Generated Narrative: Observation
Resource Observation "10minute-apgar-score"
status: final
category: Survey (Observation Category Codes#survey)
code: 10 minute Apgar Score (LOINC#9271-8; SNOMED CT#169922007 "Apgar at 10 minutes")
subject:
Peter James Chalmers male, DoB: 2016-05-18 ( http://acmehealthcare/org/mrns
/12345)
effective: 2016-05-18T22:33:22Z
performer: Practitioner/example "Adam CAREFUL"
value: 10 {score} (Details: UCUM code {score} = '{score}')
component
code: Apgar color score (LOINC#32401-2 "10 minute Apgar Color"; SNOMED CT#249227004)
value: 2. Good color all over (LOINC#LA6724-4 "Good color all over"; apgarcolor#2)
component
code: Apgar respiratory effort score (LOINC#32402-0 "10 minute Apgar Heart Rate"; SNOMED CT#249223000 "Apgar heart rate score")
value: 2. At least 100 beats per minute (LOINC#LA6718-6 "At least 100 beats per minute"; apgarheartrate#2)
component
code: Apgar response to stimulus score (LOINC#32404-6 "10 minute Apgar Reflex Irritability"; SNOMED CT#249226008)
value: 2. Grimace and pulling away, cough, or sneeze during suctioning (LOINC#LA6721-0 "Grimace and pulling away, cough, or sneeze during suctioning"; apgarreflexirritability#2)
component
code: Apgar muscle tone score (LOINC#32403-8 "10 minute Apgar Muscle Tone"; SNOMED CT#249225007)
value: 2. Active motion (LOINC#LA6715-2 "Active motion"; apgarmuscletone#2)
component
code: Apgar respiratory effort score (LOINC#32405-3 "10 minute Apgar Respiratory effort"; SNOMED CT#249224006)
value: 2. Good, strong cry; normal rate and effort of breathing (LOINC#LA6727-7 "Good, strong cry; normal rate and effort of breathing"; apgarrespiratoryeffort#2)
Generated Narrative: Patient #newborn
identifier: http://acmehealthcare/org/mrns
/12345
active: true
name: Peter James Chalmers
gender: male
birthDate: 2016-05-18
"
] ; # Using a contained patient for the purposes of this example Observation. Typically the reference would be to an external resource
fhir:contained ( [
a fhir:Patient ;
fhir:id [ fhir:v "newborn" ] ;
fhir:identifier ( [
fhir:system [ fhir:v "http://acmehealthcare/org/mrns"^^xsd:anyURI ] ;
fhir:value [ fhir:v "12345" ]
] ) ; # MRN assigned by ACME healthcare on
fhir:active [ fhir:v "true"^^xsd:boolean ] ;
fhir:name ( [
fhir:family [ fhir:v "Chalmers" ] ;
fhir:given ( [ fhir:v "Peter" ] [ fhir:v "James" ] )
] ) ; # Peter James Chalmers
fhir:gender [ fhir:v "male" ] ; # use FHIR code system for male \/ female
fhir:birthDate [
fhir:v "2016-05-18"^^xsd:date ;
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/patient-birthTime"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2016-05-18T10:28:45Z"^^xsd:dateTime ]
] )
]
] ) ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "survey" ] ;
fhir:display [ fhir:v "Survey" ]
] ) ;
fhir:text [ fhir:v "Survey" ]
] ) ; #
fhir:code [
fhir:coding ( [
a loinc:9271-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "9271-8" ] ;
fhir:display [ fhir:v "10 minute Apgar Score" ]
] [
a sct:169922007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "169922007" ] ;
fhir:display [ fhir:v "Apgar at 10 minutes" ]
] ) ;
fhir:text [ fhir:v "10 minute Apgar Score" ]
] ; #
fhir:subject [
fhir:reference [ fhir:v "#newborn" ]
] ; #
fhir:effective [ fhir:v "2016-05-18T22:33:22Z"^^xsd:dateTime] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/example" ]
] ) ; #
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "10"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "{score}" ]
] ; #
fhir:component ( [
fhir:code [
fhir:coding ( [
a loinc:32401-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "32401-2" ] ;
fhir:display [ fhir:v "10 minute Apgar Color" ]
] [
a sct:249227004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "249227004" ] ;
fhir:display [ fhir:v "Apgar color score" ]
] ) ;
fhir:text [ fhir:v "Apgar color score" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a loinc:LA6724-4 ;
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2"^^xsd:decimal ]
] ) ; # this extension maps a numeric score to the code this may already be known and unecessary
