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
| Active as of 2026-09-15 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="score-codesystem"/>
<text>
<status value="generated"/>
<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>
</text>
<url value="https://fhir.slade360.co.ke/fhir/CodeSystem/score-codesystem"/>
<version value="0.1.0"/>
<name value="SGHIScoreCodeSystem"/>
<title value="SGHI Score Code System"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-09-15T11:40:24+00:00"/>
<publisher value="Kathurima Kimathi"/>
<contact>
<name value="Kathurima Kimathi"/>
<telecom>
<system value="url"/>
<value value="https://www.linkedin.com/in/kathurima-kimathi/"/>
</telecom>
<telecom>
<system value="email"/>
<value value="kathurimakimathi415@gmail.com"/>
</telecom>
</contact>
<contact>
<name value="Oscar John"/>
<telecom>
<system value="email"/>
<value value="oscarjohnotieno@gmail.com"/>
<use value="work"/>
</telecom>
</contact>
<contact>
<name value="Kennedy Omondi"/>
<telecom>
<system value="email"/>
<value value="kennankole@gmail.com"/>
<use value="work"/>
</telecom>
</contact>
<description
value="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 value="true"/>
<content value="complete"/>
<count value="33"/>
<concept>
<code value="bishop-dilation-0"/>
<display value="Closed"/>
<definition value="Bishop dilation: the cervix is closed."/>
</concept>
<concept>
<code value="bishop-dilation-1"/>
<display value="1 to 2 cm"/>
<definition value="Bishop dilation: 1 to 2 cm."/>
</concept>
<concept>
<code value="bishop-dilation-2"/>
<display value="3 to 4 cm"/>
<definition value="Bishop dilation: 3 to 4 cm."/>
</concept>
<concept>
<code value="bishop-dilation-3"/>
<display value="5 cm or more"/>
<definition value="Bishop dilation: 5 cm or more."/>
</concept>
<concept>
<code value="bishop-effacement-0"/>
<display value="0 to 25%, or cervix over 4 cm"/>
<definition
value="Bishop effacement: 0 to 25% effaced, or a cervical length greater than 4 cm."/>
</concept>
<concept>
<code value="bishop-effacement-1"/>
<display value="25 to 50%, or 2 to 4 cm"/>
<definition
value="Bishop effacement: 25 to 50% effaced, or a cervical length of 2 to 4 cm."/>
</concept>
<concept>
<code value="bishop-effacement-2"/>
<display value="50 to 75%, or 1 to 2 cm"/>
<definition
value="Bishop effacement: 50 to 75% effaced, or a cervical length of 1 to 2 cm."/>
</concept>
<concept>
<code value="bishop-effacement-3"/>
<display value="85% or more"/>
<definition value="Bishop effacement: 85% or more effaced."/>
</concept>
<concept>
<code value="bishop-consistency-0"/>
<display value="Firm"/>
<definition value="Bishop consistency: firm."/>
</concept>
<concept>
<code value="bishop-consistency-1"/>
<display value="Medium"/>
<definition value="Bishop consistency: medium."/>
</concept>
<concept>
<code value="bishop-consistency-2"/>
<display value="Soft"/>
<definition value="Bishop consistency: soft."/>
</concept>
<concept>
<code value="bishop-position-0"/>
<display value="Posterior"/>
<definition value="Bishop cervical position: posterior."/>
</concept>
<concept>
<code value="bishop-position-1"/>
<display value="Midline"/>
<definition value="Bishop cervical position: midline."/>
</concept>
<concept>
<code value="bishop-position-2"/>
<display value="Anterior"/>
<definition value="Bishop cervical position: anterior."/>
</concept>
<concept>
<code value="bishop-station-0"/>
<display value="-3"/>
<definition value="Bishop head station: 3 cm above the ischial spines."/>
</concept>
<concept>
<code value="bishop-station-1"/>
<display value="-2"/>
<definition value="Bishop head station: 2 cm above the ischial spines."/>
</concept>
<concept>
<code value="bishop-station-2"/>
<display value="-1 or 0"/>
<definition
value="Bishop head station: 1 cm above the spines, or at them."/>
</concept>
<concept>
<code value="bishop-station-3"/>
<display value="+1 or +2"/>
<definition
value="Bishop head station: 1 to 2 cm below the ischial spines."/>
</concept>
<concept>
<code value="apgar-colour-0"/>
<display value="Pale or blue"/>
<definition value="Apgar appearance: pale, or blue all over."/>
</concept>
<concept>
<code value="apgar-colour-1"/>
<display value="Blue extremities, torso pink"/>
<definition value="Apgar appearance: body pink with blue extremities."/>
</concept>
<concept>
<code value="apgar-colour-2"/>
<display value="Pink all over"/>
<definition value="Apgar appearance: completely pink."/>
</concept>
<concept>
<code value="apgar-pulse-0"/>
<display value="Absent"/>
<definition value="Apgar pulse: no heart rate."/>
</concept>
<concept>
<code value="apgar-pulse-1"/>
<display value="Under 100"/>
<definition value="Apgar pulse: below 100 beats per minute."/>
</concept>
<concept>
<code value="apgar-pulse-2"/>
<display value="100 or over"/>
<definition value="Apgar pulse: 100 beats per minute or above."/>
</concept>
<concept>
<code value="apgar-grimace-0"/>
<display value="No response"/>
<definition
value="Apgar reflex irritability: no response to stimulation."/>
</concept>
<concept>
<code value="apgar-grimace-1"/>
<display value="Grimace"/>
<definition
value="Apgar reflex irritability: a grimace or weak cry when stimulated."/>
</concept>
<concept>
<code value="apgar-grimace-2"/>
<display value="Cries or pulls away"/>
<definition
value="Apgar reflex irritability: cries, coughs, sneezes or pulls away when stimulated."/>
</concept>
<concept>
<code value="apgar-activity-0"/>
<display value="Floppy"/>
<definition value="Apgar muscle tone: floppy and limp."/>
</concept>
<concept>
<code value="apgar-activity-1"/>
<display value="Some flexion"/>
<definition value="Apgar muscle tone: some flexion of the extremities."/>
</concept>
<concept>
<code value="apgar-activity-2"/>
<display value="Active motion"/>
<definition
value="Apgar muscle tone: arms flexed and legs resisting extension."/>
</concept>
<concept>
<code value="apgar-respiration-0"/>
<display value="Absent"/>
<definition value="Apgar respiratory effort: not breathing."/>
</concept>
<concept>
<code value="apgar-respiration-1"/>
<display value="Weak, irregular or gasping"/>
<definition
value="Apgar respiratory effort: slow, weak, irregular or gasping."/>
</concept>
<concept>
<code value="apgar-respiration-2"/>
<display value="Strong cry"/>
<definition value="Apgar respiratory effort: a good, strong cry."/>
</concept>
</CodeSystem>