<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="logicalmodel-Apgarscore-R4" />
  <url value="http://linkehr.com/fhir/logicalmodel-apgarscore-R4" />
  <identifier>
    <system value="openEHR-CKM" />
    <value value="openEHR-EHR-OBSERVATION.apgar.v2" />
  </identifier>
  <version value="0" />
  <name value="Apgarscore" />
  <title value="Apgar score" />
  <status value="draft" />
  <date value="2024-06-18" />
  <publisher value="openEHR" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://www.veratech.es" />
    </telecom>
  </contact>
  <description value="A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation." />
  <purpose value="To record the results for each component parameter and their total sum for the Apgar score." />
  <fhirVersion value="4.0.0" />
  <mapping>
    <identity value="openEHR" />
    <uri value="http://openehr.org" />
    <name value="openEHR Mapping" />
  </mapping>
  <mapping>
    <identity value="openEHR-natural" />
    <uri value="http://openehr.org" />
    <name value="openEHR natural path" />
  </mapping>
  <kind value="logical" />
  <abstract value="false" />
  <type value="StructureDefinition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
  <snapshot>
    <element id="Apgar_score">
      <path value="Apgar_score" />
      <short value="Apgar score" />
      <definition value="A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Apgar_score" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.protocol">
      <path value="Apgar_score.protocol" />
      <short value="Tree" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.protocol" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.protocol.Extension">
      <path value="Apgar_score.protocol.Extension" />
      <short value="Extension" />
      <definition value="Additional information required to extend the model with local content or to align with other reference models or formalisms." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Apgar_score.protocol.Extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History">
      <path value="Apgar_score.History" />
      <short value="History" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.1_minute">
      <path value="Apgar_score.History.1_minute" />
      <short value="1 minute" />
      <definition value="Apgar score 1 minute after birth." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.1_minute.data">
      <path value="Apgar_score.History.1_minute.data" />
      <short value="Tree" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.1_minute.data.Respiratory_effort">
      <path value="Apgar_score.History.1_minute.data.Respiratory_effort" />
      <short value="Respiratory effort" />
      <definition value="Observation of the infant's respiratory effort." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Respiratory_effort" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Apgar_score.History.1_minute.data.Respiratory_effort.value">
      <path value="Apgar_score.History.1_minute.data.Respiratory_effort.value" />
      <short value="Respiratory effort" />
      <definition value="Observation of the infant's respiratory effort." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Respiratory_effort.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.1_minute.data.Heart_rate">
      <path value="Apgar_score.History.1_minute.data.Heart_rate" />
      <short value="Heart rate" />
      <definition value="Recording of the infant's heart rate." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Heart_rate" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Apgar_score.History.1_minute.data.Heart_rate.value">
      <path value="Apgar_score.History.1_minute.data.Heart_rate.value" />
      <short value="Heart rate" />
      <definition value="Recording of the infant's heart rate." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Heart_rate.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.1_minute.data.Muscle_tone">
      <path value="Apgar_score.History.1_minute.data.Muscle_tone" />
      <short value="Muscle tone" />
      <definition value="Observation of the infant's muscle tone." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Muscle_tone" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Apgar_score.History.1_minute.data.Muscle_tone.value">
      <path value="Apgar_score.History.1_minute.data.Muscle_tone.value" />
      <short value="Muscle tone" />
      <definition value="Observation of the infant's muscle tone." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Muscle_tone.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.1_minute.data.Reflex_irritability">
      <path value="Apgar_score.History.1_minute.data.Reflex_irritability" />
      <short value="Reflex irritability" />
      <definition value="Observation of the response of the infant to an irritant stimulation, for example, suctioning the oropharynx and nares with a soft rubber catheter." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Reflex_irritability" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Apgar_score.History.1_minute.data.Reflex_irritability.value">
      <path value="Apgar_score.History.1_minute.data.Reflex_irritability.value" />
      <short value="Reflex irritability" />
      <definition value="Observation of the response of the infant to an irritant stimulation, for example, suctioning the oropharynx and nares with a soft rubber catheter." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Reflex_irritability.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.1_minute.data.Skin_colour">
      <path value="Apgar_score.History.1_minute.data.Skin_colour" />
      <short value="Skin colour" />
