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Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: 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", "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/itemWeight", "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/itemWeight", "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/itemWeight", "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/itemWeight", "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/itemWeight", "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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Wed, Nov 20, 2024 21:52+0000.
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