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Observation-example-5minute-apgar-score.xml

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Example of a 5 minute Apgar score including the individual score components (id = "5minute-apgar-score")
<Observation xmlns="http://hl7.org/fhir">
  <id value="5minute-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>: 5minute-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>: 5 minute Apgar Score <span>(Details : {LOINC code '9274-2' = '5 minute Apgar Score', given as '5 minute Apgar Score'};
           {SNOMED CT code '169909004' = 'Apgar at 5 minutes', given as 'Apgar at 5 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 : {LOINC code '32411-1' = '5 minute Apgar Color', given as '5 minute Apgar Color'};
             {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 : {LOINC code '32412-9' = '5 minute Apgar Heart rate', given as '5 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>: 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 : {LOINC code '32414-5' = '5 minute Apgar Reflex irritability', given as '5 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>: 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 : {LOINC code '32413-7' = '5 minute Apgar Muscle tone', given as '5 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>: 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 : {LOINC code '32415-2' = '5 minute Apgar Respiratory effort', given as '5 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>: 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></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="9274-2"/>
      <display value="5 minute Apgar Score"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="169909004"/>
      <display value="Apgar at 5 minutes"/>
    </coding>
    <text value="5 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://loinc.org"/>
        <code value="32411-1"/>
        <display value="5 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="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://loinc.org"/>
        <code value="32412-9"/>
        <display value="5 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="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://loinc.org"/>
        <code value="32414-5"/>
        <display value="5 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="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://loinc.org"/>
        <code value="32413-7"/>
        <display value="5 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="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://loinc.org"/>
        <code value="32415-2"/>
        <display value="5 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="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>
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.