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 - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="apgarscore-02"/>
  <meta>
    <profile
             value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-apgarscore-1"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <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="9274-2"/>
      <display value="5 minute Apgar Score"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="169909004"/>
      <display value="Apgar at 5 minutes"/>
    </coding>
    <text value="5 minute Apgar Score"/>
  </code>
  <subject>
    <display value="newborn"/>
  </subject>
  <effectiveDateTime value="2022-02-01T22:05:00Z"/>
  <performer>
    <display value="Practitioner/example"/>
  </performer>
  <valueQuantity>
    <value value="10"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="{score}"/>
  </valueQuantity>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="32411-1"/>
        <display value="5 minute Apgar Color"/>
      </coding>
      <!-- <display value="Apgar color score"/> -->
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="249227004"/>
      </coding>
      <text value="Apgar color score"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <!--    this  extension  maps a numeric score to the code this may already be known and unecessary
            -->
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <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://loinc.org"/>
        <code value="32412-9"/>
        <display value="5 minute Apgar Heart Rate"/>
      </coding>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="249223000"/>
        <display value="Apgar heart rate score"/>
      </coding>
      <text value="Apgar respiratory effort score"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <!--    this  extension  maps a numeric score to the code this may already be known and unecessary
            -->
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <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://loinc.org"/>
        <code value="32414-5"/>
        <display value="5 minute Apgar Reflex Irritability"/>
      </coding>
      <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>
        <!--    this  extension  maps a numeric score to the code this may already be known and unecessary
            -->
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <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://loinc.org"/>
        <code value="32413-7"/>
        <display value="5 minute Apgar Muscle Tone"/>
      </coding>
      <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>
        <!--    this  extension  maps a numeric score to the code this may already be known and unecessary
            -->
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <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://loinc.org"/>
        <code value="32415-2"/>
        <display value="5 minute Apgar Respiratory effort"/>
      </coding>
      <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>
        <!--    this  extension  maps a numeric score to the code this may already be known and unecessary
            -->
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <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>