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| Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Group, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
Example of a 1 minute Apgar score with individual score as components
{
"resourceType" : "Observation",
"id" : "1minute-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" : "9272-6",
"display" : "1 minute Apgar Score"
},
{
"system" : "http://snomed.info/sct",
"code" : "169895004",
"display" : "Apgar at 1 minute"
}],
"text" : "1 minute Apgar Score"
},
"subject" : {
"reference" : "#newborn"
},
"effectiveDateTime" : "2016-05-18T22:33:22Z",
"performer" : [{
"reference" : "Practitioner/example"
}],
"valueQuantity" : {
"value" : 0,
"system" : "http://unitsofmeasure.org",
"code" : "{score}"
},
"component" : [{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "32406-1",
"display" : "1 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" : 0
}],
"system" : "http://loinc.org",
"code" : "LA6722-8",
"display" : "The baby's whole body is completely bluish-gray or pale"
},
{
"system" : "http://acme.ped/apgarcolor",
"code" : "0"
}],
"text" : "0. The baby's whole body is completely bluish-gray or pale"
}
},
{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "32407-9",
"display" : "1 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" : 0
}],
"system" : "http://loinc.org",
"code" : "LA6716-0",
"display" : "No heart rate"
},
{
"system" : "http://acme.ped/apgarheartrate",
"code" : "0"
}],
"text" : "0. No heart rate"
}
},
{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "32409-5",
"display" : "1 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" : 0
}],
"system" : "http://loinc.org",
"code" : "LA6719-4",
"display" : "No response to airways being suctioned"
},
{
"system" : "http://acme.ped/apgarreflexirritability",
"code" : "0"
}],
"text" : "0. No response to airways being suctioned"
}
},
{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "32408-7",
"display" : "1 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" : 0
}],
"system" : "http://loinc.org",
"code" : "LA6713-7",
"display" : "Limp; no movement"
},
{
"system" : "http://acme.ped/apgarmuscletone",
"code" : "0"
}],
"text" : "0. Limp; no movement"
}
},
{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "32410-3",
"display" : "1 minute Apgar Respiratory effort"
},
{
"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" : 0
}],
"system" : "http://loinc.org",
"code" : "LA6725-1",
"display" : "Not breathing"
},
{
"system" : "http://acme.ped/apgarrespiratoryeffort",
"code" : "0"
}],
"text" : "0. Not 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-ballot3 generated on Thu, Oct 23, 2025 19:46+0000.
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