Observation-example-20minute-apgar-score.xml

Example of a 20 minute Apgar score including the individual score components (id = "20minute-apgar-score")

<Observation xmlns="http://hl7.org/fhir">
  <id value="20minute-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>: 20minute-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>: 20 minute Apgar Score <span>(Details : {SNOMED CT code '443849008' = 'Apgar score at 20 minutes (observable entity)',
           given as 'Apgar score at 20 minutes'})</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>: 10 {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 : {SNOMED CT code '249227004' = 'Apgar color score (observable entity)', given
             as 'Apgar color score'})</span></p><p><b>value</b>: 2. Good color all over <span>(Details : {http://loinc.org/la code 'LA6724-4' = '??', given as 'Good color all over'};
             {http:/acme.ped/apgarcolor code '2' = '??)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {SNOMED CT code '249223000' = 'Apgar heart rate score (observable entity)',
             given as 'Apgar heart rate score'})</span></p><p><b>value</b>: 2. At least 100 beats per minute <span>(Details : {http://loinc.org/la code 'LA6718-6' = '??', given as 'At least 100 beats per
             minute'}; {http:/acme.ped/apgarheartrate code '2' = '??)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar response to stimulus score <span>(Details : {SNOMED CT code '249226008' = 'Apgar response to stimulus score (observable
             entity)', given as 'Apgar response to stimulus score'})</span></p><p><b>value</b>: 2. Grimace and pulling away, cough, or sneeze during suctioning <span>(Details : {http://loinc.org/la code 'LA6721-0' = '??', given as 'Grimace and pulling
             away, cough, or sneeze during suctioning'}; {http:/acme.ped/apgarreflexirritability code
             '2' = '??)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar muscle tone score <span>(Details : {SNOMED CT code '249225007' = 'Apgar muscle tone score (observable entity)',
             given as 'Apgar muscle tone score'})</span></p><p><b>value</b>: 2. Active motion <span>(Details : {http://loinc.org/la code 'LA6715-2' = '??', given as 'Active motion '}; {http:/acme.ped/
            apgarmuscletone code '2' = '??)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {SNOMED CT code '249224006' = 'Apgar respiratory effort score (observable entity)',
             given as 'Apgar respiratory effort score'})</span></p><p><b>value</b>: 2. Good, strong cry; normal rate and effort of breathing <span>(Details : {http://loinc.org/la code 'LA6727-7' = '??', given as 'Good, strong cry; normal
             rate and effort of breathing    '}; {http:/acme.ped/apgarrespiratoryeffort code '2' =
             '??)</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://snomed.info/sct"/>
      <code value="443849008"/>
      <display value="Apgar score at 20 minutes"/>
    </coding>
    <text value="20 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="10"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="{score}"/>
  </valueQuantity>
  <component>
    <code>
      <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="2"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6724-4"/>
        <display value="Good color all over"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarcolor"/>
        <code value="2"/>
      </coding>
      <text value="2. Good color all over"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <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="2"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6718-6"/>
        <display value="At least 100 beats per minute"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarheartrate"/>
        <code value="2"/>
      </coding>
      <text value="2. At least 100 beats per minute"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <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="2"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6721-0"/>
        <display value="Grimace and pulling away, cough, or sneeze during suctioning"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarreflexirritability"/>
        <code value="2"/>
      </coding>
      <text value="2. Grimace and pulling away, cough, or sneeze during suctioning"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <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="2"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6715-2"/>
        <display value="Active motion "/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarmuscletone"/>
        <code value="2"/>
      </coding>
      <text value="2. Active motion"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <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="2"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6727-7"/>
        <display value="Good, strong cry; normal rate and effort of breathing    "/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarrespiratoryeffort"/>
        <code value="2"/>
      </coding>
      <text value="2. Good, strong cry; normal rate and effort of breathing"/>
    </valueCodeableConcept>
  </component>
</Observation>