Example of a 20 minute Apgar score with individual score as components

{
  "resourceType" : "Observation",
  "id" : "20minute-apgar-score",
  "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/itemWeight",
          "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/itemWeight",
          "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/itemWeight",
          "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/itemWeight",
          "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/itemWeight",
          "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"
    }
  }]
}