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: 1.1
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 10-06-2022
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
10-06-2022
DCM::PublicationStatus
Prepublished
DCM::ReviewerList
Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate
11-11-2021
DCM::Supersedes
nl.zorg.ApgarScore-v1.0.1
DCM::Version
1.1
HCIM::PublicationLanguage
EN
Revision History
Uitvouwen
Only available in Dutch
Publicatieversie 1.0 (04-09-2017)
Publicatieversie 1.0.1 (01-09-2020)
ZIB-891
ApgarScore TotalScore Definition
Publicatieversie 1.1 (01-12-2021)
ZIB-1408
Apgarscore: onderliggende observaties
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. The total score has a range from 0 - 10.
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
NL-CM:12.16.7
AppearanceScore
0..1
The Apgar subscore for skin color/appearance.
NL-CM:12.16.5
PulseScore
0..1
The Apgar subscore for pulse.
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
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
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
Apgar Score
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
Normale huidskleur lijfje, maar blauwachtige armen en benen
Good color all over
LA6724-4
2
LOINC
2.16.840.1.113883.6.1
Normale gezonde 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 Pre-release 2022-1
SNOMED CT and LOINC codes are based on:
SNOMED Clinical Terms version: 20220131 [R] (January 2022 Release)
LOINC version 2.67
Conditions for use are located on the mainpage
This page is generated on 10/06/2022 19:02:42 with ZibExtraction v. 8.0.8196.20371