HL7 FHIR Implementation Guide: DK Core
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: Max TOKS measurements, including Glasgow Coma Scale assesment - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "MaxTOKS",
  "type" : "collection",
  "timestamp" : "2023-08-08T13:30:00.000Z",
  "entry" : [
    {
      "fullUrl" : "http://hl7.dk/fhir/core/Patient/Max",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "Max",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.dk/fhir/core/StructureDefinition/dk-core-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Max\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Max</b></p><a name=\"Max\"> </a><a name=\"hcMax\"> </a><a name=\"Max-da-DK\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Max Test Berggren (official) Male, DoB: 1972-07-01 ( urn:oid:1.2.208.176.1.2#0107729995)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes:{http://hl7.dk/fhir/core/CodeSystem/dk-marital-status P}\">Registered partnership</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:1.2.208.176.1.2",
            "value" : "0107729995"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Berggren",
            "given" : [
              "Max",
              "Test"
            ],
            "prefix" : [
              "Mr"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1972-07-01",
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://hl7.dk/fhir/core/CodeSystem/dk-marital-status",
              "code" : "P"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://hl7.dk/fhir/core/Observation/MaxConsciousness",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "MaxConsciousness",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.dk/fhir/core/StructureDefinition/dk-core-observation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_MaxConsciousness\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation MaxConsciousness</b></p><a name=\"MaxConsciousness\"> </a><a name=\"hcMaxConsciousness\"> </a><a name=\"MaxConsciousness-da-DK\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 80288-4}\">Level of consciousness</span></p><p><b>subject</b>: <a href=\"Patient-Max.html\">Max Test Berggren (official) Male, DoB: 1972-07-01 ( urn:oid:1.2.208.176.1.2#0107729995)</a></p><p><b>effective</b>: 2023-08-08 13:30:00+0000</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 450847001}\">Responds to pain (finding)</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 733985002}\">Reported (qualifier value)</span></p></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "vital-signs"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "80288-4"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Max"
        },
        "effectiveDateTime" : "2023-08-08T13:30:00.000Z",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "450847001"
            }
          ]
        },
        "method" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "733985002",
              "display" : "Reported (qualifier value)"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://hl7.dk/fhir/core/Observation/MaxBloodPressure",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "MaxBloodPressure",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.dk/fhir/core/StructureDefinition/dk-core-basic-observation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_MaxBloodPressure\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation MaxBloodPressure</b></p><a name=\"MaxBloodPressure\"> </a><a name=\"hcMaxBloodPressure\"> </a><a name=\"MaxBloodPressure-da-DK\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}, {urn:oid:1.2.208.176.2.4 ZZ3160}\">Blood pressure panel with all children optional</span></p><p><b>subject</b>: <a href=\"Patient-Max.html\">Max Test Berggren (official) Male, DoB: 1972-07-01 ( urn:oid:1.2.208.176.1.2#0107729995)</a></p><p><b>effective</b>: 2023-08-08 13:30:00+0000</p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 272391002}\">Measurement technique (qualifier value)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}, {http://snomed.info/sct 407554009}\">Systolic blood pressure</span></p><p><b>value</b>: 156 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}, {http://snomed.info/sct 407555005}\">Diastolic blood pressure</span></p><p><b>value</b>: 78 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "vital-signs"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "85354-9"
            },
            {
              "system" : "urn:oid:1.2.208.176.2.4",
              "code" : "ZZ3160"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Max"
        },
        "effectiveDateTime" : "2023-08-08T13:30:00.000Z",
        "method" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "272391002",
              "display" : "Measurement technique (qualifier value)"
            }
          ]
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "8480-6"
                },
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "407554009"
                }
              ]
            },
            "valueQuantity" : {
              "value" : 156,
              "unit" : "mmHg",
              "system" : "http://unitsofmeasure.org",
              "code" : "mm[Hg]"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "8462-4"
                },
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "407555005"
                }
              ]
            },
            "valueQuantity" : {
              "value" : 78,
              "unit" : "mmHg",
              "system" : "http://unitsofmeasure.org",
              "code" : "mm[Hg]"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://hl7.dk/fhir/core/Observation/MaxBodyTemperature",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "MaxBodyTemperature",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.dk/fhir/core/StructureDefinition/dk-core-basic-observation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_MaxBodyTemperature\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation MaxBodyTemperature</b></p><a name=\"MaxBodyTemperature\"> </a><a name=\"hcMaxBodyTemperature\"> </a><a name=\"MaxBodyTemperature-da-DK\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8310-5}, {urn:oid:1.2.208.176.2.4 ZZ0253}\">Body temperature</span></p><p><b>subject</b>: <a href=\"Patient-Max.html\">Max Test Berggren (official) Male, DoB: 1972-07-01 ( urn:oid:1.2.208.176.1.2#0107729995)</a></p><p><b>effective</b>: 2023-08-08 13:30:00+0000</p><p><b>value</b>: 37 grader celcius<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeCel = 'Cel')</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 272391002}\">Measurement technique (qualifier value)</span></p></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "vital-signs"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "8310-5"
