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

Example Observation/2minute-apgar-score (Turtle)

Maturity Level : N/A
Responsible Owner: Orders and Observations Work Group Standards Status : Informative Compartments : Device , Encounter , Group , 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 loinc: <https://loinc.org/rdf/> .

@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .

@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 with Details</b></p><p><b>id</b>: 2minute-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>: 2 minute Apgar Score <span>(Details : {LOINC code '9273-4' = '2 minute Apgar Score', given as '2 minute Apgar Score'})</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>: 5 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Apgar color score <span>(Details : {SNOMED CT code '249227004' = 'Apgar color score', given as 'Apgar color score'})</span></p><p><b>value</b>: 1. Good color in body with bluish hands or feet <span>(Details : {LOINC code 'LA6723-6' = 'Good color in body with bluish hands or feet', given as 'Good color in body with bluish hands or feet'}; {http://acme.ped/apgarcolor code '1' = '1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {SNOMED CT code '249223000' = 'Apgar heart rate score', given as 'Apgar heart rate score'})</span></p><p><b>value</b>: 1. Fewer than 100 beats per minute <span>(Details : {LOINC code 'LA6720-2' = 'Grimace during suctioning', given as 'Fewer than 100 beats per minute'}; {http://acme.ped/apgarheartrate code '1' = '1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar response to stimulus score <span>(Details : {SNOMED CT code '249226008' = 'Apgar response to stimulus score', given as 'Apgar response to stimulus score'})</span></p><p><b>value</b>: 1. Grimace during suctioning <span>(Details : {LOINC code 'LA6721-0' = 'Grimace and pulling away, cough, or sneeze during suctioning', given as 'Grimace during suctioning'}; {http://acme.ped/apgarreflexirritability code '1' = '1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar muscle tone score <span>(Details : {SNOMED CT code '249225007' = 'Apgar muscle tone score', given as 'Apgar muscle tone score'})</span></p><p><b>value</b>: 1. Some flexion of arms and legs <span>(Details : {LOINC code 'LA6714-5' = 'Some flexion of arms and legs', given as 'Some flexion of arms and legs'}; {http://acme.ped/apgarmuscletone code '1' = '1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {SNOMED CT code '249224006' = 'Apgar respiratory effort score', given as 'Apgar respiratory effort score'})</span></p><p><b>value</b>: 1. Weak cry; may sound like whimpering, slow or irregular breathing <span>(Details : {LOINC code 'LA6726-9' = 'Weak cry; may sound like whimpering, slow or irregular breathing', given as 'Weak cry; may sound like whimpering, slow or irregular breathing'}; {http://acme.ped/apgarrespiratoryeffort code '1' = '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 ]
       ]

