<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir"><id value="1minute-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: Observation</b><a name="1minute-apgar-score"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation &quot;1minute-apgar-score&quot; </p></div><p><b>status</b>: final</p><p><b>category</b>: Survey <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#survey)</span></p><p><b>code</b>: 1 minute Apgar Score <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#9272-6; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#169895004 &quot;Apgar at 1 minute&quot;)</span></p><p><b>subject</b>: <a name="newborn"> </a></p><blockquote><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;"><b>Peter James Chalmers </b> male, DoB: 2016-05-18 ( id: 12345)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr></table></blockquote><p><b>effective</b>: 2016-05-18T22:33:22Z</p><p><b>performer</b>: <a href="practitioner-example.html">Practitioner/example</a> &quot;Adam CAREFUL&quot;</p><p><b>value</b>: 0 {score}<span style="background: LightGoldenRodYellow"> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Apgar color score <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#32406-1 &quot;1 minute Apgar Color&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#249227004)</span></p><p><b>value</b>: 0. The baby's whole body is completely bluish-gray or pale <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6722-8 &quot;The baby's whole body is completely bluish-gray or pale&quot;; apgarcolor#0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#32407-9 &quot;1 minute Apgar Heart Rate&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#249223000 &quot;Apgar heart rate score&quot;)</span></p><p><b>value</b>: 0. No heart rate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6716-0 &quot;No heart rate&quot;; apgarheartrate#0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar response to stimulus score <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#32409-5 &quot;1 minute Apgar Reflex Irritability&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#249226008)</span></p><p><b>value</b>: 0. No response to airways being suctioned <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6719-4 &quot;No response to airways being suctioned&quot;; apgarreflexirritability#0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar muscle tone score <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#32408-7 &quot;1 minute Apgar Muscle Tone&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#249225007)</span></p><p><b>value</b>: 0. Limp; no movement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6713-7 &quot;Limp; no movement&quot;; apgarmuscletone#0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Apgar respiratory effort score <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#32410-3 &quot;1 minute Apgar Respiratory effort&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#249224006)</span></p><p><b>value</b>: 0. Not breathing <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6725-1 &quot;Not breathing&quot;; apgarrespiratoryeffort#0)</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://loinc.org"/><code value="9272-6"/><display value="1 minute Apgar Score"/></coding><coding><system value="http://snomed.info/sct"/><code value="169895004"/><display value="Apgar at 1 minute"/></coding><text value="1 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="0"/><system value="http://unitsofmeasure.org"/><code value="{score}"/></valueQuantity><component><code><coding><system value="http://loinc.org"/><code value="32406-1"/><display value="1 minute Apgar Color"/></coding><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/itemWeight"><valueDecimal value="0"/></extension><system value="http://loinc.org"/><code value="LA6722-8"/><display value="The baby's whole body is completely bluish-gray or pale"/></coding><coding><system value="http://acme.ped/apgarcolor"/><code value="0"/></coding><text value="0. The baby's whole body is completely bluish-gray or pale"/></valueCodeableConcept></component><component><code><coding><system value="http://loinc.org"/><code value="32407-9"/><display value="1 minute Apgar Heart Rate"/></coding><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/itemWeight"><valueDecimal value="0"/></extension><system value="http://loinc.org"/><code value="LA6716-0"/><display value="No heart rate"/></coding><coding><system value="http://acme.ped/apgarheartrate"/><code value="0"/></coding><text value="0. No heart rate"/></valueCodeableConcept></component><component><code><coding><system value="http://loinc.org"/><code value="32409-5"/><display value="1 minute Apgar Reflex Irritability"/></coding><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/itemWeight"><valueDecimal value="0"/></extension><system value="http://loinc.org"/><code value="LA6719-4"/><display value="No response to airways being suctioned"/></coding><coding><system value="http://acme.ped/apgarreflexirritability"/><code value="0"/></coding><text value="0. No response to airways being suctioned"/></valueCodeableConcept></component><component><code><coding><system value="http://loinc.org"/><code value="32408-7"/><display value="1 minute Apgar Muscle Tone"/></coding><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/itemWeight"><valueDecimal value="0"/></extension><system value="http://loinc.org"/><code value="LA6713-7"/><display value="Limp; no movement"/></coding><coding><system value="http://acme.ped/apgarmuscletone"/><code value="0"/></coding><text value="0. Limp; no movement"/></valueCodeableConcept></component><component><code><coding><system value="http://loinc.org"/><code value="32410-3"/><display value="1 minute Apgar Respiratory effort"/></coding><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/itemWeight"><valueDecimal value="0"/></extension><system value="http://loinc.org"/><code value="LA6725-1"/><display value="Not breathing"/></coding><coding><system value="http://acme.ped/apgarrespiratoryeffort"/><code value="0"/></coding><text value="0. Not breathing"/></valueCodeableConcept></component></Observation>