ApgarScore-v1.0(2018EN): verschil tussen versies

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Regel 83: Regel 83:
==Information Model==
==Information Model==
<BR>
<BR>
<imagemap> Bestand:ApgarScore-v1.0Model(EN).png | center  
<imagemap> Bestand:ApgarScore-v1.0Model(2018EN).png | center  
rect 561 489 715 539 [[#AppearanceScoreCodelist]]
rect 571 497 725 547 [[#HuidskleurScoreCodelijst]]
rect 367 488 539 538 [[#MusleToneScoreCodelist]]
rect 377 496 549 546 [[#SpierspanningScoreCodelijst]]
rect 190 487 332 537 [[#PulseScoreCodelist]]
rect 200 495 342 545 [[#HartslagScoreCodelijst]]
rect 579 311 717 361 [[#GrimaceScoreCodelist]]
rect 589 319 727 369 [[#ReflexenScoreCodelijst]]
rect 158 311 317 361 [[#RespiratoryScoreCodelist]]
rect 168 319 327 369 [[#AdemhalingScoreCodelijst]]
rect 578 213 685 283 [[#11862]]
rect 588 221 695 291 [[#11862]]
rect 383 391 519 461 [[#11861]]
rect 393 399 529 469 [[#11861]]
rect 580 390 688 460 [[#11852]]
rect 590 398 698 468 [[#11852]]
rect 196 389 325 459 [[#11860]]
rect 206 397 335 467 [[#11860]]
rect 195 216 317 286 [[#11863]]
rect 205 224 327 294 [[#11863]]
rect 374 79 515 172 [[#11851]]
rect 384 87 525 180 [[#11851]]
rect 192 80 314 170 [[#11864]]
rect 202 88 324 178 [[#11864]]
rect 575 81 683 170 [[#11858]]
rect 585 89 693 178 [[#11858]]
rect 387 233 509 303 [[#11865]]
rect 397 241 519 311 [[#11865]]
desc none
desc none
</imagemap>
</imagemap>
Regel 107: Regel 107:
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:12.16.1
||NL-CM:12.16.1
|colspan ="6" style ="padding-left: 0px"|<span Id=11865 Title="NL: ApgarScore">[[Bestand: arrowdown.png | 10px | link=]]ApgarScore</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=11865 Title="EN: ApgarScore">[[Bestand: arrowdown.png | 10px | link=]]ApgarScore</span>
|
|
|Root concept of the ApgarScore information model. This root concept contains all data elements of the ApgarScore information model.
|Root concept of the ApgarScore information model. This root concept contains all data elements of the ApgarScore information model.
Regel 116: Regel 116:
||NL-CM:12.16.3
||NL-CM:12.16.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11864 Title="NL: ApgarScoreDatumTijd">[[Bestand: arrowright.png | 10px | link=]]ApgarScoreDateTime</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11864 Title="EN: ApgarScoreDateTime">[[Bestand: arrowright.png | 10px | link=]]ApgarScoreDatumTijd</span>
|1
|1
|The day and time at which the Apgar score is registered.
|The day and time at which the Apgar score is registered.
Regel 125: Regel 125:
||NL-CM:12.16.2
||NL-CM:12.16.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11851 Title="NL: ApgarScoreTotaal">[[Bestand: arrowright.png | 10px | link=]]ApgarScoreTotal</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11851 Title="EN: ApgarScoreTotal">[[Bestand: arrowright.png | 10px | link=]]ApgarScoreTotaal</span>
|1
|1
|Total of the Apgar score.
|Total of the Apgar score.
Regel 142: Regel 142:
||NL-CM:12.16.4
||NL-CM:12.16.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11863 Title="NL: AdemhalingScore">[[Bestand: arrowright.png | 10px | link=]]RespiratoryScore</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11863 Title="EN: RespiratoryScore">[[Bestand: arrowright.png | 10px | link=]]AdemhalingScore</span>
|0..1
|0..1
|The Apgar subscore for respiration.
|The Apgar subscore for respiration.
Regel 157: Regel 157:
{|
{|
|-
|-
|[[Bestand: List2.png | link=#RespiratoryScoreCodelist]]||[[#RespiratoryScoreCodelist|RespiratoryScoreCodelist]]
