description: 'The Apgar score represents the overall clinical status of a newborn child. This is evaluated one, five and ten minutes after birth based on 5 parameters: Appearance, Pulse, Grimace, Activity, Respiration. If the score measured at 5 minutes is < 8, the Apgar score is measured again at 10, 15, 20 minutes etc. until the score = 8.\r\n\r\nThe zib explicitly defines the Apgar score at 1, 5 and 10 minutes after birth. This profile represents the Apgar score at 10 minutes after birth. Profiles have also been defined for the Apgar score [at 1 minute](http://nictiz.nl/fhir/StructureDefinition/zib-ApgarScore-1Minute) and [at 5 minutes](http://nictiz.nl/fhir/StructureDefinition/zib-ApgarScore-5Minute) after birth.'
package_name: nictiz.fhir.nl.r4.zib2020
derivation: constraint
name: ZibApgarScore10Minute
abstract: true
type: Observation
elements:
  code:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 9271-8, system: 'http://loinc.org'}
    index: 0
  effective:
    choices: []
    index: 2
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        effectiveDateTime:
          match: {}
          schema:
            short: ApgarScoreDateTime
            choices: [effectiveDateTime]
            index: 4
  effectiveDateTime:
    short: ApgarScoreDateTime
    type: dateTime
    choiceOf: effective
    index: 5
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {short: ApgarScoreDateTime, type: dateTime, choiceOf: effective, index: 5}
  value:
    choices: []
    index: 7
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        valueInteger:
          match: {}
          schema:
            minValueInteger: 0
            short: ApgarScoreTotal
            choices: [valueInteger]
            maxValueInteger: 10
            index: 9
  valueInteger:
    minValueInteger: 0
    short: ApgarScoreTotal
    type: integer
    maxValueInteger: 10
    choiceOf: value
    index: 10
    slicing:
      slices:
        valueInteger:
          match: {}
          schema: {minValueInteger: 0, short: ApgarScoreTotal, type: integer, maxValueInteger: 10, choiceOf: value, index: 10}
  note:
    index: 11
    elements:
      text: {short: Comment, index: 12}
  component:
    index: 13
    slicing:
      rules: open
      discriminator:
      - {path: code, type: value}
      min: null
      slices:
        respiratoryScore:
          match:
            code:
              coding:
              - {code: 32405-3, system: 'http://loinc.org'}
          schema:
            index: 14
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 32405-3, system: 'http://loinc.org'}
                index: 15
              value:
                short: RespiratoryScore
                choices: [valueCodeableConcept]
                index: 17
              valueCodeableConcept: {type: CodeableConcept, short: RespiratoryScore, choiceOf: value, index: 18}
        appearanceScore:
          match:
            code:
              coding:
              - {code: 32401-2, system: 'http://loinc.org'}
          schema:
            index: 19
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 32401-2, system: 'http://loinc.org'}
                index: 20
              value:
                short: AppearanceScore
                choices: [valueCodeableConcept]
                index: 22
              valueCodeableConcept: {type: CodeableConcept, short: AppearanceScore, choiceOf: value, index: 23}
        pulseScore:
          match:
            code:
              coding:
              - {code: 32402-0, system: 'http://loinc.org'}
          schema:
            index: 24
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 32402-0, system: 'http://loinc.org'}
                index: 25
              value:
                short: PulseScore
                choices: [valueCodeableConcept]
                index: 27
              valueCodeableConcept: {type: CodeableConcept, short: PulseScore, choiceOf: value, index: 28}
        grimaceScore:
          match:
            code:
              coding:
              - {code: 32404-6, system: 'http://loinc.org'}
          schema:
            index: 29
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 32404-6, system: 'http://loinc.org'}
                index: 30
              value:
                short: GrimaceScore
                choices: [valueCodeableConcept]
                index: 32
              valueCodeableConcept: {type: CodeableConcept, short: GrimaceScore, choiceOf: value, index: 33}
        muscleToneScore:
          match:
            code:
              coding:
              - {code: 32403-8, system: 'http://loinc.org'}
          schema:
            index: 34
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 32403-8, system: 'http://loinc.org'}
                index: 35
              value:
                short: MuscleToneScore
                choices: [valueCodeableConcept]
                index: 37
              valueCodeableConcept: {type: CodeableConcept, short: MuscleToneScore, choiceOf: value, index: 38}
package_version: 0.12.0-beta.3
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-ApgarScore-10Minute
base: http://hl7.org/fhir/StructureDefinition/Observation
version: null