This page is part of the FHIR Specification (v1.0.0: DSTU 2 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Clinical assessment tool example - GCS using related QuestionnaireAnswer
{ "resourceType": "Observation", "id": "gcs-qa", "text": { "fhir_comments": [ " the mandatory quality flags: " ], "status": "generated", "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: gcs-qa</p><p><b>status</b>: final</p><p><b>code</b>: Glasgow Coma Scale , (GCS) <span>(Details : {LOINC code '9269-2' = 'Glasgow coma score total', given as 'Glasgow coma score total'})</span></p><p><b>subject</b>: <a>Peter James Chalmers</a></p><p><b>effective</b>: 11/12/2014 3:44:16 PM</p><p><b>value</b>: 13 {score}<span> (Details: http://unitsofmeasure.org code {score} = '??')</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span> (Details: http://unitsofmeasure.org code {score} = '??')</span></p><p><b>meaning</b>: Severe TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span> (Details: http://unitsofmeasure.org code {score} = '??')</span></p><p><b>high</b>: 12 {score}<span> (Details: http://unitsofmeasure.org code {score} = '??')</span></p><p><b>meaning</b>: Moderate TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span> (Details: http://unitsofmeasure.org code {score} = '??')</span></p><p><b>meaning</b>: Mild TBI <span>(Details )</span></p></blockquote><h3>Relateds</h3><table><tr><td>-</td><td><b>Type</b></td><td><b>Target</b></td></tr><tr><td>*</td><td>derived-from</td><td><a>GCS form results</a></td></tr></table></div>" }, "status": "final", "code": { "fhir_comments": [ " \n Observations are often coded in multiple code systems.\n - LOINC\n\t\t- or SNOMED\n -and/or the source system may provides its own \"local\" code, which may be less or more granular than LOINC.\n\tIn this example there is only LOINC\n " ], "coding": [ { "fhir_comments": [ " LOINC - always recommended to have a LOINC code " ], "system": "http://loinc.org", "code": "9269-2", "display": "Glasgow coma score total" } ], "text": "Glasgow Coma Scale , (GCS)" }, "subject": { "reference": "Patient/example", "display": "Peter James Chalmers" }, "effectiveDateTime": "2014-12-11T04:44:16Z", "valueQuantity": { "fhir_comments": [ " In FHIR, units may be represented twice. Once in the\n agreed human representation, and once in a coded form.\n In this example the UCUM unit is provided but no human representation since this is often not displayed\n " ], "value": 13, "system": "http://unitsofmeasure.org", "code": "{score}" }, "referenceRange": [ { "high": { "value": 8, "system": "http://unitsofmeasure.org", "code": "{score}" }, "meaning": { "fhir_comments": [ " meaning as text " ], "text": "Severe TBI" } }, { "low": { "value": 9, "system": "http://unitsofmeasure.org", "code": "{score}" }, "high": { "value": 12, "system": "http://unitsofmeasure.org", "code": "{score}" }, "meaning": { "fhir_comments": [ " meaning as text " ], "text": "Moderate TBI" } }, { "low": { "value": 13, "system": "http://unitsofmeasure.org", "code": "{score}" }, "meaning": { "fhir_comments": [ " meaning as text " ], "text": "Mild TBI" } } ], "related": [ { "fhir_comments": [ " put the references to the QuestionnairAnswer example here using the derived-From type " ], "type": "derived-from", "target": { "reference": "QuestionnaireResponse/gcs", "display": "GCS form results" } } ] }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.