Resource StructureDefinition/FHIR Server from package nictiz.fhir.nl.stu3.zib2017#2.2.20 (79 ms)
Package | nictiz.fhir.nl.stu3.zib2017 |
Type | StructureDefinition |
Id | Id |
FHIR Version | R3 |
Source | https://simplifier.net/resolve?scope=nictiz.fhir.nl.stu3.zib2017@2.2.20&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-ApgarScore |
Url | http://nictiz.nl/fhir/StructureDefinition/zib-ApgarScore |
Version | 1.0.2 |
Status | active |
Name | Zib ApgarScore |
Title | HCIM ApgarScore |
Experimental | False |
Realm | nl |
Authority | hl7 |
Description | 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 | # 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 | CC0 |
Type | Observation |
Kind | resource |
Resources that use this resource
Resources that this resource uses
Source
{
"resourceType" : "StructureDefinition",
"id" : "zib-ApgarScore",
"url" : "http://nictiz.nl/fhir/StructureDefinition/zib-ApgarScore",
"version" : "1.0.2",
"name" : "Zib ApgarScore",
"title" : "HCIM ApgarScore",
"status" : "active",
"publisher" : "Nictiz",
"contact" : [
{
"name" : "Nictiz",
"telecom" : [
{
"system" : "url",
"value" : "https://www.nictiz.nl",
"use" : "work"
}
]
}
],
"description" : "An Obervation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) ApgarScore v1.0(2017EN).\r\n\r\nThe 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" : "# Purpose of HCIM\r\nThe 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" : "CC0",
"fhirVersion" : "3.0.2",
"mapping" : [
{
"identity" : "hcim-apgarscore-v1.0-2017EN",
"uri" : "https://zibs.nl/wiki/ApgarScore-v1.0(2017EN)",
"name" : "HCIM ApgarScore-v1.0(2017EN)"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Observation",
"baseDefinition" : "http://fhir.nl/fhir/StructureDefinition/nl-core-observation",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "Observation",
"path" : "Observation",
"short" : "ApgarScore",
"constraint" : [
{
"key" : "zib-apgarscore-1",
"severity" : "error",
"human" : "Exactly one of the time code slices SHALL be used for Observation.code",
"expression" : "code.coding.where(system='http://loinc.org').where(code='9272-6' or code='9274-2' or code='9271-8').count()=1"
},
{
"key" : "zib-apgarscore-2",
"severity" : "error",
"human" : "Components for 1 minute Apgar score are only allowed when Observation.code indicates 1 minute Apgar score",
"expression" : "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()"
},
{
"key" : "zib-apgarscore-3",
"severity" : "error",
"human" : "Components for 5 minute Apgar score are only allowed when Observation.code indicates 5 minute Apgar score",
"expression" : "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()"
},
{
"key" : "zib-apgarscore-4",
"severity" : "error",
"human" : "Components for 10 minute Apgar score are only allowed when Observation.code indicates 10 minute Apgar score",
"expression" : "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()"
}
],
"mapping" : [
{
"identity" : "hcim-apgarscore-v1.0-2017EN",
"map" : "NL-CM:12.16.1",
"comment" : "ApgarScore"
}
]
},
{
"id" : "Observation.code",
"path" : "Observation.code",
"example" : [
{
"label" : "Example of 1 Minute ApgarScore",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9272-6",
"display" : "1 minute Apgar Score"
}
]
}
}
]
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{
"id" : "Observation.code.coding",
"path" : "Observation.code.coding",
"slicing" : {
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{
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"path" : "system"
},
{
"type" : "value",
"path" : "code"
}
],
"rules" : "open"
},
"min" : 1
},
{
"id" : "Observation.code.coding:1MinuteApgarScore",
"path" : "Observation.code.coding",
"sliceName" : "1MinuteApgarScore",
"max" : "1"
},
{
"id" : "Observation.code.coding:1MinuteApgarScore.system",
"path" : "Observation.code.coding.system",
"min" : 1,
"fixedUri" : "http://loinc.org"
},
{
"id" : "Observation.code.coding:1MinuteApgarScore.code",
"path" : "Observation.code.coding.code",
"min" : 1,
"fixedCode" : "9272-6"
},
{
"id" : "Observation.code.coding:1MinuteApgarScore.display",
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Observation.code.coding.display",
"defaultValueString" : "1 minute Apgar Score"
},
{
"id" : "Observation.code.coding:5MinuteApgarScore",
"path" : "Observation.code.coding",
"sliceName" : "5MinuteApgarScore",
"max" : "1"
},
{
"id" : "Observation.code.coding:5MinuteApgarScore.system",
"path" : "Observation.code.coding.system",
"min" : 1,
"fixedUri" : "http://loinc.org"
},
{
"id" : "Observation.code.coding:5MinuteApgarScore.code",
"path" : "Observation.code.coding.code",
"min" : 1,
"fixedCode" : "9274-2"
},
{
"id" : "Observation.code.coding:5MinuteApgarScore.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Observation.code.coding.display",
"defaultValueString" : "5 minute Apgar Score"
},
{
"id" : "Observation.code.coding:10MinuteApgarScore",
"path" : "Observation.code.coding",
"sliceName" : "10MinuteApgarScore",
"max" : "1"
},
{
"id" : "Observation.code.coding:10MinuteApgarScore.system",
"path" : "Observation.code.coding.system",
"min" : 1,
"fixedUri" : "http://loinc.org"
},
{
"id" : "Observation.code.coding:10MinuteApgarScore.code",
"path" : "Observation.code.coding.code",
"min" : 1,
"fixedCode" : "9271-8"
},
{
"id" : "Observation.code.coding:10MinuteApgarScore.display",
"extension" : [
{
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"valueBoolean" : true
}
],
"path" : "Observation.code.coding.display",
"defaultValueString" : "10 minute Apgar Score"
},
{
"id" : "Observation.effective[x]:effectiveDateTime",
"path" : "Observation.effectiveDateTime",
"sliceName" : "effectiveDateTime",
"short" : "ApgarScoreDateTime",
"definition" : "The day and time at which the Apgar score is registered.",
"alias" : [
"ApgarScoreDatumTijd"
],
"min" : 1,
