Release 5 Preview #3

Observation-example-glasgow

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile Observation.


Generated Narrative

Ids

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*

code: Glasgow Coma Scale , (GCS)

subject: Peter James Chalmers. Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25;

effective: Dec 11, 2014 4:44:16 AM

value: 13 {score}

referenceRange

high: 8 {score}

type: Severe TBI

referenceRange

low: 9 {score}

high: 12 {score}

type: Moderate TBI

referenceRange

low: 13 {score}

type: Mild TBI

component

code: GCS Motor

value: 5 (Localizes painful stimuli)

component

code: GSC Verbal

value: 4 (Confused, disoriented)

component

code: Eyes

value: 4 (Opens eyes spontaneously)


 

 

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.