Release 4B
DiagnosticsThis page is part of the FHIR Specification (v4.3.0: R4B - STU). 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 Turtle (+ also see Turtle/RDF Format Specification)
Example of a 20 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/20minute-apgar-score> a fhir:Observation;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "20minute-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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "20minute-apgar-score" </p></div><p><b>status</b>: final</p><p><b>category</b>: Survey <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-observation-category.html\">Observation Category Codes</a>#survey)</span></p><p><b>code</b>: 20 minute Apgar Score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#443849008 "Apgar score at 20 minutes")</span></p><p><b>subject</b>: <a name=\"newborn\"> </a></p><blockquote><p><b>Peter James Chalmers </b> male, DoB: 2016-05-18 ( id: 12345)</p></blockquote><p><b>effective</b>: 2016-05-18T22:33:22Z</p><p><b>performer</b>: <a href=\"practitioner-example.html\">Practitioner/example</a> "Adam CAREFUL"</p><p><b>value</b>: 10 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Apgar color score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249227004)</span></p><p><b>value</b>: 2. Good color all over <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249223000 "Apgar heart rate score")</span></p><p><b>value</b>: 2. At least 100 beats per minute <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249226008)</span></p><p><b>value</b>: 2. Grimace and pulling away, cough, or sneeze during suctioning <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249225007)</span></p><p><b>value</b>: 2. Active motion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249224006)</span></p><p><b>value</b>: 2. Good, strong cry; normal rate and effort of breathing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6727-7 "Good, strong cry; normal rate and effort of breathing"; apgarrespiratoryeffort#2)</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 sct:443849008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "443849008" ];
fhir:Coding.display [ fhir:value "Apgar score at 20 minutes" ]
];
fhir:CodeableConcept.text [ fhir:value "20 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 "10"^^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:LA6724-4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
fhir:Extension.valueDecimal [ fhir:value "2"^^xsd:decimal ]
];
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6724-4" ];
fhir:Coding.display [ fhir:value "Good color all over" ]
], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://acme.ped/apgarcolor" ];
fhir:Coding.code [ fhir:value "2" ]
];
fhir:CodeableConcept.text [ fhir:value "2. Good color all over" ]
]
], [
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:LA6718-6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
fhir:Extension.valueDecimal [ fhir:value "2"^^xsd:decimal ]
];
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6718-6" ];
fhir:Coding.display [ fhir:value "At least 100 beats per minute" ]
], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://acme.ped/apgarheartrate" ];
fhir:Coding.code [ fhir:value "2" ]
];
fhir:CodeableConcept.text [ fhir:value "2. At least 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 "2"^^xsd:decimal ]
];
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6721-0" ];
fhir:Coding.display [ fhir:value "Grimace and pulling away, cough, or sneeze during suctioning" ]
], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://acme.ped/apgarreflexirritability" ];
fhir:Coding.code [ fhir:value "2" ]
];
fhir:CodeableConcept.text [ fhir:value "2. Grimace and pulling away, cough, or sneeze 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:LA6715-2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
fhir:Extension.valueDecimal [ fhir:value "2"^^xsd:decimal ]
];
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6715-2" ];
fhir:Coding.display [ fhir:value "Active motion" ]
], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://acme.ped/apgarmuscletone" ];
fhir:Coding.code [ fhir:value "2" ]
];
fhir:CodeableConcept.text [ fhir:value "2. Active motion" ]
]
], [
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:LA6727-7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
fhir:Extension.valueDecimal [ fhir:value "2"^^xsd:decimal ]
];
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6727-7" ];
fhir:Coding.display [ fhir:value "Good, strong cry; normal rate and effort of breathing" ]
], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://acme.ped/apgarrespiratoryeffort" ];
fhir:Coding.code [ fhir:value "2" ]
];
fhir:CodeableConcept.text [ fhir:value "2. Good, strong cry; normal rate and effort of breathing" ]
]
] .
<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Observation/20minute-apgar-score.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://build.fhir.org/Observation/20minute-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.
FHIR ®© HL7.org 2011+. FHIR Release 4B (v4.3.0) hl7.fhir.r4b.core#4.3.0 generated on Sat, May 28, 2022 12:56+1000.
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