|[[Bestand: List2.png | link=#AdemhalingScoreCodelijst]]||[[#AdemhalingScoreCodelijst|AdemhalingScoreCodelijst]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
Regel 163: Regel 163:
||NL-CM:12.16.7
||NL-CM:12.16.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11852 Title="NL: HuidskleurScore">[[Bestand: arrowright.png | 10px | link=]]AppearanceScore</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11852 Title="EN: AppearanceScore">[[Bestand: arrowright.png | 10px | link=]]HuidskleurScore</span>
|0..1
|0..1
|The Apgar subscore for skin color/appearance.
|The Apgar subscore for skin color/appearance.
Regel 178: Regel 178:
{|
{|
|-
|-
|[[Bestand: List2.png | link=#AppearanceScoreCodelist]]||[[#AppearanceScoreCodelist|AppearanceScoreCodelist]]
|[[Bestand: List2.png | link=#HuidskleurScoreCodelijst]]||[[#HuidskleurScoreCodelijst|HuidskleurScoreCodelijst]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
Regel 184: Regel 184:
||NL-CM:12.16.5
||NL-CM:12.16.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11860 Title="NL: HartslagScore">[[Bestand: arrowright.png | 10px | link=]]PulseScore</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11860 Title="EN: PulseScore">[[Bestand: arrowright.png | 10px | link=]]HartslagScore</span>
|0..1
|0..1
|The Apgar subscore for pulse.
|The Apgar subscore for pulse.
Regel 199: Regel 199:
{|
{|
|-
|-
|[[Bestand: List2.png | link=#PulseScoreCodelist]]||[[#PulseScoreCodelist|PulseScoreCodelist]]
|[[Bestand: List2.png | link=#HartslagScoreCodelijst]]||[[#HartslagScoreCodelijst|HartslagScoreCodelijst]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
Regel 205: Regel 205:
||NL-CM:12.16.8
||NL-CM:12.16.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11862 Title="NL: ReflexenScore">[[Bestand: arrowright.png | 10px | link=]]GrimaceScore</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11862 Title="EN: GrimaceScore">[[Bestand: arrowright.png | 10px | link=]]ReflexenScore</span>
|0..1
|0..1
|The Apgar subscore for grimace.
|The Apgar subscore for grimace.
Regel 220: Regel 220:
{|
{|
|-
|-
|[[Bestand: List2.png | link=#GrimaceScoreCodelist]]||[[#GrimaceScoreCodelist|GrimaceScoreCodelist]]
|[[Bestand: List2.png | link=#ReflexenScoreCodelijst]]||[[#ReflexenScoreCodelijst|ReflexenScoreCodelijst]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
Regel 226: Regel 226:
||NL-CM:12.16.6
||NL-CM:12.16.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11861 Title="NL: SpierspanningScore">[[Bestand: arrowright.png | 10px | link=]]MusleToneScore</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11861 Title="EN: MusleToneScore">[[Bestand: arrowright.png | 10px | link=]]SpierspanningScore</span>
|0..1
|0..1
|The Apgar subscore for activity/muscle tone.
|The Apgar subscore for activity/muscle tone.
Regel 241: Regel 241:
{|
{|
|-
|-
|[[Bestand: List2.png | link=#MusleToneScoreCodelist]]||[[#MusleToneScoreCodelist|MusleToneScoreCodelist]]
|[[Bestand: List2.png | link=#SpierspanningScoreCodelijst]]||[[#SpierspanningScoreCodelijst|SpierspanningScoreCodelijst]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
Regel 247: Regel 247:
||NL-CM:12.16.9
||NL-CM:12.16.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11858 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11858 Title="EN: Comment">[[Bestand: arrowright.png | 10px | link=]]Toelichting</span>
|0..1
|0..1
|Comment on the Apgar score.
|Comment on the Apgar score.
Regel 293: Regel 293:


