Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Observation-example-glasgow-qa.json

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (canonical form + also see JSON Format Specification)

Clinical assessment tool example - GCS with individual scores as related QuestionnaireAnswer

{
  "resourceType": "Observation",
  "id": "gcs-qa",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Glasgow Coma Scale , (GCS)</span></p><p><b>subject</b>: <a>Peter James Chalmers. Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 11 Dec. 2014, 3:44:16 pm</p><p><b>value</b>: 13 {score}</p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}</p><p><b>type</b>: <span>Severe TBI</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}</p><p><b>high</b>: 12 {score}</p><p><b>type</b>: <span>Moderate TBI</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}</p><p><b>type</b>: <span>Mild TBI</span></p></blockquote><p><b>derivedFrom</b>: <a>GCS form results. Generated Summary: questionnaire: http://hl7.org/fhir/Questionnaire/gcs; status: completed; authored: 11 Dec. 2014, 3:44:16 pm</a></p></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"
      }
    }
  ],
  "derivedFrom": [
    {
      "reference": "QuestionnaireResponse/gcs",
      "display": "GCS form results"
    }
  ]
}

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.