<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir">
	<id value="gcs-qa"/>    <!--    the mandatory quality flags:    --><meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="gcs-qa"> </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 "gcs-qa" </p></div><p><b>status</b>: <span title="   the mandatory quality flags:   ">final</span></p><p><b>code</b>: <span title="  &#xA;    Observations are often coded in multiple code systems.&#xA;      - LOINC&#xA;&#x9;&#x9;- or SNOMED&#xA;      -and/or the source system may provides its own &#34;local&#34; code, which may be less or more granular than LOINC.&#xA;&#x9;In this example there is only LOINC&#xA;    ">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></span></p><p><b>subject</b>: <a href="patient-example.html">Patient/example: Peter James Chalmers</a> "Peter CHALMERS"</p><p><b>effective</b>: 2014-12-11T04:44:16Z</p><p><b>value</b>: <span title="   In FHIR, units may be represented twice. Once in the&#xA;    agreed human representation, and once in a coded form.&#xA;    In this example the UCUM unit is provided but no human representation since this is often not displayed&#xA;     ">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><p><b>derivedFrom</b>: <span title="   put the references to the QuestionnairAnswer example here using the derived-From type    "><a href="questionnaireresponse-example-gcs.html">QuestionnaireResponse/gcs: GCS form results</a></span></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="2014-12-11T04:44:16Z"/>    <!--    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>    <!--    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>