{
"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 5 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 10 minutes](http://nictiz.nl/fhir/StructureDefinition/zib-ApgarScore-10Minute) after birth.",
"_filename": "zib-ApgarScore-5Minute.json",
"package_name": "nictiz.fhir.nl.r4.zib2020",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"purpose": "This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) ApgarScore-v1.0.1(2020EN)](https://zibs.nl/wiki/ApgarScore-v1.0.1(2020EN)).",
"name": "ZibApgarScore5Minute",
"mapping": [ {
"uri": "https://zibs.nl/wiki/ApgarScore-v1.0.1(2020EN)",
"name": "zib ApgarScore-v1.0.1(2020EN)",
"identity": "zib-apgarscore-v1.0.1-2020EN"
} ],
"abstract": true,
"copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "zib ApgarScore 5Minute",
"package_version": "0.8.0-beta.1",
"status": "draft",
"id": "2a493807-8ba9-4c92-88c9-eb80ca318670",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-ApgarScore-5Minute",
"version": null,
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "ApgarScore" ],
"short": "ApgarScore",
"mapping": [ {
"map": "NL-CM:12.16.1",
"comment": "ApgarScore",
"identity": "zib-apgarscore-v1.0.1-2020EN"
} ]
}, {
"id": "Observation.code",
"path": "Observation.code",
"patternCodeableConcept": {
"coding": [ {
"code": "9274-2",
"system": "http://loinc.org"
} ]
}
}, {
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "Observation.effective[x]:effectiveDateTime",
"path": "Observation.effective[x]",
"type": [ {
"code": "dateTime"
} ],
"alias": [ "ApgarScoreDatumTijd" ],
"short": "ApgarScoreDateTime",
"mapping": [ {
"map": "NL-CM:12.16.3",
"comment": "ApgarScoreDateTime",
"identity": "zib-apgarscore-v1.0.1-2020EN"
} ],
"sliceName": "effectiveDateTime",
"definition": "The day and time at which the Apgar score is registered."
}, {
"id": "Observation.value[x]",
"path": "Observation.value[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"path": "Observation.value[x]",
"definition": "Total of the Apgar score. The total score has a range from 0 - 10.",
"minValueInteger": 0,
"short": "ApgarScoreTotal",
"mapping": [ {
"map": "NL-CM:12.16.2",
"comment": "ApgarScoreTotal",
"identity": "zib-apgarscore-v1.0.1-2020EN"
} ],
"type": [ {
"code": "integer"
} ],
"sliceName": "valueInteger",
"alias": [ "ApgarScoreTotaal" ],
"id": "Observation.value[x]:valueInteger",
"maxValueInteger": 10
}, {
"id": "Observation.note",
"max": "1",
"path": "Observation.note"
}, {
"id": "Observation.note.text",
"path": "Observation.note.text",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:12.16.9",
"comment": "Comment",
"identity": "zib-apgarscore-v1.0.1-2020EN"
} ],
"definition": "Comment on the Apgar score."
}, {
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.component:respiratoryScore",
"max": "1",
"path": "Observation.component",
"sliceName": "respiratoryScore"
}, {
"id": "Observation.component:respiratoryScore.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "32415-2",
"system": "http://loinc.org"
} ]
}
}, {
"id": "Observation.component:respiratoryScore.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "AdemhalingScore" ],
"short": "RespiratoryScore",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.16.4",
"comment": "RespiratoryScore",
"identity": "zib-apgarscore-v1.0.1-2020EN"
} ],
"definition": "The Apgar subscore for respiration."
}, {
"id": "Observation.component:appearanceScore",
"max": "1",
"path": "Observation.component",
"sliceName": "appearanceScore"
}, {
"id": "Observation.component:appearanceScore.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "32411-1",
"system": "http://loinc.org"
} ]
}
}, {
"id": "Observation.component:appearanceScore.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "HuidskleurScore" ],
"short": "AppearanceScore",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.16.7",
"comment": "AppearanceScore",
"identity": "zib-apgarscore-v1.0.1-2020EN"
} ],
"definition": "The Apgar subscore for skin color/appearance."
}, {
"id": "Observation.component:pulseScore",
"max": "1",
"path": "Observation.component",
"sliceName": "pulseScore"
}, {
"id": "Observation.component:pulseScore.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "32412-9",
"system": "http://loinc.org"
} ]
}
}, {
"id": "Observation.component:pulseScore.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "HartslagScore" ],
"short": "PulseScore",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.2--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.16.5",
"comment": "PulseScore",
"identity": "zib-apgarscore-v1.0.1-2020EN"
} ],
"definition": "The Apgar subscore for pulse."
}, {
"id": "Observation.component:grimaceScore",
"max": "1",
"path": "Observation.component",
"sliceName": "grimaceScore"
}, {
"id": "Observation.component:grimaceScore.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "32414-5",
"system": "http://loinc.org"
} ]
}
}, {
"id": "Observation.component:grimaceScore.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "ReflexenScore" ],
"short": "GrimaceScore",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.5--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.16.8",
"comment": "GrimaceScore",
"identity": "zib-apgarscore-v1.0.1-2020EN"
} ],
"definition": "The Apgar subscore for grimace."
}, {
"id": "Observation.component:muscleToneScore",
"max": "1",
"path": "Observation.component",
"sliceName": "muscleToneScore"
}, {
"id": "Observation.component:muscleToneScore.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "32413-7",
"system": "http://loinc.org"
} ]
}
}, {
"id": "Observation.component:muscleToneScore.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "SpierspanningScore" ],
"short": "MuscleToneScore",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.3--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.16.6",
"comment": "MuscleToneScore",
"identity": "zib-apgarscore-v1.0.1-2020EN"
} ],
"definition": "The Apgar subscore for activity/muscle tone."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}