<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir"><id value="2minute-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="2minute-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;2minute-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>: 2 minute Apgar Score <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#9273-4)</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>: 5 {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://browser.ihtsdotools.org/">SNOMED CT</a>#249227004)</span></p><p><b>value</b>: 1. Good color in body with bluish hands or feet <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6723-6 &quot;Good color in body with bluish hands or feet&quot;; apgarcolor#1)</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://browser.ihtsdotools.org/">SNOMED CT</a>#249223000 &quot;Apgar heart rate score&quot;)</span></p><p><b>value</b>: 1. Fewer than 100 beats per minute <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6720-2 &quot;Fewer than 100 beats per minute&quot;; apgarheartrate#1)</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://browser.ihtsdotools.org/">SNOMED CT</a>#249226008)</span></p><p><b>value</b>: 1. Grimace during suctioning <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6721-0 &quot;Grimace during suctioning&quot;; apgarreflexirritability#1)</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://browser.ihtsdotools.org/">SNOMED CT</a>#249225007)</span></p><p><b>value</b>: 1. Some flexion of arms and legs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6714-5 &quot;Some flexion of arms and legs&quot;; apgarmuscletone#1)</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://browser.ihtsdotools.org/">SNOMED CT</a>#249224006)</span></p><p><b>value</b>: 1. Weak cry; may sound like whimpering, slow or irregular breathing <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6726-9 &quot;Weak cry; may sound like whimpering, slow or irregular breathing&quot;; apgarrespiratoryeffort#1)</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="9273-4"/><display value="2 minute Apgar Score"/></coding><text value="2 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="5"/><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/itemWeight"><valueDecimal value="1"/></extension><system value="http://loinc.org"/><code value="LA6723-6"/><display value="Good color in body with bluish hands or feet"/></coding><coding><system value="http://acme.ped/apgarcolor"/><code value="1"/></coding><text value="1. Good color in body with bluish hands or feet"/></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/itemWeight"><valueDecimal value="1"/></extension><system value="http://loinc.org"/><code value="LA6720-2"/><display value="Fewer than 100 beats per minute"/></coding><coding><system value="http://acme.ped/apgarheartrate"/><code value="1"/></coding><text value="1. Fewer than 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/itemWeight"><valueDecimal value="1"/></extension><system value="http://loinc.org"/><code value="LA6721-0"/><display value="Grimace during suctioning"/></coding><coding><system value="http://acme.ped/apgarreflexirritability"/><code value="1"/></coding><text value="1. Grimace 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/itemWeight"><valueDecimal value="1"/></extension><system value="http://loinc.org"/><code value="LA6714-5"/><display value="Some flexion of arms and legs"/></coding><coding><system value="http://acme.ped/apgarmuscletone"/><code value="1"/></coding><text value="1. Some flexion of arms and legs"/></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/itemWeight"><valueDecimal value="1"/></extension><system value="http://loinc.org"/><code value="LA6726-9"/><display value="Weak cry; may sound like whimpering, slow or irregular breathing"/></coding><coding><system value="http://acme.ped/apgarrespiratoryeffort"/><code value="1"/></coding><text value="1. Weak cry; may sound like whimpering, slow or irregular breathing"/></valueCodeableConcept></component></Observation>