CH EMS (R4)
1.9.0 - Standard for Trial Use
This page is part of the CH EMS (R4) (v1.9.0: STU) based on FHIR R4. . For a full list of available versions, see the Directory of published versions
Source view
<Observation xmlns="http://hl7.org/fhir"> <id value="1-GCSUebergabe"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-gcs"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-GCSUebergabe</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title="Codes: {http://loinc.org 9269-2}">Glasgow coma score total</span></p><p><b>subject</b>: <a href="Patient-1-PeterMuster.html">Generated Summary: id: 1-PeterMuster; id: 7560123123499, Medical record number: 762354; Peter Muster (OFFICIAL); gender: male; birthDate: 1961-10-01</a></p><p><b>encounter</b>: <a href="Encounter-1-Einsatz.html">Generated Summary: id: 1-Einsatz; id: S12345678; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode EMER}">emergency</span>; period: 2016-12-10 --> (ongoing)</a></p><p><b>effective</b>: Dec 10, 2016, 12:03:00 PM</p><p><b>value</b>: 15 {score}</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes: {http://loinc.org 9268-4}">Glasgow coma score motor</span></p><p><b>value</b>: <span title="Codes: {http://loinc.org LA6567-7}">6 (Obeys commands)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes: {http://loinc.org 9270-0}">Glasgow coma score verbal</span></p><p><b>value</b>: <span title="Codes: {http://loinc.org LA6561-0}">5 (Oriented)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes: {http://loinc.org 9267-6}">Glasgow coma score eye opening</span></p><p><b>value</b>: <span title="Codes: {http://loinc.org LA6556-0}">4 (Eyes open spontaneously)</span></p></blockquote></div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="9269-2"/> <display value="Glasgow coma score total"/> </coding> </code> <subject> <reference value="Patient/1-PeterMuster"/> </subject> <encounter> <reference value="Encounter/1-Einsatz"/> </encounter> <effectiveDateTime value="2016-12-10T12:03:00.000+01:00"/> <!-- cdachems-dataelement-458 GCS-Gesamtscore --> <valueQuantity> <value value="15"/> <system value="http://unitsofmeasure.org"/> <code value="{score}"/> </valueQuantity> <!-- cdachems-dataelement-112 GCS-motorische Kommunikation --> <component> <code> <coding> <system value="http://loinc.org"/> <code value="9268-4"/> <display value="Glasgow coma score motor"/> </coding> </code> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="6"/> </extension> <system value="http://loinc.org"/> <code value="LA6567-7"/> <display value="Obeys commands"/> </coding> <text value="6 (Obeys commands)"/> </valueCodeableConcept> </component> <!-- cdachems-dataelement-111 GCS-verbale Kommunikation --> <component> <code> <coding> <system value="http://loinc.org"/> <code value="9270-0"/> <display value="Glasgow coma score verbal"/> </coding> </code> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="5"/> </extension> <system value="http://loinc.org"/> <code value="LA6561-0"/> <display value="Oriented"/> </coding> <text value="5 (Oriented)"/> </valueCodeableConcept> </component> <!-- cdachems-dataelement GCS-Augenöffnung 110 --> <component> <code> <coding> <system value="http://loinc.org"/> <code value="9267-6"/> <display value="Glasgow coma score eye opening"/> </coding> </code> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="4"/> </extension> <system value="http://loinc.org"/> <code value="LA6556-0"/> <display value="Eyes open spontaneously"/> </coding> <text value="4 (Eyes open spontaneously)"/> </valueCodeableConcept> </component> </Observation>