Australian Digital Health Agency FHIR Implementation Guide
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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

: Apgar score, 5 minutes - JSON Representation

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{
  "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"
      }
    }
  ]
}