Update bot op 24 dec 2018 om 11:09

2018-12-24T11:09:00Z

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Regel 171:		Regel 171:
	==Information Model==		==Information Model==
	<BR>		<BR>
	<imagemap> Bestand:GlasgowComaScale-v3.0Model(EN).png \| center		<imagemap> Bestand:GlasgowComaScale-v3.0Model(2016EN).png \| center
	rect 687 619 839 660 [[#GCS_VerbalCodelist]]		rect 687 619 839 660 [[#GCS_VerbalCodelist]]
	rect 687 563 849 604 [[#GCS_VerbalCodelist]]		rect 687 563 849 604 [[#GCS_VerbalCodelist]]
Regel 654:		Regel 654:
	The information in this wikipage is based on<!--ftInfoBase--> Release summer 2016 <BR>		The information in this wikipage is based on<!--ftInfoBase--> Release summer 2016 <BR>
	Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>		Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
	This page is generated on 20/12/2018 10:15:19 with ZibExtraction v. 3.0.~~6928~~.~~1309~~<!--ftDate--> <BR>		This page is generated on 21/12/2018 15:39:05 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
	-----		-----
	<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Update bot: Copy of

2018-02-20T09:05:19Z

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← Oudere versie		Versie van 20 feb 2018 11:05
Regel 640:		Regel 640:
	<ul>		<ul>
	<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.12.8&effectiveDate=2016-05-01T00:00:00&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 [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.12.8&effectiveDate=2016-05-01T00:00:00&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 [https://simplifier.net/NictizSTU3/~resources?text=zib&category=~~StructureDefinition~~ [[File:fhir.png\|link=]]]</li>		<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=Profile [[File:fhir.png\|link=]]]</li>
	</ul>		</ul>
	This information model is also available as [[Media:nl.zorg.GlasgowComaScale-v3.0(2016EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.zorg.GlasgowComaScale-v3.0(2016EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]		This information model is also available as [[Media:nl.zorg.GlasgowComaScale-v3.0(2016EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.zorg.GlasgowComaScale-v3.0(2016EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]

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==General information==
Name: '''nl.zorg.GlasgowComaScale''' [[Bestand:NL.png|link=GlasgowComaScale-v3.0(2016NL)]] 
Version: '''3.0''' 
HCIM Status:Final 
Publication: '''2016''' 
Release status: Published 
Publication date: 1-5-2016
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::CreationDate||29-11-2012
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.12.8
|-
|style="width:250px; "|DCM::KeywordList||Glascow coma schaal
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::Name||nl.zorg.GlasgowComaScale
|-
|style="width:250px; "|DCM::PublicationDate||1-5-2016
|-
|style="width:250px; "|DCM::PublicationStatus||Published
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||16-7-2015
|-
|style="width:250px; "|DCM::Superseeds||nl.nfu.GlasgowComaScale-v1.2.1
|-
|style="width:250px; "|DCM::Version||3.0
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''

Publicatieversie 1.0 (15-02-2013)
-

Publicatieversie 1.1 (01-07-2013)
-

Publicatieversie 1.2 (01-04-2015)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-227 | ZIB-227 ]]
|DCM::Name van klinische bouwsteen OverdrachtGlasgowComaScale aangepast van nl.nfu.OverdrachtScoreBewustzijn naar nl.nfu.OverdrachtGlasgowComaScale.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-228 | ZIB-228 ]]
|De naam van de waardenlijst GCS_VerbalCodelijstBaby van concept GCS_Verbal kwam niet overeen met de tagged value.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-229 | ZIB-229 ]]
|De naam van de waardenlijst GCS_VerbalCodelijstKleuter van concept GCS_Verbal kwam niet overeen met de tagged value.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-230 | ZIB-230 ]]
|De naam van de waardenlijst GCS_VerbalCodelijst van concept GCS_Verbal kwam niet overeen met de tagged value.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-231 | ZIB-231 ]]
|De naam van de waardenlijst GCS_EyesCodelijst van concept GCS_Eyes kwam niet overeen met de tagged value.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-232 | ZIB-232 ]]
|De naam van de waardenlijst GCS_MotorCodelijst van concept GCS_Motor kwam niet overeen met de tagged value.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-308 | ZIB-308 ]]
|Prefix Overdracht weggehaald bij de generieke bouwstenen
|-
|style="width:75px; "|[[ZIBIssues#ZIB-311 | ZIB-311 ]]
|waardebereik TotaalScore
|-
|style="width:75px; "|[[ZIBIssues#ZIB-361 | ZIB-361 ]]
|Naamgeving concept Opmerking aangepast
|}

