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Example Observation/2minute-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 2 minute Apgar score with individual score as components

{
  "resourceType" : "Observation",
  "id" : "2minute-apgar-score",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"2minute-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;2minute-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/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#survey)</span></p><p><b>code</b>: 2 minute Apgar Score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9273-4)</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>: 5 {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://browser.ihtsdotools.org/\">SNOMED CT</a>#249227004)</span></p><p><b>value</b>: 1. Good color in body with bluish hands or feet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6723-6 &quot;Good color in body with bluish hands or feet&quot;; apgarcolor#1)</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://browser.ihtsdotools.org/\">SNOMED CT</a>#249223000 &quot;Apgar heart rate score&quot;)</span></p><p><b>value</b>: 1. Fewer than 100 beats per minute <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6720-2 &quot;Fewer than 100 beats per minute&quot;; apgarheartrate#1)</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://browser.ihtsdotools.org/\">SNOMED CT</a>#249226008)</span></p><p><b>value</b>: 1. Grimace during suctioning <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6721-0 &quot;Grimace during suctioning&quot;; apgarreflexirritability#1)</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://browser.ihtsdotools.org/\">SNOMED CT</a>#249225007)</span></p><p><b>value</b>: 1. Some flexion of arms and legs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6714-5 &quot;Some flexion of arms and legs&quot;; apgarmuscletone#1)</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://browser.ihtsdotools.org/\">SNOMED CT</a>#249224006)</span></p><p><b>value</b>: 1. Weak cry; may sound like whimpering, slow or irregular breathing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6726-9 &quot;Weak cry; may sound like whimpering, slow or irregular breathing&quot;; apgarrespiratoryeffort#1)</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" : "9273-4",
      "display" : "2 minute Apgar Score"
    }],
    "text" : "2 minute Apgar Score"
  },
  "subject" : {
    "reference" : "#newborn"
  },
  "effectiveDateTime" : "2016-05-18T22:33:22Z",
  "performer" : [{
    "reference" : "Practitioner/example"
  }],
  "valueQuantity" : {
    "value" : 5,
    "system" : "http://unitsofmeasure.org",
    "code" : "{score}"
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "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" : 1
        }],
        "system" : "http://loinc.org",
        "code" : "LA6723-6",
        "display" : "Good color in body with bluish hands or feet"
      },
      {
        "system" : "http://acme.ped/apgarcolor",
        "code" : "1"
      }],
      "text" : "1. Good color in body with bluish hands or feet"
    }
  },
  {
    "code" : {
      "coding" : [{
        "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" : 1
        }],
        "system" : "http://loinc.org",
        "code" : "LA6720-2",
        "display" : "Fewer than 100 beats per minute"
      },
      {
        "system" : "http://acme.ped/apgarheartrate",
        "code" : "1"
      }],
      "text" : "1. Fewer than 100 beats per minute"
    }
  },
  {
    "code" : {
      "coding" : [{
        "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" : 1
        }],
        "system" : "http://loinc.org",
        "code" : "LA6721-0",
        "display" : "Grimace during suctioning"
      },
      {
        "system" : "http://acme.ped/apgarreflexirritability",
        "code" : "1"
      }],
      "text" : "1. Grimace during suctioning"
    }
  },
  {
    "code" : {
      "coding" : [{
        "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" : 1
        }],
        "system" : "http://loinc.org",
        "code" : "LA6714-5",
        "display" : "Some flexion of arms and legs"
      },
      {
        "system" : "http://acme.ped/apgarmuscletone",
        "code" : "1"
      }],
      "text" : "1. Some flexion of arms and legs"
    }
  },
  {
    "code" : {
      "coding" : [{
        "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" : 1
        }],
        "system" : "http://loinc.org",
        "code" : "LA6726-9",
        "display" : "Weak cry; may sound like whimpering, slow or irregular breathing"
      },
      {
        "system" : "http://acme.ped/apgarrespiratoryeffort",
        "code" : "1"
      }],
      "text" : "1. Weak cry; may sound like whimpering, slow or irregular 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.