<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir">
	<id value="gcs-qa"/><!--    the mandatory quality flags:    --><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Glasgow Coma Scale , (GCS)</span></p><p><b>subject</b>: <a>Peter James Chalmers. Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 11 Dec. 2014, 3:44:16 pm</p><p><b>value</b>: 13 {score}</p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}</p><p><b>type</b>: <span>Severe TBI</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}</p><p><b>high</b>: 12 {score}</p><p><b>type</b>: <span>Moderate TBI</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}</p><p><b>type</b>: <span>Mild TBI</span></p></blockquote><p><b>derivedFrom</b>: <a>GCS form results. Generated Summary: questionnaire: http://hl7.org/fhir/Questionnaire/gcs; status: completed; authored: 11 Dec. 2014, 3:44:16 pm</a></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>