ID

23553

Descrizione

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.

Keywords

  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
Caricato su

8 luglio 2017

DOI

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Licenza

Creative Commons BY-NC 3.0

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APGAR (EHR Archetype)

  1. StudyEvent: apgarv2
    1. apgarv2
apgarv2.xml
Descrizione

apgarv2.xml

Apgar score
Descrizione

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

Tipo di dati

text

structure
Descrizione

@ internal @

Tipo di dati

text

history
Descrizione

@ internal @

Tipo di dati

text

1 minute
Descrizione

Apgar score 1 minute after birth.

Tipo di dati

text

Heart Rate
Descrizione

Recording of the infant's heart rate.

Tipo di dati

text

Absent
Descrizione

No heart beat is seen, felt or heard.

Tipo di dati

text

below 100 beats per minute
Descrizione

Heart rate less than 100 beats per minute.

Tipo di dati

text

≥100 beats per minute
Descrizione

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

Tipo di dati

text

Respiratory effort
Descrizione

Observation of the infant's respiratory effort.

Tipo di dati

text

Absent
Descrizione

No effort to breath.

Tipo di dati

text

Weak or irregular
Descrizione

Some effort to breath, moving chest.

Tipo di dati

text

Normal
Descrizione

Breathing normally or crying.

Tipo di dati

text

Muscle tone
Descrizione

Observation of the infant's muscle tone.

Tipo di dati

text

Limp or flaccid
Descrizione

No spontaneous movement.

Tipo di dati

text

Reduced tone
Descrizione

Some flexion of extremities.

Tipo di dati

text

Normal tone
Descrizione

Normal, vigorous movements.

Tipo di dati

text

Reflex irritability
Descrizione

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

Tipo di dati

text

No response
Descrizione

No response to stimulation.

Tipo di dati

text

Reduced response
Descrizione

Grimace or feeble cry when stimulated.

Tipo di dati

text

Normal response
Descrizione

Grimace, sneeze, cough or pulls away when stimulated.

Tipo di dati

text

Skin colour
Descrizione

Observation of the skin colour of the infant.

Tipo di dati

text

Completely blue
Descrizione

Body and extremities are blue.

Tipo di dati

text

Body pink; extremities blue
Descrizione

Body is pink; extremities are blue.

Tipo di dati

text

Completely pink
Descrizione

Body and extremities are pink; no cyanosis.

Tipo di dati

text

Total
Descrizione

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

Tipo di dati

integer

2 minute
Descrizione

Apgar score 2 minutes after birth.

Tipo di dati

text

3 minute
Descrizione

Apgar score 3 minutes after birth.

Tipo di dati

text

5 minute
Descrizione

Apgar score 5 minutes after birth.

Tipo di dati

text

Tree
Descrizione

@ internal @

Tipo di dati

text

Notes on measurement
Descrizione

Notes on measurement of the Apgar score.

Tipo di dati

text

10 minute
Descrizione

Apgar score 10 minutes after birth.

Tipo di dati

text

Any event
Descrizione

Apgar score at any additional time, as required.

Tipo di dati

text

Extension
Descrizione

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

Tipo di dati

text

Similar models

apgarv2

  1. StudyEvent: apgarv2
    1. apgarv2
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
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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