "Observation.component.value[x]", "short": "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.", "alias": [ "GCS_Eyes" ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.1--20200901000000" }, "mapping": [ { "identity": "zib-glasgowcomascale-v3.2-2020EN", "map": "NL-CM:12.8.2", "comment": "GCS_Eyes" } ] }, { "id": "Observation.component:gcsMotor", "path": "Observation.component", "sliceName": "gcsMotor", "max": "1" }, { "id": "Observation.component:gcsMotor.code", "path": "Observation.component.code", "patternCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "281396004" } ] } }, { "id": "Observation.component:gcsMotor.value[x]", "path": "Observation.component.value[x]", "short": "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.", "alias": [ "GCS_Motor" ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.5--20200901000000" }, "mapping": [ { "identity": "zib-glasgowcomascale-v3.2-2020EN", "map": "NL-CM:12.8.4", "comment": "GCS_Motor" } ] }, { "id": "Observation.component:gcsVerbal", "path": "Observation.component", "sliceName": "gcsVerbal", "max": "1" }, { "id": "Observation.component:gcsVerbal.code", "path": "Observation.component.code", "patternCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "281397008" } ] } }, { "id": "Observation.component:gcsVerbal.value[x]", "path": "Observation.component.value[x]", "short": "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.", "alias": [ "GCS_Verbal" ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.6--20200901000000" }, "mapping": [ { "identity": "zib-glasgowcomascale-v3.2-2020EN", "map": "NL-CM:12.8.6", "comment": "GCS_Verbal" } ] }, { "id": "Observation.component:conditionsDuringMeasurement", "path": "Observation.component", "sliceName": "conditionsDuringMeasurement" }, { "id": "Observation.component:conditionsDuringMeasurement.code", "path": "Observation.component.code", "comment": "The code to identify this concept (SNOMED 271000124103) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-2040](https://bits.nictiz.nl/browse/ZIB-2040) for more information.", "patternCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "271000124103" } ] } }, { "id": "Observation.component:conditionsDuringMeasurement.value[x]", "path": "Observation.component.value[x]", "short": "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.", "alias": [ "ConditiesTijdensMeting" ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "extensible", "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.6--20200901000000" }, "mapping": [ { "identity": "zib-glasgowcomascale-v3.2-2020EN", "map": "NL-CM:12.8.11", "comment": "ConditionsDuringMeasurement" } ] } ] } }