Current Build

Observation-example-2minute-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: 2minute-apgar-score

contained:

status: final

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

code: 2 minute Apgar Score (Details : {LOINC code '9273-4' = '2 minute Apgar Score', given as '2 minute Apgar Score'})

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: 5 {score} (Details: UCUM code {score} = '{score}')

component

code: Apgar color score (Details : {SNOMED CT code '249227004' = 'Apgar color score', given as 'Apgar color score'})

value: 1. Good color in body with bluish hands or feet (Details : {LOINC code 'LA6723-6' = 'Good color in body with bluish hands or feet', given as 'Good color in body with bluish hands or feet'}; {http://acme.ped/apgarcolor code '1' = '1)

component

code: Apgar respiratory effort score (Details : {SNOMED CT code '249223000' = 'Apgar heart rate score', given as 'Apgar heart rate score'})

value: 1. Fewer than 100 beats per minute (Details : {LOINC code 'LA6720-2' = 'Grimace during suctioning', given as 'Fewer than 100 beats per minute'}; {http://acme.ped/apgarheartrate code '1' = '1)

component

code: Apgar response to stimulus score (Details : {SNOMED CT code '249226008' = 'Apgar response to stimulus score', given as 'Apgar response to stimulus score'})

value: 1. Grimace during suctioning (Details : {LOINC code 'LA6721-0' = 'Grimace and pulling away, cough, or sneeze during suctioning', given as 'Grimace during suctioning'}; {http://acme.ped/apgarreflexirritability code '1' = '1)

component

code: Apgar muscle tone score (Details : {SNOMED CT code '249225007' = 'Apgar muscle tone score', given as 'Apgar muscle tone score'})

value: 1. Some flexion of arms and legs (Details : {LOINC code 'LA6714-5' = 'Some flexion of arms and legs', given as 'Some flexion of arms and legs'}; {http://acme.ped/apgarmuscletone code '1' = '1)

component

code: Apgar respiratory effort score (Details : {SNOMED CT code '249224006' = 'Apgar respiratory effort score', given as 'Apgar respiratory effort score'})

value: 1. Weak cry; may sound like whimpering, slow or irregular breathing (Details : {LOINC code 'LA6726-9' = 'Weak cry; may sound like whimpering, slow or irregular breathing', given as 'Weak cry; may sound like whimpering, slow or irregular breathing'}; {http://acme.ped/apgarrespiratoryeffort code '1' = '1)


 

 

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.