== Valuesets ==
== Valuesets ==
=== AppearanceScoreCodelist===
=== AdemhalingScoreCodelijst===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1
|Binding<!--vsBindingTag-->: Required
|Binding<!--vsBindingTag-->: Required
|}
|}
Regel 307: Regel 307:
|Description<!--vsDescription-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >The baby''s whole body is completely bluish-gray or pale</span>
|<span title = "Unknown code" >Not breathing</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6722-8 LA6722-8]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6725-1 LA6725-1]
|0
|0
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Een bleke of blauwe huidskleur
|Niet op eigen kracht ademen
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Good color in body with bluish hands or feet</span>
|<span title = "Unknown code" >Weak cry; may sound like whimpering, slow or irregular breathing</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6723-6 LA6723-6]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6726-9 LA6726-9]
|1
|1
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Roze lijfje, maar blauwachtige armen en benen
|Zwak, onregelmatig of hijgerig ademhalen
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Good color all over</span>
|<span title = "Unknown code" >Good, strong cry; normal rate and effort of breathing</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6724-4 LA6724-4]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6727-7 LA6727-7]
|2
|2
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Mooie roze huidskleur
|Flink huilen en goed doorademen
|}
|}
=== GrimaceScoreCodelist===
=== HartslagScoreCodelijst===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.5
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.2
|Binding<!--vsBindingTag-->: Required
|Binding<!--vsBindingTag-->: Required
|}
|}
Regel 342: Regel 342:
|Description<!--vsDescription-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >No response to airways being suctioned</span>
|<span title = "Unknown code" >No heart rate</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6719-4 LA6719-4]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6716-0 LA6716-0]
|0
|0
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Reageert niet op prikkels/Geen reactie
|Geen hartslag, of een onhoorbare hartslag
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Grimace during suctioning</span>
|<span title = "Unknown code" >Fewer than 100 beats per minute</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6720-2 LA6720-2]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6717-8 LA6717-8]
|1
|1
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Reageert met kleine jammergeluidjes en zwakke bewegingen
|Een hartslag van minder dan 100 slagen per minuut
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Grimace and pulling away, cough, or sneeze during suctioning</span>
|<span title = "Unknown code" >At least 100 beats per minute</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6721-0 LA6721-0]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6718-6 LA6718-6]
|2
|2
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Reageert door te huilen, te hoesten of te niezen
|Een hartslag van meer dan 100 slagen per minuut
|}
|}
=== MusleToneScoreCodelist===
=== HuidskleurScoreCodelijst===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.3
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4
|Binding<!--vsBindingTag-->: Required
|Binding<!--vsBindingTag-->: Required
|}
|}
Regel 377: Regel 377:
|Description<!--vsDescription-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Limp; no movement</span>
|<span title = "Unknown code" >The baby''s whole body is completely bluish-gray or pale</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6713-7 LA6713-7]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6722-8 LA6722-8]
|0
|0
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Geen spierspanning aanwezig/slap
|Een bleke of blauwe huidskleur
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Some flexion of arms and legs</span>
|<span title = "Unknown code" >Good color in body with bluish hands or feet</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6714-5 LA6714-5]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6723-6 LA6723-6]
|1
|1
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Weinig bewegingen met armpjes en beentjes
|Roze lijfje, maar blauwachtige armen en benen
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Active motion</span>
|<span title = "Unknown code" >Good color all over</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6715-2 LA6715-2]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6724-4 LA6724-4]
|2
|2
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Beweegt armpjes en beentjes goed
|Mooie roze huidskleur
|}
|}
=== PulseScoreCodelist===
=== ReflexenScoreCodelijst===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.2
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.5
|Binding<!--vsBindingTag-->: Required
|Binding<!--vsBindingTag-->: Required
|}
|}
Regel 412: Regel 412:
|Description<!--vsDescription-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >No heart rate</span>
|<span title = "Unknown code" >No response to airways being suctioned</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6716-0 LA6716-0]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6719-4 LA6719-4]
|0
|0
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Geen hartslag, of een onhoorbare hartslag
|Reageert niet op prikkels/Geen reactie
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Fewer than 100 beats per minute</span>
|<span title = "Unknown code" >Grimace during suctioning</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6717-8 LA6717-8]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6720-2 LA6720-2]
|1
|1
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Een hartslag van minder dan 100 slagen per minuut
|Reageert met kleine jammergeluidjes en zwakke bewegingen
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >At least 100 beats per minute</span>
|<span title = "Unknown code" >Grimace and pulling away, cough, or sneeze during suctioning</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6718-6 LA6718-6]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6721-0 LA6721-0]
|2
|2
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Een hartslag van meer dan 100 slagen per minuut
|Reageert door te huilen, te hoesten of te niezen
|}
|}
=== RespiratoryScoreCodelist===
=== SpierspanningScoreCodelijst===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.3
|Binding<!--vsBindingTag-->: Required
|Binding<!--vsBindingTag-->: Required
|}
|}
Regel 447: Regel 447:
|Description<!--vsDescription-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Not breathing</span>
|<span title = "Unknown code" >Limp; no movement</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6725-1 LA6725-1]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6713-7 LA6713-7]
|0
|0
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Niet op eigen kracht ademen
|Geen spierspanning aanwezig/slap
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Weak cry; may sound like whimpering, slow or irregular breathing</span>
|<span title = "Unknown code" >Some flexion of arms and legs</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6726-9 LA6726-9]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6714-5 LA6714-5]
|1
|1
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Zwak, onregelmatig of hijgerig ademhalen
|Weinig bewegingen met armpjes en beentjes
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Good, strong cry; normal rate and effort of breathing</span>
|<span title = "Unknown code" >Active motion</span>
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6727-7 LA6727-7]
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=LA6715-2 LA6715-2]
|2
|2
|LOINC
|LOINC
|2.16.840.1.113883.6.1
|2.16.840.1.113883.6.1
|Flink huilen en goed doorademen
|Beweegt armpjes en beentjes goed
|}
|}


