FHIR IG Statistics: StructureDefinition/zib-ApgarScore

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{
  "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"
                }
              ]
            }
          }
        ]
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "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": [
          {
            "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": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "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": {
          "strength": "extensible",
          "description": "AdemhalingScoreCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-apgarscore-v1.0-2017EN",
            "map": "NL-CM:12.16.4",
            "comment": "RespiratoryScore"
          }
        ]
      },
      {
        "id": "Observation.component:5MinuteRespiratoryScore",
        "path": "Observation.component",
        "sliceName": "5MinuteRespiratoryScore",
        "max": "1"
      },
      {
        "id": "Observation.component:5MinuteRespiratoryScore.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "32415-2"
            }
          ]
        }
      },
      {
        "id": "Observation.component:5MinuteRespiratoryScore.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "RespiratoryScore",
        "definition": "The Apgar subscore for respiration.",
        "alias": [
          "AdemhalingScore"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "AdemhalingScoreCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-apgarscore-v1.0-2017EN",
            "map": "NL-CM:12.16.4",
            "comment": "RespiratoryScore"
          }
        ]
      },
      {
        "id": "Observation.component:10MinuteRespiratoryScore",
        "path": "Observation.component",
        "sliceName": "10MinuteRespiratoryScore",
        "max": "1"
      },
      {
        "id": "Observation.component:10MinuteRespiratoryScore.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "32405-3"
            }
          ]
        }
      },
      {
        "id": "Observation.component:10MinuteRespiratoryScore.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "RespiratoryScore",
        "definition": "The Apgar subscore for respiration.",
        "alias": [
          "AdemhalingScore"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "AdemhalingScoreCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-apgarscore-v1.0-2017EN",
            "map": "NL-CM:12.16.4",
            "comment": "RespiratoryScore"
          }
        ]
      },
      {
        "id": "Observation.component:1MinuteAppearanceScore",
        "path": "Observation.component",
        "sliceName": "1MinuteAppearanceScore",
        "max": "1"
      },
      {
        "id": "Observation.component:1MinuteAppearanceScore.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "32406-1"
            }
          ]
        }
      },
      {
        "id": "Observation.component:1MinuteAppearanceScore.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "AppearanceScore",
        "definition": "The Apgar subscore for skin color/appearance.",
        "alias": [
          "HuidskleurScore"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "HuidskleurScoreCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-apgarscore-v1.0-2017EN",
            "map": "NL-CM:12.16.7",
            "comment": "AppearanceScore"
          }
        ]
      },
      {
        "id": "Observation.component:5MinuteAppearanceScore",
        "path": "Observation.component",
        "sliceName": "5MinuteAppearanceScore",
        "max": "1"
      },
      {
        "id": "Observation.component:5MinuteAppearanceScore.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "32411-1"
            }
          ]
        }
      },
      {
        "id": "Observation.component:5MinuteAppearanceScore.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "AppearanceScore",
        "definition": "The Apgar subscore for skin color/appearance.",
        "alias": [
          "HuidskleurScore"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "HuidskleurScoreCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-apgarscore-v1.0-2017EN",
            "map": "NL-CM:12.16.7",
            "comment": "AppearanceScore"
          }
        ]
      },
      {
        "id": "Observation.component:10MinuteAppearanceScore",
        "path": "Observation.component",
        "sliceName": "10MinuteAppearanceScore",
        "max": "1"
      },
      {
        "id": "Observation.component:10MinuteAppearanceScore.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "32401-2"
            }
          ]
        }
      },
      {
        "id": "Observation.component:10MinuteAppearanceScore.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "AppearanceScore",
        "definition": "The Apgar subscore for skin color/appearance.",
        "alias": [
          "HuidskleurScore"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "HuidskleurScoreCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-apgarscore-v1.0-2017EN",
            "map": "NL-CM:12.16.7",
            "comment": "AppearanceScore"
          }
        ]
      },
      {
        "id": "Observation.component:1MinutePulseScore",
        "path": "Observation.component",
        "sliceName": "1MinutePulseScore",
        "max": "1"
      },
      {
        "id": "Observation.component:1MinutePulseScore.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "32407-9"
            }
          ]
        }
      },
      {
        "id": "Observation.component:1MinutePulseScore.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: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": [
          {
            "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: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"
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