GlasgowComaScale-v3.1(2017EN): verschil tussen versies
(3 tussenliggende versies door dezelfde gebruiker niet weergegeven) | |||
Regel 1: | Regel 1: | ||
− | ==General information== | + | <!-- Hieronder wordt een transclude page aangeroepen --> |
− | Name: '''nl.zorg.GlasgowComaScale''' [[Bestand:NL.png|link=GlasgowComaScale-v3.1(2017NL)]]<BR> | + | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.8(EN)|1|GlasgowComaScale-v3.1(2017EN)}} |
− | Version: '''3.1''' <br> | + | <!-- Tot hier de transclude page --> |
− | HCIM Status:Final<br> | + | ==General information<!--hdGeneralInformation-->== |
− | Release: '''2017''' <br> | + | Name<!--hdName-->: '''nl.zorg.GlasgowComaScale''' [[Bestand:NL.png|link=GlasgowComaScale-v3.1(2017NL)]]<BR> |
− | Release status: Published<br> | + | Version<!--hdVersion-->: '''3.1''' <br> |
− | Release date: 31-12-2017 | + | HCIM Status<!--hdStatus-->:Final<br> |
+ | Release<!--hdPublication-->: '''2017''' <br> | ||
+ | Release status<!--hdPublicationStatus-->: Published<br> | ||
+ | Release date<!--hdPublicationDate-->: 31-12-2017 | ||
----- | ----- | ||
− | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | + | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
==Metadata== | ==Metadata== | ||
Regel 61: | Regel 64: | ||
==Revision History== | ==Revision History== | ||
<div class="mw-collapsible mw-collapsed"> | <div class="mw-collapsible mw-collapsed"> | ||
− | ''Only available in Dutch'' | + | ''Only available in Dutch<!--noTranslation-->'' |
<u>Publicatieversie 1.0</u> (15-02-2013) | <u>Publicatieversie 1.0</u> (15-02-2013) | ||
Regel 180: | Regel 183: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
− | <imagemap> Bestand:GlasgowComaScale-v3.1Model( | + | <imagemap> Bestand:GlasgowComaScale-v3.1Model(2017EN).png | center |
− | rect | + | rect 656 442 808 483 [[#GCS_VerbalCodelistBaby]] |
− | rect | + | rect 656 385 818 426 [[#GCS_VerbalCodelistToddler]] |
− | rect | + | rect 264 129 370 231 [[#9347]] |
− | rect | + | rect 244 412 396 482 [[#9345]] |
− | rect | + | rect 56 212 188 282 [[#9346]] |
− | rect | + | rect 656 328 784 369 [[#GCS_VerbalCodelist]] |
− | rect | + | rect 478 370 594 440 [[#9352]] |
− | rect | + | rect 656 262 784 303 [[#GCS_MotorCodelist]] |
− | rect | + | rect 656 158 784 199 [[#GCS_EyesCodelist]] |
− | rect | + | rect 478 245 594 315 [[#9350]] |
− | rect | + | rect 478 147 594 217 [[#9348]] |
− | rect | + | rect 263 283 371 363 [[#9344]] |
− | rect | + | rect 56 310 188 380 [[#12771]] |
− | rect | + | rect 35 422 222 472 [[#ConditionsDuringMeasurementCodelist]] |
desc none | desc none | ||
</imagemap> | </imagemap> | ||
Regel 200: | Regel 203: | ||
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | {| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; " | |-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; " | ||
− | |style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference | + | |style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference--> |
|-style="vertical-align:top; background-color: #E3E3E3; " | |-style="vertical-align:top; background-color: #E3E3E3; " | ||
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
Regel 210: | Regel 213: | ||
{| | {| | ||
|- | |- | ||
− | |<span | + | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=35088-4 35088-4] Glasgow coma scale</span> |
|} | |} | ||
| | | | ||
Regel 232: | Regel 235: | ||
{| | {| | ||
|- | |- | ||
− | |<span | + | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=281395000 281395000] Glasgow coma score eye opening subscore (observable entity)</span> |
|} | |} | ||
| | | | ||
Regel 249: | Regel 252: | ||
{| | {| | ||
|- | |- | ||
− | |<span | + | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=281396004 281396004] Glasgow Coma Score motor response subscore</span> |
|} | |} | ||
| | | | ||
Regel 266: | Regel 269: | ||
{| | {| | ||
|- | |- | ||
− | |<span | + | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=281397008 281397008] Glasgow coma score verbal response subscore (observable entity)</span> |
|} | |} | ||
| | | | ||
Regel 309: | Regel 312: | ||
{| | {| | ||
|- | |- | ||
− | |<span | + | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span> |
|} | |} | ||
| | | | ||
|} | |} | ||
− | Columns Concept and DefinitionCode: hover over the values for more information<BR> | + | Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR> |
− | For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]] | + | For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]] |
==Example Instances== | ==Example Instances== | ||
− | ''Only available in Dutch'' | + | ''Only available in Dutch<!--noTranslation-->'' |
{|class="wikitable" width="780px" style= "font-size: 9.5pt;" | {|class="wikitable" width="780px" style= "font-size: 9.5pt;" | ||
Regel 387: | Regel 390: | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.6 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.6 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Conceptcode | + | |Conceptcode<!--vsConceptCode--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
− | |Description | + | |Description<!--vsDescription--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|sedated | |sedated | ||
