{"category":[{"coding":[{"code":"survey","display":"Survey","system":"http://terminology.hl7.org/CodeSystem/observation-category"}],"text":"Survey"}],"code":{"coding":[{"code":"9274-2","display":"5 minute Apgar Score","system":"http://loinc.org"},{"code":"169909004","display":"Apgar at 5 minutes","system":"http://snomed.info/sct"}],"text":"5 minute Apgar Score"},"component":[{"code":{"coding":[{"code":"32411-1","display":"5 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":"LA6724-4","display":"Good color all over","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":2}],"system":"http://loinc.org"},{"code":"2","system":"http://acme.ped/apgarcolor"}],"text":"2. Good color all over"}},{"code":{"coding":[{"code":"32412-9","display":"5 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":"LA6718-6","display":"At least 100 beats per minute","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":2}],"system":"http://loinc.org"},{"code":"2","system":"http://acme.ped/apgarheartrate"}],"text":"2. At least 100 beats per minute"}},{"code":{"coding":[{"code":"32414-5","display":"5 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":"LA6721-0","display":"Grimace and pulling away, cough, or sneeze during suctioning","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":2}],"system":"http://loinc.org"},{"code":"2","system":"http://acme.ped/apgarreflexirritability"}],"text":"2. Grimace and pulling away, cough, or sneeze during suctioning"}},{"code":{"coding":[{"code":"32413-7","display":"5 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":"LA6715-2","display":"Active motion","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":2}],"system":"http://loinc.org"},{"code":"2","system":"http://acme.ped/apgarmuscletone"}],"text":"2. Active motion"}},{"code":{"coding":[{"code":"32415-2","display":"5 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":"LA6727-7","display":"Good, strong cry; normal rate and effort of breathing","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/itemWeight","valueDecimal":2}],"system":"http://loinc.org"},{"code":"2","system":"http://acme.ped/apgarrespiratoryeffort"}],"text":"2. Good, strong cry; normal rate and effort of 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":"5minute-apgar-score","performer":[{"reference":"Practitioner/example"}],"resourceType":"Observation","status":"final","subject":{"reference":"#newborn"},"text":{"div":"

Generated Narrative: Observation

Resource Observation "5minute-apgar-score"

status: final

category: Survey (Observation Category Codes#survey)

code: 5 minute Apgar Score (LOINC#9274-2; SNOMED CT#169909004 "Apgar at 5 minutes")

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

component

code: Apgar color score (LOINC#32411-1 "5 minute Apgar Color"; SNOMED CT#249227004)

value: 2. Good color all over (LOINC#LA6724-4 "Good color all over"; apgarcolor#2)

component

code: Apgar respiratory effort score (LOINC#32412-9 "5 minute Apgar Heart Rate"; SNOMED CT#249223000 "Apgar heart rate score")

value: 2. At least 100 beats per minute (LOINC#LA6718-6 "At least 100 beats per minute"; apgarheartrate#2)

component

code: Apgar response to stimulus score (LOINC#32414-5 "5 minute Apgar Reflex Irritability"; SNOMED CT#249226008)

value: 2. Grimace and pulling away, cough, or sneeze during suctioning (LOINC#LA6721-0 "Grimace and pulling away, cough, or sneeze during suctioning"; apgarreflexirritability#2)

component

code: Apgar muscle tone score (LOINC#32413-7 "5 minute Apgar Muscle Tone"; SNOMED CT#249225007)

value: 2. Active motion (LOINC#LA6715-2 "Active motion"; apgarmuscletone#2)

component

code: Apgar respiratory effort score (LOINC#32415-2 "5 minute Apgar Respiratory effort"; SNOMED CT#249224006)

value: 2. Good, strong cry; normal rate and effort of breathing (LOINC#LA6727-7 "Good, strong cry; normal rate and effort of breathing"; apgarrespiratoryeffort#2)

","status":"generated"},"valueQuantity":{"code":"{score}","system":"http://unitsofmeasure.org","value":10}}