Incl. algemene wijzigingsverzoeken:
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-94 | ZIB-94 ]]
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
|-
|style="width:75px; "|[[ZIBIssues#ZIB-154 | ZIB-154 ]]
|Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-200 | ZIB-200 ]]
|Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-201 | ZIB-201 ]]
|Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-309 | ZIB-309 ]]
|EOI aangepast
|-
|style="width:75px; "|[[ZIBIssues#ZIB-324 | ZIB-324 ]]
|Codelijsten Name en Description beginnen met een Hoofdletter
|-
|style="width:75px; "|[[ZIBIssues#ZIB-326 | ZIB-326 ]]
|Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
|}

Publicatieversie 1.2.1 (16-07-2015)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-414 | ZIB-414 ]]
|Richting relatie tussen constraints en waardelijsten is fout
|}

Publicatieversie 3.0 (01-05-2016)
{|
|}
.
</div>

==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: 
<ol>
<li>opening eyes (eye response);</li>
<li>answering questions (verbal response);</li>
<li>motor response. </li>
</ol>
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==
 
[[Bestand: GlasgowComaScale-v3.0Model(EN).png | center]]
 
{| 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="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="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px]]
||NL-CM:12.8.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px]]GlasgowComaScale
|
|Root concept of the GlasgowComaScale information model. This root concept contains all data elements of the GlasgowComaScale information model.
|
{|
|-
| 386554004 Glasgow coma scale (assessment scale)
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:12.8.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]GlasgowComaScaleDateTime
|1
|Time at which the EMV score was determined.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:12.8.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]GCS_Eyes
|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 ExplanationEScore concept.
|
{|
|-
| 281395000 Glasgow coma score eye opening subscore (observable entity)
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#GCS_EyesCodelist|GCS_EyesCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:12.8.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]ExplanationEScore
|0..1
|Reason why no eye response test could be done. This is to be entered as free text. An often-used notation is the abbreviation c (closed), in the event that the eyes are closed.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:12.8.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]GCS_Motor
|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 ExplanationMScore concept.
|
{|
|-
| 281396004 Glasgow Coma Score motor response subscore
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#GCS_MotorCodelist|GCS_MotorCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:12.8.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]ExplanationMScore
|0..1
|Reason why no motor response test could be done. This is to be entered as free text.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:12.8.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]GCS_Verbal
|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 ExplanationVScore concept.
|
{|
|-
| 281397008 Glasgow coma score verbal response subscore (observable entity)
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#GCS_VerbalCodelist|GCS_VerbalCodelist]]
|-
|[[Bestand: List2.png]]||[[#GCS_VerbalCodelist|GCS_VerbalCodelist]]
|-
|[[Bestand: List2.png]]||[[#GCS_VerbalCodelist|GCS_VerbalCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:12.8.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]ExplanationVScore
|0..1
|Reason why no verbal response test could be done. This is to be entered as free text.
An often-used notation is the addition 'Tube' for an intubated patient.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
||NL-CM:12.8.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]TotalScore
|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.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:12.8.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Explanation
|0..1
|Comment on (the context of) the EMV score measurement, such as any problems or factors that may influence interpretation.
|
|
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="780px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 19%; color: #FFFFFF; font-weight: bold; "|GlasgowComa ScaleDatumTijd
| style="background-color: #1F497D; width: 7%; color: #FFFFFF; font-weight: bold; "|GCS_Eyes
