description: The Delirium Observation Screening Scale is a tool to determine whether a patient has delirium. The DOSS includes 13 observations of behavior (verbal and non-verbal) which represent the symptoms of a delirium. These observations can be performed during regular contact with the patient.
package_name: nictiz.fhir.nl.r4.zib2020
derivation: constraint
name: ZibDOSScore
abstract: true
type: Observation
elements:
  code:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '55681000146102', system: 'http://snomed.info/sct'}
    index: 0
  effective:
    choices: []
    index: 2
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        effectiveDateTime:
          match: {}
          schema:
            short: DOSScoreDateTime
            choices: [effectiveDateTime]
            index: 4
  effectiveDateTime:
    short: DOSScoreDateTime
    type: dateTime
    choiceOf: effective
    index: 5
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {short: DOSScoreDateTime, type: dateTime, choiceOf: effective, index: 5}
  value:
    choices: []
    index: 7
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        valueInteger:
          match: {}
          schema:
            minValueInteger: 0
            short: DOSScoreTotal
            choices: [valueInteger]
            maxValueInteger: 13
            index: 9
  valueInteger:
    minValueInteger: 0
    short: DOSScoreTotal
    type: integer
    maxValueInteger: 13
    choiceOf: value
    index: 10
    slicing:
      slices:
        valueInteger:
          match: {}
          schema: {minValueInteger: 0, short: DOSScoreTotal, type: integer, maxValueInteger: 13, choiceOf: value, index: 10}
  note:
    index: 11
    elements:
      text: {short: Comment, index: 12}
  component:
    index: 13
    slicing:
      rules: open
      discriminator:
      - {path: code, type: value}
      min: null
      slices:
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          match:
            code:
              coding:
              - {code: '18007013', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 49
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
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                index: 50
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                short: KnowsPartDay
                choices: [valueInteger]
                maxValueInteger: 1
                index: 52
              valueInteger: {minValueInteger: 0, short: KnowsPartDay, type: integer, maxValueInteger: 1, choiceOf: value, index: 53}
        hallucinations:
          match:
            code:
              coding:
              - {code: '18007018', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 74
            elements:
              code:
                pattern:
                  type: CodeableConcept
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                index: 75
              value:
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                short: Hallucinations
                choices: [valueInteger]
                maxValueInteger: 1
                index: 77
              valueInteger: {minValueInteger: 0, short: Hallucinations, type: integer, maxValueInteger: 1, choiceOf: value, index: 78}
        easilyDistracted:
          match:
            code:
              coding:
              - {code: '18007007', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 19
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '18007007', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 20
              value:
                minValueInteger: 0
                short: EasilyDistracted
                choices: [valueInteger]
                maxValueInteger: 1
                index: 22
              valueInteger: {minValueInteger: 0, short: EasilyDistracted, type: integer, maxValueInteger: 1, choiceOf: value, index: 23}
        thinksSomewhereElse:
          match:
            code:
              coding:
              - {code: '18007012', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 44
            elements:
              code:
                pattern:
                  type: CodeableConcept
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                    coding:
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              value:
                minValueInteger: 0
                short: ThinksSomewhereElse
                choices: [valueInteger]
                maxValueInteger: 1
                index: 47
              valueInteger: {minValueInteger: 0, short: ThinksSomewhereElse, type: integer, maxValueInteger: 1, choiceOf: value, index: 48}
        restless:
          match:
            code:
              coding:
              - {code: '18007015', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 59
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
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                index: 60
              value:
                minValueInteger: 0
                short: Restless
                choices: [valueInteger]
                maxValueInteger: 1
                index: 62
              valueInteger: {minValueInteger: 0, short: Restless, type: integer, maxValueInteger: 1, choiceOf: value, index: 63}
        answersNoFit:
          match:
            code:
              coding:
              - {code: '18007010', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 34
            elements:
              code:
                pattern:
                  type: CodeableConcept
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                index: 35
              value:
                minValueInteger: 0
                short: AnswersNoFit
                choices: [valueInteger]
                maxValueInteger: 1
                index: 37
              valueInteger: {minValueInteger: 0, short: AnswersNoFit, type: integer, maxValueInteger: 1, choiceOf: value, index: 38}
        remembersRecent:
          match:
            code:
              coding:
              - {code: '18007014', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 54
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '18007014', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 55
              value:
                minValueInteger: 0
                short: RemembersRecent
                choices: [valueInteger]
                maxValueInteger: 1
                index: 57
              valueInteger: {minValueInteger: 0, short: RemembersRecent, type: integer, maxValueInteger: 1, choiceOf: value, index: 58}
        maintainsAttention:
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            code:
              coding:
              - {code: '18007008', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 24
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '18007008', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 25
              value:
                minValueInteger: 0
                short: MaintainsAttention
                choices: [valueInteger]
                maxValueInteger: 1
                index: 27
              valueInteger: {minValueInteger: 0, short: MaintainsAttention, type: integer, maxValueInteger: 1, choiceOf: value, index: 28}
        dozesOff:
          match:
            code:
              coding:
              - {code: '18007006', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 14
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '18007006', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 15
              value:
                minValueInteger: 0
                short: DozesOff
                choices: [valueInteger]
                maxValueInteger: 1
                index: 17
              valueInteger: {minValueInteger: 0, short: DozesOff, type: integer, maxValueInteger: 1, choiceOf: value, index: 18}
        easilyEmotional:
          match:
            code:
              coding:
              - {code: '18007017', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 69
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '18007017', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 70
              value:
                minValueInteger: 0
                short: EasilyEmotional
                choices: [valueInteger]
                maxValueInteger: 1
                index: 72
              valueInteger: {minValueInteger: 0, short: EasilyEmotional, type: integer, maxValueInteger: 1, choiceOf: value, index: 73}
        pullsWires:
          match:
            code:
              coding:
              - {code: '18007016', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 64
            elements:
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                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '18007016', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 65
              value:
                minValueInteger: 0
                short: PullsWires
                choices: [valueInteger]
                maxValueInteger: 1
                index: 67
              valueInteger: {minValueInteger: 0, short: PullsWires, type: integer, maxValueInteger: 1, choiceOf: value, index: 68}
        reactsSlowly:
          match:
            code:
              coding:
              - {code: '18007011', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 39
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
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                index: 40
              value:
                minValueInteger: 0
                short: ReactsSlowly
                choices: [valueInteger]
                maxValueInteger: 1
                index: 42
              valueInteger: {minValueInteger: 0, short: ReactsSlowly, type: integer, maxValueInteger: 1, choiceOf: value, index: 43}
        unfinishedQuestionAnswer:
          match:
            code:
              coding:
              - {code: '18007009', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 29
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '18007009', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 30
              value:
                minValueInteger: 0
                short: UnfinishedQuestionAnswer
                choices: [valueInteger]
                maxValueInteger: 1
                index: 32
              valueInteger: {minValueInteger: 0, short: UnfinishedQuestionAnswer, type: integer, maxValueInteger: 1, choiceOf: value, index: 33}
package_version: 0.12.0-beta.2
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-DOSScore
base: http://hl7.org/fhir/StructureDefinition/Observation
version: null