Release 4B Snapshot #1
DiagnosticsThis page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). 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 | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
Example of a 20 minute Apgar score with individual score as components
{
"resourceType": "Observation",
"id": "20minute-apgar-score",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource "20minute-apgar-score" </p></div><p><b>status</b>: final</p><p><b>category</b>: Survey <span> (<a>Observation Category Codes</a>#survey)</span></p><p><b>code</b>: 20 minute Apgar Score <span> (<a>SNOMED CT</a>#443849008 "Apgar score at 20 minutes")</span></p><p><b>subject</b>: <a> </a></p><blockquote><div><p>Resource "newborn" </p></div><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>: 2016-05-18T22:33:22Z</p><p><b>performer</b>: <a>Practitioner/example</a> "Adam CAREFUL"</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> (<a>SNOMED CT</a>#249227004)</span></p><p><b>value</b>: 2. Good color all over <span> (<a>LOINC</a>#LA6724-4 "Good color all over"; apgarcolor#2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span> (<a>SNOMED CT</a>#249223000 "Apgar heart rate score")</span></p><p><b>value</b>: 2. At least 100 beats per minute <span> (<a>LOINC</a>#LA6718-6 "At least 100 beats per minute"; apgarheartrate#2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar response to stimulus score <span> (<a>SNOMED CT</a>#249226008)</span></p><p><b>value</b>: 2. Grimace and pulling away, cough, or sneeze during suctioning <span> (<a>LOINC</a>#LA6721-0 "Grimace and pulling away, cough, or sneeze during suctioning"; apgarreflexirritability#2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar muscle tone score <span> (<a>SNOMED CT</a>#249225007)</span></p><p><b>value</b>: 2. Active motion <span> (<a>LOINC</a>#LA6715-2 "Active motion "; apgarmuscletone#2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span> (<a>SNOMED CT</a>#249224006)</span></p><p><b>value</b>: 2. Good, strong cry; normal rate and effort of breathing <span> (<a>LOINC</a>#LA6727-7 "Good, strong cry; normal rate and effort of breathing "; apgarrespiratoryeffort#2)</span></p></blockquote></div>"
},
"contained": [
{
"resourceType": "Patient",
"id": "newborn",
"identifier": [
{
"system": "http://acmehealthcare/org/mrns",
"value": "12345"
}
],
"active": true,
"name": [
{
"family": "Chalmers",
"given": [
"Peter",
"James"
]
}
],
"gender": "male",
"birthDate": "2016-05-18",
"_birthDate": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
"valueDateTime": "2016-05-18T10:28:45Z"
}
]
}
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
],
"text": "Survey"
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "443849008",
"display": "Apgar score at 20 minutes"
}
],
"text": "20 minute Apgar Score"
},
"subject": {
"reference": "#newborn"
},
"effectiveDateTime": "2016-05-18T22:33:22Z",
"performer": [
{
"reference": "Practitioner/example"
}
],
"valueQuantity": {
"value": 10,
"system": "http://unitsofmeasure.org",
"code": "{score}"
},
"component": [
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "249227004",
"display": "Apgar color score"
}
],
"text": "Apgar color score"
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA6724-4",
"display": "Good color all over"
},
{
"system": "http://acme.ped/apgarcolor",
"code": "2"
}
],
"text": "2. Good color all over"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "249223000",
"display": "Apgar heart rate score"
}
],
"text": "Apgar respiratory effort score"
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA6718-6",
"display": "At least 100 beats per minute"
},
{
"system": "http://acme.ped/apgarheartrate",
"code": "2"
}
],
"text": "2. At least 100 beats per minute"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "249226008",
"display": "Apgar response to stimulus score"
}
],
"text": "Apgar response to stimulus score"
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA6721-0",
"display": "Grimace and pulling away, cough, or sneeze during suctioning"
},
{
"system": "http://acme.ped/apgarreflexirritability",
"code": "2"
}
],
"text": "2. Grimace and pulling away, cough, or sneeze during suctioning"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "249225007",
"display": "Apgar muscle tone score"
}
],
"text": "Apgar muscle tone score"
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA6715-2",
"display": "Active motion "
},
{
"system": "http://acme.ped/apgarmuscletone",
"code": "2"
}
],
"text": "2. Active motion"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "249224006",
"display": "Apgar respiratory effort score"
}
],
"text": "Apgar respiratory effort score"
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA6727-7",
"display": "Good, strong cry; normal rate and effort of breathing "
},
{
"system": "http://acme.ped/apgarrespiratoryeffort",
"code": "2"
}
],
"text": "2. Good, strong cry; normal rate and effort of breathing"
}
}
]
}
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.
FHIR ®© HL7.org 2011+. FHIR R4B Ballot #1 hl7.fhir.core#4.3.0-snapshot1 generated on Mon, Dec 20, 2021 14:14+1100.
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