− | |17971005 | + | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=17971005 17971005] |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 403: | Regel 407: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Paralysis caused by muscle relaxant | |Paralysis caused by muscle relaxant | ||
− | |40241000146103 | + | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=40241000146103 40241000146103] |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 409: | Regel 413: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|aphasia | |aphasia | ||
− | |87486003 | + | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=87486003 87486003] |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 415: | Regel 419: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|endotracheal tube present | |endotracheal tube present | ||
− | |419991009 | + | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=419991009 419991009] |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 421: | Regel 425: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|tracheostomy present | |tracheostomy present | ||
− | |302108003 | + | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=302108003 302108003] |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 432: | Regel 436: | ||
|anders | |anders | ||
|} | |} | ||
− | |||
=== GCS_EyesCodelist=== | === GCS_EyesCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.1 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.1 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Conceptcode | + | |Conceptcode<!--vsConceptCode--> |
− | |Conceptvalue | + | |Conceptvalue<!--vsConceptValue--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
− | |Description | + | |Description<!--vsDescription--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Spontaneous | |Spontaneous | ||
Regel 474: | Regel 478: | ||
|Geen reactie [De ogen blijven gesloten] | |Geen reactie [De ogen blijven gesloten] | ||
|} | |} | ||
− | |||
=== GCS_MotorCodelist=== | === GCS_MotorCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.2 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.2 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Conceptcode | + | |Conceptcode<!--vsConceptCode--> |
− | |Conceptvalue | + | |Conceptvalue<!--vsConceptValue--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
− | |Description | + | |Description<!--vsDescription--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Obeys | |Obeys | ||
Regel 530: | Regel 534: | ||
|Geen reactie op pijnprikkel [Geen enkele lichamelijke reactie op een pijnprikkel] | |Geen reactie op pijnprikkel [Geen enkele lichamelijke reactie op een pijnprikkel] | ||
|} | |} | ||
− | |||
=== GCS_VerbalCodelist=== | === GCS_VerbalCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.3 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.3 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Conceptcode | + | |Conceptcode<!--vsConceptCode--> |
− | |Conceptvalue | + | |Conceptvalue<!--vsConceptValue--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
− | |Description | + | |Description<!--vsDescription--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Oriented | |Oriented | ||
Regel 579: | Regel 583: | ||
|Geen reactie [Geen enkel verbale response] | |Geen reactie [Geen enkel verbale response] | ||
|} | |} | ||
− | |||
=== GCS_VerbalCodelistBaby=== | === GCS_VerbalCodelistBaby=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.5 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.5 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Conceptcode | + | |Conceptcode<!--vsConceptCode--> |
− | |Conceptvalue | + | |Conceptvalue<!--vsConceptValue--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
− | |Description | + | |Description<!--vsDescription--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Oriented | |Oriented | ||
Regel 628: | Regel 632: | ||
|Geen reactie [Geen enkel verbale response] | |Geen reactie [Geen enkel verbale response] | ||
|} | |} | ||
− | |||
=== GCS_VerbalCodelistToddler=== | === GCS_VerbalCodelistToddler=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.4 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.4 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Conceptcode | + | |Conceptcode<!--vsConceptCode--> |
− | |Conceptvalue | + | |Conceptvalue<!--vsConceptValue--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
− | |Description | + | |Description<!--vsDescription--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Oriented | |Oriented | ||
Regel 678: | Regel 682: | ||
|} | |} | ||
− | + | ==This information model in other releases<!--ftOtherReleases-->== | |
− | ==This information model in other releases== | + | <!-- Hieronder wordt een transclude page aangeroepen --> |
− | < | + | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.8(EN)|2|2017}} |
− | + | <!-- Tot hier de transclude page --> | |
− | < | + | ==Information model references<!--ftReferences-->== |
− | < | + | ====This information model refers to<!--ftRefersTo-->==== |
− | == | + | :-- |
+ | ====This information model is used in<!--ftReferredBy-->==== | ||
