{
"resourceType": "Observation", "id": "2minute-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": "9273-4", "display": "2 minute Apgar Score" } ], "text": "2 minute Apgar Score" }, "subject": { "reference": "#newborn" }, "effectiveDateTime": "2016-05-18T22:33:22Z", "performer": [ { "reference": "Practitioner/example" } ], "valueQuantity": { "value": 5, "system": "http://unitsofmeasure.org", "code": "{score}" }, "component": [ { "code": { "coding": [ { "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": 1 } ], "system": "http://loinc.org", "code": "LA6723-6", "display": "Good color in body with bluish hands or feet" }, { "system": "http://acme.ped/apgarcolor", "code": "1" } ], "text": "1. Good color in body with bluish hands or feet" } }, { "code": { "coding": [ { "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": 1 } ], "system": "http://loinc.org", "code": "LA6720-2", "display": "Fewer than 100 beats per minute" }, { "system": "http://acme.ped/apgarheartrate", "code": "1" } ], "text": "1. Fewer than 100 beats per minute" } }, { "code": { "coding": [ { "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": 1 } ], "system": "http://loinc.org", "code": "LA6721-0", "display": "Grimace during suctioning" }, { "system": "http://acme.ped/apgarreflexirritability", "code": "1" } ], "text": "1. Grimace during suctioning" } }, { "code": { "coding": [ { "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": 1 } ], "system": "http://loinc.org", "code": "LA6714-5", "display": "Some flexion of arms and legs" }, { "system": "http://acme.ped/apgarmuscletone", "code": "1" } ], "text": "1. Some flexion of arms and legs" } }, { "code": { "coding": [ { "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": 1 } ], "system": "http://loinc.org", "code": "LA6726-9", "display": "Weak cry; may sound like whimpering, slow or irregular breathing" }, { "system": "http://acme.ped/apgarrespiratoryeffort", "code": "1" } ], "text": "1. Weak cry; may sound like whimpering, slow or irregular breathing" } } ], "meta": { "tag": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason", "code": "HTEST", "display": "test health data" } ] }
}