{"category":[{"coding":[{"code":"survey","display":"Survey","system":"http://terminology.hl7.org/CodeSystem/observation-category"}],"text":"Survey"}],"code":{"coding":[{"code":"9272-6","display":"1 minute Apgar Score","system":"http://loinc.org"},{"code":"169895004","display":"Apgar at 1 minute","system":"http://snomed.info/sct"}],"text":"1 minute Apgar Score"},"component":[{"code":{"coding":[{"code":"32406-1","display":"1 minute Apgar Color","system":"http://loinc.org"},{"code":"249227004","display":"Apgar color score","system":"http://snomed.info/sct"}],"text":"Apgar color score"},"valueCodeableConcept":{"coding":[{"code":"LA6722-8","display":"The baby's whole body is completely bluish-gray or pale","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":0}],"system":"http://loinc.org"},{"code":"0","system":"http://acme.ped/apgarcolor"}],"text":"0. The baby's whole body is completely bluish-gray or pale"}},{"code":{"coding":[{"code":"32407-9","display":"1 minute Apgar Heart Rate","system":"http://loinc.org"},{"code":"249223000","display":"Apgar heart rate score","system":"http://snomed.info/sct"}],"text":"Apgar respiratory effort score"},"valueCodeableConcept":{"coding":[{"code":"LA6716-0","display":"No heart rate","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":0}],"system":"http://loinc.org"},{"code":"0","system":"http://acme.ped/apgarheartrate"}],"text":"0. No heart rate"}},{"code":{"coding":[{"code":"32409-5","display":"1 minute Apgar Reflex Irritability","system":"http://loinc.org"},{"code":"249226008","display":"Apgar response to stimulus score","system":"http://snomed.info/sct"}],"text":"Apgar response to stimulus score"},"valueCodeableConcept":{"coding":[{"code":"LA6719-4","display":"No response to airways being suctioned","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":0}],"system":"http://loinc.org"},{"code":"0","system":"http://acme.ped/apgarreflexirritability"}],"text":"0. No response to airways being suctioned"}},{"code":{"coding":[{"code":"32408-7","display":"1 minute Apgar Muscle Tone","system":"http://loinc.org"},{"code":"249225007","display":"Apgar muscle tone score","system":"http://snomed.info/sct"}],"text":"Apgar muscle tone score"},"valueCodeableConcept":{"coding":[{"code":"LA6713-7","display":"Limp; no movement","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":0}],"system":"http://loinc.org"},{"code":"0","system":"http://acme.ped/apgarmuscletone"}],"text":"0. Limp; no movement"}},{"code":{"coding":[{"code":"32410-3","display":"1 minute Apgar Respiratory effort","system":"http://loinc.org"},{"code":"249224006","display":"Apgar respiratory effort score","system":"http://snomed.info/sct"}],"text":"Apgar respiratory effort score"},"valueCodeableConcept":{"coding":[{"code":"LA6725-1","display":"Not breathing","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":0}],"system":"http://loinc.org"},{"code":"0","system":"http://acme.ped/apgarrespiratoryeffort"}],"text":"0. Not breathing"}}],"contained":[{"_birthDate":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/patient-birthTime","valueDateTime":"2016-05-18T10:28:45Z"}]},"active":true,"birthDate":"2016-05-18","gender":"male","id":"newborn","identifier":[{"system":"http://acmehealthcare/org/mrns","value":"12345"}],"name":[{"family":"Chalmers","given":["Peter","James"]}],"resourceType":"Patient"}],"effectiveDateTime":"2016-05-18T22:33:22Z","id":"1minute-apgar-score","performer":[{"reference":"Practitioner/example"}],"resourceType":"Observation","status":"final","subject":{"reference":"#newborn"},"text":{"div":"

Generated Narrative: Observation

Resource Observation "1minute-apgar-score"

status: final

category: Survey (Observation Category Codes#survey)

code: 1 minute Apgar Score (LOINC#9272-6; SNOMED CT#169895004 "Apgar at 1 minute")

subject:

Peter James Chalmers male, DoB: 2016-05-18 ( id:\u00a012345)

Active:true

effective: 2016-05-18T22:33:22Z

performer: Practitioner/example "Adam CAREFUL"

value: 0 {score} (Details: UCUM code {score} = '{score}')

component

code: Apgar color score (LOINC#32406-1 "1 minute Apgar Color"; SNOMED CT#249227004)

value: 0. The baby's whole body is completely bluish-gray or pale (LOINC#LA6722-8 "The baby's whole body is completely bluish-gray or pale"; apgarcolor#0)

component

code: Apgar respiratory effort score (LOINC#32407-9 "1 minute Apgar Heart Rate"; SNOMED CT#249223000 "Apgar heart rate score")

value: 0. No heart rate (LOINC#LA6716-0 "No heart rate"; apgarheartrate#0)

component

code: Apgar response to stimulus score (LOINC#32409-5 "1 minute Apgar Reflex Irritability"; SNOMED CT#249226008)

value: 0. No response to airways being suctioned (LOINC#LA6719-4 "No response to airways being suctioned"; apgarreflexirritability#0)

component

code: Apgar muscle tone score (LOINC#32408-7 "1 minute Apgar Muscle Tone"; SNOMED CT#249225007)

value: 0. Limp; no movement (LOINC#LA6713-7 "Limp; no movement"; apgarmuscletone#0)

component

code: Apgar respiratory effort score (LOINC#32410-3 "1 minute Apgar Respiratory effort"; SNOMED CT#249224006)

value: 0. Not breathing (LOINC#LA6725-1 "Not breathing"; apgarrespiratoryeffort#0)

","status":"generated"},"valueQuantity":{"code":"{score}","system":"http://unitsofmeasure.org","value":0}}