ID

23553

Beschreibung

Allows recording of an assessment of the state of a neonate explicitly as 1, 2, 3, 5 and/or 10 minute events after birth, plus additional events as required. Usual practice is to document the Apgar score at 1 and 5 minutes; further scores can be recorded as clinically indicated. It is possible to record the Apgar score at any time after birth using this archetype. Common clinical practice is to record all 5 parameters plus the total, however this archetype allows any partial information to be recorded, if that is all that is available eg from historical data. If the total is to be calculated, it is necessary for all 5 ordinal values to be recorded. The total is the sum of the five ordinal values (min 0, max 10). It is recognised that mnemonic learning aid for APGAR is commonly taught. For example, in English: A for Appearance (skin color), P for Pulse (heart rate), G for Grimace (reflex irritability), A for Activity (muscle tone), and R for Respiration. As this is not universally applicable for all languages, it is suggested that this mnemonic can be applied by renaming the data elements within templates if desired for a specific clinical scenario.

Stichworte

Versionen (4)
  1. 08.07.17 08.07.17 - Martin Dugas
  2. 08.07.17 08.07.17 - Martin Dugas
  3. 08.07.17 08.07.17 - Martin Dugas
  4. 08.07.17 08.07.17 - Martin Dugas
Hochgeladen am

8. Juli 2017

DOI

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Creative Commons BY-NC 3.0
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APGAR (EHR Archetype)

Arabisch ( localization.languageCode.SY ) Deutsch Englisch Spanisch ( localization.languageCode.CL ) Persisch Niederländisch Norwegisch Portugiesisch ( localization.languageCode.BR ) Russisch

apgarv2

1 Formulare  
  1. StudyEvent: apgarv2
    1. apgarv2
apgarv2.xml
Beschreibung

apgarv2.xml

Apgar score
Beschreibung

Clinical score derived from assessment of respiratory effort, heart rate, reflex irritability, muscle tone and skin colour.

Datentyp

text

structure
Beschreibung

@ internal @

Datentyp

text

history
Beschreibung

@ internal @

Datentyp

text

1 minute
Beschreibung

Apgar score 1 minute after birth.

Datentyp

text

Heart Rate
Beschreibung

Recording of the infant's heart rate.

Datentyp

text

Absent
Beschreibung

No heart beat is seen, felt or heard.

Datentyp

text

below 100 beats per minute
Beschreibung

Heart rate less than 100 beats per minute.

Datentyp

text

≥100 beats per minute
Beschreibung

Heart rate greater than or equal to 100 beats per minute.

Datentyp

text

Respiratory effort
Beschreibung

Observation of the infant's respiratory effort.

Datentyp

text

Absent
Beschreibung

No effort to breath.

Datentyp

text

Weak or irregular
Beschreibung

Some effort to breath, moving chest.

Datentyp

text

Normal
Beschreibung

Breathing normally or crying.

Datentyp

text

Muscle tone
Beschreibung

Observation of the infant's muscle tone.

Datentyp

text

Limp or flaccid
Beschreibung

No spontaneous movement.

Datentyp

text

Reduced tone
Beschreibung

Some flexion of extremities.

Datentyp

text

Normal tone
Beschreibung

Normal, vigorous movements.

Datentyp

text

Reflex irritability
Beschreibung

Observation of the response of the infant to an irritant stimulation, for example, suctioning the oropharynx and nares with a soft rubber catheter.

Datentyp

text

No response
Beschreibung

No response to stimulation.

Datentyp

text

Reduced response
Beschreibung

Grimace or feeble cry when stimulated.

Datentyp

text

Normal response
Beschreibung

Grimace, sneeze, cough or pulls away when stimulated.

Datentyp

text

Skin colour
Beschreibung

Observation of the skin colour of the infant.

Datentyp

text

Completely blue
Beschreibung

Body and extremities are blue.

Datentyp

text

Body pink; extremities blue
Beschreibung

Body is pink; extremities are blue.

Datentyp

text

Completely pink
Beschreibung

Body and extremities are pink; no cyanosis.

Datentyp

text

Total
Beschreibung

The sum of the 5 ordinal scores for each component parameter.

Datentyp

integer

2 minute
Beschreibung

Apgar score 2 minutes after birth.

Datentyp

text

3 minute
Beschreibung

Apgar score 3 minutes after birth.

Datentyp

text

5 minute
Beschreibung

Apgar score 5 minutes after birth.

Datentyp

text

Tree
Beschreibung

@ internal @

Datentyp

text

Notes on measurement
Beschreibung

Notes on measurement of the Apgar score.

Datentyp

text

10 minute
Beschreibung

Apgar score 10 minutes after birth.

Datentyp

text

Any event
Beschreibung

Apgar score at any additional time, as required.

Datentyp

text

Extension
Beschreibung

Additional information required to capture local content or to align with other reference models/formalisms.

Datentyp

text

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Ähnliche Modelle

apgarv2

1 Formulare
  1. StudyEvent: apgarv2
    1. apgarv2
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Apgar score
Item
Apgar score
text
structure
Item
structure
text
history
Item
history
text
1 minute
Item
1 minute
text
Heart Rate
Item
Heart Rate
text
Absent
Item
Absent
text
below 100 beats per minute
Item
below 100 beats per minute
text
≥100 beats per minute
Item
≥100 beats per minute
text
Respiratory effort
Item
Respiratory effort
text
Absent
Item
Absent
text
Weak or irregular
Item
Weak or irregular
text
Normal
Item
Normal
text
Muscle tone
Item
Muscle tone
text
Limp or flaccid
Item
Limp or flaccid
text
Reduced tone
Item
Reduced tone
text
Normal tone
Item
Normal tone
text
Reflex irritability
Item
Reflex irritability
text
No response
Item
No response
text
Reduced response
Item
Reduced response
text
Normal response
Item
Normal response
text
Skin colour
Item
Skin colour
text
Completely blue
Item
Completely blue
text
Body pink; extremities blue
Item
Body pink; extremities blue
text
Completely pink
Item
Completely pink
text
Total
Item
Total
integer
2 minute
Item
2 minute
text
3 minute
Item
3 minute
text
5 minute
Item
5 minute
text
Tree
Item
Tree
text
Notes on measurement
Item
Notes on measurement
text
10 minute
Item
10 minute
text
Any event
Item
Any event
text
Extension
Item
Extension
text
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