Clinical assessment tool example - GCS with individual scores as related QuestionnaireAnswer (id = "gcs-qa")

<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="gcs-qa"/>     <!--     the mandatory quality flags:     --><text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: Observation</b> <a name="gcs-qa"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%  
    Observations are often coded in multiple code systems.
      - LOINC
    - or SNOMED

       1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation &quot;gcs-qa&quot; </p> </div> <p> <b> status</b> : <span title="   the mandatory quality flags:   ">final</span> </p> <p> <b> code</b> : <span title="  
    Observations are often coded in multiple code systems.
      - LOINC
    - or SNOMED

      -and/or the source system may provides its own &quot;local&quot; code, which
         may be less or more granular than LOINC.
  In this example there is only LOINC
       In FHIR, units may be represented twice. Once in the
    agreed human representation, and once in a coded form.

         may be less or more granular than LOINC.
  In this example there is only LOINC
    ">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

    agreed human representation, and once in a coded form.

    In this example the UCUM unit is provided but no human representation since
         this is often not displayed

         this is often not displayed

     ">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> <p> <b> derivedFrom</b> : <span title="   put the references to the QuestionnairAnswer example here using the derived-From
         type    <!--    
    Observations are often coded in multiple code systems.
      - LOINC
    - or SNOMED

         type    "><a href="questionnaireresponse-example-gcs.html">QuestionnaireResponse/gcs: GCS form results</a> </span> </p> </div> </text> <status value="final"/>     <!--    
    Observations are often coded in multiple code systems.
      - LOINC
    - or SNOMED

      -and/or the source system may provides its own "local" code, which may be
   less or more granular than LOINC.
  In this example there is only LOINC
      -->
      
      
      
    
    
  
  
    
    
  
  <!--     In FHIR, units may be represented twice. Once in the
    agreed human representation, and once in a coded form.

   less or more granular than LOINC.
  In this example there is only LOINC
      --><code>     <!--     LOINC - always recommended to have a LOINC code     --><coding> 
      <system value="http://loinc.org"/> 
      <code value="9269-2"/> 
      <display value="Glasgow coma score total"/> 
    </coding> 
    <text value="Glasgow Coma Scale , (GCS)"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
    <display value="Peter James Chalmers"/> 
  </subject> 
  <effectiveDateTime value="2014-12-11T04:44:16Z"/>     <!--     In FHIR, units may be represented twice. Once in the

    agreed human representation, and once in a coded form.

    In this example the UCUM unit is provided but no human representation since
   this is often not displayed
       -->
    
    
    
  
  
    
      
      
      
    
      
    
  
  
    
      
      
      
    
    
      
      
      
    
      
    
  
  
    
      
      
      
    
      
    

   this is often not displayed
       --><valueQuantity> 
    <value value="13"/> 
    <system value="http://unitsofmeasure.org"/> 
    <code value="{score}"/> 
  </valueQuantity> 
  <referenceRange> 
    <high> 
      <value value="8"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="{score}"/> 
    </high>     <!--     meaning as text     --><type> 
      <text value="Severe TBI"/> 
    </type> 
  </referenceRange> 
  <referenceRange> 
    <low> 
      <value value="9"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="{score}"/> 
    </low> 
    <high> 
      <value value="12"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="{score}"/> 
    </high>     <!--     meaning as text     --><type> 
      <text value="Moderate TBI"/> 
    </type> 
  </referenceRange> 
  <referenceRange> 
    <low> 
      <value value="13"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="{score}"/> 
    </low>     <!--     meaning as text     --><type> 
      <text value="Mild TBI"/> 
    </type> 
  </referenceRange>     <!--     put the references to the QuestionnairAnswer example here using the derived-From
   type      -->
    
    
  

   type      --><derivedFrom> 
    <reference value="QuestionnaireResponse/gcs"/> 
    <display value="GCS form results"/> 
  </derivedFrom> 


</

Observation

>