Clinical assessment tool example - GCS with individual score as components
{
"resourceType" : "Observation",
"id" : "glasgow",
"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)"
}
}]
}
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.