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Example Observation/2minute-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 "2minute-apgar-score"

status: final

category: Survey (Observation Category Codes#survey)

code: 2 minute Apgar Score (LOINC#9273-4)

subject:

Peter James Chalmers male, DoB: 2016-05-18 ( http://acmehealthcare/org/mrns/12345)


Active:true

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

performer: Practitioner/example "Adam CAREFUL"

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

component

code: Apgar color score (SNOMED CT#249227004)

value: 1. Good color in body with bluish hands or feet (LOINC#LA6723-6 "Good color in body with bluish hands or feet"; apgarcolor#1)

component

code: Apgar respiratory effort score (SNOMED CT#249223000 "Apgar heart rate score")

value: 1. Fewer than 100 beats per minute (LOINC#LA6717-8 "Fewer than 100 beats per minute"; apgarheartrate#1)

component

code: Apgar response to stimulus score (SNOMED CT#249226008)

value: 1. Grimace during suctioning (LOINC#LA6721-0 "Grimace and pulling away, cough, or sneeze during suctioning"; apgarreflexirritability#1)

component

code: Apgar muscle tone score (SNOMED CT#249225007)

value: 1. Some flexion of arms and legs (LOINC#LA6714-5 "Some flexion of arms and legs"; apgarmuscletone#1)

component

code: Apgar respiratory effort score (SNOMED CT#249224006)

value: 1. Weak cry; may sound like whimpering, slow or irregular breathing (LOINC#LA6726-9 "Weak cry; may sound like whimpering, slow or irregular breathing"; apgarrespiratoryeffort#1)


Generated Narrative: Patient #newborn

identifier: http://acmehealthcare/org/mrns/12345

active: true

name: Peter James Chalmers

gender: male

birthDate: 2016-05-18


 

 

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.