+ | :-- | ||
+ | ==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | ||
To exchange information based on health and care information models, additional, more technical specifications are required.<BR> | To exchange information based on health and care information models, additional, more technical specifications are required.<BR> | ||
− | Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications: | + | Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> |
<ul> | <ul> | ||
− | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.12.8&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> | + | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.12.8&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> |
− | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR | + | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2017}}</li> |
</ul> | </ul> | ||
− | This information model is also available as [[Media:nl.zorg.GlasgowComaScale-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.GlasgowComaScale-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | + | ==Downloads<!--ftDownloadTitle-->== |
− | ==About this information== | + | This information model is also available as [[Media:nl.zorg.GlasgowComaScale-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.GlasgowComaScale-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> |
− | The information in this wikipage is based on Release 2017 <BR> | + | ==About this information<!--ftHeader2-->== |
− | Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | + | The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR> |
− | This page is generated on | + | Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> |
+ | This page is generated on 21/12/2018 14:09:43 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR> | ||
----- | ----- | ||
− | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | + | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
Huidige versie van 24 dec 2018 om 11:03
Inhoud
- 1 General information
- 2 Metadata
- 3 Revision History
- 4 Concept
- 5 Purpose
- 6 Evidence Base
- 7 Information Model
- 8 Example Instances
- 9 References
- 10 Valuesets
- 11 This information model in other releases
- 12 Information model references
- 13 Technical specifications in HL7v3 CDA and HL7 FHIR
- 14 Downloads
- 15 About this information
General information
Name: nl.zorg.GlasgowComaScale
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017
Metadata
DCM::CoderList | Kerngroep Registratie aan de Bron |
DCM::ContactInformation.Address | * |
DCM::ContactInformation.Name | * |
DCM::ContactInformation.Telecom | * |
DCM::ContentAuthorList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::CreationDate | 29-11-2012 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.12.8 |
DCM::KeywordList | Glascow coma schaal |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Kerngroep Registratie aan de Bron |
DCM::Name | nl.zorg.GlasgowComaScale |
DCM::PublicationDate | 31-12-2017 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 31-12-2017 |
DCM::Superseeds | nl.zorg.GlasgowComaScale-v3.0 |
DCM::Version | 3.1 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (15-02-2013) -
Publicatieversie 1.1 (01-07-2013) -
Publicatieversie 1.2 (01-04-2015)
ZIB-227 | DCM::Name van klinische bouwsteen OverdrachtGlasgowComaScale aangepast van nl.nfu.OverdrachtScoreBewustzijn naar nl.nfu.OverdrachtGlasgowComaScale. |
ZIB-228 | De naam van de waardenlijst GCS_VerbalCodelijstBaby van concept GCS_Verbal kwam niet overeen met de tagged value. |
ZIB-229 | De naam van de waardenlijst GCS_VerbalCodelijstKleuter van concept GCS_Verbal kwam niet overeen met de tagged value. |
ZIB-230 | De naam van de waardenlijst GCS_VerbalCodelijst van concept GCS_Verbal kwam niet overeen met de tagged value. |
ZIB-231 | De naam van de waardenlijst GCS_EyesCodelijst van concept GCS_Eyes kwam niet overeen met de tagged value. |
ZIB-232 | De naam van de waardenlijst GCS_MotorCodelijst van concept GCS_Motor kwam niet overeen met de tagged value. |
ZIB-308 | Prefix Overdracht weggehaald bij de generieke bouwstenen |
ZIB-311 | waardebereik TotaalScore |
ZIB-361 | Naamgeving concept Opmerking aangepast |
Incl. algemene wijzigingsverzoeken:
ZIB-94 | Aanpassen tekst van Disclaimer, Terms of Use & Copyrights |
ZIB-154 | Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen. |
ZIB-200 | Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken. |
ZIB-201 | Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken. |
ZIB-309 | EOI aangepast |
ZIB-324 | Codelijsten Name en Description beginnen met een Hoofdletter |
ZIB-326 | Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015 |
Publicatieversie 1.2.1 (16-07-2015)
ZIB-414 | Richting relatie tussen constraints en waardelijsten is fout |
Publicatieversie 3.0 (01-05-2016)
Publicatieversie 3.1 (04-09-2017)
ZIB-431 | Gebruik van LOINC en SNOMED CT in vitale functies gerelateerde zorginformatiebouwstenen |
ZIB-466 | Uitbreiding met dataelement "ConditiesTijdensMeting" |
ZIB-564 | Aanpassing/harmonisatie Engelse conceptnamen |
Concept
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 1), but with an extra comment.
