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

Example of a 2 minute Apgar score including the individual score components (id = "2minute-apgar-score")

<Observation xmlns="http://hl7.org/fhir">
  <id value="2minute-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>: 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: 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>: 1. Good color in body with bluish hands or feet <span>(Details : {http://loinc.org/la code 'LA6723-6' = 'LA6723-6', given as 'Good color in
             body with bluish hands or feet'}; {http:/acme.ped/apgarcolor code '1' = '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' = 'LA6720-2', given as 'Fewer than 100
             beats per minute'}; {http:/acme.ped/apgarheartrate code '1' = '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' = 'LA6721-0', given as 'Grimace during
             suctioning'}; {http:/acme.ped/apgarreflexirritability code '1' = '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' = 'LA6714-5', given as 'Some flexion of
             arms and legs'}; {http:/acme.ped/apgarmuscletone code '1' = '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' = 'LA6726-9', given as 'Weak cry; may
             sound like whimpering, slow or irregular breathing'}; {http:/acme.ped/apgarrespiratoryeffort
             code '1' = '1)</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="9273-4"/>
      <display value="2 minute Apgar Score"/>
    </coding>
    <text value="2 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="5"/>
    <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="1"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6723-6"/>
        <display value="Good color in body with bluish hands or feet"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarcolor"/>
        <code value="1"/>
      </coding>
      <text value="1. Good color in body with bluish hands or feet"/>
    </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="1"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6720-2"/>
        <display value="Fewer than 100 beats per minute"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarheartrate"/>
        <code value="1"/>
      </coding>
      <text value="1. Fewer than 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="1"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6721-0"/>
        <display value="Grimace during suctioning"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarreflexirritability"/>
        <code value="1"/>
      </coding>
      <text value="1. Grimace 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="1"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6714-5"/>
        <display value="Some flexion of arms and legs"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarmuscletone"/>
        <code value="1"/>
      </coding>
      <text value="1. Some flexion of arms and legs"/>
    </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="1"/>
        </extension>
        <system value="http://loinc.org/la"/>
        <code value="LA6726-9"/>
        <display value="Weak cry; may sound like whimpering, slow or irregular breathing"/>
      </coding>
      <coding>
        <system value="http:/acme.ped/apgarrespiratoryeffort"/>
        <code value="1"/>
      </coding>
      <text value="1. Weak cry; may sound like whimpering, slow or irregular breathing"/>
    </valueCodeableConcept>
  </component>
</Observation>