{
  "resourceType" : "CodeSystem",
  "id" : "score-codesystem",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem score-codesystem</b></p><a name=\"score-codesystem\"> </a><a name=\"hcscore-codesystem\"> </a><p>This case-sensitive code system <code>https://fhir.slade360.co.ke/fhir/CodeSystem/score-codesystem</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">bishop-dilation-0<a name=\"score-codesystem-bishop-dilation-0\"> </a></td><td>Closed</td><td>Bishop dilation: the cervix is closed.</td></tr><tr><td style=\"white-space:nowrap\">bishop-dilation-1<a name=\"score-codesystem-bishop-dilation-1\"> </a></td><td>1 to 2 cm</td><td>Bishop dilation: 1 to 2 cm.</td></tr><tr><td style=\"white-space:nowrap\">bishop-dilation-2<a name=\"score-codesystem-bishop-dilation-2\"> </a></td><td>3 to 4 cm</td><td>Bishop dilation: 3 to 4 cm.</td></tr><tr><td style=\"white-space:nowrap\">bishop-dilation-3<a name=\"score-codesystem-bishop-dilation-3\"> </a></td><td>5 cm or more</td><td>Bishop dilation: 5 cm or more.</td></tr><tr><td style=\"white-space:nowrap\">bishop-effacement-0<a name=\"score-codesystem-bishop-effacement-0\"> </a></td><td>0 to 25%, or cervix over 4 cm</td><td>Bishop effacement: 0 to 25% effaced, or a cervical length greater than 4 cm.</td></tr><tr><td style=\"white-space:nowrap\">bishop-effacement-1<a name=\"score-codesystem-bishop-effacement-1\"> </a></td><td>25 to 50%, or 2 to 4 cm</td><td>Bishop effacement: 25 to 50% effaced, or a cervical length of 2 to 4 cm.</td></tr><tr><td style=\"white-space:nowrap\">bishop-effacement-2<a name=\"score-codesystem-bishop-effacement-2\"> </a></td><td>50 to 75%, or 1 to 2 cm</td><td>Bishop effacement: 50 to 75% effaced, or a cervical length of 1 to 2 cm.</td></tr><tr><td style=\"white-space:nowrap\">bishop-effacement-3<a name=\"score-codesystem-bishop-effacement-3\"> </a></td><td>85% or more</td><td>Bishop effacement: 85% or more effaced.</td></tr><tr><td style=\"white-space:nowrap\">bishop-consistency-0<a name=\"score-codesystem-bishop-consistency-0\"> </a></td><td>Firm</td><td>Bishop consistency: firm.</td></tr><tr><td style=\"white-space:nowrap\">bishop-consistency-1<a name=\"score-codesystem-bishop-consistency-1\"> </a></td><td>Medium</td><td>Bishop consistency: medium.</td></tr><tr><td style=\"white-space:nowrap\">bishop-consistency-2<a name=\"score-codesystem-bishop-consistency-2\"> </a></td><td>Soft</td><td>Bishop consistency: soft.</td></tr><tr><td style=\"white-space:nowrap\">bishop-position-0<a name=\"score-codesystem-bishop-position-0\"> </a></td><td>Posterior</td><td>Bishop cervical position: posterior.</td></tr><tr><td style=\"white-space:nowrap\">bishop-position-1<a name=\"score-codesystem-bishop-position-1\"> </a></td><td>Midline</td><td>Bishop cervical position: midline.</td></tr><tr><td style=\"white-space:nowrap\">bishop-position-2<a name=\"score-codesystem-bishop-position-2\"> </a></td><td>Anterior</td><td>Bishop cervical position: anterior.</td></tr><tr><td style=\"white-space:nowrap\">bishop-station-0<a name=\"score-codesystem-bishop-station-0\"> </a></td><td>-3</td><td>Bishop head station: 3 cm above the ischial spines.</td></tr><tr><td style=\"white-space:nowrap\">bishop-station-1<a name=\"score-codesystem-bishop-station-1\"> </a></td><td>-2</td><td>Bishop head station: 2 cm above the ischial spines.