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Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
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Example of a 5 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/5minute-apgar-score> a fhir:Observation; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "5minute-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>: 5minute-apgar-score</p><p><b>contained</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Survey <span>(Details : {http://terminology.hl7.org/CodeSystem/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>: id: newborn; 12345; active; Peter James Chalmers ; gender: male; birthDate: 2016-05-18</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', given as 'Apgar color score'})</span></p><p><b>value</b>: 2. Good color all over <span>(Details : {LOINC code 'LA6724-4' = 'Good color all over', 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', given as 'Apgar heart rate score'})</span></p><p><b>value</b>: 2. At least 100 beats per minute <span>(Details : {LOINC code 'LA6718-6' = 'At least 100 beats per minute', 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', 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 : {LOINC code 'LA6721-0' = 'Grimace and pulling away, cough, or sneeze during suctioning', 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', given as 'Apgar muscle tone score'})</span></p><p><b>value</b>: 2. Active motion <span>(Details : {LOINC code 'LA6715-2' = 'Active motion', 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', given as 'Apgar respiratory effort score'})</span></p><p><b>value</b>: 2. Good, strong cry; normal rate and effort of breathing <span>(Details : {LOINC code 'LA6727-7' = 'Good, strong cry; normal rate and effort of breathing', given as 'Good, strong cry; normal rate and effort of breathing '}; {http://acme.ped/apgarrespiratoryeffort code '2' = '2)</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://terminology.hl7.org/CodeSystem/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:9274-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "9274-2" ]; fhir:Coding.display [ fhir:value "5 minute Apgar Score" ] ], [ fhir:index 1; a sct:169909004; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "169909004" ]; fhir:Coding.display [ fhir:value "Apgar at 5 minutes" ] ]; fhir:CodeableConcept.text [ fhir:value "5 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 "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; a loinc:32411-1; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "32411-1" ]; fhir:Coding.display [ fhir:value "5 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:LA6724-4; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "2"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; 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; a loinc:32412-9; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "32412-9" ]; fhir:Coding.display [ fhir:value "5 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:LA6718-6; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "2"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; 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; a loinc:32414-5; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "32414-5" ]; fhir:Coding.display [ fhir:value "5 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:LA6721-0; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "2"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; 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; a loinc:32413-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "32413-7" ]; fhir:Coding.display [ fhir:value "5 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:LA6715-2; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "2"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; 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; a loinc:32415-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "32415-2" ]; fhir:Coding.display [ fhir:value "5 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:LA6727-7; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "2"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; 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/Practitioner/example> a fhir:Practitioner . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Observation/5minute-apgar-score.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/Observation/5minute-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.