SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build
SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions
| Active as of 2026-09-15 |
{
"resourceType" : "CodeSystem",
"id" : "clinical-score-codesystem",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem clinical-score-codesystem</b></p><a name=\"clinical-score-codesystem\"> </a><a name=\"hcclinical-score-codesystem\"> </a><p>This case-sensitive code system <code>https://fhir.slade360.co.ke/fhir/CodeSystem/clinical-score-codesystem</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">braden-sensory-1<a name=\"clinical-score-codesystem-braden-sensory-1\"> </a></td><td>Completely limited</td><td>Braden sensory perception: unresponsive to painful stimuli, or limited ability to feel pain over most of the body.</td></tr><tr><td style=\"white-space:nowrap\">braden-sensory-2<a name=\"clinical-score-codesystem-braden-sensory-2\"> </a></td><td>Very limited</td><td>Braden sensory perception: responds only to painful stimuli, or a sensory impairment over half the body.</td></tr><tr><td style=\"white-space:nowrap\">braden-sensory-3<a name=\"clinical-score-codesystem-braden-sensory-3\"> </a></td><td>Slightly limited</td><td>Braden sensory perception: responds to verbal commands but cannot always communicate discomfort.</td></tr><tr><td style=\"white-space:nowrap\">braden-sensory-4<a name=\"clinical-score-codesystem-braden-sensory-4\"> </a></td><td>No impairment</td><td>Braden sensory perception: responds to verbal commands, no sensory deficit.</td></tr><tr><td style=\"white-space:nowrap\">braden-moisture-1<a name=\"clinical-score-codesystem-braden-moisture-1\"> </a></td><td>Constantly moist</td><td>Braden moisture: skin kept moist almost constantly by perspiration or urine.</td></tr><tr><td style=\"white-space:nowrap\">braden-moisture-2<a name=\"clinical-score-codesystem-braden-moisture-2\"> </a></td><td>Often moist</td><td>Braden moisture: skin often but not always moist; linen changed at least once a shift.</td></tr><tr><td style=\"white-space:nowrap\">braden-moisture-3<a name=\"clinical-score-codesystem-braden-moisture-3\"> </a></td><td>Occasionally moist</td><td>Braden moisture: skin occasionally moist, requiring an extra linen change about once a day.</td></tr><tr><td style=\"white-space:nowrap\">braden-moisture-4<a name=\"clinical-score-codesystem-braden-moisture-4\"> </a></td><td>Rarely moist</td><td>Braden moisture: skin usually dry; linen changed at routine intervals.</td></tr><tr><td style=\"white-space:nowrap\">braden-activity-1<a name=\"clinical-score-codesystem-braden-activity-1\"> </a></td><td>Bedfast</td><td>Braden activity: confined to bed.</td></tr><tr><td style=\"white-space:nowrap\">braden-activity-2<a name=\"clinical-score-codesystem-braden-activity-2\"> </a></td><td>Chairfast</td><td>Braden activity: ability to walk severely limited or non-existent; cannot bear own weight.</td></tr><tr><td style=\"white-space:nowrap\">braden-activity-3<a name=\"clinical-score-codesystem-braden-activity-3\"> </a></td><td>Walks occasionally</td><td>Braden activity: walks short distances during the day, with or without assistance.</td></tr><tr><td style=\"white-space:nowrap\">braden-activity-4<a name=\"clinical-score-codesystem-braden-activity-4\"> </a></td><td>Walks frequently</td><td>Braden activity: walks outside the room at least twice a day and inside it every two hours while awake.</td></tr><tr><td style=\"white-space:nowrap\">braden-mobility-1<a name=\"clinical-score-codesystem-braden-mobility-1\"> </a></td><td>Completely immobile</td><td>Braden mobility: makes no change in body or extremity position without assistance.</td></tr><tr><td style=\"white-space:nowrap\">braden-mobility-2<a name=\"clinical-score-codesystem-braden-mobility-2\"> </a></td><td>Very limited</td><td>Braden mobility: makes occasional slight changes in position but cannot make frequent or significant changes independently.</td></tr><tr><td style=\"white-space:nowrap\">braden-mobility-3<a name=\"clinical-score-codesystem-braden-mobility-3\"> </a></td><td>Slightly limited</td><td>Braden mobility: makes frequent though slight changes in position independently.