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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 2 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/2minute-apgar-score> a fhir:Observation; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "2minute-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</b></p><p><b>id</b>: 2minute-apgar-score</p><p/><p><b>category</b>: <span>Survey</span></p><p><b>code</b>: <span>2 minute Apgar Score</span></p><p><b>subject</b>: <a> </a></p><blockquote><p><b>id</b>: newborn</p><p><b>identifier</b>: id: 12345</p><p><b>active</b>: true</p><p><b>name</b>: Peter James Chalmers </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 2016-05-18</p></blockquote><p><b>effective</b>: 19/05/2016 8:33:22 AM</p><p><b>performer</b>: <a>Generated Summary: id: example; id: 23; active; Adam Careful </a></p><p><b>value</b>: 5 {score}</p><blockquote><p><b>component</b></p><p><b>code</b>: <span>Apgar color score</span></p><p><b>value</b>: <span>1. Good color in body with bluish hands or feet</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Apgar respiratory effort score</span></p><p><b>value</b>: <span>1. Fewer than 100 beats per minute</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Apgar response to stimulus score</span></p><p><b>value</b>: <span>1. Grimace during suctioning</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Apgar muscle tone score</span></p><p><b>value</b>: <span>1. Some flexion of arms and legs</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Apgar respiratory effort score</span></p><p><b>value</b>: <span>1. Weak cry; may sound like whimpering, slow or irregular breathing</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:9273-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "9273-4" ]; fhir:Coding.display [ fhir:value "2 minute Apgar Score" ] ]; fhir:CodeableConcept.text [ fhir:value "2 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 "5"^^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 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:LA6723-6; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6723-6" ]; fhir:Coding.display [ fhir:value "Good color in body with bluish hands or feet" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://acme.ped/apgarcolor" ]; fhir:Coding.code [ fhir:value "1" ] ]; fhir:CodeableConcept.text [ fhir:value "1. Good color in body with bluish hands or feet" ] ] ], [ fhir:index 1; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; 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:LA6720-2; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6720-2" ]; fhir:Coding.display [ fhir:value "Fewer than 100 beats per minute" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://acme.ped/apgarheartrate" ]; fhir:Coding.code [ fhir:value "1" ] ]; fhir:CodeableConcept.text [ fhir:value "1. Fewer than 100 beats per minute" ] ] ], [ fhir:index 2; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; 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 "1"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6721-0" ]; fhir:Coding.display [ fhir:value "Grimace during suctioning" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://acme.ped/apgarreflexirritability" ]; fhir:Coding.code [ fhir:value "1" ] ]; fhir:CodeableConcept.text [ fhir:value "1. Grimace during suctioning" ] ] ], [ fhir:index 3; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; 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:LA6714-5; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6714-5" ]; fhir:Coding.display [ fhir:value "Some flexion of arms and legs" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://acme.ped/apgarmuscletone" ]; fhir:Coding.code [ fhir:value "1" ] ]; fhir:CodeableConcept.text [ fhir:value "1. Some flexion of arms and legs" ] ] ], [ fhir:index 4; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; 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:LA6726-9; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6726-9" ]; fhir:Coding.display [ fhir:value "Weak cry; may sound like whimpering, slow or irregular breathing" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://acme.ped/apgarrespiratoryeffort" ]; fhir:Coding.code [ fhir:value "1" ] ]; fhir:CodeableConcept.text [ fhir:value "1. Weak cry; may sound like whimpering, slow or irregular breathing" ] ] ] . <http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Observation/2minute-apgar-score.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/Observation/2minute-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.