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Example Observation/5minute-apgar-score (Turtle)

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 5 minute Apgar score with individual score as components

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://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 -------------------------------------------------------------------

[a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "5minute-apgar-score"] ; # 
  fhir:contained ( [
     a fhir:Patient ;
     fhir:id [ fhir:v "newborn" ] ;
     fhir:identifier ( [
       fhir:system [ fhir:v "http://acmehealthcare/org/mrns"^^xsd:anyURI ] ;
       fhir:value [ fhir:v "12345" ]
     ] ) ; #     MRN assigned by ACME healthcare on    
     fhir:active [ fhir:v "true"^^xsd:boolean ] ;
     fhir:name ( [
       fhir:family [ fhir:v "Chalmers" ] ;
       fhir:given ( [ fhir:v "Peter" ] [ fhir:v "James" ] )
     ] ) ; #     Peter James Chalmers    
     fhir:gender [ fhir:v "male" ] ; #     use FHIR code system for male \/ female    
     fhir:birthDate [
       fhir:v "2016-05-18"^^xsd:date ;
       fhir:extension ( [
         fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/patient-birthTime"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "2016-05-18T10:28:45Z"^^xsd:dateTime ]
       ] )
     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "survey" ] ;
       fhir:display [ fhir:v "Survey" ]
     ] ) ;
     fhir:text [ fhir:v "Survey" ]
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       a loinc:9274-2 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "9274-2" ] ;
       fhir:display [ fhir:v "5 minute Apgar Score" ]
     ] [
       a sct:169909004 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "169909004" ] ;
       fhir:display [ fhir:v "Apgar at 5 minutes" ]
     ] ) ;
     fhir:text [ fhir:v "5 minute Apgar Score" ]
  ] ; # 
  fhir:subject [
     fhir:reference [ fhir:v "#newborn" ]
  ] ; # 
  fhir:effective [ fhir:v "2016-05-18T22:33:22Z"^^xsd:dateTime] ; # 
  fhir:performer ( [
     fhir:reference [ fhir:v "Practitioner/example" ]
  ] ) ; # 
  fhir:value [
     a fhir:Quantity ;
     fhir:value [ fhir:v "10"^^xsd:decimal ] ;
     fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
     fhir:code [ fhir:v "{score}" ]
  ] ; # 
  fhir:component ( [
     fhir:code [
       fhir:coding ( [
         a loinc:32411-1 ;
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "32411-1" ] ;
         fhir:display [ fhir:v "5 minute Apgar Color" ]
       ] [
         a sct:249227004 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "249227004" ] ;
         fhir:display [ fhir:v "Apgar color score" ]
       ] ) ;
       fhir:text [ fhir:v "Apgar color score" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a loinc:LA6724-4 ;
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ] ;
           fhir:value [ fhir:v "2"^^xsd:decimal ]
         ] ) ; #  this  extension  maps a numeric score to the code this may already be known and unecessary 
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "LA6724-4" ] ;
         fhir:display [ fhir:v "Good color all over" ]
       ] [
         fhir:system [ fhir:v "http://acme.ped/apgarcolor"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "2" ]
       ] ) ;
       fhir:text [ fhir:v "2. Good color all over" ]
     ]
  ] [
     fhir:code [
       fhir:coding ( [
         a loinc:32412-9 ;
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "32412-9" ] ;
         fhir:display [ fhir:v "5 minute Apgar Heart Rate" ]
       ] [
         a sct:249223000 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "249223000" ] ;
         fhir:display [ fhir:v "Apgar heart rate score" ]
       ] ) ;
       fhir:text [ fhir:v "Apgar respiratory effort score" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a loinc:LA6718-6 ;
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ] ;
           fhir:value [ fhir:v "2"^^xsd:decimal ]
         ] ) ; #  this  extension  maps a numeric score to the code this may already be known and unecessary 
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "LA6718-6" ] ;
         fhir:display [ fhir:v "At least 100 beats per minute" ]
       ] [
         fhir:system [ fhir:v "http://acme.ped/apgarheartrate"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "2" ]
       ] ) ;
       fhir:text [ fhir:v "2. At least 100 beats per minute" ]
     ]
  ] [
     fhir:code [
       fhir:coding ( [
         a loinc:32414-5 ;
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "32414-5" ] ;
         fhir:display [ fhir:v "5 minute Apgar Reflex Irritability" ]
       ] [
         a sct:249226008 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "249226008" ] ;
         fhir:display [ fhir:v "Apgar response to stimulus score" ]
       ] ) ;
       fhir:text [ fhir:v "Apgar response to stimulus score" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a loinc:LA6721-0 ;
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ] ;
           fhir:value [ fhir:v "2"^^xsd:decimal ]
         ] ) ; #  this  extension  maps a numeric score to the code this may already be known and unecessary 
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "LA6721-0" ] ;
         fhir:display [ fhir:v "Grimace and pulling away, cough, or sneeze during suctioning" ]
       ] [
         fhir:system [ fhir:v "http://acme.ped/apgarreflexirritability"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "2" ]
       ] ) ;
       fhir:text [ fhir:v "2. Grimace and pulling away, cough, or sneeze during suctioning" ]
     ]
  ] [
     fhir:code [
       fhir:coding ( [
         a loinc:32413-7 ;
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "32413-7" ] ;
         fhir:display [ fhir:v "5 minute Apgar Muscle Tone" ]
       ] [
         a sct:249225007 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "249225007" ] ;
         fhir:display [ fhir:v "Apgar muscle tone score" ]
       ] ) ;
       fhir:text [ fhir:v "Apgar muscle tone score" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a loinc:LA6715-2 ;
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ] ;
           fhir:value [ fhir:v "2"^^xsd:decimal ]
         ] ) ; #  this  extension  maps a numeric score to the code this may already be known and unecessary 
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "LA6715-2" ] ;
         fhir:display [ fhir:v "Active motion" ]
       ] [
         fhir:system [ fhir:v "http://acme.ped/apgarmuscletone"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "2" ]
       ] ) ;
       fhir:text [ fhir:v "2. Active motion" ]
     ]
  ] [
     fhir:code [
       fhir:coding ( [
         a loinc:32415-2 ;
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "32415-2" ] ;
         fhir:display [ fhir:v "5 minute Apgar Respiratory effort" ]
       ] [
         a sct:249224006 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "249224006" ] ;
         fhir:display [ fhir:v "Apgar respiratory effort score" ]
       ] ) ;
       fhir:text [ fhir:v "Apgar respiratory effort score" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a loinc:LA6727-7 ;
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ] ;
           fhir:value [ fhir:v "2"^^xsd:decimal ]
         ] ) ; #  this  extension  maps a numeric score to the code this may already be known and unecessary 
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "LA6727-7" ] ;
         fhir:display [ fhir:v "Good, strong cry; normal rate and effort of breathing" ]
       ] [
         fhir:system [ fhir:v "http://acme.ped/apgarrespiratoryeffort"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "2" ]
       ] ) ;
       fhir:text [ fhir:v "2. Good, strong cry; normal rate and effort of breathing" ]
     ]
  ] )] . # 

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


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.