</td></tr><tr><td style=\"white-space:nowrap\">bishop-station-2<a name=\"score-codesystem-bishop-station-2\"> </a></td><td>-1 or 0</td><td>Bishop head station: 1 cm above the spines, or at them.</td></tr><tr><td style=\"white-space:nowrap\">bishop-station-3<a name=\"score-codesystem-bishop-station-3\"> </a></td><td>+1 or +2</td><td>Bishop head station: 1 to 2 cm below the ischial spines.</td></tr><tr><td style=\"white-space:nowrap\">apgar-colour-0<a name=\"score-codesystem-apgar-colour-0\"> </a></td><td>Pale or blue</td><td>Apgar appearance: pale, or blue all over.</td></tr><tr><td style=\"white-space:nowrap\">apgar-colour-1<a name=\"score-codesystem-apgar-colour-1\"> </a></td><td>Blue extremities, torso pink</td><td>Apgar appearance: body pink with blue extremities.</td></tr><tr><td style=\"white-space:nowrap\">apgar-colour-2<a name=\"score-codesystem-apgar-colour-2\"> </a></td><td>Pink all over</td><td>Apgar appearance: completely pink.</td></tr><tr><td style=\"white-space:nowrap\">apgar-pulse-0<a name=\"score-codesystem-apgar-pulse-0\"> </a></td><td>Absent</td><td>Apgar pulse: no heart rate.</td></tr><tr><td style=\"white-space:nowrap\">apgar-pulse-1<a name=\"score-codesystem-apgar-pulse-1\"> </a></td><td>Under 100</td><td>Apgar pulse: below 100 beats per minute.</td></tr><tr><td style=\"white-space:nowrap\">apgar-pulse-2<a name=\"score-codesystem-apgar-pulse-2\"> </a></td><td>100 or over</td><td>Apgar pulse: 100 beats per minute or above.</td></tr><tr><td style=\"white-space:nowrap\">apgar-grimace-0<a name=\"score-codesystem-apgar-grimace-0\"> </a></td><td>No response</td><td>Apgar reflex irritability: no response to stimulation.</td></tr><tr><td style=\"white-space:nowrap\">apgar-grimace-1<a name=\"score-codesystem-apgar-grimace-1\"> </a></td><td>Grimace</td><td>Apgar reflex irritability: a grimace or weak cry when stimulated.</td></tr><tr><td style=\"white-space:nowrap\">apgar-grimace-2<a name=\"score-codesystem-apgar-grimace-2\"> </a></td><td>Cries or pulls away</td><td>Apgar reflex irritability: cries, coughs, sneezes or pulls away when stimulated.</td></tr><tr><td style=\"white-space:nowrap\">apgar-activity-0<a name=\"score-codesystem-apgar-activity-0\"> </a></td><td>Floppy</td><td>Apgar muscle tone: floppy and limp.</td></tr><tr><td style=\"white-space:nowrap\">apgar-activity-1<a name=\"score-codesystem-apgar-activity-1\"> </a></td><td>Some flexion</td><td>Apgar muscle tone: some flexion of the extremities.</td></tr><tr><td style=\"white-space:nowrap\">apgar-activity-2<a name=\"score-codesystem-apgar-activity-2\"> </a></td><td>Active motion</td><td>Apgar muscle tone: arms flexed and legs resisting extension.</td></tr><tr><td style=\"white-space:nowrap\">apgar-respiration-0<a name=\"score-codesystem-apgar-respiration-0\"> </a></td><td>Absent</td><td>Apgar respiratory effort: not breathing.</td></tr><tr><td style=\"white-space:nowrap\">apgar-respiration-1<a name=\"score-codesystem-apgar-respiration-1\"> </a></td><td>Weak, irregular or gasping</td><td>Apgar respiratory effort: slow, weak, irregular or gasping.</td></tr><tr><td style=\"white-space:nowrap\">apgar-respiration-2<a name=\"score-codesystem-apgar-respiration-2\"> </a></td><td>Strong cry</td><td>Apgar respiratory effort: a good, strong cry.</td></tr></table></div>"
  },
  "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" : "2026-09-15T11:40:24+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."
  }]
}