<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir">
	<id value="5minute-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</b></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 &quot;5minute-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="codesystem-observation-category.html">Observation Category Codes</a>#survey)</span></p><p><b>code</b>: 5 minute Apgar Score <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#9274-2; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#169909004 &quot;Apgar at 5 minutes&quot;)</span></p><p><b>subject</b>: <a name="newborn"> </a></p><blockquote><p><b>Peter James Chalmers </b> male, DoB: 2016-05-18 ( id: 12345)</p></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>: 10 {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>#32411-1 &quot;5 minute Apgar Color&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#249227004)</span></p><p><b>value</b>: 2. Good color all over <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6724-4 &quot;Good color all over&quot;; apgarcolor#2)</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>#32412-9 &quot;5 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>: 2. At least 100 beats per minute <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6718-6 &quot;At least 100 beats per minute&quot;; apgarheartrate#2)</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>#32414-5 &quot;5 minute Apgar Reflex Irritability&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#249226008)</span></p><p><b>value</b>: 2. Grimace and pulling away, cough, or sneeze during suctioning <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6721-0 &quot;Grimace and pulling away, cough, or sneeze during suctioning&quot;; apgarreflexirritability#2)</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>#32413-7 &quot;5 minute Apgar Muscle Tone&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#249225007)</span></p><p><b>value</b>: 2. Active motion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6715-2 &quot;Active motion&quot;; apgarmuscletone#2)</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>#32415-2 &quot;5 minute Apgar Respiratory effort&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#249224006)</span></p><p><b>value</b>: 2. Good, strong cry; normal rate and effort of breathing <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA6727-7 &quot;Good, strong cry; normal rate and effort of breathing&quot;; apgarrespiratoryeffort#2)</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="9274-2"/>
			<display value="5 minute Apgar Score"/>
		</coding>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="169909004"/>
			<display value="Apgar at 5 minutes"/>
		</coding>
		<text value="5 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="10"/>
		<system value="http://unitsofmeasure.org"/>
		<code value="{score}"/>
	</valueQuantity>
	<component>
		<code>
			<coding>
				<system value="http://loinc.org"/>
				<code value="32411-1"/>
				<display value="5 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/ordinalValue">
					<valueDecimal value="2"/>
				</extension>
				<system value="http://loinc.org"/>
				<code value="LA6724-4"/>
				<display value="Good color all over"/>
			</coding>
			<coding>
				<system value="http://acme.ped/apgarcolor"/>
				<code value="2"/>
			</coding>
			<text value="2. Good color all over"/>
		</valueCodeableConcept>
	</component>
	<component>
		<code>
			<coding>
				<system value="http://loinc.org"/>
				<code value="32412-9"/>
				<display value="5 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/ordinalValue">
					<valueDecimal value="2"/>
				</extension>
				<system value="http://loinc.org"/>
				<code value="LA6718-6"/>
				<display value="At least 100 beats per minute"/>
			</coding>
			<coding>
				<system value="http://acme.ped/apgarheartrate"/>
				<code value="2"/>
			</coding>
			<text value="2. At least 100 beats per minute"/>
		</valueCodeableConcept>
	</component>
	<component>
		<code>
			<coding>
				<system value="http://loinc.org"/>
				<code value="32414-5"/>
				<display value="5 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/ordinalValue">
					<valueDecimal value="2"/>
				</extension>
				<system value="http://loinc.org"/>
				<code value="LA6721-0"/>
				<display value="Grimace and pulling away, cough, or sneeze during suctioning"/>
			</coding>
			<coding>
				<system value="http://acme.ped/apgarreflexirritability"/>
				<code value="2"/>
			</coding>
			<text value="2. Grimace and pulling away, cough, or sneeze during suctioning"/>
		</valueCodeableConcept>
	</component>
	<component>
		<code>
			<coding>
				<system value="http://loinc.org"/>
				<code value="32413-7"/>
				<display value="5 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/ordinalValue">
					<valueDecimal value="2"/>
				</extension>
				<system value="http://loinc.org"/>
				<code value="LA6715-2"/>
				<display value="Active motion"/>
			</coding>
			<coding>
				<system value="http://acme.ped/apgarmuscletone"/>
				<code value="2"/>
			</coding>
			<text value="2. Active motion"/>
		</valueCodeableConcept>
	</component>
	<component>
		<code>
			<coding>
				<system value="http://loinc.org"/>
				<code value="32415-2"/>
				<display value="5 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/ordinalValue">
					<valueDecimal value="2"/>
				</extension>
				<system value="http://loinc.org"/>
				<code value="LA6727-7"/>
				<display value="Good, strong cry; normal rate and effort of breathing"/>
			</coding>
			<coding>
				<system value="http://acme.ped/apgarrespiratoryeffort"/>
				<code value="2"/>
			</coding>
			<text value="2. Good, strong cry; normal rate and effort of breathing"/>
		</valueCodeableConcept>
	</component>
</Observation>