R4 Ballot #1 (Mixed Normative/Trial use)
DiagnosticsThis page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). 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
| Orders and Observations Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Example of a 1 minute Apgar score with individual score as components
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@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/1minute-apgar-score> a fhir:Observation;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "1minute-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>: 1minute-apgar-score</p><p><b>contained</b>: </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>: 1 minute Apgar Score <span>(Details : {LOINC code '9272-6' = '1 minute Apgar Score', given as '1 minute Apgar Score'}; {SNOMED CT code '169895004' = 'Apgar at 1 minute', given as 'Apgar at 1 minute'})</span></p><p><b>subject</b>: id: newborn; 12345; active; Peter James Chalmers ; gender: male; birthDate: 18/05/2016</p><p><b>effective</b>: 18/05/2016 10:33:22 PM</p><p><b>performer</b>: <a>Practitioner/example</a></p><p><b>value</b>: 0 {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 '32406-1' = '1 minute Apgar Color', given as '1 minute Apgar Color'}; {SNOMED CT code '249227004' = 'Apgar color score', given as 'Apgar color score'})</span></p><p><b>value</b>: 0. The baby's whole body is completely bluish-gray or pale <span>(Details : {LOINC code 'LA6722-8' = 'The baby's whole body is completely bluish-gray or pale', given as 'The baby's whole body is completely bluish-gray or pale'}; {http:/acme.ped/apgarcolor code '0' = '0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {LOINC code '32407-9' = '1 minute Apgar Heart rate', given as '1 minute Apgar Heart Rate'}; {SNOMED CT code '249223000' = 'Apgar heart rate score', given as 'Apgar heart rate score'})</span></p><p><b>value</b>: 0. No heart rate <span>(Details : {LOINC code 'LA6716-0' = 'No heart rate', given as 'No heart rate'}; {http:/acme.ped/apgarheartrate code '0' = '0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar response to stimulus score <span>(Details : {LOINC code '32409-5' = '1 minute Apgar Reflex irritability', given as '1 minute Apgar Reflex Irritability'}; {SNOMED CT code '249226008' = 'Apgar response to stimulus score', given as 'Apgar response to stimulus score'})</span></p><p><b>value</b>: 0. No response to airways being suctioned <span>(Details : {LOINC code 'LA6719-4' = 'No response to airways being suctioned', given as 'No response to airways being suctioned'}; {http:/acme.ped/apgarreflexirritability code '0' = '0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar muscle tone score <span>(Details : {LOINC code '32408-7' = '1 minute Apgar Muscle tone', given as '1 minute Apgar Muscle Tone'}; {SNOMED CT code '249225007' = 'Apgar muscle tone score', given as 'Apgar muscle tone score'})</span></p><p><b>value</b>: 0. Limp; no movement <span>(Details : {LOINC code 'LA6713-7' = 'Limp; no movement', given as 'Limp; no movement'}; {http:/acme.ped/apgarmuscletone code '0' = '0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {LOINC code '32410-3' = '1 minute Apgar Respiratory effort', given as '1 minute Apgar Respiratory effort'}; {SNOMED CT code '249224006' = 'Apgar respiratory effort score', given as 'Apgar respiratory effort score'})</span></p><p><b>value</b>: 0. Not breathing <span>(Details : {LOINC code 'LA6725-1' = 'Not breathing', given as 'Not breathing'}; {http:/acme.ped/apgarrespiratoryeffort code '0' = '0)</span></p></blockquote></div>"
];
fhir:DomainResource.contained [
a fhir:Patient;
fhir:index 0;
fhir:Resource.id [ fhir:value "newborn" ];
fhir:Patient.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://acmehealthcare/org/mrns" ];
fhir:Identifier.value [ fhir:value "12345" ]
];
fhir:Patient.active [ fhir:value "true"^^xsd:boolean ];
fhir:Patient.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "Chalmers" ];
fhir:HumanName.given [
fhir:value "Peter";
fhir:index 0
], [
fhir:value "James";
fhir:index 1
]
];
fhir:Patient.gender [ fhir:value "male" ];
fhir:Patient.birthDate [
fhir:value "2016-05-18"^^xsd:date;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/patient-birthTime" ];
fhir:Extension.valueDateTime [ fhir:value "2016-05-18T10:28:45Z"^^xsd:dateTime ]
]
]
];
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;
a loinc:9272-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "9272-6" ];
