<?xml version=“1.0” encoding=“UTF-8”?> <Observation xmlns=“hl7.org/fhir”>

      <id value="gcs-qa"/><!--    the mandatory quality flags:    --><meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<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>