ID

23553

Beskrivning

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.

Nyckelord

  1. 2017-07-08 2017-07-08 - Martin Dugas
  2. 2017-07-08 2017-07-08 - Martin Dugas
  3. 2017-07-08 2017-07-08 - Martin Dugas
  4. 2017-07-08 2017-07-08 - Martin Dugas
Uppladdad den

8 juli 2017

DOI

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Licens

Creative Commons BY-NC 3.0

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APGAR (EHR Archetype)

  1. StudyEvent: apgarv2
    1. apgarv2
apgarv2.xml
Beskrivning

apgarv2.xml

Apgar score
Beskrivning

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

Datatyp

text

structure
Beskrivning

@ internal @

Datatyp

text

history
Beskrivning

@ internal @

Datatyp

text

1 minute
Beskrivning

Apgar score 1 minute after birth.

Datatyp

text

Heart Rate
Beskrivning

Recording of the infant's heart rate.

Datatyp

text

Absent
Beskrivning

No heart beat is seen, felt or heard.

Datatyp

text

below 100 beats per minute
Beskrivning

Heart rate less than 100 beats per minute.

Datatyp

text

≥100 beats per minute
Beskrivning

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

Datatyp

text

Respiratory effort
Beskrivning

Observation of the infant's respiratory effort.

Datatyp

text

Absent
Beskrivning

No effort to breath.

Datatyp

text

Weak or irregular
Beskrivning

Some effort to breath, moving chest.

Datatyp

text

Normal
Beskrivning

Breathing normally or crying.

Datatyp

text

Muscle tone
Beskrivning

Observation of the infant's muscle tone.

Datatyp

text

Limp or flaccid
Beskrivning

No spontaneous movement.

Datatyp

text

Reduced tone
Beskrivning

Some flexion of extremities.

Datatyp

text

Normal tone
Beskrivning

Normal, vigorous movements.

Datatyp

text

Reflex irritability
Beskrivning

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

Datatyp

text

No response
Beskrivning

No response to stimulation.

Datatyp

text

Reduced response
Beskrivning

Grimace or feeble cry when stimulated.

Datatyp

text

Normal response
Beskrivning

Grimace, sneeze, cough or pulls away when stimulated.

Datatyp

text

Skin colour
Beskrivning

Observation of the skin colour of the infant.

Datatyp

text

Completely blue
Beskrivning

Body and extremities are blue.

Datatyp

text

Body pink; extremities blue
Beskrivning

Body is pink; extremities are blue.

Datatyp

text

Completely pink
Beskrivning

Body and extremities are pink; no cyanosis.

Datatyp

text

Total
Beskrivning

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

Datatyp

integer

2 minute
Beskrivning

Apgar score 2 minutes after birth.

Datatyp

text

3 minute
Beskrivning

Apgar score 3 minutes after birth.

Datatyp

text

5 minute
Beskrivning

Apgar score 5 minutes after birth.

Datatyp

text

Tree
Beskrivning

@ internal @

Datatyp

text

Notes on measurement
Beskrivning

Notes on measurement of the Apgar score.

Datatyp

text

10 minute
Beskrivning

Apgar score 10 minutes after birth.

Datatyp

text

Any event
Beskrivning

Apgar score at any additional time, as required.

Datatyp

text

Extension
Beskrivning

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

Datatyp

text

Similar models

  1. StudyEvent: apgarv2
    1. apgarv2
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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