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Observation-example-1minute-apgar-score

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 with Details

id: 1minute-apgar-score

contained:

status: final

category: Survey (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'survey' = 'Survey', given as 'Survey'})

code: 1 minute Apgar Score (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'})

subject: id: newborn; 12345; active; Peter James Chalmers ; gender: male; birthDate: May 18, 2016

effective: May 18, 2016 10:33:22 PM

performer: Practitioner/example

value: 0 {score} (Details: UCUM code {score} = '{score}')

component

code: Apgar color score (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'})

value: 0. The baby's whole body is completely bluish-gray or pale (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)

component

code: Apgar respiratory effort score (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'})

value: 0. No heart rate (Details : {LOINC code 'LA6716-0' = 'No heart rate', given as 'No heart rate'}; {http://acme.ped/apgarheartrate code '0' = '0)

component

code: Apgar response to stimulus score (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'})

value: 0. No response to airways being suctioned (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)

component

code: Apgar muscle tone score (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'})

value: 0. Limp; no movement (Details : {LOINC code 'LA6713-7' = 'Limp; no movement', given as 'Limp; no movement'}; {http://acme.ped/apgarmuscletone code '0' = '0)

component

code: Apgar respiratory effort score (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'})

value: 0. Not breathing (Details : {LOINC code 'LA6725-1' = 'Not breathing', given as 'Not breathing'}; {http://acme.ped/apgarrespiratoryeffort code '0' = '0)


 

 

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.