<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="An Obervation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) ApgarScore v1.0(2017EN). 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." /> <purpose value="# Purpose of HCIM The Apgar score is primarily meant to rapidly determine the clinical condition of the newborn child and whether extra care is required. A low Apgar score can be caused by developmental disorders, prenatal accidents or negative influences during birth. The Apgar score remains a snapshot in time and cannot be used to predict the locomotive or mental development of a child." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/ApgarScore-v1.0(2017EN)" /> <name value="HCIM ApgarScore-v1.0(2017EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://fhir.nl/fhir/StructureDefinition/nl-core-observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="ApgarScore" /> <constraint> <key value="zib-apgarscore-1" /> <severity value="error" /> <human value="Exactly one of the time code slices SHALL be used for Observation.code" /> <expression value="code.coding.where(system='http://loinc.org').where(code='9272-6' or code='9274-2' or code='9271-8').count()=1" /> </constraint> <constraint> <key value="zib-apgarscore-2" /> <severity value="error" /> <human value="Components for 1 minute Apgar score are only allowed when Observation.code indicates 1 minute Apgar score" /> <expression value="component.code.coding.where(system='http://loinc.org').where(code='32410-3' or code='32406-1' or code='32407-9' or code='32409-5' or code='32408-7').exists() implies code.coding.where(system='http://loinc.org').where(code='9272-6').exists()" /> </constraint> <constraint> <key value="zib-apgarscore-3" /> <severity value="error" /> <human value="Components for 5 minute Apgar score are only allowed when Observation.code indicates 5 minute Apgar score" /> <expression value="component.code.coding.where(system='http://loinc.org').where(code='32415-2' or code='32411-1' or code='32412-9' or code='32414-5' or code='32413-7').exists() implies code.coding.where(system='http://loinc.org').where(code='9274-2').exists()" /> </constraint> <constraint> <key value="zib-apgarscore-4" /> <severity value="error" /> <human value="Components for 10 minute Apgar score are only allowed when Observation.code indicates 10 minute Apgar score" /> <expression value="component.code.coding.where(system='http://loinc.org').where(code='32405-3' or code='32401-2' or code='32402-0' or code='32404-6' or code='32403-8').exists() implies code.coding.where(system='http://loinc.org').where(code='9271-8').exists()" /> </constraint> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.1" /> <comment value="ApgarScore" /> </mapping> </element> <element id="Observation.code"> <path value="Observation.code" /> <example> <label value="Example of 1 Minute ApgarScore" /> <valueCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="9272-6" /> <display value="1 minute Apgar Score" /> </coding> </valueCodeableConcept> </example> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.code.coding:1MinuteApgarScore"> <path value="Observation.code.coding" /> <sliceName value="1MinuteApgarScore" /> <max value="1" /> </element> <element id="Observation.code.coding:1MinuteApgarScore.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding:1MinuteApgarScore.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="9272-6" /> </element> <element id="Observation.code.coding:1MinuteApgarScore.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.code.coding.display" /> <defaultValueString value="1 minute Apgar Score" /> </element> <element id="Observation.code.coding:5MinuteApgarScore"> <path value="Observation.code.coding" /> <sliceName value="5MinuteApgarScore" /> <max value="1" /> </element> <element id="Observation.code.coding:5MinuteApgarScore.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding:5MinuteApgarScore.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="9274-2" /> </element> <element id="Observation.code.coding:5MinuteApgarScore.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.code.coding.display" /> <defaultValueString value="5 minute Apgar Score" /> </element> <element id="Observation.code.coding:10MinuteApgarScore"> <path value="Observation.code.coding" /> <sliceName value="10MinuteApgarScore" /> <max value="1" /> </element> <element id="Observation.code.coding:10MinuteApgarScore.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding:10MinuteApgarScore.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="9271-8" /> </element> <element id="Observation.code.coding:10MinuteApgarScore.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.code.coding.display" /> <defaultValueString value="10 minute Apgar Score" /> </element> <element id="Observation.effective[x]:effectiveDateTime"> <path value="Observation.effectiveDateTime" /> <sliceName value="effectiveDateTime" /> <short value="ApgarScoreDateTime" /> <definition value="The day and time at which the Apgar score is registered." /> <alias value="ApgarScoreDatumTijd" /> <min value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.3" /> <comment value="ApgarScoreDateTime" /> </mapping> </element> <element id="Observation.value[x]:valueQuantity"> <path value="Observation.value[x]" /> <sliceName value="valueQuantity" /> <short value="ApgarScoreTotal" /> <definition value="Total of the Apgar score." /> <alias value="ApgarScoreTotaal" /> <min value="1" /> <type> <code value="Quantity" /> </type> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.2" /> <comment value="ApgarScoreTotal" /> </mapping> </element> <element id="Observation.value[x]:valueQuantity.value"> <path