description: A escala de Apgar, criada por Virgínia Apgar em 1953,\n é um método rápido para avaliar as condições do recém-nascido na sala de parto,\n  aos 1 e 5 minutos de vida. Ela soma cinco sinais — tônus muscular, frequência cardíaca, reflexo, respiração e cor\n   — cada um com nota de 0 a 2, totalizando de 0 a 10.\n A pontuação pode ser influenciada por fatores como idade gestacional, medicamentos maternos,\n condições neurológicas do bebê e intervenções de reanimação.
package_name: br.go.ses.core
derivation: constraint
name: Apgar
type: Observation
elements:
  identifier:
    index: 0
    elements:
      system:
        pattern: {type: Uri, value: 'http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv'}
        index: 1
      value: {short: Número da Declaração de Nascido Vivo, index: 2}
      period:
        elements:
          start: {short: Data do preenchimento, index: 3}
        required: [start]
    required: [value, system]
  status:
    pattern: {type: Code, value: final}
    index: 4
  code:
    elements:
      text: {short: Índice de Ápgar, index: 5}
    required: [text]
  subject:
    type: Reference
    short: Identificação do(a) Recém-Nascido(a)
    refers: ['https://fhir.saude.go.gov.br/r4/core/StructureDefinition/identificacao-recem-nascido']
    index: 6
  encounter:
    type: Reference
    short: Atendimento do parto
    refers: ['https://fhir.saude.go.gov.br/r4/core/StructureDefinition/atendimento-parto']
    index: 7
  effective:
    choices: []
    index: 9
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: 1
      slices:
        effectiveDateTime:
          match: {}
          schema:
            short: Data do nascimento + Hora do nascimento
            choices: [effectiveDateTime]
            _required: true
            index: 11
          min: 1
          max: 1
  effectiveDateTime:
    type: dateTime
    short: Data do nascimento + Hora do nascimento
    choiceOf: effective
    index: 12
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {type: dateTime, short: Data do nascimento + Hora do nascimento, choiceOf: effective, _required: true, index: 12}
          min: 1
          max: 1
  component:
    array: true
    min: 2
    max: 2
    index: 13
    slicing:
      rules: closed
      discriminator:
      - {path: code.coding.code, type: value}
      min: 2
      max: 2
      slices:
        apgar1min:
          match:
            code:
              coding: {code: 9272-6}
          schema:
            short: Índice Apgar no 1º minuto
            _required: true
            index: 14
            elements:
              code:
                elements:
                  coding:
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://loinc.org'}
                        index: 15
                      code:
                        pattern: {type: Code, value: 9272-6}
                        index: 16
                    required: [system, code]
              value:
                choices: []
                index: 18
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this, type: type}
                  min: 1
                  slices:
                    valueInteger:
                      match: {}
                      schema:
                        choices: [valueInteger]
                        _required: true
                        index: 20
                      min: 1
                      max: 1
              valueInteger:
                type: integer
                choiceOf: value
                index: 21
                slicing:
                  slices:
                    valueInteger:
                      match: {}
                      schema: {type: integer, choiceOf: value, _required: true, index: 21}
                      min: 1
                      max: 1
            required: [value, valueInteger]
        apgar5min:
          match:
            code:
              coding: {code: 9274-2}
          schema:
            short: Índice Apgar no 5º minuto
            _required: true
            index: 22
            elements:
              code:
                elements:
                  coding:
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://loinc.org'}
                        index: 23
                      code:
                        pattern: {type: Code, value: 9274-2}
                        index: 24
                    required: [system, code]
              value:
                choices: []
                index: 26
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this, type: type}
                  min: 1
                  slices:
                    valueInteger:
                      match: {}
                      schema:
                        choices: [valueInteger]
                        _required: true
                        index: 28
                      min: 1
                      max: 1
              valueInteger:
                type: integer
                choiceOf: value
                index: 29
                slicing:
                  slices:
                    valueInteger:
                      match: {}
                      schema: {type: integer, choiceOf: value, _required: true, index: 29}
                      min: 1
                      max: 1
            required: [value, valueInteger]
package_version: 1.1.0
class: profile
kind: resource
url: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/apgar
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.1.0
required: [effectiveDateTime, encounter, identifier, subject, effective]