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Example Observation/10minute-apgar-score (Narrative)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile Observation.


Generated Narrative: Observation

Resource Observation "10minute-apgar-score"

status: final

category: Survey (Observation Category Codes#survey)

code: 10 minute Apgar Score (LOINC#9271-8; SNOMED CT#169922007 "Apgar at 10 minutes")

subject:

Peter James Chalmers male, DoB: 2016-05-18 ( id: 12345)


Active:true

effective: 2016-05-18T22:33:22Z

performer: Practitioner/example "Adam CAREFUL"

value: 10 {score} (Details: UCUM code {score} = '{score}')

component

code: Apgar color score (LOINC#32401-2 "10 minute Apgar Color"; SNOMED CT#249227004)

value: 2. Good color all over (LOINC#LA6724-4 "Good color all over"; apgarcolor#2)

component

code: Apgar respiratory effort score (LOINC#32402-0 "10 minute Apgar Heart Rate"; SNOMED CT#249223000 "Apgar heart rate score")

value: 2. At least 100 beats per minute (LOINC#LA6718-6 "At least 100 beats per minute"; apgarheartrate#2)

component

code: Apgar response to stimulus score (LOINC#32404-6 "10 minute Apgar Reflex Irritability"; SNOMED CT#249226008)

value: 2. Grimace and pulling away, cough, or sneeze during suctioning (LOINC#LA6721-0 "Grimace and pulling away, cough, or sneeze during suctioning"; apgarreflexirritability#2)

component

code: Apgar muscle tone score (LOINC#32403-8 "10 minute Apgar Muscle Tone"; SNOMED CT#249225007)

value: 2. Active motion (LOINC#LA6715-2 "Active motion "; apgarmuscletone#2)

component

code: Apgar respiratory effort score (LOINC#32405-3 "10 minute Apgar Respiratory effort"; SNOMED CT#249224006)

value: 2. Good, strong cry; normal rate and effort of breathing (LOINC#LA6727-7 "Good, strong cry; normal rate and effort of breathing "; apgarrespiratoryeffort#2)


 

 

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.