            },
            {
              "system" : "urn:oid:1.2.208.176.2.4",
              "code" : "ZZ0253"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Max"
        },
        "effectiveDateTime" : "2023-08-08T13:30:00.000Z",
        "valueQuantity" : {
          "value" : 37,
          "unit" : "grader celcius",
          "system" : "http://unitsofmeasure.org",
          "code" : "Cel"
        },
        "method" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "272391002",
              "display" : "Measurement technique (qualifier value)"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://hl7.dk/fhir/core/Observation/MaxHeartRate",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "MaxHeartRate",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.dk/fhir/core/StructureDefinition/dk-core-basic-observation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_MaxHeartRate\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation MaxHeartRate</b></p><a name=\"MaxHeartRate\"> </a><a name=\"hcMaxHeartRate\"> </a><a name=\"MaxHeartRate-da-DK\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8867-4}, {urn:oid:1.2.208.176.2.4 ZZ3140}\">Heart rate</span></p><p><b>subject</b>: <a href=\"Patient-Max.html\">Max Test Berggren (official) Male, DoB: 1972-07-01 ( urn:oid:1.2.208.176.1.2#0107729995)</a></p><p><b>effective</b>: 2023-08-08 13:30:00+0000</p><p><b>value</b>: 68 slag/minut<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/min = '/min')</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 272391002}\">Measurement technique (qualifier value)</span></p></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "vital-signs"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "8867-4"
            },
            {
              "system" : "urn:oid:1.2.208.176.2.4",
              "code" : "ZZ3140"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Max"
        },
        "effectiveDateTime" : "2023-08-08T13:30:00.000Z",
        "valueQuantity" : {
          "value" : 68,
          "unit" : "slag/minut",
          "system" : "http://unitsofmeasure.org",
          "code" : "/min"
        },
        "method" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "272391002",
              "display" : "Measurement technique (qualifier value)"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://hl7.dk/fhir/core/Observation/MaxRespirationRate",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "MaxRespirationRate",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.dk/fhir/core/StructureDefinition/dk-core-basic-observation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_MaxRespirationRate\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation MaxRespirationRate</b></p><a name=\"MaxRespirationRate\"> </a><a name=\"hcMaxRespirationRate\"> </a><a name=\"MaxRespirationRate-da-DK\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 9279-1}, {http://snomed.info/sct 86290005}\">Respiratory rate</span></p><p><b>subject</b>: <a href=\"Patient-Max.html\">Max Test Berggren (official) Male, DoB: 1972-07-01 ( urn:oid:1.2.208.176.1.2#0107729995)</a></p><p><b>effective</b>: 2023-08-08 13:30:00+0000</p><p><b>value</b>: 13 /min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/min = '/min')</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 272391002}\">Measurement technique (qualifier value)</span></p></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "vital-signs"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "9279-1"
            },
            {
              "system" : "http://snomed.info/sct",
              "code" : "86290005"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Max"
        },
        "effectiveDateTime" : "2023-08-08T13:30:00.000Z",
        "valueQuantity" : {
          "value" : 13,
          "unit" : "/min",
          "system" : "http://unitsofmeasure.org",
          "code" : "/min"
        },
        "method" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "272391002",
              "display" : "Measurement technique (qualifier value)"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://hl7.dk/fhir/core/Observation/MaxGlasgowComaScale",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "MaxGlasgowComaScale",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.dk/fhir/core/StructureDefinition/dk-core-observation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_MaxGlasgowComaScale\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation MaxGlasgowComaScale</b></p><a name=\"MaxGlasgowComaScale\"> </a><a name=\"hcMaxGlasgowComaScale\"> </a><a name=\"MaxGlasgowComaScale-da-DK\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 248241002}\">Glasgow coma score</span></p><p><b>subject</b>: <a href=\"Patient-Max.html\">Max Test Berggren (official) Male, DoB: 1972-07-01 ( urn:oid:1.2.208.176.1.2#0107729995)</a></p><p><b>effective</b>: 2023-08-08 13:30:00+0000</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>: <span title=\"Codes:\">Severe TBI</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=\"Codes:\">Moderate TBI</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=\"Codes:\">Mild TBI</span></p></blockquote><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 LA6566-9}\">Localizing pain</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 LA6560-2}\">Confused</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}\">Eyes open spontaneously</span></p></blockquote></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "248241002"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Max"
        },
        "effectiveDateTime" : "2023-08-08T13:30:00.000Z",
        "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"
            }
          }
        ],
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "9268-4",
                  "display" : "Glasgow coma score motor"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6566-9",
                  "display" : "Localizing pain"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "9270-0",
                  "display" : "Glasgow coma score verbal"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6560-2",
                  "display" : "Confused"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "9267-6",
                  "display" : "Glasgow coma score eye opening"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6556-0",
                  "display" : "Eyes open spontaneously"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}