{
"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" } ] }
}