ID

23553

Descripción

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.

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Versiones (4)
  1. 8/7/17 8/7/17 - Martin Dugas
  2. 8/7/17 8/7/17 - Martin Dugas
  3. 8/7/17 8/7/17 - Martin Dugas
  4. 8/7/17 8/7/17 - Martin Dugas
Subido en

8 de julio de 2017

DOI

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Licencia

Creative Commons BY-NC 3.0
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APGAR (EHR Archetype)

Árabe ( localization.languageCode.SY ) Alemán Inglés Español ( localization.languageCode.CL ) Persa Holandés Noruego Portugués ( localization.languageCode.BR ) Ruso

apgarv2

1 formularios  
  1. StudyEvent: apgarv2
    1. apgarv2
apgarv2.xml
Descripción

apgarv2.xml

Apgar score
Descripción

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

Tipo de datos

text

structure
Descripción

@ internal @

Tipo de datos

text

history
Descripción

@ internal @

Tipo de datos

text

1 minute
Descripción

Apgar score 1 minute after birth.

Tipo de datos

text

Heart Rate
Descripción

Recording of the infant's heart rate.

Tipo de datos

text

Absent
Descripción

No heart beat is seen, felt or heard.

Tipo de datos

text

below 100 beats per minute
Descripción

Heart rate less than 100 beats per minute.

Tipo de datos

text

≥100 beats per minute
Descripción

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

Tipo de datos

text

Respiratory effort
Descripción

Observation of the infant's respiratory effort.

Tipo de datos

text

Absent
Descripción

No effort to breath.

Tipo de datos

text

Weak or irregular
Descripción

Some effort to breath, moving chest.

Tipo de datos

text

Normal
Descripción

Breathing normally or crying.

Tipo de datos

text

Muscle tone
Descripción

Observation of the infant's muscle tone.

Tipo de datos

text

Limp or flaccid
Descripción

No spontaneous movement.

Tipo de datos

text

Reduced tone
Descripción

Some flexion of extremities.

Tipo de datos

text

Normal tone
Descripción

Normal, vigorous movements.

Tipo de datos

text

Reflex irritability
Descripción

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

Tipo de datos

text

No response
Descripción

No response to stimulation.

Tipo de datos

text

Reduced response
Descripción

Grimace or feeble cry when stimulated.

Tipo de datos

text

Normal response
Descripción

Grimace, sneeze, cough or pulls away when stimulated.

Tipo de datos

text

Skin colour
Descripción

Observation of the skin colour of the infant.

Tipo de datos

text

Completely blue
Descripción

Body and extremities are blue.

Tipo de datos

text

Body pink; extremities blue
Descripción

Body is pink; extremities are blue.

Tipo de datos

text

Completely pink
Descripción

Body and extremities are pink; no cyanosis.

Tipo de datos

text

Total
Descripción

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

Tipo de datos

integer

2 minute
Descripción

Apgar score 2 minutes after birth.

Tipo de datos

text

3 minute
Descripción

Apgar score 3 minutes after birth.

Tipo de datos

text

5 minute
Descripción

Apgar score 5 minutes after birth.

Tipo de datos

text

Tree
Descripción

@ internal @

Tipo de datos

text

Notes on measurement
Descripción

Notes on measurement of the Apgar score.

Tipo de datos

text

10 minute
Descripción

Apgar score 10 minutes after birth.

Tipo de datos

text

Any event
Descripción

Apgar score at any additional time, as required.

Tipo de datos

text

Extension
Descripción

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

Tipo de datos

text

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Similar models

apgarv2

1 formularios
  1. StudyEvent: apgarv2
    1. apgarv2
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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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