{
  "resourceType": "Observation",
  "id": "5minute-apgar-score",
  "contained": [
    {
      "resourceType": "Patient",
      "id": "newborn",
      "identifier": [
        {
          "system": "http://acmehealthcare/org/mrns",
          "value": "12345"
        }
      ],
      "active": true,
      "name": [
        {
          "family": "Chalmers",
          "given": [
            "Peter",
            "James"
          ]
        }
      ],
      "gender": "male",
      "birthDate": "2016-05-18",
      "_birthDate": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
            "valueDateTime": "2016-05-18T10:28:45Z"
          }
        ]
      }
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "survey",
          "display": "Survey"
        }
      ],
      "text": "Survey"
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "9274-2",
        "display": "5 minute Apgar Score"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "169909004",
        "display": "Apgar at 5 minutes"
      }
    ],
    "text": "5 minute Apgar Score"
  },
  "subject": {
    "reference": "#newborn"
  },
  "effectiveDateTime": "2016-05-18T22:33:22Z",
  "performer": [
    {
      "reference": "Practitioner/example"
    }
  ],
  "valueQuantity": {
    "value": 10,
    "system": "http://unitsofmeasure.org",
    "code": "{score}"
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "32411-1",
            "display": "5 minute Apgar Color"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "249227004",
            "display": "Apgar color score"
          }
        ],
        "text": "Apgar color score"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
                "valueDecimal": 2
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6724-4",
            "display": "Good color all over"
          },
          {
            "system": "http://acme.ped/apgarcolor",
            "code": "2"
          }
        ],
        "text": "2. Good color all over"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "32412-9",
            "display": "5 minute Apgar Heart Rate"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "249223000",
            "display": "Apgar heart rate score"
          }
        ],
        "text": "Apgar heart rate score"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
                "valueDecimal": 2
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6718-6",
            "display": "At least 100 beats per minute"
          },
          {
            "system": "http://acme.ped/apgarheartrate",
            "code": "2"
          }
        ],
        "text": "2. At least 100 beats per minute"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "32414-5",
            "display": "5 minute Apgar Reflex Irritability"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "249226008",
            "display": "Apgar response to stimulus score"
          }
        ],
        "text": "Apgar response to stimulus score"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
                "valueDecimal": 2
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6721-0",
            "display": "Grimace and pulling away, cough, or sneeze during suctioning"
          },
          {
            "system": "http://acme.ped/apgarreflexirritability",
            "code": "2"
          }
        ],
        "text": "2. Grimace and pulling away, cough, or sneeze during suctioning"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "32413-7",
            "display": "5 minute Apgar Muscle Tone"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "249225007",
            "display": "Apgar muscle tone score"
          }
        ],
        "text": "Apgar muscle tone score"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
                "valueDecimal": 2
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6715-2",
            "display": "Active motion"
          },
          {
            "system": "http://acme.ped/apgarmuscletone",
            "code": "2"
          }
        ],
        "text": "2. Active motion"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "249224006",
            "display": "Apgar respiratory effort score"
          }
        ],
        "text": "Apgar respiratory effort score"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
                "valueDecimal": 2
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6727-7",
            "display": "Good, strong cry; normal rate and effort of breathing"
          },
          {
            "system": "http://acme.ped/apgarrespiratoryeffort",
            "code": "2"
          }
        ],
        "text": "2. Good, strong cry; normal rate and effort of breathing"
      }
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}