R4 Draft for Comment
DiagnosticsThis page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). 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 | Ballot Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Example of a 1 minute Apgar score with individual score as components
{
"resourceType": "Observation",
"id": "1minute-apgar-score",
"text": {
"status": "generated",
"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://hl7.org/fhir/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>"
},
"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://hl7.org/fhir/observation-category",
"code": "survey",
"display": "Survey"
}
],
"text": "Survey"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9272-6",
"display": "1 minute Apgar Score"
},
{
"system": "http://snomed.info/sct",
"code": "169895004",
"display": "Apgar at 1 minute"
}
],
"text": "1 minute Apgar Score"
},
"subject": {
"reference": "#newborn"
},
"effectiveDateTime": "2016-05-18T22:33:22Z",
"performer": [
{
"reference": "Practitioner/example"
}
],
"valueQuantity": {
"value": 0,
"system": "http://unitsofmeasure.org",
"code": "{score}"
},
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "32406-1",
"display": "1 minute Apgar Color"
},
{
"system": "http://snomed.info/sct",
"code": "249227004",
"display": "Apgar color score"
}
],
"text": "Apgar color score"
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value",
"valueDecimal": 0
}
],
"system": "http://loinc.org",
"code": "LA6722-8",
"display": "The baby's whole body is completely bluish-gray or pale"
},
{
"system": "http:/acme.ped/apgarcolor",
"code": "0"
}
],
"text": "0. The baby's whole body is completely bluish-gray or pale"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "32407-9",
"display": "1 minute Apgar Heart Rate"
},
{
"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/iso21090-CO-value",
"valueDecimal": 0
}
],
"system": "http://loinc.org",
"code": "LA6716-0",
"display": "No heart rate"
},
{
"system": "http:/acme.ped/apgarheartrate",
"code": "0"
}
],
"text": "0. No heart rate"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "32409-5",
"display": "1 minute Apgar Reflex Irritability"
},
{
"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/iso21090-CO-value",
"valueDecimal": 0
}
],
"system": "http://loinc.org",
"code": "LA6719-4",
"display": "No response to airways being suctioned"
},
{
"system": "http:/acme.ped/apgarreflexirritability",
"code": "0"
}
],
"text": "0. No response to airways being suctioned"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "32408-7",
"display": "1 minute Apgar Muscle Tone"
},
{
"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/iso21090-CO-value",
"valueDecimal": 0
}
],
"system": "http://loinc.org",
"code": "LA6713-7",
"display": "Limp; no movement"
},
{
"system": "http:/acme.ped/apgarmuscletone",
"code": "0"
}
],
"text": "0. Limp; no movement"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "32410-3",
"display": "1 minute Apgar Respiratory effort"
},
{
"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/iso21090-CO-value",
"valueDecimal": 0
}
],
"system": "http://loinc.org",
"code": "LA6725-1",
"display": "Not breathing"
},
{
"system": "http:/acme.ped/apgarrespiratoryeffort",
"code": "0"
}
],
"text": "0. Not breathing"
}
}
]
}
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 Draft for Comment (Jan-2018 v3.2.0-12885) generated on Wed, Dec 20, 2017 15:57+1100. QA Page
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