{

"resourceType": "Observation",
"id": "glasgow",
"status": "final",
"code": {
  "coding": [
    {
      "system": "http://loinc.org",
      "code": "9269-2",
      "display": "Glasgow coma score total"
    }
  ],
  "text": "Glasgow Coma Scale , (GCS)"
},
"subject": {
  "reference": "Patient/example",
  "display": "Peter James Chalmers"
},
"effectiveDateTime": "2014-12-11T04:44:16Z",
"valueQuantity": {
  "value": 13,
  "system": "http://unitsofmeasure.org",
  "code": "{score}"
},
"referenceRange": [
  {
    "high": {
      "value": 8,
      "system": "http://unitsofmeasure.org",
      "code": "{score}"
    },
    "type": {
      "text": "Severe TBI"
    }
  },
  {
    "low": {
      "value": 9,
      "system": "http://unitsofmeasure.org",
      "code": "{score}"
    },
    "high": {
      "value": 12,
      "system": "http://unitsofmeasure.org",
      "code": "{score}"
    },
    "type": {
      "text": "Moderate TBI"
    }
  },
  {
    "low": {
      "value": 13,
      "system": "http://unitsofmeasure.org",
      "code": "{score}"
    },
    "type": {
      "text": "Mild TBI"
    }
  }
],
"component": [
  {
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "9268-4",
          "display": "Glasgow coma score motor"
        }
      ],
      "text": "GCS Motor"
    },
    "valueCodeableConcept": {
      "coding": [
        {
          "system": "http://acme.ec/codes",
          "code": "5",
          "display": "Localizes painful stimuli"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 5
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6566-9",
          "display": "Localizing pain"
        }
      ],
      "text": "5 (Localizes painful stimuli)"
    }
  },
  {
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "9270-0",
          "display": "Glasgow coma score verbal"
        }
      ],
      "text": "GSC Verbal"
    },
    "valueCodeableConcept": {
      "coding": [
        {
          "system": "http://acme.ec/codes",
          "code": "4",
          "display": "Confused, disoriented"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6560-2",
          "display": "Confused"
        }
      ],
      "text": "4 (Confused, disoriented)"
    }
  },
  {
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "9267-6",
          "display": "Glasgow coma score eye opening"
        }
      ],
      "text": "Eyes"
    },
    "valueCodeableConcept": {
      "coding": [
        {
          "system": "http://acme.ec/codes",
          "code": "4",
          "display": "Opens eyes spontaneously"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6556-0",
          "display": "Eyes open spontaneously"
        }
      ],
      "text": "4 (Opens eyes spontaneously)"
    }
  }
],
"meta": {
  "tag": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code": "HTEST",
      "display": "test health data"
    }
  ]
}

}