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Valueset-observation-vitalsignresult.json

Example Observation/glasgow (JSON)

Maturity Level : N/A
Vocabulary Responsible Owner: Orders and Observations Work Group Standards Status : Informative Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson

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

Definition for Value SetVital Signs Clinical assessment tool example - GCS with individual score as components

{
  "resourceType" : "ValueSet",
  "id" : "observation-vitalsignresult",
  "meta" : {
    "lastUpdated" : "2019-11-01T09:29:23.356+11:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]

  "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)"

  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"

  "subject" : {
    "reference" : "Patient/example",
    "display" : "Peter James Chalmers"

  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "oo"
  }],
  "url" : "http://hl7.org/fhir/ValueSet/observation-vitalsignresult",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.3.88.12.80.62"
  }],
  "version" : "4.0.1",
  "name" : "VitalSigns",
  "title" : "Vital Signs",
  "status" : "active",
  "experimental" : false,
  "date" : "2019-11-01T09:29:23+11:00",
  "publisher" : "FHIR project team",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]

  "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"
    }

  }],
  "description" : "This value set indicates the allowed vital sign result types.   The LOINC code for Vitals Signs panel (85353-1) is a grouping structure for a set of vital signs and includes related links (with type=has-member) to the Observations in this set (e.g. respiratory rate, heart rate, BP).  The Blood pressure panel (85354-9) is used to group the component observations Systolic blood pressure (8480-6) and Diastolic blood pressure (8462-4).",
  "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
  "compose" : {
    "include" : [{
      "system" : "http://loinc.org",
      "concept" : [{
        "code" : "85353-1"
      },
      {
        "code" : "9279-1"
      },
      {
        "code" : "8867-4"
      },
      {
        "code" : "2708-6"
      },
      {
        "code" : "8310-5"
      },
      {
        "code" : "8302-2"
      },
      {
        "code" : "9843-4"
      },
      {
        "code" : "29463-7"
      },
      {
        "code" : "39156-5"
      },
      {
        "code" : "85354-9"

  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "9268-4",
        "display" : "Glasgow coma score motor"
      }],
      "text" : "GCS Motor"
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://example.org/codes",
        "code" : "5",
        "display" : "Localizes painful stimuli"

      },
      {
        "code" : "8480-6"

        "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://example.org/codes",
        "code" : "4",
        "display" : "Confused, disoriented"

      },
      {
        "code" : "8462-4"

        "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://example.org/codes",
        "code" : "4",
        "display" : "Opens eyes spontaneously"

      },
      {
        "code" : "8478-0"
      }]
    }]
  }

        "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.