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Source1

{
  "resourceType": "CodeSystem",
  "id": "score-codesystem",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir.slade360.co.ke/fhir/CodeSystem/score-codesystem",
  "version": "0.1.0",
  "name": "SGHIScoreCodeSystem",
  "title": "SGHI Score Code System",
  "status": "active",
  "experimental": false,
  "date": "2026-10-02T07:33:51+00:00",
  "publisher": "Kathurima Kimathi",
  "contact": [
    {
      "name": "Kathurima Kimathi",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.linkedin.com/in/kathurima-kimathi/"
        },
        {
          "system": "email",
          "value": "kathurimakimathi415@gmail.com"
        }
      ]
    },
    {
      "name": "Oscar John",
      "telecom": [
        {
          "system": "email",
          "value": "oscarjohnotieno@gmail.com",
          "use": "work"
        }
      ]
    },
    {
      "name": "Kennedy Omondi",
      "telecom": [
        {
          "system": "email",
          "value": "kennankole@gmail.com",
          "use": "work"
        }
      ]
    }
  ],
  "description": "The answers to the scored instruments on the forms: the Bishop score for cervical ripeness and the five Apgar components. Codes are namespaced instrument-item-weight, the same convention SGHIClinicalScoreCodeSystem uses and for the same reason — within an item the weight is what tells one answer from another, two items in an instrument can share a label, and the extraction maps read the weight off the tail of the code when a client submits no calculated total. LOINC publishes answer lists for the Apgar components (LL384-9 through LL388-0) but not their member LA codes as a usable set, so the Apgar answers are local while the Apgar *questions* stay on LOINC.",
  "caseSensitive": true,
  "content": "complete",
  "count": 33,
  "concept": [
    {
      "code": "bishop-dilation-0",
      "display": "Closed",
      "definition": "Bishop dilation: the cervix is closed."
    },
    {
      "code": "bishop-dilation-1",
      "display": "1 to 2 cm",
      "definition": "Bishop dilation: 1 to 2 cm."
    },
    {
      "code": "bishop-dilation-2",
      "display": "3 to 4 cm",
      "definition": "Bishop dilation: 3 to 4 cm."
    },
    {
      "code": "bishop-dilation-3",
      "display": "5 cm or more",
      "definition": "Bishop dilation: 5 cm or more."
    },
    {
      "code": "bishop-effacement-0",
      "display": "0 to 25%, or cervix over 4 cm",
      "definition": "Bishop effacement: 0 to 25% effaced, or a cervical length greater than 4 cm."
    },
    {
      "code": "bishop-effacement-1",
      "display": "25 to 50%, or 2 to 4 cm",
      "definition": "Bishop effacement: 25 to 50% effaced, or a cervical length of 2 to 4 cm."
    },
    {
      "code": "bishop-effacement-2",
      "display": "50 to 75%, or 1 to 2 cm",
      "definition": "Bishop effacement: 50 to 75% effaced, or a cervical length of 1 to 2 cm."
    },
    {
      "code": "bishop-effacement-3",
      "display": "85% or more",
      "definition": "Bishop effacement: 85% or more effaced."
    },
    {
      "code": "bishop-consistency-0",
      "display": "Firm",
      "definition": "Bishop consistency: firm."
    },
    {
      "code": "bishop-consistency-1",
      "display": "Medium",
      "definition": "Bishop consistency: medium."
    },
    {
      "code": "bishop-consistency-2",
      "display": "Soft",
      "definition": "Bishop consistency: soft."
    },
    {
      "code": "bishop-position-0",
      "display": "Posterior",
      "definition": "Bishop cervical position: posterior."
    },
    {
      "code": "bishop-position-1",
      "display": "Midline",
      "definition": "Bishop cervical position: midline."
    },
    {
      "code": "bishop-position-2",
      "display": "Anterior",
      "definition": "Bishop cervical position: anterior."
    },
    {
      "code": "bishop-station-0",
      "display": "-3",
      "definition": "Bishop head station: 3 cm above the ischial spines."
    },
    {
      "code": "bishop-station-1",
      "display": "-2",
      "definition": "Bishop head station: 2 cm above the ischial spines."
    },
    {
      "code": "bishop-station-2",
      "display": "-1 or 0",
      "definition": "Bishop head station: 1 cm above the spines, or at them."
    },
    {
      "code": "bishop-station-3",
      "display": "+1 or +2",
      "definition": "Bishop head station: 1 to 2 cm below the ischial spines."
    },
    {
      "code": "apgar-colour-0",
      "display": "Pale or blue",
      "definition": "Apgar appearance: pale, or blue all over."
    },
    {
      "code": "apgar-colour-1",
      "display": "Blue extremities, torso pink",
      "definition": "Apgar appearance: body pink with blue extremities."
    },
    {
      "code": "apgar-colour-2",
      "display": "Pink all over",
      "definition": "Apgar appearance: completely pink."
    },
    {
      "code": "apgar-pulse-0",
      "display": "Absent",
      "definition": "Apgar pulse: no heart rate."
    },
    {
      "code": "apgar-pulse-1",
      "display": "Under 100",
      "definition": "Apgar pulse: below 100 beats per minute."
    },
    {
      "code": "apgar-pulse-2",
      "display": "100 or over",
      "definition": "Apgar pulse: 100 beats per minute or above."
    },
    {
      "code": "apgar-grimace-0",
      "display": "No response",
      "definition": "Apgar reflex irritability: no response to stimulation."
    },
    {
      "code": "apgar-grimace-1",
      "display": "Grimace",
      "definition": "Apgar reflex irritability: a grimace or weak cry when stimulated."
    },
    {
      "code": "apgar-grimace-2",
      "display": "Cries or pulls away",
      "definition": "Apgar reflex irritability: cries, coughs, sneezes or pulls away when stimulated."
    },
    {
      "code": "apgar-activity-0",
      "display": "Floppy",
      "definition": "Apgar muscle tone: floppy and limp."
    },
    {
      "code": "apgar-activity-1",
      "display": "Some flexion",
      "definition": "Apgar muscle tone: some flexion of the extremities."
    },
    {
      "code": "apgar-activity-2",
      "display": "Active motion",
      "definition": "Apgar muscle tone: arms flexed and legs resisting extension."
    },
    {
      "code": "apgar-respiration-0",
      "display": "Absent",
      "definition": "Apgar respiratory effort: not breathing."
    },
    {
      "code": "apgar-respiration-1",
      "display": "Weak, irregular or gasping",
      "definition": "Apgar respiratory effort: slow, weak, irregular or gasping."
    },
    {
      "code": "apgar-respiration-2",
      "display": "Strong cry",
      "definition": "Apgar respiratory effort: a good, strong cry."
    }
  ]
}