<Observation xmlns="http://hl7.org/fhir"><id value="20minute-apgar-score"/><contained><Patient><id value="newborn"/><identifier><system value="http://acmehealthcare/org/mrns"/><value value="12345"/></identifier><active value="true"/><name><family value="Chalmers"/><given value="Peter"/><given value="James"/></name><gender value="male"/><birthDate value="2016-05-18"><extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime"><valueDateTime value="2016-05-18T10:28:45Z"/></extension></birthDate></Patient></contained><status value="final"/><category><coding><system value="http://terminology.hl7.org/CodeSystem/observation-category"/><code value="survey"/><display value="Survey"/></coding><text value="Survey"/></category><code><coding><system value="http://snomed.info/sct"/><code value="443849008"/><display value="Apgar score at 20 minutes"/></coding><text value="20 minute Apgar Score"/></code><subject><reference value="#newborn"/></subject><effectiveDateTime value="2016-05-18T22:33:22Z"/><performer><reference value="Practitioner/example"/></performer><valueQuantity><value value="10"/><system value="http://unitsofmeasure.org"/><code value="{score}"/></valueQuantity><component><code><coding><system value="http://snomed.info/sct"/><code value="249227004"/><display value="Apgar color score"/></coding><text value="Apgar color score"/></code><valueCodeableConcept><coding><extension url="http://hl7.org/fhir/StructureDefinition/itemWeight"><valueDecimal value="2"/></extension><system value="http://loinc.org"/><code value="LA6724-4"/><display value="Good color all over"/></coding><coding><system value="http://acme.ped/apgarcolor"/><code value="2"/></coding><text value="2. Good color all over"/></valueCodeableConcept></component><component><code><coding><system value="http://snomed.info/sct"/><code value="249223000"/><display value="Apgar heart rate score"/></coding><text value="Apgar heart rate score"/></code><valueCodeableConcept><coding><extension url="http://hl7.org/fhir/StructureDefinition/itemWeight"><valueDecimal value="2"/></extension><system value="http://loinc.org"/><code value="LA6718-6"/><display value="At least 100 beats per minute"/></coding><coding><system value="http://acme.ped/apgarheartrate"/><code value="2"/></coding><text value="2. At least 100 beats per minute"/></valueCodeableConcept></component><component><code><coding><system value="http://snomed.info/sct"/><code value="249226008"/><display value="Apgar response to stimulus score"/></coding><text value="Apgar response to stimulus score"/></code><valueCodeableConcept><coding><extension url="http://hl7.org/fhir/StructureDefinition/itemWeight"><valueDecimal value="2"/></extension><system value="http://loinc.org"/><code value="LA6721-0"/><display value="Grimace and pulling away, cough, or sneeze during suctioning"/></coding><coding><system value="http://acme.ped/apgarreflexirritability"/><code value="2"/></coding><text value="2. Grimace and pulling away, cough, or sneeze during suctioning"/></valueCodeableConcept></component><component><code><coding><system value="http://snomed.info/sct"/><code value="249225007"/><display value="Apgar muscle tone score"/></coding><text value="Apgar muscle tone score"/></code><valueCodeableConcept><coding><extension url="http://hl7.org/fhir/StructureDefinition/itemWeight"><valueDecimal value="2"/></extension><system value="http://loinc.org"/><code value="LA6715-2"/><display value="Active motion"/></coding><coding><system value="http://acme.ped/apgarmuscletone"/><code value="2"/></coding><text value="2. Active motion"/></valueCodeableConcept></component><component><code><coding><system value="http://snomed.info/sct"/><code value="249224006"/><display value="Apgar respiratory effort score"/></coding><text value="Apgar respiratory effort score"/></code><valueCodeableConcept><coding><extension url="http://hl7.org/fhir/StructureDefinition/itemWeight"><valueDecimal value="2"/></extension><system value="http://loinc.org"/><code value="LA6727-7"/><display value="Good, strong cry; normal rate and effort of breathing"/></coding><coding><system value="http://acme.ped/apgarrespiratoryeffort"/><code value="2"/></coding><text value="2. Good, strong cry; normal rate and effort of breathing"/></valueCodeableConcept></component></Observation>