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6724-4" ] ;
fhir:display [ fhir:v "Good color all over" ]
] [
fhir:system [ fhir:v "http://acme.ped/apgarcolor"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2" ]
] ) ;
fhir:text [ fhir:v "2. Good color all over" ]
]
] [
fhir:code [
fhir:coding ( [
a loinc:32402-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "32402-0" ] ;
fhir:display [ fhir:v "10 minute Apgar Heart Rate" ]
] [
a sct:249223000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "249223000" ] ;
fhir:display [ fhir:v "Apgar heart rate score" ]
] ) ;
fhir:text [ fhir:v "Apgar respiratory effort score" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a loinc:LA6718-6 ;
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2"^^xsd:decimal ]
] ) ; # this extension maps a numeric score to the code this may already be known and unecessary
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6718-6" ] ;
fhir:display [ fhir:v "At least 100 beats per minute" ]
] [
fhir:system [ fhir:v "http://acme.ped/apgarheartrate"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2" ]
] ) ;
fhir:text [ fhir:v "2. At least 100 beats per minute" ]
]
] [
fhir:code [
fhir:coding ( [
a loinc:32404-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "32404-6" ] ;
fhir:display [ fhir:v "10 minute Apgar Reflex Irritability" ]
] [
a sct:249226008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "249226008" ] ;
fhir:display [ fhir:v "Apgar response to stimulus score" ]
] ) ;
fhir:text [ fhir:v "Apgar response to stimulus score" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a loinc:LA6721-0 ;
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2"^^xsd:decimal ]
] ) ; # this extension maps a numeric score to the code this may already be known and unecessary
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6721-0" ] ;
fhir:display [ fhir:v "Grimace and pulling away, cough, or sneeze during suctioning" ]
] [
fhir:system [ fhir:v "http://acme.ped/apgarreflexirritability"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2" ]
] ) ;
fhir:text [ fhir:v "2. Grimace and pulling away, cough, or sneeze during suctioning" ]
]
] [
fhir:code [
fhir:coding ( [
a loinc:32403-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "32403-8" ] ;
fhir:display [ fhir:v "10 minute Apgar Muscle Tone" ]
] [
a sct:249225007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "249225007" ] ;
fhir:display [ fhir:v "Apgar muscle tone score" ]
] ) ;
fhir:text [ fhir:v "Apgar muscle tone score" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a loinc:LA6715-2 ;
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2"^^xsd:decimal ]
] ) ; # this extension maps a numeric score to the code this may already be known and unecessary
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6715-2" ] ;
fhir:display [ fhir:v "Active motion" ]
] [
fhir:system [ fhir:v "http://acme.ped/apgarmuscletone"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2" ]
] ) ;
fhir:text [ fhir:v "2. Active motion" ]
]
] [
fhir:code [
fhir:coding ( [
a loinc:32405-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "32405-3" ] ;
fhir:display [ fhir:v "10 minute Apgar Respiratory effort" ]
] [
a sct:249224006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "249224006" ] ;
fhir:display [ fhir:v "Apgar respiratory effort score" ]
] ) ;
fhir:text [ fhir:v "Apgar respiratory effort score" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a loinc:LA6727-7 ;
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2"^^xsd:decimal ]
] ) ; # this extension maps a numeric score to the code this may already be known and unecessary
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6727-7" ] ;
fhir:display [ fhir:v "Good, strong cry; normal rate and effort of breathing" ]
] [
fhir:system [ fhir:v "http://acme.ped/apgarrespiratoryeffort"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2" ]
] ) ;
fhir:text [ fhir:v "2. Good, strong cry; normal rate and effort of breathing" ]
]
] )] . #
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