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)"
    }
  }]
}