<?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="  &#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 &quot;local&quot; 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 &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&#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><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    -->
        <extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
              <!--    from Element: extension    -->
          <valueDecimal value="5"/>
              <!--    0..1 Value of extension    -->
        </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    -->
        <extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
              <!--    from Element: extension    -->
          <valueDecimal value="4"/>
              <!--    0..1 Value of extension    -->
        </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    -->
        <extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
              <!--    from Element: extension    -->
          <valueDecimal value="4"/>
              <!--    0..1 Value of extension    -->
        </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>