<?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 with Details</b></p><p><b>id</b>: glasgow</p><p><b>status</b>: final</p><p><b>code</b>: Glasgow Coma Scale , (GCS) <span>(Details : {LOINC code &#39;9269-2&#39; = &#39;Glasgow coma score total&#39;, given as &#39;Glasgow coma score total&#39;})</span></p><p><b>subject</b>: <a>Peter James Chalmers</a></p><p><b>effective</b>: 11/12/2014 4:44:16 AM</p><p><b>value</b>: 13 {score}<span> (Details: UCUM code {score} = &#39;{score}&#39;)</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span> (Details: UCUM code {score} = &#39;{score}&#39;)</span></p><p><b>type</b>: Severe TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span> (Details: UCUM code {score} = &#39;{score}&#39;)</span></p><p><b>high</b>: 12 {score}<span> (Details: UCUM code {score} = &#39;{score}&#39;)</span></p><p><b>type</b>: Moderate TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span> (Details: UCUM code {score} = &#39;{score}&#39;)</span></p><p><b>type</b>: Mild TBI <span>(Details )</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: GCS Motor <span>(Details : {LOINC code &#39;9268-4&#39; = &#39;Glasgow coma score motor&#39;, given as &#39;Glasgow coma score motor&#39;})</span></p><p><b>value</b>: 5 (Localizes painful stimuli) <span>(Details : {http:/acme.ec/codes code &#39;5&#39; = &#39;5&#39;, given as &#39;Localizes painful stimuli&#39;}; {LOINC code &#39;LA6566-9&#39; = &#39;Localizing pain&#39;, given as &#39;Localizing pain&#39;})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: GSC Verbal <span>(Details : {LOINC code &#39;9270-0&#39; = &#39;Glasgow coma score verbal&#39;, given as &#39;Glasgow coma score verbal&#39;})</span></p><p><b>value</b>: 4 (Confused, disoriented) <span>(Details : {http:/acme.ec/codes code &#39;4&#39; = &#39;4&#39;, given as &#39;Confused, disoriented&#39;}; {LOINC code &#39;LA6560-2&#39; = &#39;Confused&#39;, given as &#39;Confused&#39;})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Eyes <span>(Details : {LOINC code &#39;9267-6&#39; = &#39;Glasgow coma score eye opening&#39;, given as &#39;Glasgow coma score eye opening&#39;})</span></p><p><b>value</b>: 4 (Opens eyes spontaneously) <span>(Details : {http:/acme.ec/codes code &#39;4&#39; = &#39;4&#39;, given as &#39;Opens eyes spontaneously&#39;}; {LOINC code &#39;LA6556-0&#39; = &#39;Eyes open spontaneously&#39;, given as &#39;Eyes open spontaneously&#39;})</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/iso21090-ordinal-value">
					<!--    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/iso21090-ordinal-value">
					<!--    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/iso21090-ordinal-value">
					<!--    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>