Clinical assessment tool example - GCS with individual score as components (id = "glasgow")

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  (Details : {LOINC code '9269-2' = 'Glasgow coma score total', given as 'Glasgow coma score
           total'})(Details : {LOINC code '9268-4' = 'Glasgow coma score motor', given as 'Glasgow coma score
             motor'})(Details : {http://acme.ec/codes code '5' = '5', given as 'Localizes painful stimuli'};
             {LOINC code 'LA6566-9' = 'Localizing pain', given as 'Localizing pain'})(Details : {LOINC code '9270-0' = 'Glasgow coma score verbal', given as 'Glasgow coma
             score verbal'})(Details : {http://acme.ec/codes code '4' = '4', given as 'Confused, disoriented'}; {LOINC
             code 'LA6560-2' = 'Confused', given as 'Confused'})(Details : {LOINC code '9267-6' = 'Glasgow coma score eye opening', given as 'Glasgow
             coma score eye opening'})(Details : {http://acme.ec/codes code '4' = '4', given as 'Opens eyes spontaneously'};
             {LOINC code 'LA6556-0' = 'Eyes open spontaneously', given as 'Eyes open spontaneously'})
  <!--    
    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.
    In this example the UCUM unit is provided but no human representation since this is
   often not displayed
       -->
  
    
    
    
  
  
    
      
      
      
    
    
    
      
    
  
  
    
      
      
      
    
    
      
      
      
    
    
    
      
    
  
  
    
      
      
      
    
    
    
      
    
  

  <!--    Using components since these measurements are typically reported and interpreted together
      -->
    
  
    
      
        
        
        
      
      
    
    
      
        
        
        
      
      
        <!--      This example has the extension which maps a numeric score to the code this may already
         be known and unecessary in the Observation resource     -->
        
          
          
          
        
        
        
        
      
      
    
  
    
  
    
      
        
        
        
      
      
    
    
      
        
        
        
      
      
        <!--      This example has the extension which maps a numeric score to the code this may already
         be known and unecessary in the Observation resource     -->
        
          
          
          
        
        
        <!--    technicallly the code is '5' and the LA is the identifier to do hav e both  would require
         an extention    -->
        
        
      
      
    
  
  
  
    
      
        
        
        
      
      
    
    
      
        
        
        
      
      
        <!--      This example has the extension which maps a numeric score to the code this may already
         be known and unecessary in the Observation resource     -->
        
          
          
          
        
        
        <!--    technicallly the code is '4' and the LA is the identifier to do hav e both  would require
         an extention    -->
        
        
      
      
    
  

<Observation xmlns="http://hl7.org/fhir">
  <id value="glasgow"/> 
      <!--     the mandatory quality flags:     -->
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: Observation</b> <a name="glasgow"> </a> </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 Observation &quot;glasgow&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
    ">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
     ">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> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : GCS Motor <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #9268-4 &quot;Glasgow coma score motor&quot;)</span> </p> <p> <b> value</b> : 5 (Localizes painful stimuli) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (codes#5 &quot;Localizes painful stimuli&quot;; <a href="https://loinc.org/">LOINC</a> #LA6566-9 &quot;Localizing pain&quot;)</span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : GSC Verbal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #9270-0 &quot;Glasgow coma score verbal&quot;)</span> </p> <p> <b> value</b> : 4 (Confused, disoriented) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (codes#4 &quot;Confused, disoriented&quot;; <a href="https://loinc.org/">LOINC</a> #LA6560-2 &quot;Confused&quot;)</span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : Eyes <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #9267-6 &quot;Glasgow coma score eye opening&quot;)</span> </p> <p> <b> value</b> : 4 (Opens eyes spontaneously) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (codes#4 &quot;Opens eyes spontaneously&quot;; <a href="https://loinc.org/">LOINC</a> #LA6556-0 &quot;Eyes open spontaneously&quot;)</span> </p> </blockquote> </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
      -->
  <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
       -->
  <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>       <!--    Using components since these measurements are typically reported and interpreted

   together    -->
      <!--    GCS motor Component    -->  <component>     <code>       <coding>         <system value="http://loinc.org"/>         <code value="9268-4"/>         <display value="Glasgow coma score motor"/>       </coding>       <text value="GCS Motor"/>     </code>     <valueCodeableConcept>       <coding>         <system value="http://acme.ec/codes"/>         <code value="5"/>         <display value="Localizes painful stimuli"/>       </coding>       <coding>             <!--      This example has the extension which maps a numeric score to the code this

         may already be known and unecessary in the Observation resource     -->
        <extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">              <!--     from Element: extension     -->          <valueDecimal value="5"/>               <!--     0..1 Value of extension     -->        </extension>         <system value="http://loinc.org"/>         <code value="LA6566-9"/>         <display value="Localizing pain"/>       </coding>       <text value="5 (Localizes painful stimuli)"/>     </valueCodeableConcept>   </component>       <!--    GCS verbal Component    -->  <component>     <code>       <coding>         <system value="http://loinc.org"/>         <code value="9270-0"/>         <display value="Glasgow coma score verbal"/>       </coding>       <text value="GSC Verbal"/>     </code>     <valueCodeableConcept>       <coding>         <system value="http://acme.ec/codes"/>         <code value="4"/>         <display value="Confused, disoriented"/>       </coding>       <coding>             <!--      This example has the extension which maps a numeric score to the code this

         may already be known and unecessary in the Observation resource     -->
        <extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">              <!--     from Element: extension     -->          <valueDecimal value="4"/>               <!--     0..1 Value of extension     -->        </extension>         <system value="http://loinc.org"/>             <!--    technicallly the code is '5' and the LA is the identifier to do hav e both 

         would require an extention    -->
        <code value="LA6560-2"/>         <display value="Confused"/>       </coding>       <text value="4 (Confused, disoriented)"/>     </valueCodeableConcept>   </component>       <!--    GCS eyes Component    -->  <component>     <code>       <coding>         <system value="http://loinc.org"/>         <code value="9267-6"/>         <display value="Glasgow coma score eye opening"/>       </coding>       <text value="Eyes"/>     </code>     <valueCodeableConcept>       <coding>         <system value="http://acme.ec/codes"/>         <code value="4"/>         <display value="Opens eyes spontaneously"/>       </coding>       <coding>             <!--      This example has the extension which maps a numeric score to the code this

         may already be known and unecessary in the Observation resource     -->
        <extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">              <!--     from Element: extension     -->          <valueDecimal value="4"/>               <!--     0..1 Value of extension     -->        </extension>         <system value="http://loinc.org"/>             <!--    technicallly the code is '4' and the LA is the identifier to do hav e both 

         would require an extention    -->
        <code value="LA6556-0"/>         <display value="Eyes open spontaneously"/>       </coding>       <text value="4 (Opens eyes spontaneously)"/>     </valueCodeableConcept>   </component> 


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Observation

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