HL7 FHIR Implementation Guide: DK Core
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This page is part of the HL7 FHIR Implementation Guide: DK Core (v3.2.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Max TOKS measurements, including Glasgow Coma Scale assesment - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="MaxTOKS"/>
  <type value="collection"/>
  <timestamp value="2023-08-08T13:30:00.000Z"/>
  <entry>
    <fullUrl value="http://hl7.dk/fhir/core/Patient/Max"/>
    <resource>
      <Patient>
        <id value="Max"/>
        <meta>
          <profile
                   value="http://hl7.dk/fhir/core/StructureDefinition/dk-core-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_Max"> </a><p><b>Generated Narrative: Patient</b><a name="Max"> </a><a name="hcMax"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Patient &quot;Max&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-dk-core-patient.html">Danish Core Patient Profile</a></p></div><p><b>identifier</b>: <code>urn:oid:1.2.208.176.1.2</code>/0107729995</p><p><b>name</b>: Max Test Berggren (Official)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1972-07-01</p><p><b>maritalStatus</b>: Registered partnership <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-dk-marital-status.html">DK Marital Statuses</a>#P)</span></p></div>
        </text>
        <identifier>
          <system value="urn:oid:1.2.208.176.1.2"/>
          <value value="0107729995"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Berggren"/>
          <given value="Max"/>
          <given value="Test"/>
          <prefix value="Mr"/>
        </name>
        <gender value="male"/>
        <birthDate value="1972-07-01"/>
        <maritalStatus>
          <coding>
            <system
                    value="http://hl7.dk/fhir/core/CodeSystem/dk-marital-status"/>
            <code value="P"/>
          </coding>
        </maritalStatus>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.dk/fhir/core/Observation/MaxConsciousness"/>
    <resource>
      <Observation>
        <id value="MaxConsciousness"/>
        <meta>
          <profile
                   value="http://hl7.dk/fhir/core/StructureDefinition/dk-core-observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_MaxConsciousness"> </a><p><b>Generated Narrative: Observation</b><a name="MaxConsciousness"> </a><a name="hcMaxConsciousness"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation &quot;MaxConsciousness&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-dk-core-observation.html">Danish Core Observation Profiles</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Level of consciousness <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#80288-4)</span></p><p><b>subject</b>: See on this page: Patient/Max</p><p><b>effective</b>: 2023-08-08 13:30:00+0000</p><p><b>value</b>: Responds to pain (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#450847001)</span></p><p><b>method</b>: Reported (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#733985002)</span></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="80288-4"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Max"/>
        </subject>
        <effectiveDateTime value="2023-08-08T13:30:00.000Z"/>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="450847001"/>
          </coding>
        </valueCodeableConcept>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="733985002"/>
            <display value="Reported (qualifier value)"/>
          </coding>
        </method>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.dk/fhir/core/Observation/MaxBloodPressure"/>
    <resource>
      <Observation>
        <id value="MaxBloodPressure"/>
        <meta>
          <profile
                   value="http://hl7.dk/fhir/core/StructureDefinition/dk-core-basic-observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_MaxBloodPressure"> </a><p><b>Generated Narrative: Observation</b><a name="MaxBloodPressure"> </a><a name="hcMaxBloodPressure"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation &quot;MaxBloodPressure&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-dk-core-basic-observation.html">Danish Core Basic Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: BP pnl w all optional <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#85354-9; unknown#ZZ3160)</span></p><p><b>subject</b>: See on this page: Patient/Max</p><p><b>effective</b>: 2023-08-08 13:30:00+0000</p><p><b>method</b>: Measurement technique (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#272391002)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: BP sys <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#8480-6; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#407554009)</span></p><p><b>value</b>: 156 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: BP dias <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#8462-4; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#407555005)</span></p><p><b>value</b>: 78 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p></blockquote></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85354-9"/>
          </coding>
          <coding>
            <system value="urn:oid:1.2.208.176.2.4"/>
            <code value="ZZ3160"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Max"/>
        </subject>
        <effectiveDateTime value="2023-08-08T13:30:00.000Z"/>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="272391002"/>
            <display value="Measurement technique (qualifier value)"/>
          </coding>
        </method>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8480-6"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="407554009"/>
            </coding>
          </code>
          <valueQuantity>
            <value value="156"/>
            <unit value="mmHg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm[Hg]"/>
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8462-4"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="407555005"/>
            </coding>
          </code>
          <valueQuantity>
            <value value="78"/>
            <unit value="mmHg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm[Hg]"/>
          </valueQuantity>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.dk/fhir/core/Observation/MaxBodyTemperature"/>
    <resource>
      <Observation>
        <id value="MaxBodyTemperature"/>
        <meta>
          <profile
                   value="http://hl7.dk/fhir/core/StructureDefinition/dk-core-basic-observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_MaxBodyTemperature"> </a><p><b>Generated Narrative: Observation</b><a name="MaxBodyTemperature"> </a><a name="hcMaxBodyTemperature"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation &quot;MaxBodyTemperature&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-dk-core-basic-observation.html">Danish Core Basic Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Body temperature <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#8310-5; unknown#ZZ0253)</span></p><p><b>subject</b>: See on this page: Patient/Max</p><p><b>effective</b>: 2023-08-08 13:30:00+0000</p><p><b>value</b>: 37 grader celcius<span style="background: LightGoldenRodYellow"> (Details: UCUM code Cel = 'Cel')</span></p><p><b>method</b>: Measurement technique (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#272391002)</span></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8310-5"/>
          </coding>
          <coding>
            <system value="urn:oid:1.2.208.176.2.4"/>
            <code value="ZZ0253"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Max"/>
        </subject>
        <effectiveDateTime value="2023-08-08T13:30:00.000Z"/>
        <valueQuantity>
          <value value="37"/>
