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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: Observation 10minute-apgar-score

Resource Observation "10minute-apgar-score"

status : final Final

category : Survey ( Observation Category Codes #survey)

code : 10 minute Apgar Score ( LOINC #9271-8; SNOMED CT #169922007 "Apgar at 10 minutes")

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

effective : 2016-05-18T22:33:22Z

performer : Practitioner/example Practitioner Adam Careful "Adam CAREFUL"

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

component

code : Apgar color score ( LOINC #32401-2 "10 minute Apgar Color"; SNOMED CT #249227004)

value : 2. Good color all over ( LOINC #LA6724-4 "Good color all over"; apgarcolor#2)

component

code : Apgar respiratory effort score ( LOINC #32402-0 "10 minute Apgar Heart Rate"; SNOMED CT #249223000 "Apgar heart rate score") score

value : 2. At least 100 beats per minute ( LOINC #LA6718-6 "At least 100 beats per minute"; apgarheartrate#2)

component

code : Apgar response to stimulus score ( LOINC #32404-6 "10 minute Apgar Reflex Irritability"; SNOMED CT #249226008)

value : 2. Grimace and pulling away, cough, or sneeze during suctioning ( LOINC #LA6721-0 "Grimace and pulling away, cough, or sneeze during suctioning"; apgarreflexirritability#2)

component

code : Apgar muscle tone score ( LOINC #32403-8 "10 minute Apgar Muscle Tone"; SNOMED CT #249225007)

value : 2. Active motion ( LOINC #LA6715-2 "Active motion"; apgarmuscletone#2)

component

code : Apgar respiratory effort score ( LOINC #32405-3 "10 minute Apgar Respiratory effort"; SNOMED CT #249224006)

value : 2. Good, strong cry; normal rate and effort of breathing ( LOINC #LA6727-7 "Good, strong cry; normal rate and effort of breathing"; apgarrespiratoryeffort#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.