HL7AU - FHIR WG : APGAR

also LOINC http://www.hl7.eu/scores/APGAR%20(1%20Min).htm

SEE value set example also https://r.details.loinc.org/AnswerList/LL386-4.html

invariants:

match 1, 5, 10 min apgar with child observations

inv-apgar01: (component.where(code.coding.where(code='32406-1').exists()).exists()

or component.where(code.coding.where(code='32407-9').exists()).exists()

or component.where(code.coding.where(code='32408-7').exists()).exists()

or component.where(code.coding.where(code='32410-3').exists()).exists()

or component.where(code.coding.where(code='32409-5').exists()).exists()) implies

code.coding.where(code='9272-6')

inv-apgar02: (component.where(code.coding.where(code='32411-1').exists()).exists()

or component.where(code.coding.where(code='32412-9').exists()).exists()

or component.where(code.coding.where(code='32413-7').exists()).exists()

or component.where(code.coding.where(code='32415-2').exists()).exists()

or component.where(code.coding.where(code='32414-5').exists()).exists()) implies

code.coding.where(code='9273-4').exists()

inv-apgar03: (component.where(code.coding.where(code='32401-2').exists()).exists()

or component.where(code.coding.where(code='32402-0').exists()).exists()

or component.where(code.coding.where(code='32403-8').exists()).exists()

or component.where(code.coding.where(code='32405-3').exists()).exists()

or component.where(code.coding.where(code='32404-6').exists()).exists()) implies

code.coding.where(code='9271-8').exists()

element	description	LOINC	SNOMED	value
Observation.code	APGAR after 1 minute APGAR after 5 minutes APGAR after 10 minutes APGAR after 15 minutes APGAR after 20 minutes	valueset: apgar-score-type codesystem: apgarhttp://loinc.org (1 min) 9272-6 (5 min) 9273-4 (10min) 9271-8	169895004 169909004 169922007 443848000 443849008
Observation.valueQuantity				code = "{score}" system = "http://unitsofmeasure.org"
Observation.component.code	colour score	valueset: apgar-colour codesystem: http://loinc.org (1 min) 32406-1 (5 min) 32411-1 (10 min) 32401-2	249227004	valueset: apgar-colour-finding codesystem: http://loinc.org LA6722-8 0 The baby's whole body is completely bluish-gray or pale LA6723-6 1 Good color in body with bluish hands or feet LA6724-4 2 Good color all over
Observation.component.code	heart rate	valueset: apgar-hearth-rate codesystem: http://loinc.org (1 min) 32407-9 (5 min) 32412-9 (10 min) 32402-0	249223000	valueset: apgar-heart-rate-finding codesystem: http://loinc.org LA6716-0 0 No heart rate LA6717-8 1 Fewer than 100 beats per minute LA6718-6 2 At least 100 beats per minute
Observation.component.code	muscle tone	valueset: apgar-muscle-tone codesystem: http://loinc.org (1 min) 32408-7 (5 min) 32413-7 (10 min) 32403-8	249225007	valueset: apgar-muscle-tone-finding codesystem: http://loinc.org LA6713-7 0 Limp; no movement LA6714-5 1 Some flexion of arms and legs LA6715-2 2 Active motion
Observation.component.code	respiratory effort	valueset: apgar-respiratory-effort codesystem: http://loinc.org (1 min) 32410-3 (5 min) 32415-2 (10 min) 32405-3	249224006	valueset: apgar-repiratory-effort-finding codesystem: http://loinc.org LA6725-1 0 Not breathing LA6726-9 1 Weak cry; may sound like whimpering, slow or irregular breathing LA6727-7 2 Good, strong cry; normal rate and effort of breathing
Observation.component.code	reflex irritability	valueset: apgar-reflex-irritiability codesystem: http://loinc.org (1 min) 32409-5 (5 min) 32414-5 (10 min) 32404-6	249226008	valueset: apgar-reflex-irritability-finding codesystem: http://loinc.org LA6719-4 0 No response to airways being suctioned LA6720-2 1 Grimace during suctioning LA6721-0 2 Grimace and pulling away, cough, or sneeze during suctioning