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hcim-apgarscore-v1.0-2017EN",
"map" : "NL-CM:12.16.3",
"comment" : "ApgarScoreDateTime"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity",
"path" : "Observation.value[x]",
"sliceName" : "valueQuantity",
"short" : "ApgarScoreTotal",
"definition" : "Total of the Apgar score.",
"alias" : [
"ApgarScoreTotaal"
],
"min" : 1,
"type" : [
{
"code" : "Quantity"
}
],
"mapping" : [
{
"identity" : "hcim-apgarscore-v1.0-2017EN",
"map" : "NL-CM:12.16.2",
"comment" : "ApgarScoreTotal"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity.value",
"path" : "Observation.value[x].value",
"minValueDecimal" : 0,
"maxValueDecimal" : 10
},
{
"id" : "Observation.comment",
"path" : "Observation.comment",
"short" : "Comment",
"definition" : "Comment on the Apgar score.",
"alias" : [
"Toelichting"
],
"mapping" : [
{
"identity" : "hcim-apgarscore-v1.0-2017EN",
"map" : "NL-CM:12.16.9",
"comment" : "Comment"
}
]
},
{
"id" : "Observation.component",
"path" : "Observation.component",
"slicing" : {
"discriminator" : [
{
"type" : "pattern",
"path" : "code"
}
],
"rules" : "open"
}
},
{
"id" : "Observation.component:1MinuteRespiratoryScore",
"path" : "Observation.component",
"sliceName" : "1MinuteRespiratoryScore",
"max" : "1"
},
{
"id" : "Observation.component:1MinuteRespiratoryScore.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "32410-3"
}
]
}
},
{
"id" : "Observation.component:1MinuteRespiratoryScore.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "RespiratoryScore",
"definition" : "The Apgar subscore for respiration.",
"alias" : [
"AdemhalingScore"
],
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
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"description" : "AdemhalingScoreCodelijst",
"valueSetReference" : {
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}
},
"mapping" : [
{
"identity" : "hcim-apgarscore-v1.0-2017EN",
"map" : "NL-CM:12.16.4",
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}
]
},
{
"id" : "Observation.component:5MinuteRespiratoryScore",
"path" : "Observation.component",
"sliceName" : "5MinuteRespiratoryScore",
"max" : "1"
},
{
"id" : "Observation.component:5MinuteRespiratoryScore.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
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"code" : "32415-2"
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{
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"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
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"definition" : "The Apgar subscore for respiration.",
"alias" : [
"AdemhalingScore"
],
"type" : [
{
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}
],
"binding" : {
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"valueSetReference" : {
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{
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"path" : "Observation.component",
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"max" : "1"
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{
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"alias" : [
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{
"id" : "Observation.component:1MinuteAppearanceScore",
"path" : "Observation.component",
"sliceName" : "1MinuteAppearanceScore",
"max" : "1"
},
{
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"path" : "Observation.component.code",
"patternCodeableConcept" : {
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},
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"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "AppearanceScore",
"definition" : "The Apgar subscore for skin color/appearance.",
"alias" : [
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{
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{
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}
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}
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{
"id" : "Observation.component:10MinuteAppearanceScore",
"path" : "Observation.component",
"sliceName" : "10MinuteAppearanceScore",
"max" : "1"
},
{
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{
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},
{
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"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "AppearanceScore",
"definition" : "The Apgar subscore for skin color/appearance.",
"alias" : [
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],
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],
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}
},
"mapping" : [
{
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}
]
},
{
"id" : "Observation.component:1MinutePulseScore",
"path" : "Observation.component",
"sliceName" : "1MinutePulseScore",
"max" : "1"
},
{
"id" : "Observation.component:1MinutePulseScore.code",
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}
},
{
"id" : "Observation.component:1MinutePulseScore.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "PulseScore",
"definition" : "The Apgar subscore for pulse.",
"alias" : [
"HartslagScore"
],
"type" : [
{
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}
],
"binding" : {
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}
},
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},
{
"id" : "Observation.component:5MinutePulseScore",
"path" : "Observation.component",
"sliceName" : "5MinutePulseScore",
"max" : "1"
},
{
"id" : "Observation.component:5MinutePulseScore.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "32412-9"
}
]
}
},
{
"id" : "Observation.component:5MinutePulseScore.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "PulseScore",
"definition" : "The Apgar subscore for pulse.",
"alias" : [
"HartslagScore"
],
"type" : [
{
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}
],
"binding" : {