<http://hl7.org/fhir/Observation/2minute-apgar-score> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "2minute-apgar-score"] ; # 
  fhir:contained ( [
     a fhir:Patient ;
     fhir:id [ fhir:v "newborn" ] ;
     fhir:identifier ( [
       fhir:system [
         fhir:v "http://acmehealthcare/org/mrns"^^xsd:anyURI ;
         fhir:l <http://acmehealthcare/org/mrns>
       ] ;
       fhir:value [ fhir:v "12345" ]
     ] ) ; #     MRN assigned by ACME healthcare on    
     fhir:active [ fhir:v true ] ;
     fhir:name ( [
       fhir:family [ fhir:v "Chalmers" ] ;
       fhir:given ( [ fhir:v "Peter" ] [ fhir:v "James" ] )
     ] ) ; #     Peter James Chalmers    
     fhir:gender [ fhir:v "male" ] ; #     use FHIR code system for male \/ female    
     fhir:birthDate [
       fhir:v "2016-05-18"^^xsd:date ;
       fhir:extension ( [
         fhir:url [
           fhir:v "http://hl7.org/fhir/StructureDefinition/patient-birthTime"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/patient-birthTime>
         ] ;
         fhir:value [
           a fhir:DateTime ;
           fhir:v "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:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>
       ] ;
       fhir:code [ fhir:v "survey" ] ;
       fhir:display [ fhir:v "Survey" ]
     ] ) ;
     fhir:text [ fhir:v "Survey" ]
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       a loinc:9273-4 ;
       fhir:system [
         fhir:v "http://loinc.org"^^xsd:anyURI ;
         fhir:l <http://loinc.org>
       ] ;
       fhir:code [ fhir:v "9273-4" ] ;
       fhir:display [ fhir:v "2 minute Apgar Score" ]
     ] ) ;
     fhir:text [ fhir:v "2 minute Apgar Score" ]
  ] ; # 
  fhir:subject [
     fhir:l <#newborn> ;
     fhir:reference [ fhir:v "#newborn" ]
  ] ; # 
  fhir:effective [
     a fhir:DateTime ;
     fhir:v "2016-05-18T22:33:22Z"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
     fhir:l <http://hl7.org/fhir/Practitioner/example> ;
     fhir:reference [ fhir:v "Practitioner/example" ]
  ] ) ; # 
  fhir:value [
     a fhir:Quantity ;
     fhir:value [ fhir:v "5"^^xsd:decimal ] ;
     fhir:system [
       fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
       fhir:l <http://unitsofmeasure.org>
     ] ;
     fhir:code [ fhir:v "{score}" ]
  ] ; # 
  fhir:component ( [
     fhir:code [
       fhir:coding ( [
         a sct:249227004 ;
         fhir:system [
           fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
           fhir:l <http://snomed.info/sct>
         ] ;
         fhir:code [ fhir:v "249227004" ] ;
         fhir:display [ fhir:v "Apgar color score" ]
       ] ) ;
       fhir:text [ fhir:v "Apgar color score" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a loinc:LA6723-6 ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/itemWeight>
           ] ;
           fhir:value [
             a fhir:Decimal ;
             fhir:v "1"^^xsd:decimal
           ]
         ] ) ; #  this  extension  maps a numeric score to the code this may already be known and unecessary 
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "LA6723-6" ] ;
         fhir:display [ fhir:v "Good color in body with bluish hands or feet" ]
       ] [
         fhir:system [
           fhir:v "http://acme.ped/apgarcolor"^^xsd:anyURI ;
           fhir:l <http://acme.ped/apgarcolor>
         ] ;
         fhir:code [ fhir:v "1" ]
       ] ) ;
       fhir:text [ fhir:v "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:code [
       fhir:coding ( [
         a sct:249223000 ;
         fhir:system [
           fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
           fhir:l <http://snomed.info/sct>
         ] ;
         fhir:code [ fhir:v "249223000" ] ;
         fhir:display [ fhir:v "Apgar heart rate score" ]
       ] ) ;
       fhir:text [ fhir:v "Apgar heart rate score" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a loinc:LA6717-8 ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/itemWeight>
           ] ;
           fhir:value [
             a fhir:Decimal ;
             fhir:v "1"^^xsd:decimal
           ]
         ] ) ; #  this  extension  maps a numeric score to the code this may already be known and unecessary 
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "LA6717-8" ] ;
         fhir:display [ fhir:v "Fewer than 100 beats per minute" ]
       ] [
         fhir:system [
           fhir:v "http://acme.ped/apgarheartrate"^^xsd:anyURI ;
           fhir:l <http://acme.ped/apgarheartrate>
         ] ;
         fhir:code [ fhir:v "1" ]
       ] ) ;
       fhir:text [ fhir:v "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:code [
       fhir:coding ( [
         a sct:249226008 ;
         fhir:system [
           fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
           fhir:l <http://snomed.info/sct>
         ] ;
         fhir:code [ fhir:v "249226008" ] ;
         fhir:display [ fhir:v "Apgar response to stimulus score" ]
       ] ) ;
       fhir:text [ fhir:v "Apgar response to stimulus score" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a loinc:LA6721-0 ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/itemWeight>
           ] ;
           fhir:value [
             a fhir:Decimal ;
             fhir:v "1"^^xsd:decimal
           ]
         ] ) ; #  this  extension  maps a numeric score to the code this may already be known and unecessary 
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "LA6721-0" ] ;
         fhir:display [ fhir:v "Grimace and pulling away, cough, or sneeze during suctioning" ]
       ] [
         fhir:system [
           fhir:v "http://acme.ped/apgarreflexirritability"^^xsd:anyURI ;
           fhir:l <http://acme.ped/apgarreflexirritability>
         ] ;
         fhir:code [ fhir:v "1" ]
       ] ) ;
       fhir:text [ fhir:v "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:code [
       fhir:coding ( [
         a sct:249225007 ;
         fhir:system [
           fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
           fhir:l <http://snomed.info/sct>
         ] ;
         fhir:code [ fhir:v "249225007" ] ;
         fhir:display [ fhir:v "Apgar muscle tone score" ]
       ] ) ;
       fhir:text [ fhir:v "Apgar muscle tone score" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a loinc:LA6714-5 ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/itemWeight>
           ] ;
           fhir:value [
             a fhir:Decimal ;
             fhir:v "1"^^xsd:decimal
           ]
         ] ) ; #  this  extension  maps a numeric score to the code this may already be known and unecessary 
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "LA6714-5" ] ;
         fhir:display [ fhir:v "Some flexion of arms and legs" ]
       ] [
         fhir:system [
           fhir:v "http://acme.ped/apgarmuscletone"^^xsd:anyURI ;
           fhir:l <http://acme.ped/apgarmuscletone>
         ] ;
         fhir:code [ fhir:v "1" ]
       ] ) ;
       fhir:text [ fhir:v "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" ]

  ] [
     fhir:code [
       fhir:coding ( [
         a sct:249224006 ;
         fhir:system [
           fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
           fhir:l <http://snomed.info/sct>
         ] ;
         fhir:code [ fhir:v "249224006" ] ;
         fhir:display [ fhir:v "Apgar respiratory effort score" ]
       ] ) ;
       fhir:text [ fhir:v "Apgar respiratory effort score" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a loinc:LA6726-9 ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/itemWeight"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/itemWeight>
           ] ;
           fhir:value [
             a fhir:Decimal ;
             fhir:v "1"^^xsd:decimal
           ]
         ] ) ; #  this  extension  maps a numeric score to the code this may already be known and unecessary 
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "LA6726-9" ] ;
         fhir:display [ fhir:v "Weak cry; may sound like whimpering, slow or irregular breathing" ]
       ] [
         fhir:system [
           fhir:v "http://acme.ped/apgarrespiratoryeffort"^^xsd:anyURI ;
           fhir:l <http://acme.ped/apgarrespiratoryeffort>
         ] ;
         fhir:code [ fhir:v "1" ]
       ] ) ;
       fhir:text [ fhir:v "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.