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observation-example-20minute-apgar-score.xml
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observation-example-20minute-apgar-score.xml
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<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir">
<id value="20minute-apgar-score"/><!-- Using a contained patient for the purposes of this example Observation. Typically the reference would be to an external resource --><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 20minute-apgar-score</p><p><b>contained</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Survey <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'survey' = 'Survey', given as 'Survey'})</span></p><p><b>code</b>: 20 minute Apgar Score <span>(Details : {SNOMED CT code '443849008' = 'Apgar score at 20 minutes', given as 'Apgar score at 20 minutes'})</span></p><p><b>subject</b>: id: newborn; 12345; active; Peter James Chalmers ; gender: male; birthDate: 18/05/2016</p><p><b>effective</b>: 18/05/2016 10:33:22 PM</p><p><b>performer</b>: <a>Practitioner/example</a></p><p><b>value</b>: 10 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Apgar color score <span>(Details : {SNOMED CT code '249227004' = 'Apgar color score', given as 'Apgar color score'})</span></p><p><b>value</b>: 2. Good color all over <span>(Details : {LOINC code 'LA6724-4' = 'Good color all over', given as 'Good color all over'}; {http://acme.ped/apgarcolor code '2' = '2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {SNOMED CT code '249223000' = 'Apgar heart rate score', given as 'Apgar heart rate score'})</span></p><p><b>value</b>: 2. At least 100 beats per minute <span>(Details : {LOINC code 'LA6718-6' = 'At least 100 beats per minute', given as 'At least 100 beats per minute'}; {http://acme.ped/apgarheartrate code '2' = '2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar response to stimulus score <span>(Details : {SNOMED CT code '249226008' = 'Apgar response to stimulus score', given as 'Apgar response to stimulus score'})</span></p><p><b>value</b>: 2. Grimace and pulling away, cough, or sneeze during suctioning <span>(Details : {LOINC code 'LA6721-0' = 'Grimace and pulling away, cough, or sneeze during suctioning', given as 'Grimace and pulling away, cough, or sneeze during suctioning'}; {http://acme.ped/apgarreflexirritability code '2' = '2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar muscle tone score <span>(Details : {SNOMED CT code '249225007' = 'Apgar muscle tone score', given as 'Apgar muscle tone score'})</span></p><p><b>value</b>: 2. Active motion <span>(Details : {LOINC code 'LA6715-2' = 'Active motion', given as 'Active motion '}; {http://acme.ped/apgarmuscletone code '2' = '2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span>(Details : {SNOMED CT code '249224006' = 'Apgar respiratory effort score', given as 'Apgar respiratory effort score'})</span></p><p><b>value</b>: 2. Good, strong cry; normal rate and effort of breathing <span>(Details : {LOINC code 'LA6727-7' = 'Good, strong cry; normal rate and effort of breathing', given as 'Good, strong cry; normal rate and effort of breathing '}; {http://acme.ped/apgarrespiratoryeffort code '2' = '2)</span></p></blockquote></div></text><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://snomed.info/sct"/>
<code value="443849008"/>
<display value="Apgar score at 20 minutes"/>
</coding>
<text value="20 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://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://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://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://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://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>