value="Observation.value[x].value" /> <minValueDecimal value="0" /> <maxValueDecimal value="10" /> </element> <element id="Observation.comment"> <path value="Observation.comment" /> <short value="Comment" /> <definition value="Comment on the Apgar score." /> <alias value="Toelichting" /> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.9" /> <comment value="Comment" /> </mapping> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="pattern" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.component:1MinuteRespiratoryScore"> <path value="Observation.component" /> <sliceName value="1MinuteRespiratoryScore" /> <max value="1" /> </element> <element id="Observation.component:1MinuteRespiratoryScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32410-3" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:1MinuteRespiratoryScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="RespiratoryScore" /> <definition value="The Apgar subscore for respiration." /> <alias value="AdemhalingScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="AdemhalingScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.4" /> <comment value="RespiratoryScore" /> </mapping> </element> <element id="Observation.component:5MinuteRespiratoryScore"> <path value="Observation.component" /> <sliceName value="5MinuteRespiratoryScore" /> <max value="1" /> </element> <element id="Observation.component:5MinuteRespiratoryScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32415-2" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:5MinuteRespiratoryScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="RespiratoryScore" /> <definition value="The Apgar subscore for respiration." /> <alias value="AdemhalingScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="AdemhalingScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.4" /> <comment value="RespiratoryScore" /> </mapping> </element> <element id="Observation.component:10MinuteRespiratoryScore"> <path value="Observation.component" /> <sliceName value="10MinuteRespiratoryScore" /> <max value="1" /> </element> <element id="Observation.component:10MinuteRespiratoryScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32405-3" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:10MinuteRespiratoryScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="RespiratoryScore" /> <definition value="The Apgar subscore for respiration." /> <alias value="AdemhalingScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="AdemhalingScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.4" /> <comment value="RespiratoryScore" /> </mapping> </element> <element id="Observation.component:1MinuteAppearanceScore"> <path value="Observation.component" /> <sliceName value="1MinuteAppearanceScore" /> <max value="1" /> </element> <element id="Observation.component:1MinuteAppearanceScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32406-1" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:1MinuteAppearanceScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="AppearanceScore" /> <definition value="The Apgar subscore for skin color/appearance." /> <alias value="HuidskleurScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="HuidskleurScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.7" /> <comment value="AppearanceScore" /> </mapping> </element> <element id="Observation.component:5MinuteAppearanceScore"> <path value="Observation.component" /> <sliceName value="5MinuteAppearanceScore" /> <max value="1" /> </element> <element id="Observation.component:5MinuteAppearanceScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32411-1" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:5MinuteAppearanceScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="AppearanceScore" /> <definition value="The Apgar subscore for skin color/appearance." /> <alias value="HuidskleurScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="HuidskleurScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.7" /> <comment value="AppearanceScore" /> </mapping> </element> <element id="Observation.component:10MinuteAppearanceScore"> <path value="Observation.component" /> <sliceName value="10MinuteAppearanceScore" /> <max value="1" /> </element> <element id="Observation.component:10MinuteAppearanceScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32401-2" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:10MinuteAppearanceScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="AppearanceScore" /> <definition value="The Apgar subscore for skin color/appearance." /> <alias value="HuidskleurScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="HuidskleurScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.7" /> <comment value="AppearanceScore" /> </mapping> </element> <element id="Observation.component:1MinutePulseScore"> <path value="Observation.component" /> <sliceName value="1MinutePulseScore" /> <max value="1" /> </element> <element id="Observation.component:1MinutePulseScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32407-9" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:1MinutePulseScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="PulseScore" /> <definition value="The Apgar subscore for pulse." /> <alias value="HartslagScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="HartslagScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.2--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.5" /> <comment value="PulseScore" /> </mapping> </element> <element id="Observation.component:5MinutePulseScore"> <path value="Observation.component" /> <sliceName value="5MinutePulseScore" /> <max