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Observation-example-2minute-apgar-score.ttl

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 2 minute Apgar score with individual score as components

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://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 -------------------------------------------------------------------

<http://hl7.org/fhir/Observation/2minute-apgar-score> a fhir:Observation;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "2minute-apgar-score"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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/3.1.0/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><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>: 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>"
  ];
  fhir:DomainResource.contained [
     a fhir:Patient;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "newborn" ];
     fhir:Patient.identifier [
       fhir:index 0;
       fhir:Identifier.system [ fhir:value "http://acmehealthcare/org/mrns" ];
       fhir:Identifier.value [ fhir:value "12345" ]
     ];
     fhir:Patient.active [ fhir:value "true"^^xsd:boolean ];
     fhir:Patient.name [
       fhir:index 0;
       fhir:HumanName.family [ fhir:value "Chalmers" ];
       fhir:HumanName.given [
         fhir:value "Peter";
         fhir:index 0
       ], [
         fhir:value "James";
         fhir:index 1
       ]
     ];
     fhir:Patient.gender [ fhir:value "male" ];
     fhir:Patient.birthDate [
       fhir:value "2016-05-18"^^xsd:date;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/patient-birthTime" ];
         fhir:Extension.valueDateTime [ fhir:value "2016-05-18T10:28:45Z"^^xsd:dateTime ]
       ]
     ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "survey" ];
       fhir:Coding.display [ fhir:value "Survey" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Survey" ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:9273-4;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "9273-4" ];
       fhir:Coding.display [ fhir:value "2 minute Apgar Score" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "2 minute Apgar Score" ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "#newborn" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-05-18T22:33:22Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Practitioner/example>;
     fhir:Reference.reference [ fhir:value "Practitioner/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "5"^^xsd:decimal ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "{score}" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:249227004;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249227004" ];
         fhir:Coding.display [ fhir:value "Apgar color score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar color score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA6723-6;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6723-6" ];
         fhir:Coding.display [ fhir:value "Good color in body with bluish hands or feet" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http://acme.ped/apgarcolor" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Good color in body with bluish hands or feet" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:249223000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249223000" ];
         fhir:Coding.display [ fhir:value "Apgar heart rate score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar respiratory effort score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA6720-2;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6720-2" ];
         fhir:Coding.display [ fhir:value "Fewer than 100 beats per minute" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http://acme.ped/apgarheartrate" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Fewer than 100 beats per minute" ]
     ]
  ], [
     fhir:index 2;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:249226008;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249226008" ];
         fhir:Coding.display [ fhir:value "Apgar response to stimulus score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar response to stimulus score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA6721-0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6721-0" ];
         fhir:Coding.display [ fhir:value "Grimace during suctioning" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http://acme.ped/apgarreflexirritability" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Grimace during suctioning" ]
     ]
  ], [
     fhir:index 3;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:249225007;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249225007" ];
         fhir:Coding.display [ fhir:value "Apgar muscle tone score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar muscle tone score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA6714-5;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6714-5" ];
         fhir:Coding.display [ fhir:value "Some flexion of arms and legs" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http://acme.ped/apgarmuscletone" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Some flexion of arms and legs" ]
     ]
  ], [
     fhir:index 4;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:249224006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "249224006" ];
         fhir:Coding.display [ fhir:value "Apgar respiratory effort score" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Apgar respiratory effort score" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA6726-9;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ];
           fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6726-9" ];
         fhir:Coding.display [ fhir:value "Weak cry; may sound like whimpering, slow or irregular breathing" ]
       ], [
         fhir:index 1;
         fhir:Coding.system [ fhir:value "http://acme.ped/apgarrespiratoryeffort" ];
         fhir:Coding.code [ fhir:value "1" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "1. Weak cry; may sound like whimpering, slow or irregular breathing" ]
     ]
  ] .

<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Observation/2minute-apgar-score.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Observation/2minute-apgar-score.ttl> .

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


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.