<?xml version=“1.0” encoding=“UTF-8”?><Observation xmlns=“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 with Details</b></p><p><b>id</b>: gcs-qa</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 3:44:16 PM</p><p><b>value</b>: 13 {score}<span> (Details: http://unitsofmeasure.org code {score} = &#39;??&#39;)</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span> (Details: http://unitsofmeasure.org code {score} = &#39;??&#39;)</span></p><p><b>meaning</b>: Severe TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span> (Details: http://unitsofmeasure.org code {score} = &#39;??&#39;)</span></p><p><b>high</b>: 12 {score}<span> (Details: http://unitsofmeasure.org code {score} = &#39;??&#39;)</span></p><p><b>meaning</b>: Moderate TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span> (Details: http://unitsofmeasure.org code {score} = &#39;??&#39;)</span></p><p><b>meaning</b>: Mild TBI <span>(Details )</span></p></blockquote><h3>Relateds</h3><table><tr><td>-</td><td><b>Type</b></td><td><b>Target</b></td></tr><tr><td>*</td><td>derived-from</td><td><a>GCS form results</a></td></tr></table></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    -->
            <meaning>
                    <text value="Severe TBI"/>
            </meaning>
    </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    -->
            <meaning>
                    <text value="Moderate TBI"/>
            </meaning>
    </referenceRange>
    <referenceRange>
            <low>
                    <value value="13"/>
                    <system value="http://unitsofmeasure.org"/>
                    <code value="{score}"/>
            </low>
            <!--    meaning as text    -->
            <meaning>
                    <text value="Mild TBI"/>
            </meaning>
    </referenceRange>
    <!--    put the references to the QuestionnairAnswer example here using the derived-From type     -->
    <related>
            <type value="derived-from"/>
            <target>
                    <reference value="QuestionnaireResponse/gcs"/>
                    <display value="GCS form results"/>
            </target>
    </related>

</Observation>