This page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Raw XML (canonical form + also see XML Format Specification)
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</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 "gcs-qa" </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 "Glasgow coma score total")</span></p><p ><b >subject</b>: <a href="patient-example.html">Patient/example: Peter James Chalmers</a> "Peter CHALMERS"</p><p ><b >effective</b>: 2014年12月11日T04:44:16Z</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></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年12月11日T04:44:16Z"/><!-- 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 ><valuevalue="13"/><systemvalue="http://unitsofmeasure.org"/><codevalue="{score}"/></valueQuantity><referenceRange ><high ><valuevalue="8"/><systemvalue="http://unitsofmeasure.org"/><codevalue="{score}"/></high><!-- meaning as text --><type ><text value="Severe TBI"/></type></referenceRange><referenceRange ><low ><valuevalue="9"/><systemvalue="http://unitsofmeasure.org"/><codevalue="{score}"/></low><high ><valuevalue="12"/><systemvalue="http://unitsofmeasure.org"/><codevalue="{score}"/></high><!-- meaning as text --><type ><text value="Moderate TBI"/></type></referenceRange><referenceRange ><low ><valuevalue="13"/><systemvalue="http://unitsofmeasure.org"/><codevalue="{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 --><derivedFrom ><reference value="QuestionnaireResponse/gcs "/><display value="GCS form results"/></derivedFrom></Observation>
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.