{ "resourceType": "Observation", "id": "glasgow", "text": { "status": "generated", "div": "

Generated Narrative with Details

id: glasgow

contained: , ,

status: final

code: Glasgow Coma Scale , (GCS) (Details : {LOINC code '9269-2' = 'Glasgow coma score total', given as 'Glasgow coma score total'})

subject: Peter James Chalmers

effective: Dec 10, 2014 11:44:16 PM

value: 13 {score} (Details: http://unitsofmeasure.org code {score} = '{score}')

referenceRange

high: 8 {score} (Details: http://unitsofmeasure.org code {score} = '{score}')

meaning: Severe TBI (Details )

referenceRange

low: 9 {score} (Details: http://unitsofmeasure.org code {score} = '{score}')

high: 12 {score} (Details: http://unitsofmeasure.org code {score} = '{score}')

meaning: Moderate TBI (Details )

referenceRange

low: 13 {score} (Details: http://unitsofmeasure.org code {score} = '{score}')

meaning: Mild TBI (Details )

related

type: derived-from

target: Motor score. Generated Summary: id: motor; status: final; GCS motor (Details : {LOINC code '9268-4' = 'Glasgow coma score motor', given as 'Glasgow coma score motor'}); Patient/example; effective: Dec 10, 2014 11:44:16 PM; 5 (Localizes painful stimuli) (Details : {http:/acme.ec/gcsmotor code '5' = '??', given as 'Localizes painful stimuli'}; {LOINC code 'LA6566-9' = 'Localizing pain', given as 'Localizing pain'})

related

type: derived-from

target: Verbal score. Generated Summary: id: verbal; status: final; Verbal (Details : {LOINC code '9270-0' = 'Glasgow coma score verbal', given as 'Glasgow coma score verbal'}); Patient/example; effective: Dec 10, 2014 11:44:16 PM; 4 (Confused, disoriented) (Details : {http:/acme.ec/gcsverbal code '4' = '??', given as 'Confused, disoriented'}; {LOINC code 'LA6560-2' = 'Confused', given as 'Confused'})

related

type: derived-from

target: Eyes score. Generated Summary: id: eyes; status: final; Eyes (Details : {LOINC code '9267-6' = 'Glasgow coma score eye opening', given as 'Glasgow coma score eye opening'}); Patient/example; effective: Dec 10, 2014 11:44:16 PM; 4 (Opens eyes spontaneously) (Details : {http:/acme.ec/gcseye code '4' = '??', given as 'Opens eyes spontaneously'}; {LOINC code 'LA6556-0' = 'Eyes open spontaneously', given as 'Eyes open spontaneously'})

" }, "contained": [ { "resourceType": "Observation", "id": "motor", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "9268-4", "display": "Glasgow coma score motor" } ], "text": "GCS motor" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2014-12-11T04:44:16Z", "valueCodeableConcept": { "coding": [ { "system": "http:/acme.ec/gcsmotor", "code": "5", "display": "Localizes painful stimuli" }, { "extension": [ { "fhir_comments": [ " This example has the extension which maps a numeric score to the code this may already be known and unecessary in the Observation resource ", " 0..1 Value of extension " ], "url": "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value", "valueDecimal": 5, "_valueDecimal": { "fhir_comments": [ " from Element: extension " ] } } ], "system": "http://loinc.org", "code": "LA6566-9", "display": "Localizing pain" } ], "text": "5 (Localizes painful stimuli)" } }, { "resourceType": "Observation", "id": "verbal", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "9270-0", "display": "Glasgow coma score verbal" } ], "text": "Verbal" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2014-12-11T04:44:16Z", "valueCodeableConcept": { "coding": [ { "system": "http:/acme.ec/gcsverbal", "code": "4", "display": "Confused, disoriented" }, { "extension": [ { "fhir_comments": [ " This example has the extension which maps a numeric score to the code this may already be known and unecessary in the Observation resource ", " 0..1 Value of extension " ], "url": "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value", "valueDecimal": 4, "_valueDecimal": { "fhir_comments": [ " from Element: extension " ] } } ], "system": "http://loinc.org", "code": "LA6560-2", "_code": { "fhir_comments": [ " technicallly the code is '5' and the LA is the identifier to do hav e both would require an extention " ] }, "display": "Confused" } ], "text": "4 (Confused, disoriented)" } }, { "resourceType": "Observation", "id": "eyes", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "9267-6", "display": "Glasgow coma score eye opening" } ], "text": "Eyes" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2014-12-11T04:44:16Z", "valueCodeableConcept": { "coding": [ { "system": "http:/acme.ec/gcseye", "code": "4", "display": "Opens eyes spontaneously" }, { "extension": [ { "fhir_comments": [ " This example has the extension which maps a numeric score to the code this may already be known and unecessary in the Observation resource ", " 0..1 Value of extension " ], "url": "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value", "valueDecimal": 4, "_valueDecimal": { "fhir_comments": [ " from Element: extension " ] } } ], "system": "http://loinc.org", "code": "LA6556-0", "_code": { "fhir_comments": [ " technicallly the code is '4' and the LA is the identifier to do hav e both would require an extention " ] }, "display": "Eyes open spontaneously" } ], "text": "4 (Opens eyes spontaneously)" } } ], "status": "final", "_status": { "fhir_comments": [ " the mandatory quality flags: " ] }, "code": { "fhir_comments": [ " \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 \"local\" code, which may be less or more granular than LOINC.\n\tIn this example there is only LOINC\n " ], "coding": [ { "fhir_comments": [ " LOINC - always recommended to have a LOINC code " ], "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": { "fhir_comments": [ " 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 " ], "value": 13, "system": "http://unitsofmeasure.org", "code": "{score}" }, "referenceRange": [ { "high": { "value": 8, "system": "http://unitsofmeasure.org", "code": "{score}" }, "meaning": { "fhir_comments": [ " meaning as text " ], "text": "Severe TBI" } }, { "low": { "value": 9, "system": "http://unitsofmeasure.org", "code": "{score}" }, "high": { "value": 12, "system": "http://unitsofmeasure.org", "code": "{score}" }, "meaning": { "fhir_comments": [ " meaning as text " ], "text": "Moderate TBI" } }, { "low": { "value": 13, "system": "http://unitsofmeasure.org", "code": "{score}" }, "meaning": { "fhir_comments": [ " meaning as text " ], "text": "Mild TBI" } } ], "related": [ { "fhir_comments": [ " put the references to the contained components here using the derived-From type " ], "type": "derived-from", "target": { "reference": "#motor", "display": "Motor score" } }, { "type": "derived-from", "target": { "reference": "#verbal", "display": "Verbal score" } }, { "type": "derived-from", "target": { "reference": "#eyes", "display": "Eyes score" } } ] }