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| Responsible Owner: Orders and Observations Work Group | Standards Status : Informative | Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson |
Raw JSON ( canonical form + also see JSON Format Specification )
Example of a 10 minute Apgar score with individual score as components
{
"resourceType": "Observation",
"id": "10minute-apgar-score",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 10minute-apgar-score</p><p><b>contained</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Survey <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'survey' = 'Survey', given as 'Survey'})</span></p><p><b>code</b>: 10 minute Apgar Score <span>(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'})</span></p><p><b>subject</b>: id: newborn; 12345; active; Peter James Chalmers ; gender: male; birthDate: 18/05/2016</p><p><b>effective</b>: 18/05/2016 10:33:22 PM</p><p><b>performer</b>: <a>Practitioner/example</a></p><p><b>value</b>: 10 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Apgar color score <span>(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'})</span></p><p><b>value</b>: 2. Good color all over <span>(Details : {LOINC code 'LA6724-4' = 'Good color all over', given as 'Good color all over'}; {http://acme.ped/apgarcolor code '2' = '2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(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'})</span></p><p><b>value</b>: 2. At least 100 beats per minute <span>(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)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar response to stimulus score <span>(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'})</span></p><p><b>value</b>: 2. Grimace and pulling away, cough, or sneeze during suctioning <span>(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)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar muscle tone score <span>(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'})</span></p><p><b>value</b>: 2. Active motion <span>(Details : {LOINC code 'LA6715-2' = 'Active motion', given as 'Active motion '}; {http://acme.ped/apgarmuscletone code '2' = '2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(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'})</span></p><p><b>value</b>: 2. Good, strong cry; normal rate and effort of breathing <span>(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)</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"
}
]
}
"resourceType" : "Observation",
"id" : "10minute-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": [
}],
"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" : "9271-8",
"display" : "10 minute Apgar Score"
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
],
"text": "Survey"
}
],
"code": {
"coding": [
"system" : "http://snomed.info/sct",
"code" : "169922007",
"display" : "Apgar at 10 minutes"
}],
"text" : "10 minute Apgar Score"
},
"subject" : {
"reference" : "#newborn"
},
"effectiveDateTime" : "2016-05-18T22:33:22Z",
"performer" : [{
"reference" : "Practitioner/example"
}],
"valueQuantity" : {
"value" : 10,
"system" : "http://unitsofmeasure.org",
"code" : "{score}"
},
"component" : [{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "32401-2",
"display" : "10 minute Apgar Color"
},
{
"system": "http://loinc.org",
"code": "9271-8",
"display": "10 minute Apgar Score"
"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" : 2
}],
"system" : "http://loinc.org",
"code" : "LA6724-4",
"display" : "Good color all over"
},
{
"system": "http://snomed.info/sct",
"code": "169922007",
"display": "Apgar at 10 minutes"
}
],
"text": "10 minute Apgar Score"
},
"subject": {
"reference": "#newborn"
},
"effectiveDateTime": "2016-05-18T22:33:22Z",
"performer": [
{
"reference": "Practitioner/example"
"system" : "http://acme.ped/apgarcolor",
"code" : "2"
}],
"text" : "2. Good color all over"
}
],
"valueQuantity": {
"value": 10,
"system": "http://unitsofmeasure.org",
"code": "{score}"
},
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "32401-2",
"display": "10 minute Apgar Color"
},
{
"system": "http://snomed.info/sct",
"code": "249227004",
"display": "Apgar color score"
}
],
"text": "Apgar color score"
{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "32402-0",
"display" : "10 minute Apgar Heart Rate"
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA6724-4",
"display": "Good color all over"
},
{
"system": "http://acme.ped/apgarcolor",
"code": "2"
}
],
"text": "2. Good color all over"
}
{
"system" : "http://snomed.info/sct",
"code" : "249223000",
"display" : "Apgar heart rate score"
}],
"text" : "Apgar heart rate score"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "32402-0",
"display": "10 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" : 2
}],
"system" : "http://loinc.org",
"code" : "LA6718-6",
"display" : "At least 100 beats per minute"
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA6718-6",
"display": "At least 100 beats per minute"
},
{
"system": "http://acme.ped/apgarheartrate",
"code": "2"
}
],
"text": "2. At least 100 beats per minute"
}
{
"system" : "http://acme.ped/apgarheartrate",
"code" : "2"
}],
"text" : "2. At least 100 beats per minute"
}
},
{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "32404-6",
"display" : "10 minute Apgar Reflex Irritability"
},
{
"system" : "http://snomed.info/sct",
"code" : "249226008",
"display" : "Apgar response to stimulus score"
}],
"text" : "Apgar response to stimulus score"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "32404-6",
"display": "10 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" : 2
}],
"system" : "http://loinc.org",
"code" : "LA6721-0",
"display" : "Grimace and pulling away, cough, or sneeze during suctioning"
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA6721-0",
"display": "Grimace and pulling away, cough, or sneeze during suctioning"
},
{
"system": "http://acme.ped/apgarreflexirritability",
"code": "2"
}
],
"text": "2. Grimace and pulling away, cough, or sneeze during suctioning"
}
{
"system" : "http://acme.ped/apgarreflexirritability",
"code" : "2"
}],
"text" : "2. Grimace and pulling away, cough, or sneeze during suctioning"
}
},
{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "32403-8",
"display" : "10 minute Apgar Muscle Tone"
},
{
"system" : "http://snomed.info/sct",
"code" : "249225007",
"display" : "Apgar muscle tone score"
}],
"text" : "Apgar muscle tone score"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "32403-8",
"display": "10 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" : 2
}],
"system" : "http://loinc.org",
"code" : "LA6715-2",
"display" : "Active motion"
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA6715-2",
"display": "Active motion "
},
{
"system": "http://acme.ped/apgarmuscletone",
"code": "2"
}
],
"text": "2. Active motion"
}
{
"system" : "http://acme.ped/apgarmuscletone",
"code" : "2"
}],
"text" : "2. Active motion"
}
},
{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "32405-3",
"display" : "10 minute Apgar Respiratory effort"
},
{
"system" : "http://snomed.info/sct",
"code" : "249224006",
"display" : "Apgar respiratory effort score"
}],
"text" : "Apgar respiratory effort score"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "32405-3",
"display": "10 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" : 2
}],
"system" : "http://loinc.org",
"code" : "LA6727-7",
"display" : "Good, strong cry; normal rate and effort of breathing"
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA6727-7",
"display": "Good, strong cry; normal rate and effort of breathing "
},
{
"system": "http://acme.ped/apgarrespiratoryeffort",
"code": "2"
}
],
"text": "2. Good, strong cry; normal rate and effort of breathing"
}
{
"system" : "http://acme.ped/apgarrespiratoryeffort",
"code" : "2"
}],
"text" : "2. Good, strong cry; normal rate and effort of 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
Release
4
(Technical
Correction
#1)
(v4.0.1)
R6
hl7.fhir.core#6.0.0-ballot3
generated
on
Fri,
Thu,
Nov
1,
2019
09:36+1100.
QA
Page
27,
2025
16:54+0000.
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