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Observation-example-1minute-apgar-score.json

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

Raw JSON (canonical form + also see JSON Format Specification)

Example of a 1 minute Apgar score with individual score as components

{
  "resourceType": "Observation",
  "id": "1minute-apgar-score",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"1minute-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;1minute-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/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#survey)</span></p><p><b>code</b>: 1 minute Apgar Score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9272-6; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#169895004 &quot;Apgar at 1 minute&quot;)</span></p><p><b>subject</b>: <a name=\"newborn\"> </a></p><blockquote><p><b>Peter James Chalmers </b> male, DoB: 2016-05-18 ( id: 12345)</p></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>: 0 {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>#32406-1 &quot;1 minute Apgar Color&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249227004)</span></p><p><b>value</b>: 0. The baby's whole body is completely bluish-gray or pale <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6722-8 &quot;The baby's whole body is completely bluish-gray or pale&quot;; apgarcolor#0)</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>#32407-9 &quot;1 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>: 0. No heart rate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6716-0 &quot;No heart rate&quot;; apgarheartrate#0)</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>#32409-5 &quot;1 minute Apgar Reflex Irritability&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249226008)</span></p><p><b>value</b>: 0. No response to airways being suctioned <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6719-4 &quot;No response to airways being suctioned&quot;; apgarreflexirritability#0)</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>#32408-7 &quot;1 minute Apgar Muscle Tone&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249225007)</span></p><p><b>value</b>: 0. Limp; no movement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6713-7 &quot;Limp; no movement&quot;; apgarmuscletone#0)</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>#32410-3 &quot;1 minute Apgar Respiratory effort&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#249224006)</span></p><p><b>value</b>: 0. Not breathing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6725-1 &quot;Not breathing&quot;; apgarrespiratoryeffort#0)</span></p></blockquote></div>"
  },
  "contained": [
    {
      "resourceType": "Patient",
      "id": "newborn",
      "identifier": [
        {
          "system": "http://acmehealthcare/org/mrns",
          "value": "12345"
        }
      ],
      "active": true,
      "name": [
        {
          "family": "Chalmers",
          "given": [
            "Peter",
            "James"
          ]
        }
      ],
      "gender": "male",
      "birthDate": "2016-05-18",
      "_birthDate": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
            "valueDateTime": "2016-05-18T10:28:45Z"
          }
        ]
      }
    }
  ],
  "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": "9272-6",
        "display": "1 minute Apgar Score"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "169895004",
        "display": "Apgar at 1 minute"
      }
    ],
    "text": "1 minute Apgar Score"
  },
  "subject": {
    "reference": "#newborn"
  },
  "effectiveDateTime": "2016-05-18T22:33:22Z",
  "performer": [
    {
      "reference": "Practitioner/example"
    }
  ],
  "valueQuantity": {
    "value": 0,
    "system": "http://unitsofmeasure.org",
    "code": "{score}"
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "32406-1",
            "display": "1 minute Apgar Color"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "249227004",
            "display": "Apgar color score"
          }
        ],
        "text": "Apgar color score"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 0
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6722-8",
            "display": "The baby's whole body is completely bluish-gray or pale"
          },
          {
            "system": "http://acme.ped/apgarcolor",
            "code": "0"
          }
        ],
        "text": "0. The baby's whole body is completely bluish-gray or pale"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "32407-9",
            "display": "1 minute Apgar Heart Rate"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "249223000",
            "display": "Apgar heart rate score"
          }
        ],
        "text": "Apgar respiratory effort score"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 0
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6716-0",
            "display": "No heart rate"
          },
          {
            "system": "http://acme.ped/apgarheartrate",
            "code": "0"
          }
        ],
        "text": "0. No heart rate"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "32409-5",
            "display": "1 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": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 0
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6719-4",
            "display": "No response to airways being suctioned"
          },
          {
            "system": "http://acme.ped/apgarreflexirritability",
            "code": "0"
          }
        ],
        "text": "0. No response to airways being suctioned"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "32408-7",
            "display": "1 minute Apgar Muscle Tone"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "249225007",
            "display": "Apgar muscle tone score"
          }
        ],
        "text": "Apgar muscle tone score"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 0
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6713-7",
            "display": "Limp; no movement"
          },
          {
            "system": "http://acme.ped/apgarmuscletone",
            "code": "0"
          }
        ],
        "text": "0. Limp; no movement"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "32410-3",
            "display": "1 minute Apgar Respiratory effort"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "249224006",
            "display": "Apgar respiratory effort score"
          }
        ],
        "text": "Apgar respiratory effort score"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 0
              }
            ],
            "system": "http://loinc.org",
            "code": "LA6725-1",
            "display": "Not breathing"
          },
          {
            "system": "http://acme.ped/apgarrespiratoryeffort",
            "code": "0"
          }
        ],
        "text": "0. Not 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.