{"category":[{"coding":[{"code":"survey","display":"Survey","system":"http://terminology.hl7.org/CodeSystem/observation-category"}],"text":"Survey"}],"code":{"coding":[{"code":"9273-4","display":"2 minute Apgar Score","system":"http://loinc.org"}],"text":"2 minute Apgar Score"},"component":[{"code":{"coding":[{"code":"249227004","display":"Apgar color score","system":"http://snomed.info/sct"}],"text":"Apgar color score"},"valueCodeableConcept":{"coding":[{"code":"LA6723-6","display":"Good color in body with bluish hands or feet","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":1}],"system":"http://loinc.org"},{"code":"1","system":"http://acme.ped/apgarcolor"}],"text":"1. Good color in body with bluish hands or feet"}},{"code":{"coding":[{"code":"249223000","display":"Apgar heart rate score","system":"http://snomed.info/sct"}],"text":"Apgar respiratory effort score"},"valueCodeableConcept":{"coding":[{"code":"LA6720-2","display":"Fewer than 100 beats per minute","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":1}],"system":"http://loinc.org"},{"code":"1","system":"http://acme.ped/apgarheartrate"}],"text":"1. Fewer than 100 beats per minute"}},{"code":{"coding":[{"code":"249226008","display":"Apgar response to stimulus score","system":"http://snomed.info/sct"}],"text":"Apgar response to stimulus score"},"valueCodeableConcept":{"coding":[{"code":"LA6721-0","display":"Grimace during suctioning","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":1}],"system":"http://loinc.org"},{"code":"1","system":"http://acme.ped/apgarreflexirritability"}],"text":"1. Grimace during suctioning"}},{"code":{"coding":[{"code":"249225007","display":"Apgar muscle tone score","system":"http://snomed.info/sct"}],"text":"Apgar muscle tone score"},"valueCodeableConcept":{"coding":[{"code":"LA6714-5","display":"Some flexion of arms and legs","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":1}],"system":"http://loinc.org"},{"code":"1","system":"http://acme.ped/apgarmuscletone"}],"text":"1. Some flexion of arms and legs"}},{"code":{"coding":[{"code":"249224006","display":"Apgar respiratory effort score","system":"http://snomed.info/sct"}],"text":"Apgar respiratory effort score"},"valueCodeableConcept":{"coding":[{"code":"LA6726-9","display":"Weak cry; may sound like whimpering, slow or irregular breathing","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":1}],"system":"http://loinc.org"},{"code":"1","system":"http://acme.ped/apgarrespiratoryeffort"}],"text":"1. Weak cry; may sound like whimpering, slow or irregular 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":"2minute-apgar-score","performer":[{"reference":"Practitioner/example"}],"resourceType":"Observation","status":"final","subject":{"reference":"#newborn"},"text":{"div":"

Generated Narrative: Observation

Resource Observation "2minute-apgar-score"

status: final

category: Survey (Observation Category Codes#survey)

code: 2 minute Apgar Score (LOINC#9273-4)

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: 5 {score} (Details: UCUM code {score} = '{score}')

component

code: Apgar color score (SNOMED CT#249227004)

value: 1. Good color in body with bluish hands or feet (LOINC#LA6723-6 "Good color in body with bluish hands or feet"; apgarcolor#1)

component

code: Apgar respiratory effort score (SNOMED CT#249223000 "Apgar heart rate score")

value: 1. Fewer than 100 beats per minute (LOINC#LA6720-2 "Fewer than 100 beats per minute"; apgarheartrate#1)

component

code: Apgar response to stimulus score (SNOMED CT#249226008)

value: 1. Grimace during suctioning (LOINC#LA6721-0 "Grimace during suctioning"; apgarreflexirritability#1)

component

code: Apgar muscle tone score (SNOMED CT#249225007)

value: 1. Some flexion of arms and legs (LOINC#LA6714-5 "Some flexion of arms and legs"; apgarmuscletone#1)

component

code: Apgar respiratory effort score (SNOMED CT#249224006)

value: 1. Weak cry; may sound like whimpering, slow or irregular breathing (LOINC#LA6726-9 "Weak cry; may sound like whimpering, slow or irregular breathing"; apgarrespiratoryeffort#1)

","status":"generated"},"valueQuantity":{"code":"{score}","system":"http://unitsofmeasure.org","value":5}}