ApgarScore-v1.0(2018EN)

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General information

Name: nl.zorg.ApgarScore NL.png
Version: 1.0
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018


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Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 11-10-2016
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.12.16
DCM::KeywordList Apgar
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.ApgarScore
DCM::PublicationDate 01-10-2018
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017).

Concept

The Apgar score represents the overall clinical status of a newborn child. This is evaluated one, five and ten minutes after birth based on 5 parameters: Appearance, Pulse, Grimace, Activity, Respiration. If the score measured at 5 minutes is < 8, the Apgar score is measured again at 10, 15, 20 minutes etc. until the score = 8.

Purpose

The Apgar score is primarily meant to rapidly determine the clinical condition of the newborn child and whether extra care is required. A low Apgar score can be caused by developmental disorders, prenatal accidents or negative influences during birth. The Apgar score remains a snapshot in time and cannot be used to predict the locomotive or mental development of a child.

Evidence Base

The definitions of the concepts are based on the Apgar score (as defined in Dutch by the KNOV), the guidelines Fetal Monitoring of the NVOG and Reanimation of Newborn of the NVK.

Patient Population

The ApgarScore information model is meant for children up to the age of 12 month.

Information Model


#AppearanceScoreCodelist#MusleToneScoreCodelist#PulseScoreCodelist#GrimaceScoreCodelist#RespiratoryScoreCodelist#11862#11861#11852#11860#11863#11851#11864#11858#11865ApgarScore-v1.0Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:12.16.1 Arrowdown.pngApgarScore Root concept of the ApgarScore information model. This root concept contains all data elements of the ApgarScore information model.
TS.png NL-CM:12.16.3 Arrowright.pngApgarScoreDateTime 1 The day and time at which the Apgar score is registered.
INT.png NL-CM:12.16.2 Arrowright.pngApgarScoreTotal 1 Total of the Apgar score.
9271-8 10 minute Apgar Score
9272-6 1 minute Apgar Score
9274-2 5 minute Apgar Score
CO.png NL-CM:12.16.4 Arrowright.pngRespiratoryScore 0..1 The Apgar subscore for respiration.
32405-3 10 minute Apgar Respiratory effort
32410-3 1 minute Apgar Respiratory effort
32415-2 5 minute Apgar Respiratory effort
List2.png RespiratoryScoreCodelist
CO.png NL-CM:12.16.7 Arrowright.pngAppearanceScore 0..1 The Apgar subscore for skin color/appearance.
32401-2 10 minute Apgar Color
32406-1 1 minute Apgar Color
32411-1 5 minute Apgar Color
List2.png AppearanceScoreCodelist
CO.png NL-CM:12.16.5 Arrowright.pngPulseScore 0..1 The Apgar subscore for pulse.
32402-0 10 minute Apgar Heart rate
32407-9 1 minute Apgar Heart rate
32412-9 5 minute Apgar Heart rate
List2.png PulseScoreCodelist
CO.png NL-CM:12.16.8 Arrowright.pngGrimaceScore 0..1 The Apgar subscore for grimace.
32404-6 10 minute Apgar Reflex irritability
32409-5 1 minute Apgar Reflex irritability
32414-5 5 minute Apgar Reflex irritability
List2.png GrimaceScoreCodelist
CO.png NL-CM:12.16.6 Arrowright.pngMusleToneScore 0..1 The Apgar subscore for activity/muscle tone.
32403-8 10 minute Apgar Muscle tone
32408-7 1 minute Apgar Muscle tone
32413-7 5 minute Apgar Muscle tone
List2.png MusleToneScoreCodelist
ST.png NL-CM:12.16.9 Arrowright.pngComment 0..1 Comment on the Apgar score.
48767-8 Annotation comment [Interpretation] Narrative

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

ApgarScore
AdemhalingsScore 2 (Flink huilen en goed doorademen)
HartslagScore 1 (Een hartslag van minder dan 100 slagen per minuut)
SpierspanningScore 2 (Beweegt armpjes en beentjes goed)
HuidskleurScore 1 (Roze lijfje, maar blauwachtige armen en benen)
ReflexenScore 2 (Reageert door te huilen, te hoesten of te niezen)
ApgarScoreTotaal 8
ApgarScoreDatumTijd 19-12-2016 9:00
Toelichting -

Valuesets

AppearanceScoreCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4 Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
The babys whole body is completely bluish-gray or pale LA6722-8 0 LOINC 2.16.840.1.113883.6.1 Een bleke of blauwe huidskleur
Good color in body with bluish hands or feet LA6723-6 1 LOINC 2.16.840.1.113883.6.1 Roze lijfje, maar blauwachtige armen en benen
Good color all over LA6724-4 2 LOINC 2.16.840.1.113883.6.1 Mooie roze huidskleur

GrimaceScoreCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.5 Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
No response to airways being suctioned LA6719-4 0 LOINC 2.16.840.1.113883.6.1 Reageert niet op prikkels/Geen reactie
Grimace during suctioning LA6720-2 1 LOINC 2.16.840.1.113883.6.1 Reageert met kleine jammergeluidjes en zwakke bewegingen
Grimace and pulling away, cough, or sneeze during suctioning LA6721-0 2 LOINC 2.16.840.1.113883.6.1 Reageert door te huilen, te hoesten of te niezen

MusleToneScoreCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.3 Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Limp; no movement LA6713-7 0 LOINC 2.16.840.1.113883.6.1 Geen spierspanning aanwezig/slap
Some flexion of arms and legs LA6714-5 1 LOINC 2.16.840.1.113883.6.1 Weinig bewegingen met armpjes en beentjes
Active motion LA6715-2 2 LOINC 2.16.840.1.113883.6.1 Beweegt armpjes en beentjes goed

PulseScoreCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.2 Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
No heart rate LA6716-0 0 LOINC 2.16.840.1.113883.6.1 Geen hartslag, of een onhoorbare hartslag
Fewer than 100 beats per minute LA6717-8 1 LOINC 2.16.840.1.113883.6.1 Een hartslag van minder dan 100 slagen per minuut
At least 100 beats per minute LA6718-6 2 LOINC 2.16.840.1.113883.6.1 Een hartslag van meer dan 100 slagen per minuut

RespiratoryScoreCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1 Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Not breathing LA6725-1 0 LOINC 2.16.840.1.113883.6.1 Niet op eigen kracht ademen
Weak cry; may sound like whimpering, slow or irregular breathing LA6726-9 1 LOINC 2.16.840.1.113883.6.1 Zwak, onregelmatig of hijgerig ademhalen
Good, strong cry; normal rate and effort of breathing LA6727-7 2 LOINC 2.16.840.1.113883.6.1 Flink huilen en goed doorademen

This information model in other releases

Information model references

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Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

  • HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Prerelease 2018 #1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage List2.png
This page is generated on 06/11/2018 17:02:49 with ZibExtraction v. 2.0.6884.30514


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