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: Observation</b><a name=\"glasgow\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;glasgow&quot; </p></div><p><b>status</b>: <span title=\"   the mandatory quality flags:   \">final</span></p><p><b>code</b>: <span title=\"  \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 &quot;local&quot; code, which may be less or more granular than LOINC.\n\tIn this example there is only LOINC\n    \">Glasgow Coma Scale , (GCS) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9269-2 &quot;Glasgow coma score total&quot;)</span></span></p><p><b>subject</b>: <a href=\"patient-example.html\">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>: <span title=\"   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     \">13 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: <span title=\"   meaning as text   \">Severe TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>high</b>: 12 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: <span title=\"   meaning as text   \">Moderate TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: <span title=\"   meaning as text   \">Mild TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: GCS Motor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9268-4 &quot;Glasgow coma score motor&quot;)</span></p><p><b>value</b>: 5 (Localizes painful stimuli) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (codes#5 &quot;Localizes painful stimuli&quot;; <a href=\"https://loinc.org/\">LOINC</a>#LA6566-9 &quot;Localizing pain&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: GSC Verbal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9270-0 &quot;Glasgow coma score verbal&quot;)</span></p><p><b>value</b>: 4 (Confused, disoriented) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (codes#4 &quot;Confused, disoriented&quot;; <a href=\"https://loinc.org/\">LOINC</a>#LA6560-2 &quot;Confused&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Eyes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9267-6 &quot;Glasgow coma score eye opening&quot;)</span></p><p><b>value</b>: 4 (Opens eyes spontaneously) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (codes#4 &quot;Opens eyes spontaneously&quot;; <a href=\"https://loinc.org/\">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/itemWeight",
                "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/itemWeight",
                "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/itemWeight",
                "valueDecimal": 4
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6556-0",
            "display": "Eyes open spontaneously"
          }
        ],
        "text": "4 (Opens eyes spontaneously)"
      }
    }
  ]
}