STU 3 Ballot

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Observation-example-2minute-apgar-score.ttl

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Example of a 2 minute Apgar score including the individual score components

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/owl#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Observation/2minute-apgar-score> a fhir:Observation;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "2minute-apgar-score"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 2minute-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>: 2 minute Apgar Score <span>(Details : {LOINC code '9273-4' = '2 minute Apgar Score', given as '2 minute Apgar Score'})</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>: 5 {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>: 1. Good color in body with bluish hands or feet <span>(Details : {http://loinc.org/la code 'LA6723-6' = '??', given as 'Good color in body with bluish hands or feet'}; {http:/acme.ped/apgarcolor code '1' = '??)</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>: 1. Fewer than 100 beats per minute <span>(Details : {http://loinc.org/la code 'LA6720-2' = '??', given as 'Fewer than 100 beats per minute'}; {http:/acme.ped/apgarheartrate code '1' = '??)</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>: 1. Grimace during suctioning <span>(Details : {http://loinc.org/la code 'LA6721-0' = '??', given as 'Grimace during suctioning'}; {http:/acme.ped/apgarreflexirritability code '1' = '??)</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>: 1. Some flexion of arms and legs <span>(Details : {http://loinc.org/la code 'LA6714-5' = '??', given as 'Some flexion of arms and legs'}; {http:/acme.ped/apgarmuscletone code '1' = '??)</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>: 1. Weak cry; may sound like whimpering, slow or irregular breathing <span>(Details : {http://loinc.org/la code 'LA6726-9' = '??', given as 'Weak cry; may sound like whimpering, slow or irregular breathing'}; {http:/acme.ped/apgarrespiratoryeffort code '1' = '??)</span></p></blockquote></div>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/observation-category" ];
       fhir:Coding.code [ fhir:value "survey" ];
       fhir:Coding.display [ fhir:value "Survey" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Survey" ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:concept loinc:9273-4;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "9273-4" ];
       fhir:Coding.display [ fhir:value "2 minute Apgar Score" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "2 minute Apgar Score" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/infant>;
     fhir:Reference.reference [ fhir:value "Patient/infant" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-05-18T22:33:22Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Practitioner/example>;
     fhir:Reference.reference [ fhir:value "Practitioner/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "5"^^xsd:decimal ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "{score}" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:249227004;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249227004" ];
         fhir:Coding.display [ fhir:value "Apgar color score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar color score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org/la" ];
         fhir:Coding.code [ fhir:value "LA6723-6" ];
         fhir:Coding.display [ fhir:value "Good color in body with bluish hands or feet" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http:/acme.ped/apgarcolor" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Good color in body with bluish hands or feet" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:249223000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249223000" ];
         fhir:Coding.display [ fhir:value "Apgar heart rate score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar respiratory effort score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org/la" ];
         fhir:Coding.code [ fhir:value "LA6720-2" ];
         fhir:Coding.display [ fhir:value "Fewer than 100 beats per minute" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http:/acme.ped/apgarheartrate" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Fewer than 100 beats per minute" ]
     ]
  ], [
     fhir:index 2;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:249226008;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249226008" ];
         fhir:Coding.display [ fhir:value "Apgar response to stimulus score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar response to stimulus score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org/la" ];
         fhir:Coding.code [ fhir:value "LA6721-0" ];
         fhir:Coding.display [ fhir:value "Grimace during suctioning" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http:/acme.ped/apgarreflexirritability" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Grimace during suctioning" ]
     ]
  ], [
     fhir:index 3;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:249225007;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249225007" ];
         fhir:Coding.display [ fhir:value "Apgar muscle tone score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar muscle tone score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org/la" ];
         fhir:Coding.code [ fhir:value "LA6714-5" ];
         fhir:Coding.display [ fhir:value "Some flexion of arms and legs" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http:/acme.ped/apgarmuscletone" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Some flexion of arms and legs" ]
     ]
  ], [
     fhir:index 4;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept sct:249224006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249224006" ];
         fhir:Coding.display [ fhir:value "Apgar respiratory effort score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar respiratory effort score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org/la" ];
         fhir:Coding.code [ fhir:value "LA6726-9" ];
         fhir:Coding.display [ fhir:value "Weak cry; may sound like whimpering, slow or irregular breathing" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http:/acme.ped/apgarrespiratoryeffort" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Weak cry; may sound like whimpering, slow or irregular breathing" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/infant> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .

# -------------------------------------------------------------------------------------


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.