{
  "resourceType": "StructureDefinition",
  "url": "https://www.pacmed.nl/fhir/StructureDefinition/ZIB2020_based_GlasgowComaScale",
  "name": "ZIB2020_based_GlasgowComaScale",
  "status": "draft",
  "description": "FHIR profile based on Glasgow Coma Scale Zib (2020) Usage: to specify ICU patient consciousness level assessments on the Glasgow Coma Scale",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-GlasgowComaScale",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.id",
        "path": "Observation.id",
        "min": 1
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "Snomed CT"
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "248241002"
      },
      {
        "id": "Observation.code.coding.display",
        "path": "Observation.code.coding.display",
        "min": 1,
        "fixedString": "Glasgow coma score (observable entity)"
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ]
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "min": 1
      },
      {
        "id": "Observation.effective[x]:effectiveDateTime",
        "path": "Observation.effective[x]",
        "sliceName": "effectiveDateTime",
        "min": 1
      },
      {
        "id": "Observation.component:gcsEyes",
        "path": "Observation.component",
        "sliceName": "gcsEyes",
        "min": 1
      },
      {
        "id": "Observation.component:gcsEyes.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "loinc.org"
      },
      {
        "id": "Observation.component:gcsEyes.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "9267-6"
      },
      {
        "id": "Observation.component:gcsEyes.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Glasgow coma score eye opening"
      },
      {
        "id": "Observation.component:gcsEyes.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1
      },
      {
        "id": "Observation.component:gcsMotor",
        "path": "Observation.component",
        "sliceName": "gcsMotor",
        "min": 1
      },
      {
        "id": "Observation.component:gcsMotor.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "loinc.org"
      },
      {
        "id": "Observation.component:gcsMotor.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "9268-4"
      },
      {
        "id": "Observation.component:gcsMotor.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Glasgow coma score motor"
      },
      {
        "id": "Observation.component:gcsMotor.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1
      },
      {
        "id": "Observation.component:gcsVerbal",
        "path": "Observation.component",
        "sliceName": "gcsVerbal",
        "min": 1
      },
      {
        "id": "Observation.component:gcsVerbal.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "loinc.org"
      },
      {
        "id": "Observation.component:gcsVerbal.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "9270-0"
      },
      {
        "id": "Observation.component:gcsVerbal.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Glasgow coma score verbal"
      },
      {
        "id": "Observation.component:gcsVerbal.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1
      },
      {
        "id": "Observation.component:conditionsDuringMeasurement",
        "path": "Observation.component",
        "sliceName": "conditionsDuringMeasurement"
      },
      {
        "id": "Observation.component:conditionsDuringMeasurement.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "loinc.org"
      },
      {
        "id": "Observation.component:conditionsDuringMeasurement.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "55285-1"
      },
      {
        "id": "Observation.component:conditionsDuringMeasurement.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Glasgow coma score special circumstances"
      },
      {
        "id": "Observation.component:gcsTotal",
        "path": "Observation.component",
        "sliceName": "gcsTotal",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component:gcsTotal.code.coding.version",
        "path": "Observation.component.code.coding.version",
        "fixedString": "loinc.org"
      },
      {
        "id": "Observation.component:gcsTotal.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "9269-2"
      },
      {
        "id": "Observation.component:gcsTotal.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Glasgow coma score total"
      },
      {
        "id": "Observation.component:gcsTotal.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.component:sedativeEffectsEliminated",
        "path": "Observation.component",
        "sliceName": "sedativeEffectsEliminated",
        "definition": "Whether or not the clinian has tried to eliminate sedative effects when assessing the glasgow coma scale"
      },
      {
        "id": "Observation.component:sedativeEffectsEliminated.value[x]",
        "path": "Observation.component.value[x]",
        "type": [
          {
            "code": "boolean"
          }
        ]
      }
    ]
  }
}