fhir:Coding.display [ fhir:value "1 minute Apgar Score" ]
], [
fhir:index 1;
a sct:169895004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "169895004" ];
fhir:Coding.display [ fhir:value "Apgar at 1 minute" ]
];
fhir:CodeableConcept.text [ fhir:value "1 minute Apgar Score" ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "#newborn" ]
];
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 "0"^^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;
a loinc:32406-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "32406-1" ];
fhir:Coding.display [ fhir:value "1 minute Apgar Color" ]
], [
fhir:index 1;
a 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;
a loinc:LA6722-8;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ]
];
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6722-8" ];
fhir:Coding.display [ fhir:value "The baby's whole body is completely bluish-gray or pale" ]
], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http:/acme.ped/apgarcolor" ];
fhir:Coding.code [ fhir:value "0" ]
];
fhir:CodeableConcept.text [ fhir:value "0. The baby's whole body is completely bluish-gray or pale" ]
]
], [
fhir:index 1;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:32407-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "32407-9" ];
fhir:Coding.display [ fhir:value "1 minute Apgar Heart Rate" ]
], [
fhir:index 1;
a 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;
a loinc:LA6716-0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ]
];
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6716-0" ];
fhir:Coding.display [ fhir:value "No heart rate" ]
], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http:/acme.ped/apgarheartrate" ];
fhir:Coding.code [ fhir:value "0" ]
];
fhir:CodeableConcept.text [ fhir:value "0. No heart rate" ]
]
], [
fhir:index 2;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:32409-5;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "32409-5" ];
fhir:Coding.display [ fhir:value "1 minute Apgar Reflex Irritability" ]
], [
fhir:index 1;
a 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;
a loinc:LA6719-4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ]
];
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6719-4" ];
fhir:Coding.display [ fhir:value "No response to airways being suctioned" ]
], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http:/acme.ped/apgarreflexirritability" ];
fhir:Coding.code [ fhir:value "0" ]
];
fhir:CodeableConcept.text [ fhir:value "0. No response to airways being suctioned" ]
]
], [
fhir:index 3;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:32408-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "32408-7" ];
fhir:Coding.display [ fhir:value "1 minute Apgar Muscle Tone" ]
], [
fhir:index 1;
a 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;
a loinc:LA6713-7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ]
];
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6713-7" ];
fhir:Coding.display [ fhir:value "Limp; no movement" ]
], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http:/acme.ped/apgarmuscletone" ];
fhir:Coding.code [ fhir:value "0" ]
];
fhir:CodeableConcept.text [ fhir:value "0. Limp; no movement" ]
]
], [
fhir:index 4;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:32410-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "32410-3" ];
fhir:Coding.display [ fhir:value "1 minute Apgar Respiratory effort" ]
], [
fhir:index 1;
a 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;
a loinc:LA6725-1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ]
];
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6725-1" ];
fhir:Coding.display [ fhir:value "Not breathing" ]
], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http:/acme.ped/apgarrespiratoryeffort" ];
fhir:Coding.code [ fhir:value "0" ]
];
fhir:CodeableConcept.text [ fhir:value "0. Not breathing" ]
]
] .
<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Observation/1minute-apgar-score.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://build.fhir.org/Observation/1minute-apgar-score.ttl> .
# -------------------------------------------------------------------------------------
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.
®© HL7.org 2011+. FHIR Mixed Nomative/Trial Use Ballot (v3.3.0-13671) generated on Tue, Apr 3, 2018 12:16+1000. QA Page
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