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.