| style="background-color: #1F497D; width: 9%; color: #FFFFFF; font-weight: bold; "|GCS_Motor
| style="background-color: #1F497D; width: 9%; color: #FFFFFF; font-weight: bold; "|GCS_ Verbal
| style="background-color: #1F497D; width: 15%; color: #FFFFFF; font-weight: bold; "|TotaalScore
| style="background-color: #1F497D; width: 42%; color: #FFFFFF; font-weight: bold; "|Toelichting
|-style=vertical-align:top;
| style="width: 19%; "|08-02-2013 6:43
| style="width: 7%; "|2
| style="width: 9%; "|4
| style="width: 9%; "|5
| style="width: 15%; "|11
| style="width: 42%; "|Beste score voor intubatie, kleding stond in brand
|-style=vertical-align:top;
| style="width: 19%; "|
| style="width: 7%; "|
| style="width: 9%; "|
| style="width: 9%; "|
| style="width: 15%; "|
| style="width: 42%; "|
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 19%; color: #FFFFFF; font-weight: bold; "|GlasgowComa ScaleDatumTijd
| style="background-color: #1F497D; width: 7%; color: #FFFFFF; font-weight: bold; "|GCS_Eyes
| style="background-color: #1F497D; width: 9%; color: #FFFFFF; font-weight: bold; "|GCS_Motor
| style="background-color: #1F497D; width: 9%; color: #FFFFFF; font-weight: bold; "|GCS_ Verbal
| style="background-color: #1F497D; width: 15%; color: #FFFFFF; font-weight: bold; "|TotaalScore
| style="background-color: #1F497D; width: 42%; color: #FFFFFF; font-weight: bold; "|Toelichting
|-style=vertical-align:top;
| style="width: 19%; "|07-02-2013 11:34
| style="width: 7%; "|4
| style="width: 9%; "|4
| style="width: 9%; "|1
| style="width: 15%; "|
| style="width: 42%; "|Lijkt adequaat
|-style=vertical-align:top;
| style="width: 19%; "|
| style="width: 7%; "|
| style="width: 9%; "|
| style="width: 9%; "|
| style="width: 15%; "|
| style="width: 42%; "|
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 19%; color: #FFFFFF; font-weight: bold; "|GlasgowComa ScaleDatumTijd
| style="background-color: #1F497D; width: 7%; color: #FFFFFF; font-weight: bold; "|GCS_Eyes
| style="background-color: #1F497D; width: 9%; color: #FFFFFF; font-weight: bold; "|GCS_Motor
| style="background-color: #1F497D; width: 9%; color: #FFFFFF; font-weight: bold; "|GCS_ Verbal
| style="background-color: #1F497D; width: 15%; color: #FFFFFF; font-weight: bold; "|TotaalScore
| style="background-color: #1F497D; width: 42%; color: #FFFFFF; font-weight: bold; "|Toelichting
|-style=vertical-align:top;
| style="width: 19%; "|07-02-2013 8:00
| style="width: 7%; "|1
| style="width: 9%; "|1
| style="width: 9%; "|1
| style="width: 15%; "|3
| style="width: 42%; "|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 ==
=== GCS_EyesCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.1
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.2
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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.]
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.5
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|Confused
|V4
|4
|GCS_Verbal
|2.16.840.1.113883.2.4.3.11.60.40.4.2.3
|Huilen [Huilt en is onpasselijk]
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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_VerbalCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.4
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|Confused
|V4
|4
|GCS_Verbal
|2.16.840.1.113883.2.4.3.11.60.40.4.2.3
|Onjuiste woorden [Verwarde woorden]
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|Incomprehensible sounds
|V2
|2
|GCS_Verbal
|2.16.840.1.113883.2.4.3.11.60.40.4.2.3
|Kreunen [Alleen kreunen]
|-style="vertical-align:top; "
|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_VerbalCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.3
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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]
|-style="vertical-align:top; "
|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]
|}

==More on this information model==
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.12.8] 
This information model is also available as [[Media:nl.zorg.GlasgowComaScale-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.GlasgowComaScale-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Release summer 2016 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 28/09/2017 01:16:42 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div>

GlasgowComaScale-v3.0(2016EN) - Bewerkingsoverzicht

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GlasgowComaScale-v3.0(2016EN) - Bewerkingsoverzicht

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