Release 4
DiagnosticsThis page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
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| 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 with Details</b></p><p><b>id</b>: 20minute-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>: 20 minute Apgar Score <span>(Details : {SNOMED CT code '443849008' = 'Apgar score at 20 minutes', given as 'Apgar score at 20 minutes'})</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>: 10 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Apgar color score <span>(Details : {SNOMED CT code '249227004' = 'Apgar color score', given as 'Apgar color score'})</span></p><p><b>value</b>: 2. Good color all over <span>(Details : {LOINC code 'LA6724-4' = 'Good color all over', given as 'Good color all over'}; {http://acme.ped/apgarcolor code '2' = '2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {SNOMED CT code '249223000' = 'Apgar heart rate score', given as 'Apgar heart rate score'})</span></p><p><b>value</b>: 2. At least 100 beats per minute <span>(Details : {LOINC code 'LA6718-6' = 'At least 100 beats per minute', given as 'At least 100 beats per minute'}; {http://acme.ped/apgarheartrate code '2' = '2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar response to stimulus score <span>(Details : {SNOMED CT code '249226008' = 'Apgar response to stimulus score', given as 'Apgar response to stimulus score'})</span></p><p><b>value</b>: 2. Grimace and pulling away, cough, or sneeze during suctioning <span>(Details : {LOINC code 'LA6721-0' = 'Grimace and pulling away, cough, or sneeze during suctioning', given as 'Grimace and pulling away, cough, or sneeze during suctioning'}; {http://acme.ped/apgarreflexirritability code '2' = '2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar muscle tone score <span>(Details : {SNOMED CT code '249225007' = 'Apgar muscle tone score', given as 'Apgar muscle tone score'})</span></p><p><b>value</b>: 2. Active motion <span>(Details : {LOINC code 'LA6715-2' = 'Active motion', given as 'Active motion '}; {http://acme.ped/apgarmuscletone code '2' = '2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {SNOMED CT code '249224006' = 'Apgar respiratory effort score', given as 'Apgar respiratory effort score'})</span></p><p><b>value</b>: 2. Good, strong cry; normal rate and effort of breathing <span>(Details : {LOINC code 'LA6727-7' = 'Good, strong cry; normal rate and effort of breathing', given as 'Good, strong cry; normal rate and effort of breathing '}; {http://acme.ped/apgarrespiratoryeffort code '2' = '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.
®© HL7.org 2011+. FHIR Release 4 (Technical Correction #1) (v4.0.1) generated on Fri, Nov 1, 2019 09:36+1100. QA Page
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