This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3
Example of a 20 minute Apgar score including the individual score components
@prefix fhir: <http://hl7.org/fhir/> . @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/20minute-apgar-score> a fhir:Observation; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "20minute-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>: 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: UCUM 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' = 'LA6724-4', given as 'Good color all over'}; {http:/acme.ped/apgarcolor code '2' = '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' = 'LA6718-6', given as 'At least 100 beats per minute'}; {http:/acme.ped/apgarheartrate code '2' = '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' = 'LA6721-0', given as 'Grimace and pulling away, cough, or sneeze during suctioning'}; {http:/acme.ped/apgarreflexirritability code '2' = '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' = 'LA6715-2', given as 'Active motion '}; {http:/acme.ped/apgarmuscletone code '2' = '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' = 'LA6727-7', given as 'Good, strong cry; normal rate and effort of breathing '}; {http:/acme.ped/apgarrespiratoryeffort code '2' = '2)</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 sct:443849008; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "443849008" ]; fhir:Coding.display [ fhir:value "Apgar score at 20 minutes" ] ]; fhir:CodeableConcept.text [ fhir:value "20 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 "10"^^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 "2"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org/la" ]; fhir:Coding.code [ fhir:value "LA6724-4" ]; fhir:Coding.display [ fhir:value "Good color all over" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http:/acme.ped/apgarcolor" ]; fhir:Coding.code [ fhir:value "2" ] ]; fhir:CodeableConcept.text [ fhir:value "2. Good color all over" ] ] ], [ 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 "2"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org/la" ]; fhir:Coding.code [ fhir:value "LA6718-6" ]; fhir:Coding.display [ fhir:value "At least 100 beats per minute" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http:/acme.ped/apgarheartrate" ]; fhir:Coding.code [ fhir:value "2" ] ]; fhir:CodeableConcept.text [ fhir:value "2. At least 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 "2"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org/la" ]; fhir:Coding.code [ fhir:value "LA6721-0" ]; fhir:Coding.display [ fhir:value "Grimace and pulling away, cough, or sneeze during suctioning" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http:/acme.ped/apgarreflexirritability" ]; fhir:Coding.code [ fhir:value "2" ] ]; fhir:CodeableConcept.text [ fhir:value "2. Grimace and pulling away, cough, or sneeze 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 "2"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org/la" ]; fhir:Coding.code [ fhir:value "LA6715-2" ]; fhir:Coding.display [ fhir:value "Active motion " ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http:/acme.ped/apgarmuscletone" ]; fhir:Coding.code [ fhir:value "2" ] ]; fhir:CodeableConcept.text [ fhir:value "2. Active motion" ] ] ], [ 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 "2"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org/la" ]; fhir:Coding.code [ fhir:value "LA6727-7" ]; fhir:Coding.display [ fhir:value "Good, strong cry; normal rate and effort of breathing " ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http:/acme.ped/apgarrespiratoryeffort" ]; fhir:Coding.code [ fhir:value "2" ] ]; fhir:CodeableConcept.text [ fhir:value "2. Good, strong cry; normal rate and effort of 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.