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Observation-example-1minute-apgar-score.xml

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Example of a 1 minute Apgar score including the individual score components (id = "1minute-apgar-score")
<Observation xmlns="http://hl7.org/fhir">
  <id value="1minute-apgar-score"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 1minute-apgar-score</p><p><b>status</b>: final</p><p><b>category</b>: Survey <span>(Details : {http://hl7.org/fhir/observation-category code 'survey' = 'Survey', given as
           'Survey'})</span></p><p><b>code</b>: 1 minute Apgar Score <span>(Details : {LOINC code '9272-6' = '1 minute Apgar Score', given as '1 minute Apgar Score'};
           {SNOMED CT code '169895004' = 'Apgar at 1 minute', given as 'Apgar at 1 minute'})</span></p><p><b>subject</b>: <a>Patient/infant</a></p><p><b>effective</b>: 19/05/2016 8:33:22 AM</p><p><b>performer</b>: <a>Practitioner/example</a></p><p><b>value</b>: 0 {score}<span> (Details: http://unitsofmeasure.org code {score} = '{score}')</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Apgar color score <span>(Details : {LOINC code '32406-1' = '1 minute Apgar Color', given as '1 minute Apgar Color'};
             {SNOMED CT code '249227004' = 'Apgar color score (observable entity)', given as 'Apgar
             color score'})</span></p><p><b>value</b>: 0. The baby's whole body is completely bluish-gray or pale <span>(Details : {http://loinc.org/la code 'LA6722-8' = '??', given as 'The baby's whole body
             is completely bluish-gray or pale'}; {http:/acme.ped/apgarcolor code '0' = '??)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {LOINC code '32407-9' = '1 minute Apgar Heart rate', given as '1 minute Apgar
             Heart Rate'}; {SNOMED CT code '249223000' = 'Apgar heart rate score (observable entity)',
             given as 'Apgar heart rate score'})</span></p><p><b>value</b>: 0. No heart rate <span>(Details : {http://loinc.org/la code 'LA6716-0' = '??', given as 'No heart rate'}; {http:/acme.ped/a
            pgarheartrate code '0' = '??)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar response to stimulus score <span>(Details : {LOINC code '32409-5' = '1 minute Apgar Reflex irritability', given as '1 minute
             Apgar Reflex Irritability'}; {SNOMED CT code '249226008' = 'Apgar response to stimulus
             score (observable entity)', given as 'Apgar response to stimulus score'})</span></p><p><b>value</b>: 0. No response to airways being suctioned <span>(Details : {http://loinc.org/la code 'LA6719-4' = '??', given as 'No response to airways
             being suctioned'}; {http:/acme.ped/apgarreflexirritability code '0' = '??)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar muscle tone score <span>(Details : {LOINC code '32408-7' = '1 minute Apgar Muscle tone', given as '1 minute Apgar
             Muscle Tone'}; {SNOMED CT code '249225007' = 'Apgar muscle tone score (observable entity)',
             given as 'Apgar muscle tone score'})</span></p><p><b>value</b>: 0. Limp; no movement <span>(Details : {http://loinc.org/la code 'LA6713-7' = '??', given as 'Limp; no movement'};
             {http:/acme.ped/apgarmuscletone code '0' = '??)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {LOINC code '32410-3' = '1 minute Apgar Respiratory effort', given as '1 minute
             Apgar Respiratory effort'}; {SNOMED CT code '249224006' = 'Apgar respiratory effort score
             (observable entity)', given as 'Apgar respiratory effort score'})</span></p><p><b>value</b>: 0. Not breathing <span>(Details : {http://loinc.org/la code 'LA6725-1' = '??', given as 'Not breathing'}; {http:/acme.ped/a
            pgarrespiratoryeffort code '0' = '??)</span></p></blockquote></div></text><status value="final"/>
  <category>
    <coding>
      <system value="http://hl7.org/fhir/observation-category"/>
      <code value="survey"/>
      <display value="Survey"/>
    </coding>
    <text value="Survey"/>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="9272-6"/>
      <display value="1 minute Apgar Score"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="169895004"/>
      <display value="Apgar at 1 minute"/>
    </coding>
    <text value="1 minute Apgar Score"/>
  </code>
  <subject>
    <reference value="Patient/infant"/>
  </subject>
  <effectiveDateTime value="2016-05-18T22:33:22Z"/>
  <performer>
    <reference value="Practitioner/example"/>
  </performer>
  <valueQuantity>
    <value value="0"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="{score}"/>
  </valueQuantity>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="32406-1"/>
        <display value="1 minute Apgar Color"/>
      </coding>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="249227004"/>
        <display value="Apgar color score"/>
      </coding>
      <text value="Apgar color score"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <!--   this  extension  maps a numeric score to the code this may already be known and unecessary
           -->
        <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-CO-value">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6722-8"/>
        <display value="The baby's whole body is completely bluish-gray or pale"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarcolor"/>
        <code value="0"/>
      </coding>
      <text value="0. The baby's whole body is completely bluish-gray or pale"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="32407-9"/>
        <display value="1 minute Apgar Heart Rate"/>
      </coding>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="249223000"/>
        <display value="Apgar heart rate score"/>
      </coding>
      <text value="Apgar respiratory effort score"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <!--   this  extension  maps a numeric score to the code this may already be known and unecessary
           -->
        <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-CO-value">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6716-0"/>
        <display value="No heart rate"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarheartrate"/>
        <code value="0"/>
      </coding>
      <text value="0. No heart rate"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="32409-5"/>
        <display value="1 minute Apgar Reflex Irritability"/>
      </coding>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="249226008"/>
        <display value="Apgar response to stimulus score"/>
      </coding>
      <text value="Apgar response to stimulus score"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <!--   this  extension  maps a numeric score to the code this may already be known and unecessary
           -->
        <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-CO-value">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6719-4"/>
        <display value="No response to airways being suctioned"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarreflexirritability"/>
        <code value="0"/>
      </coding>
      <text value="0. No response to airways being suctioned"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="32408-7"/>
        <display value="1 minute Apgar Muscle Tone"/>
      </coding>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="249225007"/>
        <display value="Apgar muscle tone score"/>
      </coding>
      <text value="Apgar muscle tone score"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <!--   this  extension  maps a numeric score to the code this may already be known and unecessary
           -->
        <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-CO-value">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6713-7"/>
        <display value="Limp; no movement"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarmuscletone"/>
        <code value="0"/>
      </coding>
      <text value="0. Limp; no movement"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="32410-3"/>
        <display value="1 minute Apgar Respiratory effort"/>
      </coding>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="249224006"/>
        <display value="Apgar respiratory effort score"/>
      </coding>
      <text value="Apgar respiratory effort score"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <!--   this  extension  maps a numeric score to the code this may already be known and unecessary
           -->
        <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-CO-value">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6725-1"/>
        <display value="Not breathing"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarrespiratoryeffort"/>
        <code value="0"/>
      </coding>
      <text value="0. Not breathing"/>
    </valueCodeableConcept>
  </component>
</Observation>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.