R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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

Example Observation/5minute-apgar-score (Narrative)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile Observation.

Generated Narrative: Observation

Resource Observation "5minute-apgar-score"

status: final

category: Survey (Observation Category Codes#survey)

code: 5 minute Apgar Score (LOINC#9274-2; SNOMED CT#169909004 "Apgar at 5 minutes")

subject:

Peter James Chalmers male, DoB: 2016-05-18 ( id: 12345)

Active:true

effective: 2016-05-18T22:33:22Z

performer: Practitioner/example "Adam CAREFUL"

value: 10 {score} (Details: UCUM code {score} = '{score}')

component

code: Apgar color score (LOINC#32411-1 "5 minute Apgar Color"; SNOMED CT#249227004)

value: 2. Good color all over (LOINC#LA6724-4 "Good color all over"; apgarcolor#2)

component

code: Apgar respiratory effort score (LOINC#32412-9 "5 minute Apgar Heart Rate"; SNOMED CT#249223000 "Apgar heart rate score")

value: 2. At least 100 beats per minute (LOINC#LA6718-6 "At least 100 beats per minute"; apgarheartrate#2)

component

code: Apgar response to stimulus score (LOINC#32414-5 "5 minute Apgar Reflex Irritability"; SNOMED CT#249226008)

value: 2. Grimace and pulling away, cough, or sneeze during suctioning (LOINC#LA6721-0 "Grimace and pulling away, cough, or sneeze during suctioning"; apgarreflexirritability#2)

component

code: Apgar muscle tone score (LOINC#32413-7 "5 minute Apgar Muscle Tone"; SNOMED CT#249225007)

value: 2. Active motion (LOINC#LA6715-2 "Active motion"; apgarmuscletone#2)

component

code: Apgar respiratory effort score (LOINC#32415-2 "5 minute Apgar Respiratory effort"; SNOMED CT#249224006)

value: 2. Good, strong cry; normal rate and effort of breathing (LOINC#LA6727-7 "Good, strong cry; normal rate and effort of breathing"; apgarrespiratoryeffort#2)

 

 

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.