<status value="draft" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="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. The zib explicitly defines the Apgar score at 1, 5 and 10 minutes after birth. This profile represents the Apgar score at 1 minute after birth. Profiles have also been defined for the Apgar score [at 5 minutes](http://nictiz.nl/fhir/StructureDefinition/zib-ApgarScore-5Minute) and [at 10 minutes](http://nictiz.nl/fhir/StructureDefinition/zib-ApgarScore-10Minute) after birth." /> <purpose value="This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) ApgarScore v1.0.1 (2020)](https://zibs.nl/wiki/ApgarScore-v1.0.1(2020EN))." /> <copyright value="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." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="zib-apgarscore-v1.0.1-2020EN" /> <uri value="https://zibs.nl/wiki/ApgarScore-v1.0.1(2020EN)" /> <name value="zib ApgarScore-v1.0.1(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="true" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="ApgarScore" /> <alias value="ApgarScore" /> <mapping> <identity value="zib-apgarscore-v1.0.1-2020EN" /> <map value="NL-CM:12.16.1" /> <comment value="ApgarScore" /> </mapping> </element> <element id="Observation.code"> <path value="Observation.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="9272-6" /> </coding> </patternCodeableConcept> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.effective[x]:effectiveDateTime"> <path value="Observation.effective[x]" /> <sliceName value="effectiveDateTime" /> <short value="ApgarScoreDateTime" /> <definition value="The day and time at which the Apgar score is registered." /> <alias value="ApgarScoreDatumTijd" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="zib-apgarscore-v1.0.1-2020EN" /> <map value="NL-CM:12.16.3" /> <comment value="ApgarScoreDateTime" /> </mapping> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.value[x]:valueInteger"> <path value="Observation.value[x]" /> <sliceName value="valueInteger" /> <short value="ApgarScoreTotal" /> <definition value="Total of the Apgar score. The total score has a range from 0 - 10." /> <comment value="The individual scores are communicated using the different `Observation.component` slices. The ordinal values of these indivdual scores, which are used to calculate the total score, are defined by the underlying code system and are registered in the ValueSet resources bound on these slices, using the [ordinalValue](http://hl7.org/fhir/StructureDefinition/ordinalValue) extension." /> <alias value="ApgarScoreTotaal" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="10" /> <mapping> <identity value="zib-apgarscore-v1.0.1-2020EN" /> <map value="NL-CM:12.16.2" /> <comment value="ApgarScoreTotal" /> </mapping> </element> <element id="Observation.note"> <path value="Observation.note" /> <max value="1" /> </element> <element id="Observation.note.text"> <path value="Observation.note.text" /> <short value="Comment" /> <definition value="Comment on the Apgar score." /> <alias value="Toelichting" /> <mapping> <identity value="zib-apgarscore-v1.0.1-2020EN" /> <map value="NL-CM:12.16.9" /> <comment value="Comment" /> </mapping> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.component:respiratoryScore"> <path value="Observation.component" /> <sliceName value="respiratoryScore" /> <max value="1" /> </element> <element id="Observation.component:respiratoryScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32410-3" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:respiratoryScore.value[x]"> <path value="Observation.component.value[x]" /> <short value="RespiratoryScore" /> <definition value="The Apgar subscore for respiration." /> <alias value="AdemhalingScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1--20200901000000" /> </binding> <mapping> <identity value="zib-apgarscore-v1.0.1-2020EN" /> <map value="NL-CM:12.16.4" /> <comment value="RespiratoryScore" /> </mapping> </element> <element id="Observation.component:appearanceScore"> <path value="Observation.component" /> <sliceName value="appearanceScore" /> <max value="1" /> </element> <element id="Observation.component:appearanceScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32406-1" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:appearanceScore.value[x]"> <path value="Observation.component.value[x]" /> <short value="AppearanceScore" /> <definition value="The Apgar subscore for skin color/appearance." /> <alias value="HuidskleurScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4--20200901000000" /> </binding> <mapping> <identity value="zib-apgarscore-v1.0.1-2020EN" /> <map value="NL-CM:12.16.7" /> <comment value="AppearanceScore" /> </mapping> </element> <element id="Observation.component:pulseScore"> <path value="Observation.component" /> <sliceName value="pulseScore" /> <max value="1" /> </element> <element id="Observation.component:pulseScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32407-9" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:pulseScore.value[x]"> <path value="Observation.component.value[x]" /> <short value="PulseScore" /> <definition value="The Apgar subscore for pulse." /> <alias value="HartslagScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.2--20200901000000" /> </binding> <mapping> <identity value="zib-apgarscore-v1.0.1-2020EN" /> <map value="NL-CM:12.16.5" /> <comment value="PulseScore" /> </mapping> </element> <element id="Observation.component:grimaceScore"> <path value="Observation.component" /> <sliceName value="grimaceScore" /> <max value="1" /> </element> <element id="Observation.component:grimaceScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32409-5" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:grimaceScore.value[x]"> <path value="Observation.component.value[x]" /> <short value="GrimaceScore" /> <definition value="The Apgar subscore for grimace." /> <alias value="ReflexenScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.5--20200901000000" /> </binding> <mapping> <identity value="zib-apgarscore-v1.0.1-2020EN" /> <map value="NL-CM:12.16.8" /> <comment value="GrimaceScore" /> </mapping> </element> <element id="Observation.component:muscleToneScore"> <path value="Observation.component" /> <sliceName value="muscleToneScore" /> <max value="1" /> </element> <element id="Observation.component:muscleToneScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32408-7" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:muscleToneScore.value[x]"> <path value="Observation.component.value[x]" /> <short value="MuscleToneScore" /> <definition value="The Apgar subscore for activity/muscle tone." /> <alias value="SpierspanningScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.3--20200901000000" /> </binding> <mapping> <identity value="zib-apgarscore-v1.0.1-2020EN" /> <map value="NL-CM:12.16.6" /> <comment value="MuscleToneScore" /> </mapping> </element> </differential> </StructureDefinition>

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.