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Example Observation/1minute-apgar-score (Narrative)

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

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile Observation.


Generated Narrative: Observation

Resource Observation "1minute-apgar-score"

status: final

category: Survey (Observation Category Codes#survey)

code: 1 minute Apgar Score (LOINC#9272-6; SNOMED CT#169895004 "Apgar at 1 minute")

subject:

Peter James Chalmers male, DoB: 2016-05-18 ( http://acmehealthcare/org/mrns/12345)


Active:true

effective: 2016-05-18T22:33:22Z

performer: Practitioner/example "Adam CAREFUL"

value: 0 {score} (Details: UCUM code {score} = '{score}')

component

code: Apgar color score (LOINC#32406-1 "1 minute Apgar Color"; SNOMED CT#249227004)

value: 0. The baby's whole body is completely bluish-gray or pale (LOINC#LA6722-8 "The baby's whole body is completely bluish-gray or pale"; apgarcolor#0)

component

code: Apgar respiratory effort score (LOINC#32407-9 "1 minute Apgar Heart Rate"; SNOMED CT#249223000 "Apgar heart rate score")

value: 0. No heart rate (LOINC#LA6716-0 "No heart rate"; apgarheartrate#0)

component

code: Apgar response to stimulus score (LOINC#32409-5 "1 minute Apgar Reflex Irritability"; SNOMED CT#249226008)

value: 0. No response to airways being suctioned (LOINC#LA6719-4 "No response to airways being suctioned"; apgarreflexirritability#0)

component

code: Apgar muscle tone score (LOINC#32408-7 "1 minute Apgar Muscle Tone"; SNOMED CT#249225007)

value: 0. Limp; no movement (LOINC#LA6713-7 "Limp; no movement"; apgarmuscletone#0)

component

code: Apgar respiratory effort score (LOINC#32410-3 "1 minute Apgar Respiratory effort"; SNOMED CT#249224006)

value: 0. Not breathing (LOINC#LA6725-1 "Not breathing"; apgarrespiratoryeffort#0)


Generated Narrative: Patient #newborn

identifier: http://acmehealthcare/org/mrns/12345

active: true

name: Peter James Chalmers

gender: male

birthDate: 2016-05-18


 

 

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.