ARCHETYPE Apgar score (openEHR-EHR-OBSERVATION.apgar.v2)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.apgar.v2
ConceptApgar score
DescriptionA tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation.
UseUse to record the results for each component parameter and their total sum for the Apgar score. This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data.
PurposeTo record the results for each component parameter and their total sum for the Apgar score.
ReferencesApgar V. A proposal of a New Method of Evaluation of the Newborn Infant. Curr Res Anesth Analg. 1953 Jul-Aug;32(4):260-7.

Apgar V, Holaday DA, James LS, Weisbrod IM, and Berrien C. Evaluation of the newborn infant; second report. J Am Med Assoc. 1958 Dec 13;168(15):1985-8.

Apgar V. The newborn (Apgar) scoring system. Pediatr Clin North Am. 1966 Aug;13(3):645-50.

Whaley LF, Wong DL (1979). Nursing Care of Infants and Children. St. Louis, Toronto, London, The C.V. Mosby Company.
Copyright© openEHR Foundation
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2004-05-18
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2004-05-18
Other Details (Language Independent)
  • Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
  • Custodian Organisation: openEHR Foundation
  • References: Apgar V. A proposal of a New Method of Evaluation of the Newborn Infant. Curr Res Anesth Analg. 1953 Jul-Aug;32(4):260-7. Apgar V, Holaday DA, James LS, Weisbrod IM, and Berrien C. Evaluation of the newborn infant; second report. J Am Med Assoc. 1958 Dec 13;168(15):1985-8. Apgar V. The newborn (Apgar) scoring system. Pediatr Clin North Am. 1966 Aug;13(3):645-50. Whaley LF, Wong DL (1979). Nursing Care of Infants and Children. St. Louis, Toronto, London, The C.V. Mosby Company.
  • Original Namespace: org.openehr
  • Original Publisher: openEHR Foundation
  • Custodian Namespace: org.openehr
  • MD5-CAM-1.0.1: D56C36DA9487EC8BF95F06AB8EAAAF05
  • Build Uid: e9995e73-2760-4ba2-ab6e-f49a878f4d11
  • Ip Acknowledgements: This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org.
  • Revision: 2.0.5
Keywordsnewborn, index, score, birth, infant, neonate, assessment
Lifecyclepublished
UID9ebf359c-bfcc-41ab-9353-3ed976cab252
Language useden
Citeable Identifier1246.145.2172
Revision Number2.0.5
protocol
ExtensionExtension: Additional information required to extend the model with local content or to align with other reference models or formalisms.
For example: local information requirements; or additional metadata to align with FHIR.
Include:
All not explicitly excluded archetypes
events
1 minute1 minute: Apgar score 1 minute after birth.
Offset: 1 minute
2 minute2 minute: Apgar score 2 minutes after birth.
Offset: 2 minutes
3 minute3 minute: Apgar score 3 minutes after birth.
Offset: 3 minutes
5 minute5 minute: Apgar score 5 minutes after birth.
Offset: 5 minutes
10 minute10 minute: Apgar score 10 minutes after birth.
Offset: 10 minutes
Any eventAny event: Apgar score at any additional time, as required.
data
Respiratory effortRespiratory effort: Observation of the infant's respiratory effort.
0: Absent [No effort to breath.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6725-1 | Not breathing]

1: Weak or irregular [Some effort to breath, moving chest.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6726-9 | Weak cry; may sound like whimpering, slow or irregular breathing]

2: Normal [Breathing normally or crying.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6727-7 | Good, strong cry; normal rate and effort of breathing]

Heart rateHeart rate: Recording of the infant's heart rate.
0: Absent [No heart beat is seen, felt or heard.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6716-0 | No heart rate]

1: <100 beats per minute [Heart rate less than 100 beats per minute.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6717-8 | Fewer than 100 beats per minute]

2: ≥100 beats per minute [Heart rate greater than or equal to 100 beats per minute.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6718-6 | At least 100 beats per minute]

Muscle toneMuscle tone: Observation of the infant's muscle tone.
0: Limp or flaccid [No spontaneous movement.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6713-7 | Limp; no movement]

1: Reduced tone [Some flexion of extremities.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6714-5 | Some flexion of arms and legs]

2: Normal tone [Normal, vigorous movements.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6715-2 | Active motion]

Reflex irritabilityReflex irritability: Observation of the response of the infant to an irritant stimulation, for example, suctioning the oropharynx and nares with a soft rubber catheter.
0: No response [No response to stimulation.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6719-4 | No response to airways being suctioned]

1: Reduced response [Grimace or feeble cry when stimulated.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6720-2 | Grimace during suctioning]

2: Normal response [Grimace, sneeze, cough or pulls away when stimulated.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6721-0 | Grimace and pulling away, cough, or sneeze during suctioning]

Skin colourSkin colour: Observation of the skin colour of the infant.
0: Completely blue [Body and extremities are blue.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6722-8 | The baby's whole body is completely bluish-gray or pale]

1: Body pink; extremities blue [Body is pink; extremities are blue.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6723-6 | Good color in body with bluish hands or feet]

2: Completely pink [Body and extremities are pink; no cyanosis.]
[
DraftDraft
This term binding has NOT yet been formally reviewed or confirmed.
LOINC::LA6724-4 | Good color all over]

TotalTotal: The total sum of each component parameter for the Apgar score.
If the total is to be calculated, it is necessary for all 5 component values to be recorded.
min: >=0; max: <=10

Other contributorsSilje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
Paul Donaldson, Nursing Informatics Australia, Australia
Sebastian Garde, Ocean Informatics, Germany
Anneke Goossen, Results 4 Care, Netherlands
Anne Harbison, CPCER, Australia
Sam Heard, Ocean Informatics, Australia
Omer Hotomaroglu, Turkey
Pieter Hummel, Medisch Centrum Alkmaar, Netherlands
Andrew James, University of Toronto, Canada
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Translators
  • German: Jasmin Buck, Sebastian Garde, Thilo Schuler, Darin Leonhardt, University of Heidelberg, Central Queensland University, Ocean Informatics, PLRI für medizinische Informatik/ Medizinische Hochschule, leonhardt.darin@mh-hannover.de
  • Russian: Igor Lizunov, i.lizunov@infinnity.ru
  • Finnish: Vesa Peltola, Tieto Finland
  • Swedish: Emma Malm, Karolinska Universitetssjukhuset, emma.malm@cambio.se
  • Portuguese (Brazil): Jussara Rötzsch, OpenEHR Foundation, Medical Doctor, Psychiatrist, Clinical Modeler, OpenEHR Director, Coordinator of WG ehealth infostructure of brazilian e-health program
  • Arabic (Syria): Mona Saleh
  • Spanish (Chile): Sergio Carmona
  • Chinese (PRC): Lin Zhang, BIPH, Taikang Insurance Group, linforest@163.com
  • Spanish (Spain): Clara Calleja Vega, CatSalut. Servei Català de la Salut., ccalleja@catsalut.cat
  • Norwegian Bokmål: Lars Bitsch-Larsen, Marit Alice Venheim, Haukeland University Hospital, Bergen, Norway, Helse Vest IKT, marit.alice.venheim@helse-vest-ikt.no, MD, DEAA, specialist in anestesia and intensive care, Tropical medicin & MBA
  • Farsi: Shahla Foozonkhah, Ocean Informatics, Shahla.foozonkhah@oceanInformatics.com
  • Dutch: Marja Buur, Medisch Centrum Alkmaar, m.buur-krom@mca.nl, Erna Vreeke
  • Catalan: Clara Calleja Vega, CatSalut. Servei Català de la Salut., ccalleja@catsalut.cat