{

"resourceType": "Observation",
"id": "glasgow",
"text": {
  "status": "generated",
  "div": "<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>: Dec 11, 2014 4:44:16 AM</p><p><b>value</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span> (Details: UCUM code {score} = '{score}')</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} = '{score}')</span></p><p><b>high</b>: 12 {score}<span> (Details: UCUM code {score} = '{score}')</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} = '{score}')</span></p><p><b>type</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>; ????; effective: Dec 11, 2014 4:44:16 AM; 5 (Localizes painful stimuli) <span>(Details : {http:/acme.ec/gcsmotor code '5' = '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>; ????; effective: Dec 11, 2014 4:44:16 AM; 4 (Confused, disoriented) <span>(Details : {http:/acme.ec/gcsverbal code '4' = '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>; ????; effective: Dec 11, 2014 4:44:16 AM; 4 (Opens eyes spontaneously) <span>(Details : {http:/acme.ec/gcseye code '4' = '4', given as 'Opens eyes spontaneously'}; {LOINC code 'LA6556-0' = 'Eyes open spontaneously', given as 'Eyes open spontaneously'})</span></p></blockquote></div>"
},
"contained": [
  {
    "resourceType": "Observation",
    "id": "motor",
    "status": "final",
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "9268-4",
          "display": "Glasgow coma score motor"
        }
      ],
      "text": "GCS motor"
    },
    "subject": {
      "reference": "Patient/example"
    },
    "effectiveDateTime": "2014-12-11T04:44:16Z",
    "valueCodeableConcept": {
      "coding": [
        {
          "system": "http:/acme.ec/gcsmotor",
          "code": "5",
          "display": "Localizes painful stimuli"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value",
              "valueDecimal": 5
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6566-9",
          "display": "Localizing pain"
        }
      ],
      "text": "5 (Localizes painful stimuli)"
    }
  },
  {
    "resourceType": "Observation",
    "id": "verbal",
    "status": "final",
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "9270-0",
          "display": "Glasgow coma score verbal"
        }
      ],
      "text": "Verbal"
    },
    "subject": {
      "reference": "Patient/example"
    },
    "effectiveDateTime": "2014-12-11T04:44:16Z",
    "valueCodeableConcept": {
      "coding": [
        {
          "system": "http:/acme.ec/gcsverbal",
          "code": "4",
          "display": "Confused, disoriented"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value",
              "valueDecimal": 4
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6560-2",
          "display": "Confused"
        }
      ],
      "text": "4 (Confused, disoriented)"
    }
  },
  {
    "resourceType": "Observation",
    "id": "eyes",
    "status": "final",
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "9267-6",
          "display": "Glasgow coma score eye opening"
        }
      ],
      "text": "Eyes"
    },
    "subject": {
      "reference": "Patient/example"
    },
    "effectiveDateTime": "2014-12-11T04:44:16Z",
    "valueCodeableConcept": {
      "coding": [
        {
          "system": "http:/acme.ec/gcseye",
          "code": "4",
          "display": "Opens eyes spontaneously"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value",
              "valueDecimal": 4
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6556-0",
          "display": "Eyes open spontaneously"
        }
      ],
      "text": "4 (Opens eyes spontaneously)"
    }
  }
],
"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"
    }
  }
],
"related": [
  {
    "type": "derived-from",
    "target": {
      "reference": "#motor",
      "display": "Motor score"
    }
  },
  {
    "type": "derived-from",
    "target": {
      "reference": "#verbal",
      "display": "Verbal score"
    }
  },
  {
    "type": "derived-from",
    "target": {
      "reference": "#eyes",
      "display": "Eyes score"
    }
  }
]

}