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

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

  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
      -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.
    In this example the UCUM unit is provided but no human representation since
         this is often not displayed
        put the references to the QuestionnairAnswer example here using the derived-From
         type    <!--    

<!--   
 This is an example of a Glasgow Coma Score using the .related to bundle the  measurements
  will use contained elements for this example only but coudl just as easily use
 external or bundled elements..  source http://www.choa.org/~/media/CHOA/Documents/Services/Co
ncussion/Concussion-glasgow-coma-scale.pdf
   --><Observation xmlns="http://hl7.org/fhir">
  <id value="gcs-qa"/>   <!--    the mandatory quality flags:    -->  <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
      -->

     -->
  <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> 
  <!--     In FHIR, units may be represented twice. Once in the

  <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
       -->

      -->
  <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> 
  <!--     put the references to the QuestionnairAnswer example here using the derived-From
   type      -->

  </referenceRange> 
  <!--    put the references to the QuestionnairAnswer example here using the derived-From
   type     -->
  <derivedFrom> 
    <reference value="QuestionnaireResponse/gcs"/> 
    <display value="GCS form results"/> 
  </derivedFrom> 


</

Observation

>