{"code":{"coding":[{"code":"9269-2","display":"Glasgow coma score total","system":"http://loinc.org"}],"text":"Glasgow Coma Scale , (GCS)"},"component":[{"code":{"coding":[{"code":"9268-4","display":"Glasgow coma score motor","system":"http://loinc.org"}],"text":"GCS Motor"},"valueCodeableConcept":{"coding":[{"code":"5","display":"Localizes painful stimuli","system":"http://acme.ec/codes"},{"code":"LA6566-9","display":"Localizing pain","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":5}],"system":"http://loinc.org"}],"text":"5 (Localizes painful stimuli)"}},{"code":{"coding":[{"code":"9270-0","display":"Glasgow coma score verbal","system":"http://loinc.org"}],"text":"GSC Verbal"},"valueCodeableConcept":{"coding":[{"code":"4","display":"Confused, disoriented","system":"http://acme.ec/codes"},{"code":"LA6560-2","display":"Confused","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":4}],"system":"http://loinc.org"}],"text":"4 (Confused, disoriented)"}},{"code":{"coding":[{"code":"9267-6","display":"Glasgow coma score eye opening","system":"http://loinc.org"}],"text":"Eyes"},"valueCodeableConcept":{"coding":[{"code":"4","display":"Opens eyes spontaneously","system":"http://acme.ec/codes"},{"code":"LA6556-0","display":"Eyes open spontaneously","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":4}],"system":"http://loinc.org"}],"text":"4 (Opens eyes spontaneously)"}}],"effectiveDateTime":"2014-12-11T04:44:16Z","id":"glasgow","referenceRange":[{"high":{"code":"{score}","system":"http://unitsofmeasure.org","value":8},"type":{"text":"Severe TBI"}},{"high":{"code":"{score}","system":"http://unitsofmeasure.org","value":12},"low":{"code":"{score}","system":"http://unitsofmeasure.org","value":9},"type":{"text":"Moderate TBI"}},{"low":{"code":"{score}","system":"http://unitsofmeasure.org","value":13},"type":{"text":"Mild TBI"}}],"resourceType":"Observation","status":"final","subject":{"display":"Peter James Chalmers","reference":"Patient/example"},"text":{"div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"glasgow\"> </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 &quot;glasgow&quot; </p></div><p><b>status</b>: <span title=\"   the mandatory quality flags:   \">final</span></p><p><b>code</b>: <span title=\"  \n    Observations are often coded in multiple code systems.\n      - LOINC\n\t\t- or SNOMED\n      -and/or the source system may provides its own &quot;local&quot; code, which may be less or more granular than LOINC.\n\tIn this example there is only LOINC\n    \">Glasgow Coma Scale , (GCS) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9269-2 &quot;Glasgow coma score total&quot;)</span></span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example: Peter James Chalmers</a> &quot;Peter CHALMERS&quot;</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\n    agreed human representation, and once in a coded form.\n    In this example the UCUM unit is provided but no human representation since this is often not displayed\n     \">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><blockquote><p><b>component</b></p><p><b>code</b>: GCS Motor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9268-4 &quot;Glasgow coma score motor&quot;)</span></p><p><b>value</b>: 5 (Localizes painful stimuli) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (codes#5 &quot;Localizes painful stimuli&quot;; <a href=\"https://loinc.org/\">LOINC</a>#LA6566-9 &quot;Localizing pain&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: GSC Verbal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9270-0 &quot;Glasgow coma score verbal&quot;)</span></p><p><b>value</b>: 4 (Confused, disoriented) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (codes#4 &quot;Confused, disoriented&quot;; <a href=\"https://loinc.org/\">LOINC</a>#LA6560-2 &quot;Confused&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Eyes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9267-6 &quot;Glasgow coma score eye opening&quot;)</span></p><p><b>value</b>: 4 (Opens eyes spontaneously) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (codes#4 &quot;Opens eyes spontaneously&quot;; <a href=\"https://loinc.org/\">LOINC</a>#LA6556-0 &quot;Eyes open spontaneously&quot;)</span></p></blockquote></div>","status":"generated"},"valueQuantity":{"code":"{score}","system":"http://unitsofmeasure.org","value":13}}