</td></tr><tr><td style=\"white-space:nowrap\">braden-mobility-4<a name=\"clinical-score-codesystem-braden-mobility-4\"> </a></td><td>No limitation</td><td>Braden mobility: makes major and frequent changes in position without assistance.</td></tr><tr><td style=\"white-space:nowrap\">braden-nutrition-1<a name=\"clinical-score-codesystem-braden-nutrition-1\"> </a></td><td>Very poor</td><td>Braden nutrition: never eats a complete meal, or is nil by mouth or on clear fluids for more than five days.</td></tr><tr><td style=\"white-space:nowrap\">braden-nutrition-2<a name=\"clinical-score-codesystem-braden-nutrition-2\"> </a></td><td>Probably inadequate</td><td>Braden nutrition: rarely eats a complete meal; generally eats about half of what is offered.</td></tr><tr><td style=\"white-space:nowrap\">braden-nutrition-3<a name=\"clinical-score-codesystem-braden-nutrition-3\"> </a></td><td>Adequate</td><td>Braden nutrition: eats over half of most meals, or is fed by tube or parenterally to meet most needs.</td></tr><tr><td style=\"white-space:nowrap\">braden-nutrition-4<a name=\"clinical-score-codesystem-braden-nutrition-4\"> </a></td><td>Excellent</td><td>Braden nutrition: eats most of every meal and never refuses one.</td></tr><tr><td style=\"white-space:nowrap\">braden-friction-1<a name=\"clinical-score-codesystem-braden-friction-1\"> </a></td><td>Problem</td><td>Braden friction and shear: requires moderate to maximum assistance to move; slides against sheets and cannot lift clear of them.</td></tr><tr><td style=\"white-space:nowrap\">braden-friction-2<a name=\"clinical-score-codesystem-braden-friction-2\"> </a></td><td>Potential problem</td><td>Braden friction and shear: moves feebly or requires minimum assistance; skin probably slides against sheets to some extent.</td></tr><tr><td style=\"white-space:nowrap\">braden-friction-3<a name=\"clinical-score-codesystem-braden-friction-3\"> </a></td><td>No apparent problem</td><td>Braden friction and shear: moves independently in bed and chair, with enough muscle strength to lift clear of the sheets.</td></tr><tr><td style=\"white-space:nowrap\">falls-history-0<a name=\"clinical-score-codesystem-falls-history-0\"> </a></td><td>No fall in the last 12 months</td><td>Falls risk history: no fall recorded in the last twelve months.</td></tr><tr><td style=\"white-space:nowrap\">falls-history-25<a name=\"clinical-score-codesystem-falls-history-25\"> </a></td><td>Fall in the last 12 months</td><td>Falls risk history: at least one fall recorded in the last twelve months.</td></tr><tr><td style=\"white-space:nowrap\">falls-diagnoses-0<a name=\"clinical-score-codesystem-falls-diagnoses-0\"> </a></td><td>One active diagnosis or none</td><td>Falls risk: no more than one active diagnosis on the problem list.</td></tr><tr><td style=\"white-space:nowrap\">falls-diagnoses-15<a name=\"clinical-score-codesystem-falls-diagnoses-15\"> </a></td><td>More than one active diagnosis</td><td>Falls risk: more than one active diagnosis on the problem list.</td></tr><tr><td style=\"white-space:nowrap\">falls-aid-0<a name=\"clinical-score-codesystem-falls-aid-0\"> </a></td><td>No walking aid, or bedrest</td><td>Falls risk walking aid: none needed, on bedrest, or assisted by a nurse.</td></tr><tr><td style=\"white-space:nowrap\">falls-aid-15<a name=\"clinical-score-codesystem-falls-aid-15\"> </a></td><td>Crutch, stick or walker</td><td>Falls risk walking aid: mobilises with a crutch, stick or walking frame.</td></tr><tr><td style=\"white-space:nowrap\">falls-aid-30<a name=\"clinical-score-codesystem-falls-aid-30\"> </a></td><td>Holds onto furniture</td><td>Falls risk walking aid: mobilises by holding onto furniture.</td></tr><tr><td style=\"white-space:nowrap\">falls-iv-0<a name=\"clinical-score-codesystem-falls-iv-0\"> </a></td><td>No intravenous access</td><td>Falls risk: no cannula, line or heparin lock in place.