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Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
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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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Tue, Nov 12, 2024 03:29+0000.
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