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 
. Page versions: R5 R4B R4 R3
| Orders and Observations Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Example of a 20 minute Apgar score with individual score as components
{
"resourceType": "Observation",
"id": "20minute-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>: 20minute-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>: 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>"
},
"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://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/iso21090-CO-value",
"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/iso21090-CO-value",
"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/iso21090-CO-value",
"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/iso21090-CO-value",
"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/iso21090-CO-value",
"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"
}
}
]
}
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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