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
6-12 months : 11 and up
1-2 : 12 and up
2-5 : 13 and up
> 5 : 14 and up
Information Model
![GlasgowComaScale-v3.1Model(2017EN).png](/images/d/da/GlasgowComaScale-v3.1Model%282017EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||||||
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NL-CM:12.8.1 | ![]() |
Root concept of the GlasgowComaScale information model. This root concept contains all data elements of the GlasgowComaScale information model. |
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NL-CM:12.8.8 | ![]() |
1 | Time at which the EMV score was determined. | ||||||||||||||
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NL-CM:12.8.2 | ![]() |
0..1 | 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. |
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NL-CM:12.8.4 | ![]() |
0..1 | 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. |
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NL-CM:12.8.6 | ![]() |
0..1 | 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. |
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NL-CM:12.8.10 | ![]() |
0..1 | 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. | ||||||||||||||
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NL-CM:12.8.11 | ![]() |
0..* | 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. |
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NL-CM:12.8.9 | ![]() |
0..1 | Comment on (the context of) the EMV score measurement, such as any problems or factors that may influence interpretation. |
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Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page
Example Instances
Only available in Dutch
GlasgowComa ScaleDatumTijd | GCS_Eyes | GCS_Motor | GCS_ Verbal | TotaalScore | Toelichting |
08-02-2013 6:43 | 2 | 4 | 5 | 11 | Beste score voor intubatie, kleding stond in brand |
GlasgowComa ScaleDatumTijd | GCS_Eyes | GCS_Motor | GCS_ Verbal | TotaalScore | Toelichting |
07-02-2013 11:34 | 4 | 4 | 1 | Lijkt adequaat | |
GlasgowComa ScaleDatumTijd | GCS_Eyes | GCS_Motor | GCS_ Verbal | TotaalScore | Toelichting |
07-02-2013 8:00 | 1 | 1 | 1 | 3 | Zonder spierverslappers na 2 uur reanimatie |
References
1. openEHR-EHR-OBSERVATION.glasgow_coma.v1[Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 23 februari 2015].
2. Glasgow Coma Schaal [Online] Beschikbaar op: http://www.tabellenboekje.nl/menselijk-lichaam-tabel-glasgow-coma-schaal.php#glasgow-coma-schaal-volwassen [Geraadpleegd: 23 februari 2015].
