{ "description": "* [ZIB-1314](https://bits.nictiz.nl/browse/ZIB-1314): [GlasgowComaScale-v3.2](https://zibs.nl/wiki/GlasgowComaScale-v3.2(2020NL)). Replace Verbal en Motor value sets The Verbal and Motor value sets were updated in Publication 2020. Unfortunately these value sets had a couple of serious issues. This is why replacing them was decided. The new value sets are in this document: [GCS_waardenlijsten.pdf](https://zibs.nl/images/f/f4/GCS_waardenlijsten.pdf). Changes in this value set are: \\n V7 -> V2B, V8 -> V3B, V9 -> V4B, V10 -> V5B", "compose": { "include": [ { "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.2.3", "concept": [ { "code": "V5B", "display": "Coos/babbles", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 5 }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments", "valueString": "Kirt/brabbelt" } ], "designation": [ { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Coos/babbles", "language": "en-US" } ] }, { "code": "V4B", "display": "Irritatable cries", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 4 }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments", "valueString": "Huilt prikkelbaar" } ], "designation": [ { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Irritatable cries", "language": "en-US" } ] }, { "code": "V3B", "display": "Cries to pain", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 3 }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments", "valueString": "Huilt van de pijn" } ], "designation": [ { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Cries to pain", "language": "en-US" } ] }, { "code": "V2B", "display": "Moans", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 2 } ], "designation": [ { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Moans", "language": "en-US" }, { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Jammert/kreunt", "language": "nl-NL" } ] }, { "code": "V1", "display": "No response", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments", "valueString": "Geen reactie [Geen enkel verbale response]" } ], "designation": [ { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "No response", "language": "en-US" }, { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Geen reactie", "language": "nl-NL" } ] }, { "code": "V5", "display": "Oriented", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 5 }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments", "valueString": "Lachen en huilen [Lacht of huilt zachtjes] [DEPRECATED]" } ], "designation": [ { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Oriented", "language": "en-US" }, { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Lachen en huilen", "language": "nl-NL" } ] }, { "code": "V4", "display": "Confused", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 4 }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments", "valueString": "Huilen [Huilt en is onpasselijk] [DEPRECATED]" } ], "designation": [ { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Confused", "language": "en-US" }, { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Huilen", "language": "nl-NL" } ] }, { "code": "V3", "display": "Inappropriate speech", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 3 }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments", "valueString": "Niet adequaat huilen [Aanhoudend huilen of krijsen] [DEPRECATED]" } ], "designation": [ { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Inappropriate speech", "language": "en-US" }, { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Niet adequaat huilen", "language": "nl-NL" } ] }, { "code": "V2", "display": "Incomprehensible sounds", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 2 }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments", "valueString": "Kreunen [Kreunen en onrustig/rusteloos] [DEPRECATED]" } ], "designation": [ { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Incomprehensible sounds", "language": "en-US" }, { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Kreunen", "language": "nl-NL" } ] } ] }, { "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "concept": [ { "code": "NA", "display": "Not applicable", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "designation": [ { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Not applicable", "language": "en-US" }, { "use": { "code": "900000000000013009", "system": "http://snomed.info/sct", "display": "Synonym" }, "value": "Niet van toepassing", "language": "nl-NL" } ] } ] } ], "inactive": true }, "_filename": "ValueSet-GCS_VerbalCodelijstBaby-2.16.840.1.113883.2.4.3.11.60.40.2.12.8.5--20200901000000.json", "package_name": "nictiz.fhir.nl.r4.zib2020", "date": null, "meta": { "tag": [ { "code": "4.0.1", "system": "http://hl7.org/fhir/FHIR-version" } ], "source": "http://decor.nictiz.nl/fhir/4.0/zib2020bbr-", "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset" ] }, "publisher": "Registratie aan de bron", "name": "GCS_VerbalCodelijstBaby", "type": null, "experimental": "false", "resourceType": "ValueSet", "title": "GCS_VerbalCodelijstBaby", "package_version": "0.12.0-beta.4", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod", "valuePeriod": { "start": "2020-09-01T00:00:00Z" } } ], "status": "active", "id": "357d24f8-7f89-4642-9189-1b6758569e7a", "kind": null, "url": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.5--20200901000000", "identifier": [ { "use": "official", "value": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.2.12.8.5", "system": "urn:ietf:rfc:3986" } ], "immutable": false, "version": "2020-09-01T00:00:00", "contact": [ { "name": "Registratie aan de bron", "telecom": [ { "value": "https://www.registratieaandebron.nl", "system": "url" }, { "value": "https://www.zibs.nl", "system": "url" } ] } ] }