          <unit value="grader celcius"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="Cel"/>
        </valueQuantity>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="272391002"/>
            <display value="Measurement technique (qualifier value)"/>
          </coding>
        </method>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.dk/fhir/core/Observation/MaxHeartRate"/>
    <resource>
      <Observation>
        <id value="MaxHeartRate"/>
        <meta>
          <profile
                   value="http://hl7.dk/fhir/core/StructureDefinition/dk-core-basic-observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_MaxHeartRate"> </a><p><b>Generated Narrative: Observation</b><a name="MaxHeartRate"> </a><a name="hcMaxHeartRate"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation &quot;MaxHeartRate&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-dk-core-basic-observation.html">Danish Core Basic Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Heart rate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#8867-4; unknown#ZZ3140)</span></p><p><b>subject</b>: See on this page: Patient/Max</p><p><b>effective</b>: 2023-08-08 13:30:00+0000</p><p><b>value</b>: 68 slag/minut<span style="background: LightGoldenRodYellow"> (Details: UCUM code /min = '/min')</span></p><p><b>method</b>: Measurement technique (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#272391002)</span></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8867-4"/>
          </coding>
          <coding>
            <system value="urn:oid:1.2.208.176.2.4"/>
            <code value="ZZ3140"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Max"/>
        </subject>
        <effectiveDateTime value="2023-08-08T13:30:00.000Z"/>
        <valueQuantity>
          <value value="68"/>
          <unit value="slag/minut"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/min"/>
        </valueQuantity>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="272391002"/>
            <display value="Measurement technique (qualifier value)"/>
          </coding>
        </method>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.dk/fhir/core/Observation/MaxRespirationRate"/>
    <resource>
      <Observation>
        <id value="MaxRespirationRate"/>
        <meta>
          <profile
                   value="http://hl7.dk/fhir/core/StructureDefinition/dk-core-basic-observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_MaxRespirationRate"> </a><p><b>Generated Narrative: Observation</b><a name="MaxRespirationRate"> </a><a name="hcMaxRespirationRate"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation &quot;MaxRespirationRate&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-dk-core-basic-observation.html">Danish Core Basic Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Resp rate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#9279-1; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#86290005)</span></p><p><b>subject</b>: See on this page: Patient/Max</p><p><b>effective</b>: 2023-08-08 13:30:00+0000</p><p><b>value</b>: 13 /min<span style="background: LightGoldenRodYellow"> (Details: UCUM code /min = '/min')</span></p><p><b>method</b>: Measurement technique (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#272391002)</span></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="9279-1"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="86290005"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Max"/>
        </subject>
        <effectiveDateTime value="2023-08-08T13:30:00.000Z"/>
        <valueQuantity>
          <value value="13"/>
          <unit value="/min"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/min"/>
        </valueQuantity>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="272391002"/>
            <display value="Measurement technique (qualifier value)"/>
          </coding>
        </method>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.dk/fhir/core/Observation/MaxGlasgowComaScale"/>
    <resource>
      <Observation>
        <id value="MaxGlasgowComaScale"/>
        <meta>
          <profile
                   value="http://hl7.dk/fhir/core/StructureDefinition/dk-core-observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_MaxGlasgowComaScale"> </a><p><b>Generated Narrative: Observation</b><a name="MaxGlasgowComaScale"> </a><a name="hcMaxGlasgowComaScale"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation &quot;MaxGlasgowComaScale&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-dk-core-observation.html">Danish Core Observation Profiles</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Glasgow coma score <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#248241002)</span></p><p><b>subject</b>: See on this page: Patient/Max</p><p><b>effective</b>: 2023-08-08 13:30:00+0000</p><p><b>value</b>: 13 {score}<span style="background: LightGoldenRodYellow"> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span style="background: LightGoldenRodYellow"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Severe TBI <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span style="background: LightGoldenRodYellow"> (Details: UCUM code {score} = '{score}')</span></p><p><b>high</b>: 12 {score}<span style="background: LightGoldenRodYellow"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Moderate TBI <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span style="background: LightGoldenRodYellow"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Mild TBI <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Glasgow coma score motor <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#9268-4)</span></p><p><b>value</b>: Localizing pain <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6566-9)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Glasgow coma score verbal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#9270-0)</span></p><p><b>value</b>: Confused <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6560-2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Glasgow coma score eye opening <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#9267-6)</span></p><p><b>value</b>: Eyes open spontaneously <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6556-0)</span></p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="248241002"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Max"/>
        </subject>
        <effectiveDateTime value="2023-08-08T13:30:00.000Z"/>
        <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>
          <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>
          <type>
            <text value="Moderate TBI"/>
          </type>
        </referenceRange>
        <referenceRange>
          <low>
            <value value="13"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="{score}"/>
          </low>
          <type>
            <text value="Mild TBI"/>
          </type>
        </referenceRange>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="9268-4"/>
              <display value="Glasgow coma score motor"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://loinc.org"/>
              <code value="LA6566-9"/>
              <display value="Localizing pain"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="9270-0"/>
              <display value="Glasgow coma score verbal"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://loinc.org"/>
              <code value="LA6560-2"/>
              <display value="Confused"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="9267-6"/>
              <display value="Glasgow coma score eye opening"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://loinc.org"/>
              <code value="LA6556-0"/>
              <display value="Eyes open spontaneously"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
</Bundle>