{
  "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 M6 \\\"Obeys commands\\\" > \\\"Obeys\\\", M5 \\\"Localising\\\" > \\\"Localises pain\\\", M4 \\\"Normal flexion\\\" > \\\"Withdrawal response\\\", M3 \\\"Abnormal flexion\\\" > \\\"Flexor response\\\", M2 \\\"Abnormal extension\\\" > \\\"Extensor response\\\"",
  "compose": {
    "include": [ {
      "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.2.2",
      "concept": [ {
        "code": "M6",
        "display": "Obeys",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal": 6
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments",
          "valueString": "Voert opdracht tot bewegen uit [Een eenvoudig verzoek tot bewegen wordt uitgevoerd]"
        } ],
        "designation": [ {
          "use": {
            "code": "900000000000013009",
            "system": "http://snomed.info/sct",
            "display": "Synonym"
          },
          "value": "Obeys",
          "language": "en-US"
        }, {
          "use": {
            "code": "900000000000013009",
            "system": "http://snomed.info/sct",
            "display": "Synonym"
          },
          "value": "Voert opdracht uit",
          "language": "nl-NL"
        } ]
      }, {
        "code": "M5",
        "display": "Localises pain",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal": 5
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments",
          "valueString": "Terugtrekken bij aanraking [Trekt terug bij aanraken]"
        } ],
        "designation": [ {
          "use": {
            "code": "900000000000013009",
            "system": "http://snomed.info/sct",
            "display": "Synonym"
          },
          "value": "Localises pain",
          "language": "en-US"
        }, {
          "use": {
            "code": "900000000000013009",
            "system": "http://snomed.info/sct",
            "display": "Synonym"
          },
          "value": "Terugtrekken bij aanraking",
          "language": "nl-NL"
        } ]
      }, {
        "code": "M4",
        "display": "Withdrawal response",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal": 4
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments",
          "valueString": "Terugtrekken [In staat om een afwerende of wegtrekkende beweging te maken op een pijnprikkel]"
        } ],
        "designation": [ {
          "use": {
            "code": "900000000000013009",
            "system": "http://snomed.info/sct",
            "display": "Synonym"
          },
          "value": "Withdrawal response",
          "language": "en-US"
        }, {
          "use": {
            "code": "900000000000013009",
            "system": "http://snomed.info/sct",
            "display": "Synonym"
          },
          "value": "Terugtrekken",
          "language": "nl-NL"
        } ]
      }, {
        "code": "M3",
        "display": "Flexor response",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal": 3
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments",
          "valueString": "Buigreactie [Langzame, buiging van armen en/of benen]"
        } ],
        "designation": [ {
          "use": {
            "code": "900000000000013009",
            "system": "http://snomed.info/sct",
            "display": "Synonym"
          },
          "value": "Flexor response",
          "language": "en-US"
        }, {
          "use": {
            "code": "900000000000013009",
            "system": "http://snomed.info/sct",
            "display": "Synonym"
          },
          "value": "Buigreactie",
          "language": "nl-NL"
        } ]
      }, {
        "code": "M2",
        "display": "Extensor response",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal": 2
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments",
          "valueString": "Decerebrale strekreactie [strekken van armen en/of benen]"
        } ],
        "designation": [ {
          "use": {
            "code": "900000000000013009",
            "system": "http://snomed.info/sct",
            "display": "Synonym"
          },
          "value": "Extensor response",
          "language": "en-US"
        }, {
          "use": {
            "code": "900000000000013009",
            "system": "http://snomed.info/sct",
            "display": "Synonym"
          },
          "value": "Decerebrale strekreactie",
          "language": "nl-NL"
        } ]
      }, {
        "code": "M1",
        "display": "No response",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal": 1
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/valueset-concept-comments",
          "valueString": "Geen beweging op prikkel [Geen enkele beweging op een prikkel]"
        } ],
        "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 beweging op prikkel",
          "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"
        } ]
      } ]
    } ]
  },
  "_filename": "ValueSet-GCS_MotorCodelijstKleuter-2.16.840.1.113883.2.4.3.11.60.40.2.12.8.7--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_MotorCodelijstKleuter",
  "type": null,
  "experimental": "false",
  "resourceType": "ValueSet",
  "title": "GCS_MotorCodelijstKleuter",
  "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": "f2aeaa95-05d7-4406-a211-1949d0ed25f0",
  "kind": null,
  "url": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.7--20200901000000",
  "identifier": [ {
    "use": "official",
    "value": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.2.12.8.7",
    "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"
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}