Regel 495: Regel 495:
</ul>
</ul>
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Versie van 24 dec 2018 11:56


Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

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

Back 16.png Back to HCIM list

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


#HuidskleurScoreCodelijst#SpierspanningScoreCodelijst#HartslagScoreCodelijst#ReflexenScoreCodelijst#AdemhalingScoreCodelijst#11862#11861#11852#11860#11863#11851#11864#11858#11865ApgarScore-v1.0Model(2018EN).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.pngApgarScoreDatumTijd 1 The day and time at which the Apgar score is registered.
INT.png NL-CM:12.16.2 Arrowright.pngApgarScoreTotaal 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.pngAdemhalingScore 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 AdemhalingScoreCodelijst
CO.png NL-CM:12.16.7 Arrowright.pngHuidskleurScore 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 HuidskleurScoreCodelijst
CO.png NL-CM:12.16.5 Arrowright.pngHartslagScore 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 HartslagScoreCodelijst
CO.png NL-CM:12.16.8 Arrowright.pngReflexenScore 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 ReflexenScoreCodelijst
CO.png NL-CM:12.16.6 Arrowright.pngSpierspanningScore 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 SpierspanningScoreCodelijst
ST.png NL-CM:12.16.9 Arrowright.pngToelichting 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

AdemhalingScoreCodelijst

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

HartslagScoreCodelijst

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

HuidskleurScoreCodelijst

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

ReflexenScoreCodelijst

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

SpierspanningScoreCodelijst

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

This information model in other releases

Information model references

This information model refers to

--

This information model is used in

--

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 23/12/2018 01:06:23 with ZibExtraction v. 3.0.6929.24609

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