<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir"><id value="glasgow"/>  <!--     the mandatory quality flags:     --><text><status value="generated"/><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="  
    Observations are often coded in multiple code systems.
      - LOINC
		- or SNOMED
      -and/or the source system may provides its own &quot;local&quot; code, which may be less or more granular than LOINC.
	In this example there is only LOINC
    ">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
    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
     ">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></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>  <!--    Using components since these measurements are typically reported and interpreted together    -->  <!--    GCS motor Component    --><component><code><coding><system value="http://loinc.org"/><code value="9268-4"/><display value="Glasgow coma score motor"/></coding><text value="GCS Motor"/></code><valueCodeableConcept><coding><system value="http://acme.ec/codes"/><code value="5"/><display value="Localizes painful stimuli"/></coding><coding>  <!--      This example has the extension which maps a numeric score to the code this may already be known and unecessary in the Observation resource     -->  <!--     0..1 Value of extension     --><extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">  <!--     from Element: extension     --><valueDecimal value="5"/></extension><system value="http://loinc.org"/><code value="LA6566-9"/><display value="Localizing pain"/></coding><text value="5 (Localizes painful stimuli)"/></valueCodeableConcept></component>  <!--    GCS verbal Component    --><component><code><coding><system value="http://loinc.org"/><code value="9270-0"/><display value="Glasgow coma score verbal"/></coding><text value="GSC Verbal"/></code><valueCodeableConcept><coding><system value="http://acme.ec/codes"/><code value="4"/><display value="Confused, disoriented"/></coding><coding>  <!--      This example has the extension which maps a numeric score to the code this may already be known and unecessary in the Observation resource     -->  <!--     0..1 Value of extension     --><extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">  <!--     from Element: extension     --><valueDecimal value="4"/></extension><system value="http://loinc.org"/>  <!--    technicallly the code is '5' and the LA is the identifier to do hav e both  would require an extention    --><code value="LA6560-2"/><display value="Confused"/></coding><text value="4 (Confused, disoriented)"/></valueCodeableConcept></component>  <!--    GCS eyes Component    --><component><code><coding><system value="http://loinc.org"/><code value="9267-6"/><display value="Glasgow coma score eye opening"/></coding><text value="Eyes"/></code><valueCodeableConcept><coding><system value="http://acme.ec/codes"/><code value="4"/><display value="Opens eyes spontaneously"/></coding><coding>  <!--      This example has the extension which maps a numeric score to the code this may already be known and unecessary in the Observation resource     -->  <!--     0..1 Value of extension     --><extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">  <!--     from Element: extension     --><valueDecimal value="4"/></extension><system value="http://loinc.org"/>  <!--    technicallly the code is '4' and the LA is the identifier to do hav e both  would require an extention    --><code value="LA6556-0"/><display value="Eyes open spontaneously"/></coding><text value="4 (Opens eyes spontaneously)"/></valueCodeableConcept></component></Observation>