ID

23553

Beschrijving

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.

Trefwoorden

  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
Geüploaded op

8 juli 2017

DOI

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Licentie

Creative Commons BY-NC 3.0

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APGAR (EHR Archetype)

  1. StudyEvent: apgarv2
    1. apgarv2
apgarv2.xml
Beschrijving

apgarv2.xml

Apgar score
Beschrijving

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

Datatype

text

structure
Beschrijving

@ internal @

Datatype

text

history
Beschrijving

@ internal @

Datatype

text

1 minute
Beschrijving

Apgar score 1 minute after birth.

Datatype

text

Heart Rate
Beschrijving

Recording of the infant's heart rate.

Datatype

text

Absent
Beschrijving

No heart beat is seen, felt or heard.

Datatype

text

below 100 beats per minute
Beschrijving

Heart rate less than 100 beats per minute.

Datatype

text

≥100 beats per minute
Beschrijving

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

Datatype

text

Respiratory effort
Beschrijving

Observation of the infant's respiratory effort.

Datatype

text

Absent
Beschrijving

No effort to breath.

Datatype

text

Weak or irregular
Beschrijving

Some effort to breath, moving chest.

Datatype

text

Normal
Beschrijving

Breathing normally or crying.

Datatype

text

Muscle tone
Beschrijving

Observation of the infant's muscle tone.

Datatype

text

Limp or flaccid
Beschrijving

No spontaneous movement.

Datatype

text

Reduced tone
Beschrijving

Some flexion of extremities.

Datatype

text

Normal tone
Beschrijving

Normal, vigorous movements.

Datatype

text

Reflex irritability
Beschrijving

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

Datatype

text

No response
Beschrijving

No response to stimulation.

Datatype

text

Reduced response
Beschrijving

Grimace or feeble cry when stimulated.

Datatype

text

Normal response
Beschrijving

Grimace, sneeze, cough or pulls away when stimulated.

Datatype

text

Skin colour
Beschrijving

Observation of the skin colour of the infant.

Datatype

text

Completely blue
Beschrijving

Body and extremities are blue.

Datatype

text

Body pink; extremities blue
Beschrijving

Body is pink; extremities are blue.

Datatype

text

Completely pink
Beschrijving

Body and extremities are pink; no cyanosis.

Datatype

text

Total
Beschrijving

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

Datatype

integer

2 minute
Beschrijving

Apgar score 2 minutes after birth.

Datatype

text

3 minute
Beschrijving

Apgar score 3 minutes after birth.

Datatype

text

5 minute
Beschrijving

Apgar score 5 minutes after birth.

Datatype

text

Tree
Beschrijving

@ internal @

Datatype

text

Notes on measurement
Beschrijving

Notes on measurement of the Apgar score.

Datatype

text

10 minute
Beschrijving

Apgar score 10 minutes after birth.

Datatype

text

Any event
Beschrijving

Apgar score at any additional time, as required.

Datatype

text

Extension
Beschrijving

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

Datatype

text

Similar models

  1. StudyEvent: apgarv2
    1. apgarv2
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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