{

"resourceType": "Observation",
"id": "1minute-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": [
  {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/observation-category",
        "code": "survey",
        "display": "Survey"
      }
    ],
    "text": "Survey"
  }
],
"code": {
  "coding": [
    {
      "system": "http://loinc.org",
      "code": "9272-6",
      "display": "1 minute Apgar Score"
    },
    {
      "system": "http://snomed.info/sct",
      "code": "169895004",
      "display": "Apgar at 1 minute"
    }
  ],
  "text": "1 minute Apgar Score"
},
"subject": {
  "reference": "#newborn"
},
"effectiveDateTime": "2016-05-18T22:33:22Z",
"performer": [
  {
    "reference": "Practitioner/example"
  }
],
"valueQuantity": {
  "value": 0,
  "system": "http://unitsofmeasure.org",
  "code": "{score}"
},
"component": [
  {
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "32406-1",
          "display": "1 minute Apgar Color"
        },
        {
          "system": "http://snomed.info/sct",
          "code": "249227004",
          "display": "Apgar color score"
        }
      ],
      "text": "Apgar color score"
    },
    "valueCodeableConcept": {
      "coding": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6722-8",
          "display": "The baby's whole body is completely bluish-gray or pale"
        },
        {
          "system": "http://acme.ped/apgarcolor",
          "code": "0"
        }
      ],
      "text": "0. The baby's whole body is completely bluish-gray or pale"
    }
  },
  {
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "32407-9",
          "display": "1 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/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6716-0",
          "display": "No heart rate"
        },
        {
          "system": "http://acme.ped/apgarheartrate",
          "code": "0"
        }
      ],
      "text": "0. No heart rate"
    }
  },
  {
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "32409-5",
          "display": "1 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/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6719-4",
          "display": "No response to airways being suctioned"
        },
        {
          "system": "http://acme.ped/apgarreflexirritability",
          "code": "0"
        }
      ],
      "text": "0. No response to airways being suctioned"
    }
  },
  {
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "32408-7",
          "display": "1 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/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6713-7",
          "display": "Limp; no movement"
        },
        {
          "system": "http://acme.ped/apgarmuscletone",
          "code": "0"
        }
      ],
      "text": "0. Limp; no movement"
    }
  },
  {
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "32410-3",
          "display": "1 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/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6725-1",
          "display": "Not breathing"
        },
        {
          "system": "http://acme.ped/apgarrespiratoryeffort",
          "code": "0"
        }
      ],
      "text": "0. Not breathing"
    }
  }
],
"meta": {
  "tag": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code": "HTEST",
      "display": "test health data"
    }
  ]
}

}