Release 4 4B

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Observation-example-glasgow-qa.json

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

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

Clinical assessment tool example - GCS with individual scores as related QuestionnaireAnswer

{
  "resourceType": "Observation",
  "id": "gcs-qa",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: gcs-qa</p><p><b>status</b>: final</p><p><b>code</b>: Glasgow Coma Scale , (GCS) <span>(Details : {LOINC code '9269-2' = 'Glasgow coma score total', given as 'Glasgow coma score total'})</span></p><p><b>subject</b>: <a>Peter James Chalmers</a></p><p><b>effective</b>: 11/12/2014 4:44:16 AM</p><p><b>value</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Severe TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>high</b>: 12 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Moderate TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Mild TBI <span>(Details )</span></p></blockquote><p><b>derivedFrom</b>: <a>GCS form results</a></p></div>"

    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource &quot;gcs-qa&quot; </p></div><p><b>status</b>: final</p><p><b>code</b>: 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></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>: 13 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</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>: Severe TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</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>: Moderate TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</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>: Mild TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>derivedFrom</b>: <a href=\"questionnaireresponse-gcs.html\">QuestionnaireResponse/gcs: GCS form results</a></p></div>"

  },
  "status": "final",
  "code": {
    "coding": [
      {
        "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": {
    "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"
      }
    }
  ],
  "derivedFrom": [
    {
      "reference": "QuestionnaireResponse/gcs",
      "display": "GCS form results"
    }
  ]
}

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.