<?xml version=“1.0” encoding=“UTF-8”?> <Observation xmlns=“hl7.org/fhir”>
<id value="10minute-apgar-score"/><!-- Using a contained patient for the purposes of this example Observation. Typically the reference would be to an external resource --><meta> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> <display value="test health data"/> </security> </meta> <contained> <Patient> <id value="newborn"/><!-- MRN assigned by ACME healthcare on --><identifier> <system value="http://acmehealthcare/org/mrns"/> <value value="12345"/> </identifier> <active value="true"/><!-- Peter James Chalmers --><name> <family value="Chalmers"/> <given value="Peter"/> <given value="James"/> </name><!-- use FHIR code system for male / female --><gender value="male"/> <birthDate value="2016-05-18"> <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime"> <valueDateTime value="2016-05-18T10:28:45Z"/> </extension> </birthDate> </Patient> </contained> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="survey"/> <display value="Survey"/> </coding> <text value="Survey"/> </category> <code> <coding> <system value="http://loinc.org"/> <code value="9271-8"/> <display value="10 minute Apgar Score"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="169922007"/> <display value="Apgar at 10 minutes"/> </coding> <text value="10 minute Apgar Score"/> </code> <subject> <reference value="#newborn"/> </subject> <effectiveDateTime value="2016-05-18T22:33:22Z"/> <performer> <reference value="Practitioner/example"/> </performer> <valueQuantity> <value value="10"/> <system value="http://unitsofmeasure.org"/> <code value="{score}"/> </valueQuantity> <component> <code> <coding> <system value="http://loinc.org"/> <code value="32401-2"/> <display value="10 minute Apgar Color"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="249227004"/> <display value="Apgar color score"/> </coding> <text value="Apgar color score"/> </code> <valueCodeableConcept> <coding><!-- this extension maps a numeric score to the code this may already be known and unecessary --><extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6724-4"/> <display value="Good color all over"/> </coding> <coding> <system value="http://acme.ped/apgarcolor"/> <code value="2"/> </coding> <text value="2. Good color all over"/> </valueCodeableConcept> </component> <component> <code> <coding> <system value="http://loinc.org"/> <code value="32402-0"/> <display value="10 minute Apgar Heart Rate"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="249223000"/> <display value="Apgar heart rate score"/> </coding> <text value="Apgar respiratory effort score"/> </code> <valueCodeableConcept> <coding><!-- this extension maps a numeric score to the code this may already be known and unecessary --><extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6718-6"/> <display value="At least 100 beats per minute"/> </coding> <coding> <system value="http://acme.ped/apgarheartrate"/> <code value="2"/> </coding> <text value="2. At least 100 beats per minute"/> </valueCodeableConcept> </component> <component> <code> <coding> <system value="http://loinc.org"/> <code value="32404-6"/> <display value="10 minute Apgar Reflex Irritability"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="249226008"/> <display value="Apgar response to stimulus score"/> </coding> <text value="Apgar response to stimulus score"/> </code> <valueCodeableConcept> <coding><!-- this extension maps a numeric score to the code this may already be known and unecessary --><extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6721-0"/> <display value="Grimace and pulling away, cough, or sneeze during suctioning"/> </coding> <coding> <system value="http://acme.ped/apgarreflexirritability"/> <code value="2"/> </coding> <text value="2. Grimace and pulling away, cough, or sneeze during suctioning"/> </valueCodeableConcept> </component> <component> <code> <coding> <system value="http://loinc.org"/> <code value="32403-8"/> <display value="10 minute Apgar Muscle Tone"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="249225007"/> <display value="Apgar muscle tone score"/> </coding> <text value="Apgar muscle tone score"/> </code> <valueCodeableConcept> <coding><!-- this extension maps a numeric score to the code this may already be known and unecessary --><extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6715-2"/> <display value="Active motion "/> </coding> <coding> <system value="http://acme.ped/apgarmuscletone"/> <code value="2"/> </coding> <text value="2. Active motion"/> </valueCodeableConcept> </component> <component> <code> <coding> <system value="http://loinc.org"/> <code value="32405-3"/> <display value="10 minute Apgar Respiratory effort"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="249224006"/> <display value="Apgar respiratory effort score"/> </coding> <text value="Apgar respiratory effort score"/> </code> <valueCodeableConcept> <coding><!-- this extension maps a numeric score to the code this may already be known and unecessary --><extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6727-7"/> <display value="Good, strong cry; normal rate and effort of breathing "/> </coding> <coding> <system value="http://acme.ped/apgarrespiratoryeffort"/> <code value="2"/> </coding> <text value="2. Good, strong cry; normal rate and effort of breathing"/> </valueCodeableConcept> </component>
</Observation>