Valuesets
ConditionsDuringMeasurementCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.6 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
sedated | 17971005 | SNOMED CT | 2.16.840.1.113883.6.96 | gesedeerd |
Paralysis caused by muscle relaxant | 40241000146103 | SNOMED CT | 2.16.840.1.113883.6.96 | spierverslappers |
aphasia | 87486003 | SNOMED CT | 2.16.840.1.113883.6.96 | afasie |
endotracheal tube present | 419991009 | SNOMED CT | 2.16.840.1.113883.6.96 | tube aanwezig |
tracheostomy present | 302108003 | SNOMED CT | 2.16.840.1.113883.6.96 | tracheostoma aanwezig |
other | OTH | NullFlavor | 2.16.840.1.113883.5.1008 | anders |
GCS_EyesCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.1 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
Spontaneous | E4 | 4 | GCS_Eyes | 2.16.840.1.113883.2.4.3.11.60.40.4.2.1 | Spontaan [De ogen worden spontaan geopend] |
To verbal stimuli, command, speech | E3 | 3 | GCS_Eyes | 2.16.840.1.113883.2.4.3.11.60.40.4.2.1 | Bij aanspreken of aanroepen [De ogen worden pas geopend op aanspreken van de patiënt] |
To pain only | E2 | 2 | GCS_Eyes | 2.16.840.1.113883.2.4.3.11.60.40.4.2.1 | Bij pijn [De ogen worden pas geopend bij een pijnprikkel] |
No response | E1 | 1 | GCS_Eyes | 2.16.840.1.113883.2.4.3.11.60.40.4.2.1 | Geen reactie [De ogen blijven gesloten] |
GCS_MotorCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.2 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
Obeys | M6 | 6 | GCS_Motor | 2.16.840.1.113883.2.4.3.11.60.40.4.2.2 | Voert opdracht uit [Een eenvoudig bevel wordt uitgevoerd] |
Localises pain | M5 | 5 | GCS_Motor | 2.16.840.1.113883.2.4.3.11.60.40.4.2.2 | Lokaliseren [In staat zijn de pijn duidelijk te localiseren] |
Withdrawal response | M4 | 4 | GCS_Motor | 2.16.840.1.113883.2.4.3.11.60.40.4.2.2 | Terugtrekken [In staat om een afwerende of wegtrekkende beweging te maken op een pijnprikkel] |
Flexor response | M3 | 3 | GCS_Motor | 2.16.840.1.113883.2.4.3.11.60.40.4.2.2 | Buigreactie [Armen en handen op krampachtige manier geplooid. Meestal benen gestrekt.] |
Extensor response | M2 | 2 | GCS_Motor | 2.16.840.1.113883.2.4.3.11.60.40.4.2.2 | Strekreactie [Armen en handen op krampachtige manier geplooid met naar buitengedraaide hand. Mogelijk alle spieren van het lichaam gespannen] |
No response | M1 | 1 | GCS_Motor | 2.16.840.1.113883.2.4.3.11.60.40.4.2.2 | Geen reactie op pijnprikkel [Geen enkele lichamelijke reactie op een pijnprikkel] |
GCS_VerbalCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.3 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
Oriented | V5 | 5 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Georiënteerd [Helder en duidelijk bewust van de situatie] |
Confused | V4 | 4 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Verward [Verwarde conversatie maar wel in staat om te antwoorden op de vragen] |
Inappropriate speech | V3 | 3 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Inadequaat [Woorden zijn te verstaan maar vormen geen zinnen] |
Incomprehensible sounds | V2 | 2 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Onverstaanbaar [De spraak is niet te verstaan] |
No response | V1 | 1 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Geen reactie [Geen enkel verbale response] |
GCS_VerbalCodelistBaby
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.5 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
Oriented | V5 | 5 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Lachen en huilen [Lacht of huilt zachtjes] |
Confused | V4 | 4 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Huilen [Huilt en is onpasselijk] |
Inappropriate speech | V3 | 3 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Niet adequaat huilen [Aanhoudend huilen of krijsen] |
Incomprehensible sounds | V2 | 2 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Kreunen [Kreunen en onrustig/rusteloos] |
No response | V1 | 1 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Geen reactie [Geen enkel verbale response] |
GCS_VerbalCodelistToddler
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.4 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
Oriented | V5 | 5 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Adequate woorden en zinnen [Woorden of kleine zinnen in context van de situatie] |
Confused | V4 | 4 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Onjuiste woorden [Verwarde woorden] |
Inappropriate speech | V3 | 3 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Huilen [Aanhoudend huilen of krijsen] |
Incomprehensible sounds | V2 | 2 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Kreunen [Alleen kreunen] |
No response | V1 | 1 | GCS_Verbal | 2.16.840.1.113883.2.4.3.11.60.40.4.2.3 | Geen reactie [Geen enkel verbale response] |
This information model in other releases
- Release 2015, (Version 1.2.1)
- Release 2016, (Version 3.0)
- Prerelease 2018-2, (Version 3.1)
- Prerelease 2019-2, (Version 3.1)
- Release 2020, (Version 3.2)
- Prerelease 2021-2, (Version 3.3)
- Prerelease 2022-1, (Version 3.3)
- Prerelease 2023-1, (Version 3.3)
- Prerelease 2024-1, (Version 3.4)
Information model references
This information model refers to
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This information model is used in
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Technical specifications in HL7v3 CDA and HL7 FHIR
To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
- HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Release 2017
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 14:09:43 with ZibExtraction v. 3.0.6929.24609