<Observation xmlns="http://hl7.org/fhir">
  <id value="core-examples-Observation-example53" />
  <meta>
    <versionId value="3" />
    <lastUpdated value="2016-09-08T12:21:37.425+00:00" />
  </meta>
  <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>contained</b>: , , </p>
      <p>
        <b>status</b>: final</p>
      <p>
        <b>code</b>: Glasgow Coma Scale , (GCS) <span>(Details : {LOINC code '9269-2' = 'Glasgow coma score total', given as 'Glasgow coma score total'})</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} = '??')</span></p>
      <blockquote>
        <p>
          <b>referenceRange</b>
        </p>
        <p>
          <b>high</b>: 8 {score}<span> (Details: http://unitsofmeasure.org code {score} = '??')</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} = '??')</span></p>
        <p>
          <b>high</b>: 12 {score}<span> (Details: http://unitsofmeasure.org code {score} = '??')</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} = '??')</span></p>
        <p>
          <b>meaning</b>: Mild TBI <span>(Details )</span></p>
      </blockquote>
      <blockquote>
        <p>
          <b>related</b>
        </p>
        <p>
          <b>type</b>: derived-from</p>
        <p>
          <b>target</b>: Motor score. Generated Summary: id: motor; status: final; GCS motor <span>(Details : {LOINC code '9268-4' = 'Glasgow coma score motor', given as 'Glasgow coma score motor'})</span>; Patient/example; effective: 11/12/2014 3:44:16 PM; 5 (Localizes painful stimuli) <span>(Details : {http:/acme.ec/gcsmotor code '5' = '??', given as 'Localizes painful stimuli'}; {LOINC code 'LA6566-9' = 'Localizing pain', given as 'Localizing pain'})</span></p>
      </blockquote>
      <blockquote>
        <p>
          <b>related</b>
        </p>
        <p>
          <b>type</b>: derived-from</p>
        <p>
          <b>target</b>: Verbal score. Generated Summary: id: verbal; status: final; Verbal <span>(Details : {LOINC code '9270-0' = 'Glasgow coma score verbal', given as 'Glasgow coma score verbal'})</span>; Patient/example; effective: 11/12/2014 3:44:16 PM; 4 (Confused, disoriented) <span>(Details : {http:/acme.ec/gcsverbal code '4' = '??', given as 'Confused, disoriented'}; {LOINC code 'LA6560-2' = 'Confused', given as 'Confused'})</span></p>
      </blockquote>
      <blockquote>
        <p>
          <b>related</b>
        </p>
        <p>
          <b>type</b>: derived-from</p>
        <p>
          <b>target</b>: Eyes score. Generated Summary: id: eyes; status: final; Eyes <span>(Details : {LOINC code '9267-6' = 'Glasgow coma score eye opening', given as 'Glasgow coma score eye opening'})</span>; Patient/example; effective: 11/12/2014 3:44:16 PM; 4 (Opens eyes spontaneously) <span>(Details : {http:/acme.ec/gcseye code '4' = '??', given as 'Opens eyes spontaneously'}; {LOINC code 'LA6556-0' = 'Eyes open spontaneously', given as 'Eyes open spontaneously'})</span></p>
      </blockquote>
    </div>
  </text>
  <contained>
    <Observation>
      <id value="motor" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://loinc.org" />
          <code value="9268-4" />
          <display value="Glasgow coma score motor" />
        </coding>
        <text value="GCS motor" />
      </code>
      <subject>
        <reference value="Patient/example" />
      </subject>
      <effectiveDateTime value="2014-12-11T04:44:16Z" />
      <valueCodeableConcept>
        <coding>
          <system value="http:/acme.ec/gcsmotor" />
          <code value="5" />
          <display value="Localizes painful stimuli" />
        </coding>
        <coding>
          <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-CO-value">
            <valueDecimal value="5" />
          </extension>
          <system value="http://loinc.org" />
          <code value="LA6566-9" />
          <display value="Localizing pain" />
        </coding>
        <text value="5 (Localizes painful stimuli)" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="verbal" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://loinc.org" />
          <code value="9270-0" />
          <display value="Glasgow coma score verbal" />
        </coding>
        <text value="Verbal" />
      </code>
      <subject>
        <reference value="Patient/example" />
      </subject>
      <effectiveDateTime value="2014-12-11T04:44:16Z" />
      <valueCodeableConcept>
        <coding>
          <system value="http:/acme.ec/gcsverbal" />
          <code value="4" />
          <display value="Confused, disoriented" />
        </coding>
        <coding>
          <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-CO-value">
            <valueDecimal value="4" />
          </extension>
          <system value="http://loinc.org" />
          <code value="LA6560-2" />
          <display value="Confused" />
        </coding>
        <text value="4 (Confused, disoriented)" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="eyes" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://loinc.org" />
          <code value="9267-6" />
          <display value="Glasgow coma score eye opening" />
        </coding>
        <text value="Eyes" />
      </code>
      <subject>
        <reference value="Patient/example" />
      </subject>
      <effectiveDateTime value="2014-12-11T04:44:16Z" />
      <valueCodeableConcept>
        <coding>
          <system value="http:/acme.ec/gcseye" />
          <code value="4" />
          <display value="Opens eyes spontaneously" />
        </coding>
        <coding>
          <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-CO-value">
            <valueDecimal value="4" />
          </extension>
          <system value="http://loinc.org" />
          <code value="LA6556-0" />
          <display value="Eyes open spontaneously" />
        </coding>
        <text value="4 (Opens eyes spontaneously)" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <status value="final" />
  <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" />
  <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>
      <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>
      <text value="Moderate TBI" />
    </meaning>
  </referenceRange>
  <referenceRange>
    <low>
      <value value="13" />
      <system value="http://unitsofmeasure.org/" />
      <code value="{score}" />
    </low>
    <meaning>
      <text value="Mild TBI" />
    </meaning>
  </referenceRange>
  <related>
    <type value="derived-from" />
    <target>
      <reference value="#motor" />
      <display value="Motor score" />
    </target>
  </related>
  <related>
    <type value="derived-from" />
    <target>
      <reference value="#verbal" />
      <display value="Verbal score" />
    </target>
  </related>
  <related>
    <type value="derived-from" />
    <target>
      <reference value="#eyes" />
      <display value="Eyes score" />
    </target>
  </related>
</Observation>