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Regel 1: Regel 1:
==General information==
<!-- Hieronder wordt een transclude page aangeroepen -->
Name: '''nl.nfu.GlasgowComaScale''' [[Bestand:NL.png|link=GlasgowComaScale-v1.2.1(2015NL)]]<BR>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.8(EN)|1|GlasgowComaScale-v1.2.1(2015EN)}}
Version: '''1.2.1''' <br>
<!-- Tot hier de transclude page -->
HCIM Status:Final<br>
==General information<!--hdGeneralInformation-->==
Release: '''2015''' <br>
Name<!--hdName-->: '''nl.nfu.GlasgowComaScale''' [[Bestand:NL.png|link=GlasgowComaScale-v1.2.1(2015NL)]]<BR>
Release status: Published<br>
Version<!--hdVersion-->: '''1.2.1''' <br>
Release date: 1-4-2015
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2015''' <br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 1-4-2015
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(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 164: Regel 167:
==Information Model==
==Information Model==
<BR>
<BR>
<imagemap> Bestand:GlasgowComaScale-v1.2.1Model(EN).png | center  
<imagemap> Bestand:GlasgowComaScale-v1.2.1Model(2015EN).png | center  
rect 677 611 829 652 [[#GCS_VerbalCodelist]]
rect 663 619 815 660 [[#GCS_VerbalCodelist]]
rect 677 555 839 596 [[#GCS_VerbalCodelist]]
rect 663 563 825 604 [[#GCS_VerbalCodelist]]
rect 253 200 359 302 [[#9347]]
rect 239 208 345 310 [[#9347]]
rect 233 483 385 553 [[#9345]]
rect 219 491 371 561 [[#9345]]
rect 49 360 201 430 [[#9346]]
rect 35 368 187 438 [[#9346]]
rect 522 617 638 687 [[#9353]]
rect 508 625 624 695 [[#9353]]
rect 522 114 638 184 [[#9349]]
rect 508 122 624 192 [[#9349]]
rect 677 497 805 538 [[#GCS_VerbalCodelist]]
rect 663 505 791 546 [[#GCS_VerbalCodelist]]
rect 522 395 638 465 [[#9351]]
rect 508 403 624 473 [[#9351]]
rect 522 539 638 609 [[#9352]]
rect 508 547 624 617 [[#9352]]
rect 700 333 828 374 [[#GCS_MotorCodelist]]
rect 686 341 814 382 [[#GCS_MotorCodelist]]
rect 700 46 828 87 [[#GCS_EyesCodelist]]
rect 686 54 814 95 [[#GCS_EyesCodelist]]
rect 522 316 638 386 [[#9350]]
rect 508 324 624 394 [[#9350]]
rect 522 35 638 105 [[#9348]]
rect 508 43 624 113 [[#9348]]
rect 252 354 360 434 [[#9344]]
rect 238 362 346 442 [[#9344]]
desc none
desc none
</imagemap>
</imagemap>
Regel 185: Regel 188:
{| 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 195: Regel 198:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 386554004 Glasgow coma scale (assessment scale)</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=386554004 386554004] Glasgow coma scale (assessment scale)</span>
|}
|}
|
|
Regel 217: Regel 220:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 281395000 Glasgow coma score eye opening subscore (observable entity)</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 243: Regel 246:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 281396004 Glasgow Coma Score motor response subscore</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 269: Regel 272:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 281397008 Glasgow coma score verbal response subscore (observable entity)</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:
|
|
|}
|}
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 383: Regel 386:
{| 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 421: Regel 425:
|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 477: Regel 481:
|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 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.5
|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 526: Regel 530:
|Geen reactie [Geen enkel verbale response]
|Geen reactie [Geen enkel verbale response]
|}
|}
=== 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 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.4
|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 575: Regel 579:
|Geen reactie [Geen enkel verbale response]
|Geen reactie [Geen enkel verbale response]
|}
|}
=== 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 625: Regel 629:
|}
|}


 
==This information model in other releases<!--ftOtherReleases-->==
==This information model in other releases==
<!-- Hieronder wordt een transclude page aangeroepen -->
<ul>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.8(EN)|2|2015}}
<li>[[GlasgowComaScale-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
<!-- Tot hier de transclude page -->
<li>[[GlasgowComaScale-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li>
==Information model references<!--ftReferences-->==
</ul>
====This information model refers to<!--ftRefersTo-->====
==More on this information model==
:--
====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--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.12.8&effectiveDate=2015-04-01T00:00:00&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<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.12.8&effectiveDate=2015-04-01T00:00:00&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<!--ftSimplifierReference--> {{SimplefierLinks|2015}}</li>
</ul>
</ul>
This information model is also available as [[Media:nl.nfu.GlasgowComaScale-v1.2.1(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.GlasgowComaScale-v1.2.1(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==Downloads<!--ftDownloadTitle-->==
==About this information==
This information model is also available as [[Media:nl.nfu.GlasgowComaScale-v1.2.1(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.GlasgowComaScale-v1.2.1(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <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--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
This page is generated on 24/01/2018 17:12:20 <BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 24/12/2018 12:29:38 with ZibExtraction v. 3.0.6932.1989<!--ftDate--> <BR>
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Huidige versie van 24 dec 2018 om 12:14


Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.nfu.GlasgowComaScale NL.png
Version: 1.2.1
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 1-4-2015

Back 16.png Back to HCIM list

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 NFU
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.nfu.GlasgowComaScale
DCM::PublicationDate 1-4-2015
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 16-7-2015
DCM::Superseeds
DCM::Version 1.2.1
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

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:

  1. opening eyes (eye response);
  2. answering questions (verbal response);
  3. 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


#GCS VerbalCodelist#GCS VerbalCodelist#9347#9345#9346#9353#9349#GCS VerbalCodelist#9351#9352#GCS MotorCodelist#GCS EyesCodelist#9350#9348#9344GlasgowComaScale-v1.2.1Model(2015EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:12.8.1 Arrowdown.pngGlasgowComaScale Root concept of the GlasgowComaScale building block. This root concept contains all data elements of the GlasgowComaScale building block.
386554004 Glasgow coma scale (assessment scale)
TS.png NL-CM:12.8.8 Arrowright.pngGlasgowComaScaleDateTime 1 Time at which the EMV score was determined.
CO.png NL-CM:12.8.2 Arrowright.pngGCS_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)
List2.png GCS_EyesCodelist
ST.png NL-CM:12.8.3 Arrowright.pngExplanationEScore 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.
CO.png NL-CM:12.8.4 Arrowright.pngGCS_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
List2.png GCS_MotorCodelist
ST.png NL-CM:12.8.5 Arrowright.pngExplanationMScore 0..1 Reason why no motor response test could be done. This is to be entered as free text.
CO.png NL-CM:12.8.6 Arrowright.pngGCS_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)
List2.png GCS_VerbalCodelist
List2.png GCS_VerbalCodelist
List2.png GCS_VerbalCodelist
ST.png NL-CM:12.8.7 Arrowright.pngExplanationVScore 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.

INT.png NL-CM:12.8.10 Arrowright.pngTotalScore 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.
ST.png NL-CM:12.8.9 Arrowright.pngExplanation 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 List2.png

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

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: 2.16.840.1.113883.2.4.3.11.60.40.2.12.8.5 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_VerbalCodelist

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]

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]

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The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
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This page is generated on 24/12/2018 12:29:38 with ZibExtraction v. 3.0.6932.1989

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