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Observation-example-10minute-apgar-score

Example Observation/10minute-apgar-score (Narrative)

Maturity Level : N/A
Responsible Owner: Orders and Observations Work Group Standards Status : Informative Compartments : Device , Encounter , Group , 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 with Details Narrative: Observation 10minute-apgar-score

id : 10minute-apgar-score contained :

status : final Final

category : Survey (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'survey' = 'Survey', given as 'Survey'})

code : 10 minute Apgar Score (Details : {LOINC code '9271-8' = '10 minute Apgar Score', given as '10 minute Apgar Score'}; {SNOMED CT code '169922007' = 'Apgar at 10 minutes', given as 'Apgar at 10 minutes'})

subject : id: newborn; 12345; active; Peter James Chalmers ; gender: male; birthDate: 18/05/2016 Male, DoB: 2016-05-18 ( http://acmehealthcare/org/mrns#12345)

effective : 18/05/2016 10:33:22 PM 2016-05-18T22:33:22Z

performer : Practitioner/example Practitioner Adam Careful

value : 10 {score} (Details: UCUM code {score} code{score} = '{score}')

component

code : Apgar color score (Details : {LOINC code '32401-2' = '10 minute Apgar Color', given as '10 minute Apgar Color'}; {SNOMED CT code '249227004' = 'Apgar color score', given as 'Apgar color score'})

value : 2. Good color all over (Details : {LOINC code 'LA6724-4' = 'Good color all over', given as 'Good color all over'}; {http://acme.ped/apgarcolor code '2' = '2)

component

code : Apgar respiratory effort score (Details : {LOINC code '32402-0' = '10 minute Apgar Heart rate', given as '10 minute Apgar Heart Rate'}; {SNOMED CT code '249223000' = 'Apgar heart rate score', given as 'Apgar heart rate score'}) score

value : 2. At least 100 beats per minute (Details : {LOINC code 'LA6718-6' = 'At least 100 beats per minute', given as 'At least 100 beats per minute'}; {http://acme.ped/apgarheartrate code '2' = '2)

component

code : Apgar response to stimulus score (Details : {LOINC code '32404-6' = '10 minute Apgar Reflex irritability', given as '10 minute Apgar Reflex Irritability'}; {SNOMED CT code '249226008' = 'Apgar response to stimulus score', given as 'Apgar response to stimulus score'})

value : 2. Grimace and pulling away, cough, or sneeze during suctioning (Details : {LOINC code 'LA6721-0' = 'Grimace and pulling away, cough, or sneeze during suctioning', given as 'Grimace and pulling away, cough, or sneeze during suctioning'}; {http://acme.ped/apgarreflexirritability code '2' = '2)

component

code : Apgar muscle tone score (Details : {LOINC code '32403-8' = '10 minute Apgar Muscle tone', given as '10 minute Apgar Muscle Tone'}; {SNOMED CT code '249225007' = 'Apgar muscle tone score', given as 'Apgar muscle tone score'})

value : 2. Active motion (Details : {LOINC code 'LA6715-2' = 'Active motion', given as 'Active motion '}; {http://acme.ped/apgarmuscletone code '2' = '2)

component

code : Apgar respiratory effort score (Details : {LOINC code '32405-3' = '10 minute Apgar Respiratory effort', given as '10 minute Apgar Respiratory effort'}; {SNOMED CT code '249224006' = 'Apgar respiratory effort score', given as 'Apgar respiratory effort score'})

value : 2. Good, strong cry; normal rate and effort of breathing (Details : {LOINC code 'LA6727-7' = 'Good, strong cry; normal rate and effort of breathing', given as 'Good, strong cry; normal rate and effort of breathing '}; {http://acme.ped/apgarrespiratoryeffort code '2' = '2)

Generated Narrative: Patient #newborn

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

Active: true

 

 

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.