Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Observation",
"id" : "apgarscore-02",
"meta" : {
"profile" : [
🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-apgarscore-1"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation apgarscore-02</b></p><a name=\"apgarscore-02\"> </a><a name=\"hcapgarscore-02\"> </a><a name=\"apgarscore-02-en-AU\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 9274-2}, {http://snomed.info/sct 169909004}\">5 minute Apgar Score</span></p><p><b>subject</b>: newborn</p><p><b>effective</b>: 2022-02-01 22:05:00+0000</p><p><b>performer</b>: Practitioner/example</p><p><b>value</b>: 10 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code{score} = '{score}')</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32411-1}, {http://snomed.info/sct 249227004}\">Apgar color score</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6724-4}, {http://acme.ped/apgarcolor 2}\">2. Good color all over</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32412-9}, {http://snomed.info/sct 249223000}\">Apgar respiratory effort score</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6718-6}, {http://acme.ped/apgarheartrate 2}\">2. At least 100 beats per minute</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32414-5}, {http://snomed.info/sct 249226008}\">Apgar response to stimulus score</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6721-0}, {http://acme.ped/apgarreflexirritability 2}\">2. Grimace and pulling away, cough, or sneeze during suctioning</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32413-7}, {http://snomed.info/sct 249225007}\">Apgar muscle tone score</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6715-2}, {http://acme.ped/apgarmuscletone 2}\">2. Active motion</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32415-2}, {http://snomed.info/sct 249224006}\">Apgar respiratory effort score</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6727-7}, {http://acme.ped/apgarrespiratoryeffort 2}\">2. Good, strong cry; normal rate and effort of breathing</span></p></blockquote></div>"
},
"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" : "9274-2",
"display" : "5 minute Apgar Score"
},
{
"system" : "http://snomed.info/sct",
"code" : "169909004",
"display" : "Apgar at 5 minutes"
}
],
"text" : "5 minute Apgar Score"
},
"subject" : {
"display" : "newborn"
},
"effectiveDateTime" : "2022-02-01T22:05:00Z",
"performer" : [
{
"display" : "Practitioner/example"
}
],
"valueQuantity" : {
"value" : 10,
"system" : "http://unitsofmeasure.org",
"code" : "{score}"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "32411-1",
"display" : "5 minute Apgar Color"
},
{
"system" : "http://snomed.info/sct",
"code" : "249227004"
}
],
"text" : "Apgar color score"
},
"valueCodeableConcept" : // <display value="Apgar color score"/>
{
"coding" : [
{
"extension" : [
// this extension maps a numeric score to the code this may already be known and unecessary
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6724-4",
"display" : "Good color all over"
},
{
"system" : "http://acme.ped/apgarcolor",
"code" : "2"
}
],
"text" : "2. Good color all over"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "32412-9",
"display" : "5 minute Apgar Heart Rate"
},
{
"system" : "http://snomed.info/sct",
"code" : "249223000",
"display" : "Apgar heart rate score"
}
],
"text" : "Apgar respiratory effort score"
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
// this extension maps a numeric score to the code this may already be known and unecessary
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6718-6",
"display" : "At least 100 beats per minute"
},
{
"system" : "http://acme.ped/apgarheartrate",
"code" : "2"
}
],
"text" : "2. At least 100 beats per minute"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "32414-5",
"display" : "5 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" : [
// this extension maps a numeric score to the code this may already be known and unecessary
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6721-0",
"display" : "Grimace and pulling away, cough, or sneeze during suctioning"
},
{
"system" : "http://acme.ped/apgarreflexirritability",
"code" : "2"
}
],
"text" : "2. Grimace and pulling away, cough, or sneeze during suctioning"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "32413-7",
"display" : "5 minute Apgar Muscle Tone"
},
{
"system" : "http://snomed.info/sct",
"code" : "249225007",
"display" : "Apgar muscle tone score"
}
],
"text" : "Apgar muscle tone score"
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
// this extension maps a numeric score to the code this may already be known and unecessary
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6715-2",
"display" : "Active motion"
},
{
"system" : "http://acme.ped/apgarmuscletone",
"code" : "2"
}
],
"text" : "2. Active motion"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "32415-2",
"display" : "5 minute Apgar Respiratory effort"
},
{
"system" : "http://snomed.info/sct",
"code" : "249224006",
"display" : "Apgar respiratory effort score"
}
],
"text" : "Apgar respiratory effort score"
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
// this extension maps a numeric score to the code this may already be known and unecessary
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6727-7",
"display" : "Good, strong cry; normal rate and effort of breathing"
},
{
"system" : "http://acme.ped/apgarrespiratoryeffort",
"code" : "2"
}
],
"text" : "2. Good, strong cry; normal rate and effort of breathing"
}
}
]
}