<status value="draft" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="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 value="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 value="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 value="4.0.1" /> <mapping> <identity value="zib-glasgowcomascale-v3.2-2020EN" /> <uri value="https://zibs.nl/wiki/GlasgowComaScale-v3.2(2020EN)" /> <name value="zib GlasgowComaScale-v3.2(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="true" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="GlasgowComaScale" /> <alias value="GlasgowComaScale" /> <mapping> <identity value="zib-glasgowcomascale-v3.2-2020EN" /> <map value="NL-CM:12.8.1" /> <comment value="GlasgowComaScale" /> </mapping> </element> <element id="Observation.code"> <path value="Observation.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="35088-4" /> </coding> </patternCodeableConcept> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.effective[x]:effectiveDateTime"> <path value="Observation.effective[x]" /> <sliceName value="effectiveDateTime" /> <short value="GlasgowComaScaleDateTime" /> <definition value="Time at which the EMV score was determined." /> <alias value="GlasgowComaScaleDatumTijd" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="zib-glasgowcomascale-v3.2-2020EN" /> <map value="NL-CM:12.8.8" /> <comment value="GlasgowComaScaleDateTime" /> </mapping> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.value[x]:valueInteger"> <path value="Observation.value[x]" /> <sliceName value="valueInteger" /> <short value="TotalScore" /> <definition value="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 value="TotaalScore" /> <type> <code value="integer" /> </type> <minValueInteger value="3" /> <maxValueInteger value="15" /> <mapping> <identity value="zib-glasgowcomascale-v3.2-2020EN" /> <map value="NL-CM:12.8.10" /> <comment value="TotalScore" /> </mapping> </element> <element id="Observation.note"> <path value="Observation.note" /> <max value="1" /> </element> <element id="Observation.note.text"> <path value="Observation.note.text" /> <short value="Comment" /> <definition value="Comment on (the context of) the EMV score measurement, such as any problems or factors that may influence interpretation." /> <alias value="Toelichting" /> <mapping> <identity value="zib-glasgowcomascale-v3.2-2020EN" /> <map value="NL-CM:12.8.9" /> <comment value="Comment" /> </mapping> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.component:gcsEyes"> <path value="Observation.component" /> <sliceName value="gcsEyes" /> <max value="1" /> </element> <element id="Observation.component:gcsEyes.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="281395000" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:gcsEyes.value[x]"> <path value="Observation.component.value[x]" /> <short value="GCS_Eyes" /> <definition value="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 value="GCS_Eyes" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.1--20200901000000" /> </binding> <mapping> <identity value="zib-glasgowcomascale-v3.2-2020EN" /> <map value="NL-CM:12.8.2" /> <comment value="GCS_Eyes" /> </mapping> </element> <element id="Observation.component:gcsMotor"> <path value="Observation.component" /> <sliceName value="gcsMotor" /> <max value="1" /> </element> <element id="Observation.component:gcsMotor.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="281396004" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:gcsMotor.value[x]"> <path value="Observation.component.value[x]" /> <short value="GCS_Motor" /> <definition value="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 value="GCS_Motor" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.5--20200901000000" /> </binding> <mapping> <identity value="zib-glasgowcomascale-v3.2-2020EN" /> <map value="NL-CM:12.8.4" /> <comment value="GCS_Motor" /> </mapping> </element> <element id="Observation.component:gcsVerbal"> <path value="Observation.component" /> <sliceName value="gcsVerbal" /> <max value="1" /> </element> <element id="Observation.component:gcsVerbal.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="281397008" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:gcsVerbal.value[x]"> <path value="Observation.component.value[x]" /> <short value="GCS_Verbal" /> <definition value="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 value="GCS_Verbal" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.6--20200901000000" /> </binding> <mapping> <identity value="zib-glasgowcomascale-v3.2-2020EN" /> <map value="NL-CM:12.8.6" /> <comment value="GCS_Verbal" /> </mapping> </element> <element id="Observation.component:conditionsDuringMeasurement"> <path value="Observation.component" /> <sliceName value="conditionsDuringMeasurement" /> </element> <element id="Observation.component:conditionsDuringMeasurement.code"> <path value="Observation.component.code" /> <comment value="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 value="http://snomed.info/sct" /> <code value="271000124103" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:conditionsDuringMeasurement.value[x]"> <path value="Observation.component.value[x]" /> <short value="ConditionsDuringMeasurement" /> <definition value="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 value="ConditiesTijdensMeting" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.6--20200901000000" /> </binding> <mapping> <identity value="zib-glasgowcomascale-v3.2-2020EN" /> <map value="NL-CM:12.8.11" /> <comment value="ConditionsDuringMeasurement" /> </mapping> </element> </differential> </StructureDefinition>

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.