"strength" : "extensible",
"description" : "HartslagScoreCodelijst",
"valueSetReference" : {
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}
},
"mapping" : [
{
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"map" : "NL-CM:12.16.5",
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}
]
},
{
"id" : "Observation.component:10MinutePulseScore",
"path" : "Observation.component",
"sliceName" : "10MinutePulseScore",
"max" : "1"
},
{
"id" : "Observation.component:10MinutePulseScore.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "32402-0"
}
]
}
},
{
"id" : "Observation.component:10MinutePulseScore.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "PulseScore",
"definition" : "The Apgar subscore for pulse.",
"alias" : [
"HartslagScore"
],
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"description" : "HartslagScoreCodelijst",
"valueSetReference" : {
"reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.2--20171231000000"
}
},
"mapping" : [
{
"identity" : "hcim-apgarscore-v1.0-2017EN",
"map" : "NL-CM:12.16.5",
"comment" : "PulseScore"
}
]
},
{
"id" : "Observation.component:1MinuteGrimaceScore",
"path" : "Observation.component",
"sliceName" : "1MinuteGrimaceScore",
"max" : "1"
},
{
"id" : "Observation.component:1MinuteGrimaceScore.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "32409-5"
}
]
}
},
{
"id" : "Observation.component:1MinuteGrimaceScore.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "GrimaceScore",
"definition" : "The Apgar subscore for grimace.",
"alias" : [
"ReflexenScore"
],
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"description" : "ReflexenScoreCodelijst",
"valueSetReference" : {
"reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.5--20171231000000"
}
},
"mapping" : [
{
"identity" : "hcim-apgarscore-v1.0-2017EN",
"map" : "NL-CM:12.16.8",
"comment" : "GrimaceScore"
}
]
},
{
"id" : "Observation.component:5MinuteGrimaceScore",
"path" : "Observation.component",
"sliceName" : "5MinuteGrimaceScore",
"max" : "1"
},
{
"id" : "Observation.component:5MinuteGrimaceScore.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
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{
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]
}
},
{
"id" : "Observation.component:5MinuteGrimaceScore.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "GrimaceScore",
"definition" : "The Apgar subscore for grimace.",
"alias" : [
"ReflexenScore"
],
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
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"description" : "ReflexenScoreCodelijst",
"valueSetReference" : {
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}
},
"mapping" : [
{
"identity" : "hcim-apgarscore-v1.0-2017EN",
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},
{
"id" : "Observation.component:10MinuteGrimaceScore",
"path" : "Observation.component",
"sliceName" : "10MinuteGrimaceScore",
"max" : "1"
},
{
"id" : "Observation.component:10MinuteGrimaceScore.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
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"system" : "http://loinc.org",
"code" : "32404-6"
}
]
}
},
{
"id" : "Observation.component:10MinuteGrimaceScore.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "GrimaceScore",
"definition" : "The Apgar subscore for grimace.",
"alias" : [
"ReflexenScore"
],
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
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"description" : "ReflexenScoreCodelijst",
"valueSetReference" : {
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},
"mapping" : [
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]
},
{
"id" : "Observation.component:1MinuteMuscleToneScore",
"path" : "Observation.component",
"sliceName" : "1MinuteMuscleToneScore",
"max" : "1"
},
{
"id" : "Observation.component:1MinuteMuscleToneScore.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
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}
},
{
"id" : "Observation.component:1MinuteMuscleToneScore.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "MusleToneScore",
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"alias" : [
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},
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"id" : "Observation.component:5MinuteMuscleToneScore",
"path" : "Observation.component",
"sliceName" : "5MinuteMuscleToneScore",
"max" : "1"
},
{
"id" : "Observation.component:5MinuteMuscleToneScore.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
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"code" : "32413-7"
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},
{
"id" : "Observation.component:5MinuteMuscleToneScore.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
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},
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{
"id" : "Observation.component:10MinuteMuscleToneScore",
"path" : "Observation.component",
"sliceName" : "10MinuteMuscleToneScore",
"max" : "1"
},
{
"id" : "Observation.component:10MinuteMuscleToneScore.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
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"system" : "http://loinc.org",
"code" : "32403-8"
}
]
}
},
{
"id" : "Observation.component:10MinuteMuscleToneScore.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "MusleToneScore",
"definition" : "The Apgar subscore for activity/muscle tone.",
"alias" : [
"SpierspanningScore"
],
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"description" : "SpierspanningScoreCodelijst",
"valueSetReference" : {
"reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.3--20171231000000"
}
},
"mapping" : [
{
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"map" : "NL-CM:12.16.6",
"comment" : "MusleToneScore"
}
]
}
]
},
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.