<Observation xmlns="http://hl7.org/fhir"><id value="2minute-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://loinc.org"/><code value="9273-4"/><display value="2 minute Apgar Score"/></coding><text value="2 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="5"/><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="1"/></extension><system value="http://loinc.org"/><code value="LA6723-6"/><display value="Good color in body with bluish hands or feet"/></coding><coding><system value="http://acme.ped/apgarcolor"/><code value="1"/></coding><text value="1. Good color in body with bluish hands or feet"/></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="1"/></extension><system value="http://loinc.org"/><code value="LA6717-8"/><display value="Fewer than 100 beats per minute"/></coding><coding><system value="http://acme.ped/apgarheartrate"/><code value="1"/></coding><text value="1. Fewer than 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="1"/></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="1"/></coding><text value="1. Grimace 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="1"/></extension><system value="http://loinc.org"/><code value="LA6714-5"/><display value="Some flexion of arms and legs"/></coding><coding><system value="http://acme.ped/apgarmuscletone"/><code value="1"/></coding><text value="1. Some flexion of arms and legs"/></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="1"/></extension><system value="http://loinc.org"/><code value="LA6726-9"/><display value="Weak cry; may sound like whimpering, slow or irregular breathing"/></coding><coding><system value="http://acme.ped/apgarrespiratoryeffort"/><code value="1"/></coding><text value="1. Weak cry; may sound like whimpering, slow or irregular breathing"/></valueCodeableConcept></component></Observation>