value="1" /> </element> <element id="Observation.component:5MinutePulseScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32412-9" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:5MinutePulseScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="PulseScore" /> <definition value="The Apgar subscore for pulse." /> <alias value="HartslagScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="HartslagScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.2--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.5" /> <comment value="PulseScore" /> </mapping> </element> <element id="Observation.component:10MinutePulseScore"> <path value="Observation.component" /> <sliceName value="10MinutePulseScore" /> <max value="1" /> </element> <element id="Observation.component:10MinutePulseScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32402-0" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:10MinutePulseScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="PulseScore" /> <definition value="The Apgar subscore for pulse." /> <alias value="HartslagScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="HartslagScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.2--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.5" /> <comment value="PulseScore" /> </mapping> </element> <element id="Observation.component:1MinuteGrimaceScore"> <path value="Observation.component" /> <sliceName value="1MinuteGrimaceScore" /> <max value="1" /> </element> <element id="Observation.component:1MinuteGrimaceScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32409-5" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:1MinuteGrimaceScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="GrimaceScore" /> <definition value="The Apgar subscore for grimace." /> <alias value="ReflexenScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="ReflexenScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.5--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.8" /> <comment value="GrimaceScore" /> </mapping> </element> <element id="Observation.component:5MinuteGrimaceScore"> <path value="Observation.component" /> <sliceName value="5MinuteGrimaceScore" /> <max value="1" /> </element> <element id="Observation.component:5MinuteGrimaceScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32414-5" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:5MinuteGrimaceScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="GrimaceScore" /> <definition value="The Apgar subscore for grimace." /> <alias value="ReflexenScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="ReflexenScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.5--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.8" /> <comment value="GrimaceScore" /> </mapping> </element> <element id="Observation.component:10MinuteGrimaceScore"> <path value="Observation.component" /> <sliceName value="10MinuteGrimaceScore" /> <max value="1" /> </element> <element id="Observation.component:10MinuteGrimaceScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32404-6" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:10MinuteGrimaceScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="GrimaceScore" /> <definition value="The Apgar subscore for grimace." /> <alias value="ReflexenScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="ReflexenScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.5--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.8" /> <comment value="GrimaceScore" /> </mapping> </element> <element id="Observation.component:1MinuteMuscleToneScore"> <path value="Observation.component" /> <sliceName value="1MinuteMuscleToneScore" /> <max value="1" /> </element> <element id="Observation.component:1MinuteMuscleToneScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32408-7" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:1MinuteMuscleToneScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="MusleToneScore" /> <definition value="The Apgar subscore for activity/muscle tone." /> <alias value="SpierspanningScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="SpierspanningScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.3--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.6" /> <comment value="MusleToneScore" /> </mapping> </element> <element id="Observation.component:5MinuteMuscleToneScore"> <path value="Observation.component" /> <sliceName value="5MinuteMuscleToneScore" /> <max value="1" /> </element> <element id="Observation.component:5MinuteMuscleToneScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32413-7" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:5MinuteMuscleToneScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="MusleToneScore" /> <definition value="The Apgar subscore for activity/muscle tone." /> <alias value="SpierspanningScore" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="SpierspanningScoreCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.3--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-apgarscore-v1.0-2017EN" /> <map value="NL-CM:12.16.6" /> <comment value="MusleToneScore" /> </mapping> </element> <element id="Observation.component:10MinuteMuscleToneScore"> <path value="Observation.component" /> <sliceName value="10MinuteMuscleToneScore" /> <max value="1" /> </element> <element id="Observation.component:10MinuteMuscleToneScore.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="32403-8" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:10MinuteMuscleToneScore.value[x]:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="MusleToneScore" /> <definition value="The Apgar subscore for 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