</td></tr><tr><td style=\"white-space:nowrap\">falls-iv-20<a name=\"clinical-score-codesystem-falls-iv-20\"> </a></td><td>Intravenous access in place</td><td>Falls risk: a cannula, line or heparin lock is in place.</td></tr><tr><td style=\"white-space:nowrap\">falls-gait-0<a name=\"clinical-score-codesystem-falls-gait-0\"> </a></td><td>Normal gait, or bedrest</td><td>Falls risk gait: normal gait, or immobile.</td></tr><tr><td style=\"white-space:nowrap\">falls-gait-10<a name=\"clinical-score-codesystem-falls-gait-10\"> </a></td><td>Weak gait</td><td>Falls risk gait: short steps, possibly shuffling, seeks support from furniture but not leaning on it.</td></tr><tr><td style=\"white-space:nowrap\">falls-gait-20<a name=\"clinical-score-codesystem-falls-gait-20\"> </a></td><td>Impaired gait</td><td>Falls risk gait: short steps with difficulty rising, head down, grasps furniture for support.</td></tr><tr><td style=\"white-space:nowrap\">falls-mental-0<a name=\"clinical-score-codesystem-falls-mental-0\"> </a></td><td>Oriented to own ability</td><td>Falls risk awareness: the patient's account of what they can manage matches what the nursing team observes.</td></tr><tr><td style=\"white-space:nowrap\">falls-mental-15<a name=\"clinical-score-codesystem-falls-mental-15\"> </a></td><td>Overestimates or forgets limits</td><td>Falls risk awareness: the patient overestimates what they can manage, or forgets their limits.</td></tr><tr><td style=\"white-space:nowrap\">must-bmi-0<a name=\"clinical-score-codesystem-must-bmi-0\"> </a></td><td>BMI 20 or over</td><td>MUST body mass index step: 20 kg/m2 or above.</td></tr><tr><td style=\"white-space:nowrap\">must-bmi-1<a name=\"clinical-score-codesystem-must-bmi-1\"> </a></td><td>BMI 18.5 to 20</td><td>MUST body mass index step: 18.5 to 20 kg/m2.</td></tr><tr><td style=\"white-space:nowrap\">must-bmi-2<a name=\"clinical-score-codesystem-must-bmi-2\"> </a></td><td>BMI under 18.5</td><td>MUST body mass index step: below 18.5 kg/m2.</td></tr><tr><td style=\"white-space:nowrap\">must-loss-0<a name=\"clinical-score-codesystem-must-loss-0\"> </a></td><td>Weight loss under 5%</td><td>MUST weight loss step: unplanned loss of less than 5% of body weight in the last three to six months.</td></tr><tr><td style=\"white-space:nowrap\">must-loss-1<a name=\"clinical-score-codesystem-must-loss-1\"> </a></td><td>Weight loss 5 to 10%</td><td>MUST weight loss step: unplanned loss of 5 to 10% of body weight in the last three to six months.</td></tr><tr><td style=\"white-space:nowrap\">must-loss-2<a name=\"clinical-score-codesystem-must-loss-2\"> </a></td><td>Weight loss over 10%</td><td>MUST weight loss step: unplanned loss of more than 10% of body weight in the last three to six months.</td></tr><tr><td style=\"white-space:nowrap\">must-acute-0<a name=\"clinical-score-codesystem-must-acute-0\"> </a></td><td>Eating normally</td><td>MUST acute disease effect step: the patient is eating, or a break in intake of five days or more is not expected.</td></tr><tr><td style=\"white-space:nowrap\">must-acute-2<a name=\"clinical-score-codesystem-must-acute-2\"> </a></td><td>No nutritional intake for 5 days or more</td><td>MUST acute disease effect step: acutely ill with no nutritional intake for five days or more, or none expected for that long.</td></tr><tr><td style=\"white-space:nowrap\">gcs-eye-1<a name=\"clinical-score-codesystem-gcs-eye-1\"> </a></td><td>No eye opening</td><td>GCS eye opening: none.</td></tr><tr><td style=\"white-space:nowrap\">gcs-eye-2<a name=\"clinical-score-codesystem-gcs-eye-2\"> </a></td><td>Eye opening to pressure</td><td>GCS eye opening: to pressure.</td></tr><tr><td style=\"white-space:nowrap\">gcs-eye-3<a name=\"clinical-score-codesystem-gcs-eye-3\"> </a></td><td>Eye opening to sound</td><td>GCS eye opening: to sound.</td></tr><tr><td style=\"white-space:nowrap\">gcs-eye-4<a name=\"clinical-score-codesystem-gcs-eye-4\"> </a></td><td>Spontaneous eye opening</td><td>GCS eye opening: spontaneous.</td></tr><tr><td style=\"white-space:nowrap\">gcs-verbal-1<a name=\"clinical-score-codesystem-gcs-verbal-1\"> </a></td><td>No verbal response</td><td>GCS verbal response: none.