SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

CodeSystem: SGHI Score Code System

Official URL: https://fhir.slade360.co.ke/fhir/CodeSystem/score-codesystem Version: 0.1.0
Active as of 2026-09-15 Computable Name: SGHIScoreCodeSystem

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.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system https://fhir.slade360.co.ke/fhir/CodeSystem/score-codesystem defines the following codes:

CodeDisplayDefinition
bishop-dilation-0 Closed Bishop dilation: the cervix is closed.
bishop-dilation-1 1 to 2 cm Bishop dilation: 1 to 2 cm.
bishop-dilation-2 3 to 4 cm Bishop dilation: 3 to 4 cm.
bishop-dilation-3 5 cm or more Bishop dilation: 5 cm or more.
bishop-effacement-0 0 to 25%, or cervix over 4 cm Bishop effacement: 0 to 25% effaced, or a cervical length greater than 4 cm.
bishop-effacement-1 25 to 50%, or 2 to 4 cm Bishop effacement: 25 to 50% effaced, or a cervical length of 2 to 4 cm.
bishop-effacement-2 50 to 75%, or 1 to 2 cm Bishop effacement: 50 to 75% effaced, or a cervical length of 1 to 2 cm.
bishop-effacement-3 85% or more Bishop effacement: 85% or more effaced.
bishop-consistency-0 Firm Bishop consistency: firm.
bishop-consistency-1 Medium Bishop consistency: medium.
bishop-consistency-2 Soft Bishop consistency: soft.
bishop-position-0 Posterior Bishop cervical position: posterior.
bishop-position-1 Midline Bishop cervical position: midline.
bishop-position-2 Anterior Bishop cervical position: anterior.
bishop-station-0 -3 Bishop head station: 3 cm above the ischial spines.
bishop-station-1 -2 Bishop head station: 2 cm above the ischial spines.
bishop-station-2 -1 or 0 Bishop head station: 1 cm above the spines, or at them.
bishop-station-3 +1 or +2 Bishop head station: 1 to 2 cm below the ischial spines.
apgar-colour-0 Pale or blue Apgar appearance: pale, or blue all over.
apgar-colour-1 Blue extremities, torso pink Apgar appearance: body pink with blue extremities.
apgar-colour-2 Pink all over Apgar appearance: completely pink.
apgar-pulse-0 Absent Apgar pulse: no heart rate.
apgar-pulse-1 Under 100 Apgar pulse: below 100 beats per minute.
apgar-pulse-2 100 or over Apgar pulse: 100 beats per minute or above.
apgar-grimace-0 No response Apgar reflex irritability: no response to stimulation.
apgar-grimace-1 Grimace Apgar reflex irritability: a grimace or weak cry when stimulated.
apgar-grimace-2 Cries or pulls away Apgar reflex irritability: cries, coughs, sneezes or pulls away when stimulated.
apgar-activity-0 Floppy Apgar muscle tone: floppy and limp.
apgar-activity-1 Some flexion Apgar muscle tone: some flexion of the extremities.
apgar-activity-2 Active motion Apgar muscle tone: arms flexed and legs resisting extension.
apgar-respiration-0 Absent Apgar respiratory effort: not breathing.
apgar-respiration-1 Weak, irregular or gasping Apgar respiratory effort: slow, weak, irregular or gasping.
apgar-respiration-2 Strong cry Apgar respiratory effort: a good, strong cry.