<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="em-vitals-gcs-example"/>
  <meta>
    <profile value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-vital-signs-observation"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation em-vitals-gcs-example</b></p><a name="em-vitals-gcs-example"> </a><a name="hcem-vitals-gcs-example"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-em-vital-signs-observation.html">Observation - Emergency Vital Signs</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://localhost:8085/fhir/CodeSystem/vital-signs-loinc-cs 9269-2}">Glasgow coma score</span></p><p><b>subject</b>: <a href="Patient/pat-0712345678">Patient/pat-0712345678</a></p><p><b>encounter</b>: <a href="Encounter-em-poc-encounter-example.html">Encounter: identifier = http://hie.go.ke/fhir/identifier/incident-id#INC-20260629120000-0712345678-abc123; status = finished; class = Emergency medical services field response (Emergency Encounter Class#FLD); type = Scene and transport care; priority = Orange - Very urgent; period = 2026-06-29 12:08:00+0300 --&gt; 2026-06-29 12:38:00+0300</a></p><p><b>effective</b>: 2026-06-29 12:16:00+0300</p><p><b>performer</b>: <a href="Practitioner-em-practitioner-example.html">Practitioner Sarah Njoroge </a></p><p><b>value</b>: 13 score<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{score} = '{score}')</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 9267-6}">Glasgow coma score eye opening</span></p><p><b>value</b>: 3 score<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{score} = '{score}')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 9270-0}">Glasgow coma score verbal</span></p><p><b>value</b>: 4 score<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{score} = '{score}')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 9268-4}">Glasgow coma score motor</span></p><p><b>value</b>: 6 score<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{score} = '{score}')</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://localhost:8085/fhir/CodeSystem/vital-signs-loinc-cs"/>
      <code value="9269-2"/>
      <display value="Glasgow coma score"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/pat-0712345678"/>
  </subject>
  <encounter>
    <reference value="Encounter/em-poc-encounter-example"/>
  </encounter>
  <effectiveDateTime value="2026-06-29T12:16:00+03:00"/>
  <performer>
    <reference value="Practitioner/em-practitioner-example"/>
  </performer>
  <valueQuantity>
    <value value="13"/>
    <unit value="score"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="{score}"/>
  </valueQuantity>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="9267-6"/>
        <display value="Glasgow coma score eye opening"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="3"/>
      <unit value="score"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{score}"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="9270-0"/>
        <display value="Glasgow coma score verbal"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="4"/>
      <unit value="score"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{score}"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="9268-4"/>
        <display value="Glasgow coma score motor"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="6"/>
      <unit value="score"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{score}"/>
    </valueQuantity>
  </component>
</Observation>