</td></tr><tr><td style=\"white-space:nowrap\">gcs-verbal-2<a name=\"clinical-score-codesystem-gcs-verbal-2\"> </a></td><td>Sounds</td><td>GCS verbal response: sounds only, no recognisable words.</td></tr><tr><td style=\"white-space:nowrap\">gcs-verbal-3<a name=\"clinical-score-codesystem-gcs-verbal-3\"> </a></td><td>Words</td><td>GCS verbal response: recognisable words, not conversation.</td></tr><tr><td style=\"white-space:nowrap\">gcs-verbal-4<a name=\"clinical-score-codesystem-gcs-verbal-4\"> </a></td><td>Confused</td><td>GCS verbal response: converses but is disoriented.</td></tr><tr><td style=\"white-space:nowrap\">gcs-verbal-5<a name=\"clinical-score-codesystem-gcs-verbal-5\"> </a></td><td>Oriented</td><td>GCS verbal response: oriented conversation.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-1<a name=\"clinical-score-codesystem-gcs-motor-1\"> </a></td><td>No motor response</td><td>GCS motor response: none.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-2<a name=\"clinical-score-codesystem-gcs-motor-2\"> </a></td><td>Extension</td><td>GCS motor response: extension to pain.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-3<a name=\"clinical-score-codesystem-gcs-motor-3\"> </a></td><td>Abnormal flexion</td><td>GCS motor response: abnormal flexion to pain.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-4<a name=\"clinical-score-codesystem-gcs-motor-4\"> </a></td><td>Normal flexion</td><td>GCS motor response: normal flexion, withdraws from pain.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-5<a name=\"clinical-score-codesystem-gcs-motor-5\"> </a></td><td>Localising</td><td>GCS motor response: localises to pain.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-6<a name=\"clinical-score-codesystem-gcs-motor-6\"> </a></td><td>Obeys commands</td><td>GCS motor response: obeys commands.</td></tr></table></div>"
},
"url" : "https://fhir.slade360.co.ke/fhir/CodeSystem/clinical-score-codesystem",
"version" : "0.1.0",
"name" : "SGHIClinicalScoreCodeSystem",
"title" : "SGHI Clinical Score Code System",
"status" : "active",
"experimental" : false,
"date" : "2026-09-15T11:40:24+00:00",
"publisher" : "Kathurima Kimathi",
"contact" : [
{
"name" : "Kathurima Kimathi",
"telecom" : [
{
"system" : "url",
"value" : "https://www.linkedin.com/in/kathurima-kimathi/"
},
{
"system" : "email",
"value" : "kathurimakimathi415@gmail.com"
}
]
},
{
"name" : "Oscar John",
"telecom" : [
{
"system" : "email",
"value" : "oscarjohnotieno@gmail.com",
"use" : "work"
}
]
},
{
"name" : "Kennedy Omondi",
"telecom" : [
{
"system" : "email",
"value" : "kennankole@gmail.com",
"use" : "work"
}
]
}
],
"description" : "The answers to the scored instruments used on inpatient assessments: the Braden pressure ulcer scale, the Morse falls score, MUST nutrition screening and the Glasgow Coma Scale. Each answer is a concept so a response records what was observed rather than a bare number. Codes are namespaced instrument-item-weight; the weight is in the code because within an item it is what tells one answer from another, and because two items in an instrument can share a label. The extraction maps rely on that: they read the weight off the tail of the code when a client submits no calculated total.",
"caseSensitive" : true,
"content" : "complete",
"count" : 60,
"concept" : [
{
"code" : "braden-sensory-1",
"display" : "Completely limited",
"definition" : "Braden sensory perception: unresponsive to painful stimuli, or limited ability to feel pain over most of the body."
},
{
"code" : "braden-sensory-2",
"display" : "Very limited",
"definition" : "Braden sensory perception: responds only to painful stimuli, or a sensory impairment over half the body."
},
{
"code" : "braden-sensory-3",
"display" : "Slightly limited",
"definition" : "Braden sensory perception: responds to verbal commands but cannot always communicate discomfort."
},
{
"code" : "braden-sensory-4",
"display" : "No impairment",
"definition" : "Braden sensory perception: responds to verbal commands, no sensory deficit."
