Observation-example-glasgow-qa.xml

Clinical assessment tool example - GCS using related QuestionnaireAnswer (id = "gcs-qa")

<Observation xmlns="http://hl7.org/fhir">
  <id value="gcs-qa"/>
  <!--     the mandatory quality flags:     -->
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><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} = '{score}')</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span> (Details: http://unitsofmeasure.org code {score} = '{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} = '{score}')</span></p><p><b>high</b>: 12 {score}<span> (Details: http://unitsofmeasure.org code {score} = '{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} = '{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></text><status value="final"/>
  <!--    
    Observations are often coded in multiple code systems.
      - LOINC
    - or SNOMED
      -and/or the source system may provides its own "local" code, which may be less or
   more granular than LOINC.
  In this example there is only LOINC
      -->
  <code>
    <!--     LOINC - always recommended to have a LOINC code     -->
    <coding>
      <system value="http://loinc.org"/>
      <code value="9269-2"/>
      <display value="Glasgow coma score total"/>
    </coding>
    <text value="Glasgow Coma Scale , (GCS)"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
    <display value="Peter James Chalmers"/>
  </subject>
  <effectiveDateTime value="2014-12-11T04:44:16Z"/>
  <!--     In FHIR, units may be represented twice. Once in the
    agreed human representation, and once in a coded form.
    In this example the UCUM unit is provided but no human representation since this is
   often not displayed
       -->
  <valueQuantity>
    <value value="13"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="{score}"/>
  </valueQuantity>
  <referenceRange>
    <high>
      <value value="8"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{score}"/>
    </high>
    <!--     meaning as text     -->
    <meaning>
      <text value="Severe TBI"/>
    </meaning>
  </referenceRange>
  <referenceRange>
    <low>
      <value value="9"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{score}"/>
    </low>
    <high>
      <value value="12"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{score}"/>
    </high>
    <!--     meaning as text     -->
    <meaning>
      <text value="Moderate TBI"/>
    </meaning>
  </referenceRange>
  <referenceRange>
    <low>
      <value value="13"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{score}"/>
    </low>
    <!--     meaning as text     -->
    <meaning>
      <text value="Mild TBI"/>
    </meaning>
  </referenceRange>
  <!--     put the references to the QuestionnairAnswer example here using the derived-From type
        -->
  <related>
    <type value="derived-from"/>
    <target>
      <reference value="QuestionnaireResponse/gcs"/>
      <display value="GCS form results"/>
    </target>
  </related>
</Observation>