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

Huidige versie van 13 mrt 2019 om 01:51

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
Version: 1.0
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019

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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	26-02-2019
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

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:12.16.1

ApgarScore

Root concept of the ApgarScore information model. This root concept contains all data elements of the ApgarScore information model.

NL-CM:12.16.3

ApgarScoreDateTime

1

The day and time at which the Apgar score is registered.

NL-CM:12.16.2

ApgarScoreTotal

1

Total of the Apgar score.

9271-8 10 minute Apgar Score

9272-6 1 minute Apgar Score

9274-2 5 minute Apgar Score

NL-CM:12.16.4

RespiratoryScore

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

RespiratoryScoreCodelist

NL-CM:12.16.7

AppearanceScore

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

AppearanceScoreCodelist

NL-CM:12.16.5

PulseScore

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

PulseScoreCodelist

NL-CM:12.16.8

GrimaceScore

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

GrimaceScoreCodelist

NL-CM:12.16.6

MusleToneScore

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

MusleToneScoreCodelist

NL-CM:12.16.9

Comment

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

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

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
HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

Downloads

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Prerelease 2018-2
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
This page is generated on 12/03/2019 17:15:44 with ZibExtraction v. 3.0.7010.25883

Back to HCIM list

@@ Regel 8: / Regel 8: @@
 Release<!--hdPublication-->: '''2018''' <br>
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+Release date<!--hdPublicationDate-->: 26-02-2019
 -----
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@@ Regel 47: / Regel 47: @@
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-|style="width:250px; "|DCM::PublicationDate||01-10-2018
+|style="width:250px; "|DCM::PublicationDate||26-02-2019
 |-
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@@ Regel 83: / Regel 83: @@
 ==Information Model==
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+<imagemap> Bestand:ApgarScore-v1.0Model(2018EN).png | center
-rect 561 489 715 539 [[#AppearanceScoreCodelist]]
+rect 556 474 710 524 [[#AppearanceScoreCodelist]]
-rect 367 488 539 538 [[#MusleToneScoreCodelist]]
+rect 362 473 534 523 [[#MusleToneScoreCodelist]]
-rect 190 487 332 537 [[#PulseScoreCodelist]]
+rect 185 472 327 522 [[#PulseScoreCodelist]]
-rect 579 311 717 361 [[#GrimaceScoreCodelist]]
+rect 574 296 712 346 [[#GrimaceScoreCodelist]]
-rect 158 311 317 361 [[#RespiratoryScoreCodelist]]
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@@ Regel 482: / Regel 482: @@
 Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
 <ul>
-<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.12.16&effectiveDate=2018-10-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
+<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.12.16&effectiveDate=2019-02-26T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
 <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2018}}</li>
 </ul>
@@ Regel 488: / Regel 488: @@
 This information model is also available as [[Media:nl.zorg.ApgarScore-v1.0(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ApgarScore-v1.0(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
 ==About this information<!--ftHeader2-->==
-The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018 #1 <BR>
+The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018-2 <BR>
 SNOMED CT and LOINC codes are based on:
 <ul>
@@ Regel 495: / Regel 495: @@
 </ul>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 06/11/2018 17:02:49 with ZibExtraction v. 2.0.6884.30514<!--ftDate--> <BR>
+This page is generated on 12/03/2019 17:15:44 with ZibExtraction v. 3.0.7010.25883<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

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

Huidige versie van 13 mrt 2019 om 01:51

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Patient Population

Information Model

Example Instances