      <definition value="Observation of the skin colour of the infant." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Skin_colour" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Apgar_score.History.1_minute.data.Skin_colour.value">
      <path value="Apgar_score.History.1_minute.data.Skin_colour.value" />
      <short value="Skin colour" />
      <definition value="Observation of the skin colour of the infant." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Skin_colour.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.1_minute.data.Total">
      <path value="Apgar_score.History.1_minute.data.Total" />
      <short value="Total" />
      <definition value="The total sum of each component parameter for the Apgar score." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Total" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Apgar_score.History.1_minute.data.Total.value">
      <path value="Apgar_score.History.1_minute.data.Total.value" />
      <short value="Total" />
      <definition value="The total sum of each component parameter for the Apgar score." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.1_minute.data.Total.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Quantity" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.events_1_minute.offset">
      <path value="Apgar_score.History.events_1_minute.offset" />
      <short value="1 minute" />
      <definition value="Apgar score 1 minute after birth." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.events_1_minute.offset" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Duration" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.2_minute">
      <path value="Apgar_score.History.2_minute" />
      <short value="2 minute" />
      <definition value="Apgar score 2 minutes after birth." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.2_minute" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.2_minute.data">
      <path value="Apgar_score.History.2_minute.data" />
      <definition value="ITEM_TREE" />
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      <max value="1" />
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        <path value="Apgar_score.History.2_minute.data" />
        <min value="0" />
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      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.2_minute.data.Respiratory_effort">
      <path value="Apgar_score.History.2_minute.data.Respiratory_effort" />
      <short value="Respiratory effort" />
      <definition value="Observation of the infant's respiratory effort." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.2_minute.data.Respiratory_effort" />
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    </element>
    <element id="Apgar_score.History.2_minute.data.Respiratory_effort.value">
      <path value="Apgar_score.History.2_minute.data.Respiratory_effort.value" />
      <short value="Respiratory effort" />
      <definition value="Observation of the infant's respiratory effort." />
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      <base>
        <path value="Apgar_score.History.2_minute.data.Respiratory_effort.value" />
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      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.2_minute.data.Heart_rate">
      <path value="Apgar_score.History.2_minute.data.Heart_rate" />
      <short value="Heart rate" />
      <definition value="Recording of the infant's heart rate." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.2_minute.data.Heart_rate" />
        <min value="0" />
        <max value="1" />
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    </element>
    <element id="Apgar_score.History.2_minute.data.Heart_rate.value">
      <path value="Apgar_score.History.2_minute.data.Heart_rate.value" />
      <short value="Heart rate" />
      <definition value="Recording of the infant's heart rate." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.2_minute.data.Heart_rate.value" />
        <min value="0" />
        <max value="1" />
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      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.2_minute.data.Muscle_tone">
      <path value="Apgar_score.History.2_minute.data.Muscle_tone" />
      <short value="Muscle tone" />
      <definition value="Observation of the infant's muscle tone." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.2_minute.data.Muscle_tone" />
        <min value="0" />
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    </element>
    <element id="Apgar_score.History.2_minute.data.Muscle_tone.value">
      <path value="Apgar_score.History.2_minute.data.Muscle_tone.value" />
      <short value="Muscle tone" />
      <definition value="Observation of the infant's muscle tone." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.2_minute.data.Muscle_tone.value" />
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      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.2_minute.data.Reflex_irritability">
      <path value="Apgar_score.History.2_minute.data.Reflex_irritability" />
      <short value="Reflex irritability" />
      <definition value="Observation of the response of the infant to an irritant stimulation, for example, suctioning the oropharynx and nares with a soft rubber catheter." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.2_minute.data.Reflex_irritability" />
        <min value="0" />
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    </element>
    <element id="Apgar_score.History.2_minute.data.Reflex_irritability.value">
      <path value="Apgar_score.History.2_minute.data.Reflex_irritability.value" />
      <short value="Reflex irritability" />