},
{
"code" : "braden-moisture-1",
"display" : "Constantly moist",
"definition" : "Braden moisture: skin kept moist almost constantly by perspiration or urine."
},
{
"code" : "braden-moisture-2",
"display" : "Often moist",
"definition" : "Braden moisture: skin often but not always moist; linen changed at least once a shift."
},
{
"code" : "braden-moisture-3",
"display" : "Occasionally moist",
"definition" : "Braden moisture: skin occasionally moist, requiring an extra linen change about once a day."
},
{
"code" : "braden-moisture-4",
"display" : "Rarely moist",
"definition" : "Braden moisture: skin usually dry; linen changed at routine intervals."
},
{
"code" : "braden-activity-1",
"display" : "Bedfast",
"definition" : "Braden activity: confined to bed."
},
{
"code" : "braden-activity-2",
"display" : "Chairfast",
"definition" : "Braden activity: ability to walk severely limited or non-existent; cannot bear own weight."
},
{
"code" : "braden-activity-3",
"display" : "Walks occasionally",
"definition" : "Braden activity: walks short distances during the day, with or without assistance."
},
{
"code" : "braden-activity-4",
"display" : "Walks frequently",
"definition" : "Braden activity: walks outside the room at least twice a day and inside it every two hours while awake."
},
{
"code" : "braden-mobility-1",
"display" : "Completely immobile",
"definition" : "Braden mobility: makes no change in body or extremity position without assistance."
},
{
"code" : "braden-mobility-2",
"display" : "Very limited",
"definition" : "Braden mobility: makes occasional slight changes in position but cannot make frequent or significant changes independently."
},
{
"code" : "braden-mobility-3",
"display" : "Slightly limited",
"definition" : "Braden mobility: makes frequent though slight changes in position independently."
},
{
"code" : "braden-mobility-4",
"display" : "No limitation",
"definition" : "Braden mobility: makes major and frequent changes in position without assistance."
},
{
"code" : "braden-nutrition-1",
"display" : "Very poor",
"definition" : "Braden nutrition: never eats a complete meal, or is nil by mouth or on clear fluids for more than five days."
},
{
"code" : "braden-nutrition-2",
"display" : "Probably inadequate",
"definition" : "Braden nutrition: rarely eats a complete meal; generally eats about half of what is offered."
},
{
"code" : "braden-nutrition-3",
"display" : "Adequate",
"definition" : "Braden nutrition: eats over half of most meals, or is fed by tube or parenterally to meet most needs."
},
{
"code" : "braden-nutrition-4",
"display" : "Excellent",
"definition" : "Braden nutrition: eats most of every meal and never refuses one."
},
{
"code" : "braden-friction-1",
"display" : "Problem",
"definition" : "Braden friction and shear: requires moderate to maximum assistance to move; slides against sheets and cannot lift clear of them."
},
{
"code" : "braden-friction-2",
"display" : "Potential problem",
"definition" : "Braden friction and shear: moves feebly or requires minimum assistance; skin probably slides against sheets to some extent."
},
{
"code" : "braden-friction-3",
"display" : "No apparent problem",
"definition" : "Braden friction and shear: moves independently in bed and chair, with enough muscle strength to lift clear of the sheets."
},
{
"code" : "falls-history-0",
"display" : "No fall in the last 12 months",
"definition" : "Falls risk history: no fall recorded in the last twelve months."
},
{
"code" : "falls-history-25",
"display" : "Fall in the last 12 months",
"definition" : "Falls risk history: at least one fall recorded in the last twelve months."
},
{
"code" : "falls-diagnoses-0",
"display" : "One active diagnosis or none",
"definition" : "Falls risk: no more than one active diagnosis on the problem list."
},
{
"code" : "falls-diagnoses-15",
"display" : "More than one active diagnosis",
"definition" : "Falls risk: more than one active diagnosis on the problem list."
},
{
"code" : "falls-aid-0",
"display" : "No walking aid, or bedrest",
"definition" : "Falls risk walking aid: none needed, on bedrest, or assisted by a nurse."
},
{
"code" : "falls-aid-15",
"display" : "Crutch, stick or walker",
"definition" : "Falls risk walking aid: mobilises with a crutch, stick or walking frame."
},
{
"code" : "falls-aid-30",
"display" : "Holds onto furniture",
"definition" : "Falls risk walking aid: mobilises by holding onto furniture."
},
{
"code" : "falls-iv-0",
"display" : "No intravenous access",
"definition" : "Falls risk: no cannula, line or heparin lock in place."
