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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 1 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/1minute-apgar-score> a fhir:Observation; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "1minute-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>: 1minute-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>: 1 minute Apgar Score <span>(Details : {LOINC code '9272-6' = '1 minute Apgar Score', given as '1 minute Apgar Score'}; {SNOMED CT code '169895004' = 'Apgar at 1 minute', given as 'Apgar at 1 minute'})</span></p><p><b>subject</b>: id: newborn; 12345; active; Peter James Chalmers ; gender: male; birthDate: 18/05/2016</p><p><b>effective</b>: 18/05/2016 10:33:22 PM</p><p><b>performer</b>: <a>Practitioner/example</a></p><p><b>value</b>: 0 {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 '32406-1' = '1 minute Apgar Color', given as '1 minute Apgar Color'}; {SNOMED CT code '249227004' = 'Apgar color score', given as 'Apgar color score'})</span></p><p><b>value</b>: 0. The baby's whole body is completely bluish-gray or pale <span>(Details : {LOINC code 'LA6722-8' = 'The baby's whole body is completely bluish-gray or pale', given as 'The baby's whole body is completely bluish-gray or pale'}; {http://acme.ped/apgarcolor code '0' = '0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {LOINC code '32407-9' = '1 minute Apgar Heart rate', given as '1 minute Apgar Heart Rate'}; {SNOMED CT code '249223000' = 'Apgar heart rate score', given as 'Apgar heart rate score'})</span></p><p><b>value</b>: 0. No heart rate <span>(Details : {LOINC code 'LA6716-0' = 'No heart rate', given as 'No heart rate'}; {http://acme.ped/apgarheartrate code '0' = '0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar response to stimulus score <span>(Details : {LOINC code '32409-5' = '1 minute Apgar Reflex irritability', given as '1 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>: 0. No response to airways being suctioned <span>(Details : {LOINC code 'LA6719-4' = 'No response to airways being suctioned', given as 'No response to airways being suctioned'}; {http://acme.ped/apgarreflexirritability code '0' = '0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar muscle tone score <span>(Details : {LOINC code '32408-7' = '1 minute Apgar Muscle tone', given as '1 minute Apgar Muscle Tone'}; {SNOMED CT code '249225007' = 'Apgar muscle tone score', given as 'Apgar muscle tone score'})</span></p><p><b>value</b>: 0. Limp; no movement <span>(Details : {LOINC code 'LA6713-7' = 'Limp; no movement', given as 'Limp; no movement'}; {http://acme.ped/apgarmuscletone code '0' = '0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {LOINC code '32410-3' = '1 minute Apgar Respiratory effort', given as '1 minute Apgar Respiratory effort'}; {SNOMED CT code '249224006' = 'Apgar respiratory effort score', given as 'Apgar respiratory effort score'})</span></p><p><b>value</b>: 0. Not breathing <span>(Details : {LOINC code 'LA6725-1' = 'Not breathing', given as 'Not breathing'}; {http://acme.ped/apgarrespiratoryeffort code '0' = '0)</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:9272-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "9272-6" ]; fhir:Coding.display [ fhir:value "1 minute Apgar Score" ] ], [ fhir:index 1; a sct:169895004; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "169895004" ]; fhir:Coding.display [ fhir:value "Apgar at 1 minute" ] ]; fhir:CodeableConcept.text [ fhir:value "1 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 "0"^^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:32406-1; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "32406-1" ]; fhir:Coding.display [ fhir:value "1 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:LA6722-8; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6722-8" ]; fhir:Coding.display [ fhir:value "The baby's whole body is completely bluish-gray or pale" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://acme.ped/apgarcolor" ]; fhir:Coding.code [ fhir:value "0" ] ]; fhir:CodeableConcept.text [ fhir:value "0. The baby's whole body is completely bluish-gray or pale" ] ] ], [ fhir:index 1; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:32407-9; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "32407-9" ]; fhir:Coding.display [ fhir:value "1 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:LA6716-0; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6716-0" ]; fhir:Coding.display [ fhir:value "No heart rate" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://acme.ped/apgarheartrate" ]; fhir:Coding.code [ fhir:value "0" ] ]; fhir:CodeableConcept.text [ fhir:value "0. No heart rate" ] ] ], [ fhir:index 2; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:32409-5; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "32409-5" ]; fhir:Coding.display [ fhir:value "1 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:LA6719-4; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6719-4" ]; fhir:Coding.display [ fhir:value "No response to airways being suctioned" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://acme.ped/apgarreflexirritability" ]; fhir:Coding.code [ fhir:value "0" ] ]; fhir:CodeableConcept.text [ fhir:value "0. No response to airways being suctioned" ] ] ], [ fhir:index 3; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:32408-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "32408-7" ]; fhir:Coding.display [ fhir:value "1 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:LA6713-7; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6713-7" ]; fhir:Coding.display [ fhir:value "Limp; no movement" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://acme.ped/apgarmuscletone" ]; fhir:Coding.code [ fhir:value "0" ] ]; fhir:CodeableConcept.text [ fhir:value "0. Limp; no movement" ] ] ], [ fhir:index 4; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:32410-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "32410-3" ]; fhir:Coding.display [ fhir:value "1 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:LA6725-1; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ]; fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ]; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6725-1" ]; fhir:Coding.display [ fhir:value "Not breathing" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://acme.ped/apgarrespiratoryeffort" ]; fhir:Coding.code [ fhir:value "0" ] ]; fhir:CodeableConcept.text [ fhir:value "0. Not breathing" ] ] ] . <http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Observation/1minute-apgar-score.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/Observation/1minute-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.