      <definition value="Observation of the response of the infant to an irritant stimulation, for example, suctioning the oropharynx and nares with a soft rubber catheter." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.2_minute.data.Reflex_irritability.value" />
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      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
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      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.2_minute.data.Skin_colour">
      <path value="Apgar_score.History.2_minute.data.Skin_colour" />
      <short value="Skin colour" />
      <definition value="Observation of the skin colour of the infant." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.2_minute.data.Skin_colour" />
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    </element>
    <element id="Apgar_score.History.2_minute.data.Skin_colour.value">
      <path value="Apgar_score.History.2_minute.data.Skin_colour.value" />
      <short value="Skin colour" />
      <definition value="Observation of the skin colour of the infant." />
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        <path value="Apgar_score.History.2_minute.data.Skin_colour.value" />
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        <code value="CodeableConcept" />
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      <mustSupport value="false" />
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    </element>
    <element id="Apgar_score.History.2_minute.data.Total">
      <path value="Apgar_score.History.2_minute.data.Total" />
      <short value="Total" />
      <definition value="The total sum of each component parameter for the Apgar score." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.2_minute.data.Total" />
        <min value="0" />
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    </element>
    <element id="Apgar_score.History.2_minute.data.Total.value">
      <path value="Apgar_score.History.2_minute.data.Total.value" />
      <short value="Total" />
      <definition value="The total sum of each component parameter for the Apgar score." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.2_minute.data.Total.value" />
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      <type>
        <code value="Quantity" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.events_2_minute.offset">
      <path value="Apgar_score.History.events_2_minute.offset" />
      <short value="2 minute" />
      <definition value="Apgar score 2 minutes after birth." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.events_2_minute.offset" />
        <min value="0" />
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      <type>
        <code value="Duration" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.3_minute">
      <path value="Apgar_score.History.3_minute" />
      <short value="3 minute" />
      <definition value="Apgar score 3 minutes after birth." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.3_minute" />
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    </element>
    <element id="Apgar_score.History.3_minute.data">
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        <code value="BackboneElement" />
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    <element id="Apgar_score.History.3_minute.data.Respiratory_effort">
      <path value="Apgar_score.History.3_minute.data.Respiratory_effort" />
      <short value="Respiratory effort" />
      <definition value="Observation of the infant's respiratory effort." />
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        <path value="Apgar_score.History.3_minute.data.Respiratory_effort" />
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    <element id="Apgar_score.History.3_minute.data.Respiratory_effort.value">
      <path value="Apgar_score.History.3_minute.data.Respiratory_effort.value" />
      <short value="Respiratory effort" />
      <definition value="Observation of the infant's respiratory effort." />
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        <path value="Apgar_score.History.3_minute.data.Respiratory_effort.value" />
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      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Apgar_score.History.3_minute.data.Heart_rate">
      <path value="Apgar_score.History.3_minute.data.Heart_rate" />
      <short value="Heart rate" />
      <definition value="Recording of the infant's heart rate." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Apgar_score.History.3_minute.data.Heart_rate" />
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      <short value="Heart rate" />
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        <path value="Apgar_score.History.3_minute.data.Muscle_tone" />
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      <short value="Muscle tone" />
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        <path value="Apgar_score.History.5_minute.data.Respiratory_effort" />
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        <path value="Apgar_score.History.5_minute.data.Heart_rate" />
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      <short value="Heart rate" />
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      <base>
        <path value="Apgar_score.History.5_minute.data.Skin_colour" />
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        <path value="Apgar_score.History.10_minute" />
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        <code value="BackboneElement" />
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    </element>
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      <path value="Apgar_score.History.Any_event.data" />
      <definition value="ITEM_TREE" />
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</StructureDefinition>