Observation-example-glasgow.json

Clinical assessment tool example - GCS with individual score as components

{
  "resourceType": "Observation",
  "id": "glasgow",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;glasgow&quot; </p></div><p><b>status</b>: final</p><p><b>code</b>: Glasgow Coma Scale , (GCS) <span> (<a>LOINC</a>#9269-2 &quot;Glasgow coma score total&quot;)</span></p><p><b>subject</b>: <a>Patient/example: Peter James Chalmers</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2014-12-11T04:44:16Z</p><p><b>value</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Severe TBI <span> ()</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>high</b>: 12 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Moderate TBI <span> ()</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Mild TBI <span> ()</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: GCS Motor <span> (<a>LOINC</a>#9268-4 &quot;Glasgow coma score motor&quot;)</span></p><p><b>value</b>: 5 (Localizes painful stimuli) <span> (codes#5 &quot;Localizes painful stimuli&quot;; <a>LOINC</a>#LA6566-9 &quot;Localizing pain&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: GSC Verbal <span> (<a>LOINC</a>#9270-0 &quot;Glasgow coma score verbal&quot;)</span></p><p><b>value</b>: 4 (Confused, disoriented) <span> (codes#4 &quot;Confused, disoriented&quot;; <a>LOINC</a>#LA6560-2 &quot;Confused&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Eyes <span> (<a>LOINC</a>#9267-6 &quot;Glasgow coma score eye opening&quot;)</span></p><p><b>value</b>: 4 (Opens eyes spontaneously) <span> (codes#4 &quot;Opens eyes spontaneously&quot;; <a>LOINC</a>#LA6556-0 &quot;Eyes open spontaneously&quot;)</span></p></blockquote></div>"
  },
  "status": "final",
  "code": {
    "coding": [
      {
        "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": {
    "value": 13,
    "system": "http://unitsofmeasure.org",
    "code": "{score}"
  },
  "referenceRange": [
    {
      "high": {
        "value": 8,
        "system": "http://unitsofmeasure.org",
        "code": "{score}"
      },
      "type": {
        "text": "Severe TBI"
      }
    },
    {
      "low": {
        "value": 9,
        "system": "http://unitsofmeasure.org",
        "code": "{score}"
      },
      "high": {
        "value": 12,
        "system": "http://unitsofmeasure.org",
        "code": "{score}"
      },
      "type": {
        "text": "Moderate TBI"
      }
    },
    {
      "low": {
        "value": 13,
        "system": "http://unitsofmeasure.org",
        "code": "{score}"
      },
      "type": {
        "text": "Mild TBI"
      }
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "9268-4",
            "display": "Glasgow coma score motor"
          }
        ],
        "text": "GCS Motor"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://acme.ec/codes",
            "code": "5",
            "display": "Localizes painful stimuli"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 5
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6566-9",
            "display": "Localizing pain"
          }
        ],
        "text": "5 (Localizes painful stimuli)"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "9270-0",
            "display": "Glasgow coma score verbal"
          }
        ],
        "text": "GSC Verbal"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://acme.ec/codes",
            "code": "4",
            "display": "Confused, disoriented"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 4
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6560-2",
            "display": "Confused"
          }
        ],
        "text": "4 (Confused, disoriented)"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "9267-6",
            "display": "Glasgow coma score eye opening"
          }
        ],
        "text": "Eyes"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://acme.ec/codes",
            "code": "4",
            "display": "Opens eyes spontaneously"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 4
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6556-0",
            "display": "Eyes open spontaneously"
          }
        ],
        "text": "4 (Opens eyes spontaneously)"
      }
    }
  ]
}