},
{
"code" : "falls-iv-20",
"display" : "Intravenous access in place",
"definition" : "Falls risk: a cannula, line or heparin lock is in place."
},
{
"code" : "falls-gait-0",
"display" : "Normal gait, or bedrest",
"definition" : "Falls risk gait: normal gait, or immobile."
},
{
"code" : "falls-gait-10",
"display" : "Weak gait",
"definition" : "Falls risk gait: short steps, possibly shuffling, seeks support from furniture but not leaning on it."
},
{
"code" : "falls-gait-20",
"display" : "Impaired gait",
"definition" : "Falls risk gait: short steps with difficulty rising, head down, grasps furniture for support."
},
{
"code" : "falls-mental-0",
"display" : "Oriented to own ability",
"definition" : "Falls risk awareness: the patient's account of what they can manage matches what the nursing team observes."
},
{
"code" : "falls-mental-15",
"display" : "Overestimates or forgets limits",
"definition" : "Falls risk awareness: the patient overestimates what they can manage, or forgets their limits."
},
{
"code" : "must-bmi-0",
"display" : "BMI 20 or over",
"definition" : "MUST body mass index step: 20 kg/m2 or above."
},
{
"code" : "must-bmi-1",
"display" : "BMI 18.5 to 20",
"definition" : "MUST body mass index step: 18.5 to 20 kg/m2."
},
{
"code" : "must-bmi-2",
"display" : "BMI under 18.5",
"definition" : "MUST body mass index step: below 18.5 kg/m2."
},
{
"code" : "must-loss-0",
"display" : "Weight loss under 5%",
"definition" : "MUST weight loss step: unplanned loss of less than 5% of body weight in the last three to six months."
},
{
"code" : "must-loss-1",
"display" : "Weight loss 5 to 10%",
"definition" : "MUST weight loss step: unplanned loss of 5 to 10% of body weight in the last three to six months."
},
{
"code" : "must-loss-2",
"display" : "Weight loss over 10%",
"definition" : "MUST weight loss step: unplanned loss of more than 10% of body weight in the last three to six months."
},
{
"code" : "must-acute-0",
"display" : "Eating normally",
"definition" : "MUST acute disease effect step: the patient is eating, or a break in intake of five days or more is not expected."
},
{
"code" : "must-acute-2",
"display" : "No nutritional intake for 5 days or more",
"definition" : "MUST acute disease effect step: acutely ill with no nutritional intake for five days or more, or none expected for that long."
},
{
"code" : "gcs-eye-1",
"display" : "No eye opening",
"definition" : "GCS eye opening: none."
},
{
"code" : "gcs-eye-2",
"display" : "Eye opening to pressure",
"definition" : "GCS eye opening: to pressure."
},
{
"code" : "gcs-eye-3",
"display" : "Eye opening to sound",
"definition" : "GCS eye opening: to sound."
},
{
"code" : "gcs-eye-4",
"display" : "Spontaneous eye opening",
"definition" : "GCS eye opening: spontaneous."
},
{
"code" : "gcs-verbal-1",
"display" : "No verbal response",
"definition" : "GCS verbal response: none."
},
{
"code" : "gcs-verbal-2",
"display" : "Sounds",
"definition" : "GCS verbal response: sounds only, no recognisable words."
},
{
"code" : "gcs-verbal-3",
"display" : "Words",
"definition" : "GCS verbal response: recognisable words, not conversation."
},
{
"code" : "gcs-verbal-4",
"display" : "Confused",
"definition" : "GCS verbal response: converses but is disoriented."
},
{
"code" : "gcs-verbal-5",
"display" : "Oriented",
"definition" : "GCS verbal response: oriented conversation."
},
{
"code" : "gcs-motor-1",
"display" : "No motor response",
"definition" : "GCS motor response: none."
},
{
"code" : "gcs-motor-2",
"display" : "Extension",
"definition" : "GCS motor response: extension to pain."
},
{
"code" : "gcs-motor-3",
"display" : "Abnormal flexion",
"definition" : "GCS motor response: abnormal flexion to pain."
},
{
"code" : "gcs-motor-4",
"display" : "Normal flexion",
"definition" : "GCS motor response: normal flexion, withdraws from pain."
},
{
"code" : "gcs-motor-5",
"display" : "Localising",
"definition" : "GCS motor response: localises to pain."
},
{
"code" : "gcs-motor-6",
"display" : "Obeys commands",
"definition" : "GCS motor response: obeys commands."
}
]
}