{

"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": [
  {
    "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"
    },
    {
      "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://snomed.info/sct",
          "code": "249227004",
          "display": "Apgar color score"
        }
      ],
      "text": "Apgar color score"
    },
    "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"
    }
  },
  {
    "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/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"
    }
  },
  {
    "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/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"
    }
  },
  {
    "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/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "system": "http://loinc.org",
          "code": "LA6715-2",
          "display": "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"
    },
    "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"
    }
  }
],
"meta": {
  "tag": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code": "HTEST",
      "display": "test health data"
    }
  ]
}

}