ID

23558

Beschrijving

Derived from www.openehr.org . 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.

Link

www.openehr.org

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-SA 3.0

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APGAR Score (EHR Archetype)

openEHR-EHR-OBSERVATION.apgar.v1

openEHR-EHR-OBSERVATION.apgar.v1
Beschrijving

openEHR-EHR-OBSERVATION.apgar.v1

Herzfrequenz
Beschrijving

Beurteilung der Herzfrequenz des Neubegorenen.

Datatype

integer

Alias
UMLS CUI [1]
C0018810
Atemantrieb
Beschrijving

Beurteilung des Atemantriebs des Neugeborenen.

Datatype

integer

Alias
UMLS CUI [1]
C0425466
Muskeltonus
Beschrijving

Beobachtung des Musketonus des Neugeborenen.

Datatype

integer

Alias
UMLS CUI [1]
C0026841
Reflexauslösbarkeit
Beschrijving

Beobachtung der Antwort des Neugeborens auf eine Reizstimulation, z.B. Absaugen des Oropharynxs und der Nasenlöcher mit einem weichem Gummikatheter.

Datatype

text

Alias
UMLS CUI [1]
C1317677
Hautfarbe
Beschrijving

Beobachtung der Hautfarbe des Neugeborenen.

Datatype

integer

Alias
UMLS CUI [1]
C0475704
Apgar-Score
Beschrijving

Klinischer Score, abgeleitet von der Beurteilung des Atemantriebs, Herzfrequenz, Reflexauslösbarkeit, Muskeltonus und Hautfarbe.

Datatype

integer

Alias
UMLS CUI [1]
C0003533
1 Minute
Beschrijving

Apgar-Score 1 Minute nach Geburt.

Datatype

integer

Alias
UMLS CUI [1]
C0426279
2 Minuten
Beschrijving

Apgar-Score 2 Minuten nach der Geburt.

Datatype

integer

Alias
UMLS CUI [1]
C0489254
3 Minuten
Beschrijving

Apgar-Score 3 Minuten nach der Geburt.

Datatype

integer

Alias
UMLS CUI [1]
C0003533
5 Minuten
Beschrijving

Apgar-Score 5 Minuten nach der Geburt.

Datatype

integer

Alias
UMLS CUI [1]
C0489255
10 Minuten
Beschrijving

Apgar-Score 10 Minuten nach der Geburt

Datatype

integer

Alias
UMLS CUI [1]
C0003533
Beliebiges Ereignis
Beschrijving

Apgar-Score zu beliebigen Zeitpunkten, je nach Bedarf.

Datatype

integer

Alias
UMLS CUI [1]
C0003533
Anmerkungen zur Messung
Beschrijving

Anmerkungen zur Messung des Apgar-Scores.

Datatype

text

Alias
UMLS CUI [1]
C1317574
Extension
Beschrijving

Extension

Datatype

text

Alias
UMLS CUI [1]
C1546922

Similar models

openEHR-EHR-OBSERVATION.apgar.v1

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item
Herzfrequenz
integer
C0018810 (UMLS CUI [1])
Code List
Herzfrequenz
CL Item
Kein Herzschlag (0)
CL Item
<100 Schläge pro Minute (1)
CL Item
≥100 Schläge pro Minute (2)
Item
Atemantrieb
integer
C0425466 (UMLS CUI [1])
Code List
Atemantrieb
CL Item
Kein Bestreben (0)
CL Item
Schwaches oder unregelmäßiges Bestreben (1)
CL Item
Normal (2)
Item
Muskeltonus
integer
C0026841 (UMLS CUI [1])
Code List
Muskeltonus
CL Item
Schlaff (0)
CL Item
Reduzierter Tonus (1)
CL Item
Normaler Tonus (2)
Item
Reflexauslösbarkeit
text
C1317677 (UMLS CUI [1])
Code List
Reflexauslösbarkeit
CL Item
Keine Reaktion (0)
CL Item
Reduzierte Reaktion (1)
CL Item
Normale Reaktion (2)
Item
Hautfarbe
integer
C0475704 (UMLS CUI [1])
Code List
Hautfarbe
CL Item
Komplett blau (0)
CL Item
Akrozyanotisch (1)
CL Item
Komplett rosig (2)
Apgar score
Item
Apgar-Score
integer
C0003533 (UMLS CUI [1])
Apgar score at 1 minute
Item
1 Minute
integer
C0426279 (UMLS CUI [1])
Apgar score at 2 minute
Item
2 Minuten
integer
C0489254 (UMLS CUI [1])
Apgar score at 3 minute
Item
3 Minuten
integer
C0003533 (UMLS CUI [1])
Apgar score at 5 minute
Item
5 Minuten
integer
C0489255 (UMLS CUI [1])
Apgar score at 10 minute
Item
10 Minuten
integer
C0003533 (UMLS CUI [1])
Apgar score any event
Item
Beliebiges Ereignis
integer
C0003533 (UMLS CUI [1])
Notes on measurement
Item
Anmerkungen zur Messung
text
C1317574 (UMLS CUI [1])
Extension
Item
text
C1546922 (UMLS CUI [1])

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