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Example Observation/10minute-apgar-score (Turtle)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw Turtle (+ also see Turtle/RDF Format Specification)

Example of a 10 minute Apgar score with individual score as components

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

[a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "10minute-apgar-score"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"10minute-apgar-score\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;10minute-apgar-score&quot; </p></div><p><b>status</b>: final</p><p><b>category</b>: Survey <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#survey)</span></p><p><b>code</b>: 10 minute Apgar Score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9271-8; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#169922007 &quot;Apgar at 10 minutes&quot;)</span></p><p><b>subject</b>: <a name=\"newborn\"> </a></p><blockquote><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Peter James Chalmers </b> male, DoB: 2016-05-18 ( id: 12345)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr></table></blockquote><p><b>effective</b>: 2016-05-18T22:33:22Z</p><p><b>performer</b>: <a href=\"practitioner-example.html\">Practitioner/example</a> &quot;Adam CAREFUL&quot;</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>: Apgar color score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#32401-2 &quot;10 minute Apgar Color&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249227004)</span></p><p><b>value</b>: 2. Good color all over <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6724-4 &quot;Good color all over&quot;; apgarcolor#2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#32402-0 &quot;10 minute Apgar Heart Rate&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249223000 &quot;Apgar heart rate score&quot;)</span></p><p><b>value</b>: 2. At least 100 beats per minute <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6718-6 &quot;At least 100 beats per minute&quot;; apgarheartrate#2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar response to stimulus score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#32404-6 &quot;10 minute Apgar Reflex Irritability&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249226008)</span></p><p><b>value</b>: 2. Grimace and pulling away, cough, or sneeze during suctioning <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6721-0 &quot;Grimace and pulling away, cough, or sneeze during suctioning&quot;; apgarreflexirritability#2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar muscle tone score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#32403-8 &quot;10 minute Apgar Muscle Tone&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249225007)</span></p><p><b>value</b>: 2. Active motion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6715-2 &quot;Active motion&quot;; apgarmuscletone#2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#32405-3 &quot;10 minute Apgar Respiratory effort&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249224006)</span></p><p><b>value</b>: 2. Good, strong cry; normal rate and effort of breathing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6727-7 &quot;Good, strong cry; normal rate and effort of breathing&quot;; apgarrespiratoryeffort#2)</span></p></blockquote></div>"
  ] ; #   	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" ]
     ]
  ] )] . # 

# -------------------------------------------------------------------------------------


Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.