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 JSON (canonical form + also see JSON Format Specification)
Example of a 2 minute Apgar score with individual score as components
{
"resourceType": "Observation",
"id": "2minute-apgar-score",
"text": {
"status": "generated",
"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 "2minute-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>: 2 minute Apgar Score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9273-4)</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>: 5 {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>: 1. Good color in body with bluish hands or feet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6723-6 "Good color in body with bluish hands or feet"; apgarcolor#1)</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>: 1. Fewer than 100 beats per minute <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6720-2 "Fewer than 100 beats per minute"; apgarheartrate#1)</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>: 1. Grimace during suctioning <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6721-0 "Grimace during suctioning"; apgarreflexirritability#1)</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>: 1. Some flexion of arms and legs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6714-5 "Some flexion of arms and legs"; apgarmuscletone#1)</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>: 1. Weak cry; may sound like whimpering, slow or irregular breathing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6726-9 "Weak cry; may sound like whimpering, slow or irregular breathing"; apgarrespiratoryeffort#1)</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://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
],
"text": "Survey"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9273-4",
"display": "2 minute Apgar Score"
}
],
"text": "2 minute Apgar Score"
},
"subject": {
"reference": "#newborn"
},
"effectiveDateTime": "2016-05-18T22:33:22Z",
"performer": [
{
"reference": "Practitioner/example"
}
],
"valueQuantity": {
"value": 5,
"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/ordinalValue",
"valueDecimal": 1
}
],
"system": "http://loinc.org",
"code": "LA6723-6",
"display": "Good color in body with bluish hands or feet"
},
{
"system": "http://acme.ped/apgarcolor",
"code": "1"
}
],
"text": "1. Good color in body with bluish hands or feet"
}
},
{
"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/ordinalValue",
"valueDecimal": 1
}
],
"system": "http://loinc.org",
"code": "LA6720-2",
"display": "Fewer than 100 beats per minute"
},
{
"system": "http://acme.ped/apgarheartrate",
"code": "1"
}
],
"text": "1. Fewer than 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/ordinalValue",
"valueDecimal": 1
}
],
"system": "http://loinc.org",
"code": "LA6721-0",
"display": "Grimace during suctioning"
},
{
"system": "http://acme.ped/apgarreflexirritability",
"code": "1"
}
],
"text": "1. Grimace 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/ordinalValue",
"valueDecimal": 1
}
],
"system": "http://loinc.org",
"code": "LA6714-5",
"display": "Some flexion of arms and legs"
},
{
"system": "http://acme.ped/apgarmuscletone",
"code": "1"
}
],
"text": "1. Some flexion of arms and legs"
}
},
{
"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/ordinalValue",
"valueDecimal": 1
}
],
"system": "http://loinc.org",
"code": "LA6726-9",
"display": "Weak cry; may sound like whimpering, slow or irregular breathing"
},
{
"system": "http://acme.ped/apgarrespiratoryeffort",
"code": "1"
}
],
"text": "1. Weak cry; may sound like whimpering, slow or irregular 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.
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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