Release 5 Preview #3

Observation-example-2minute-apgar-score.ttl

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

Raw Turtle (+ also see Turtle/RDF Format Specification)

Example of a 2 minute Apgar score with individual score as components

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Observation/2minute-apgar-score> a fhir:Observation;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "2minute-apgar-score"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><h3>Ids</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p/><p><b>category</b>: <span>Survey</span></p><p><b>code</b>: <span>2 minute Apgar Score</span></p><p><b>subject</b>: <a> </a></p><blockquote><h3>Ids</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>identifier</b>: id: 12345</p><p><b>active</b>: true</p><p><b>name</b>: Peter James Chalmers </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 2016-05-18</p></blockquote><p><b>effective</b>: May 18, 2016 10:33:22 PM</p><p><b>performer</b>: <a>Generated Summary: id: 23; active; Adam Careful </a></p><p><b>value</b>: 5 {score}</p><blockquote><p><b>component</b></p><p><b>code</b>: <span>Apgar color score</span></p><p><b>value</b>: <span>1. Good color in body with bluish hands or feet</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Apgar respiratory effort score</span></p><p><b>value</b>: <span>1. Fewer than 100 beats per minute</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Apgar response to stimulus score</span></p><p><b>value</b>: <span>1. Grimace during suctioning</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Apgar muscle tone score</span></p><p><b>value</b>: <span>1. Some flexion of arms and legs</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Apgar respiratory effort score</span></p><p><b>value</b>: <span>1. Weak cry; may sound like whimpering, slow or irregular breathing</span></p></blockquote></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Patient;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "newborn" ];
     fhir:Patient.identifier [
       fhir:index 0;
       fhir:Identifier.system [ fhir:value "http://acmehealthcare/org/mrns" ];
       fhir:Identifier.value [ fhir:value "12345" ]
     ];
     fhir:Patient.active [ fhir:value "true"^^xsd:boolean ];
     fhir:Patient.name [
       fhir:index 0;
       fhir:HumanName.family [ fhir:value "Chalmers" ];
       fhir:HumanName.given [
         fhir:value "Peter";
         fhir:index 0
       ], [
         fhir:value "James";
         fhir:index 1
       ]
     ];
     fhir:Patient.gender [ fhir:value "male" ];
     fhir:Patient.birthDate [
       fhir:value "2016-05-18"^^xsd:date;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/patient-birthTime" ];
         fhir:Extension.valueDateTime [ fhir:value "2016-05-18T10:28:45Z"^^xsd:dateTime ]
       ]
     ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "survey" ];
       fhir:Coding.display [ fhir:value "Survey" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Survey" ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:9273-4;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "9273-4" ];
       fhir:Coding.display [ fhir:value "2 minute Apgar Score" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "2 minute Apgar Score" ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "#newborn" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-05-18T22:33:22Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Practitioner/example>;
     fhir:Reference.reference [ fhir:value "Practitioner/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "5"^^xsd:decimal ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "{score}" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:249227004;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249227004" ];
         fhir:Coding.display [ fhir:value "Apgar color score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar color score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA6723-6;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6723-6" ];
         fhir:Coding.display [ fhir:value "Good color in body with bluish hands or feet" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http://acme.ped/apgarcolor" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Good color in body with bluish hands or feet" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:249223000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249223000" ];
         fhir:Coding.display [ fhir:value "Apgar heart rate score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar respiratory effort score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA6720-2;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6720-2" ];
         fhir:Coding.display [ fhir:value "Fewer than 100 beats per minute" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http://acme.ped/apgarheartrate" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Fewer than 100 beats per minute" ]
     ]
  ], [
     fhir:index 2;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:249226008;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249226008" ];
         fhir:Coding.display [ fhir:value "Apgar response to stimulus score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar response to stimulus score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA6721-0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6721-0" ];
         fhir:Coding.display [ fhir:value "Grimace during suctioning" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http://acme.ped/apgarreflexirritability" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Grimace during suctioning" ]
     ]
  ], [
     fhir:index 3;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:249225007;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249225007" ];
         fhir:Coding.display [ fhir:value "Apgar muscle tone score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar muscle tone score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA6714-5;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6714-5" ];
         fhir:Coding.display [ fhir:value "Some flexion of arms and legs" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http://acme.ped/apgarmuscletone" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Some flexion of arms and legs" ]
     ]
  ], [
     fhir:index 4;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:249224006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249224006" ];
         fhir:Coding.display [ fhir:value "Apgar respiratory effort score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar respiratory effort score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA6726-9;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6726-9" ];
         fhir:Coding.display [ fhir:value "Weak cry; may sound like whimpering, slow or irregular breathing" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http://acme.ped/apgarrespiratoryeffort" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Weak cry; may sound like whimpering, slow or irregular breathing" ]
     ]
  ] .

<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Observation/2minute-apgar-score.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Observation/2minute-apgar-score.ttl> .

# -------------------------------------------------------------------------------------


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.