ARCHETYPE ID | openEHR-EHR-OBSERVATION.apgar.v1 |
Concept | Apgar score |
Description | Clinical score derived from assessment of respiratory effort, heart rate, reflex irritability, muscle tone and skin colour. |
Use | Allows recording of an assessment of the state of a neonate explicitly as 1, 2, 3, 5 and/or 10 minute events after 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 eg from historical data. If the total is to be calculated, it is necessary for all 5 ordinal values to be recorded. The total is the sum of the five ordinal values (min 0, max 10). It is recognised that mnemonic learning aid for APGAR is commonly taught. For example, in English: A for Appearance (skin color), P for Pulse (heart rate), G for Grimace (reflex irritability), A for Activity (muscle tone), and R for Respiration. As this is not universally applicable for all languages, it is suggested that this mnemonic can be applied by renaming the data elements within templates if desired for a specific clinical scenario. |
Misuse | Partially complete score and add the 5 to give the total values. |
Purpose | Records the Apgar score as a simple, repeatable method to document the state of the newborn infant immediately after birth. The root time of the event series is always birth. |
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. http://en.wikipedia.org/wiki/Apgar_score |
Copyright | © openEHR Foundation |
Authors | Author name: Sam Heard Organisation: Ocean Informatics Email: sam.heard@oceaninformatics.com Date originally authored: 2004-05-18 |
Other Details Language | Author name: Sam Heard Organisation: Ocean Informatics Email: sam.heard@oceaninformatics.com Date originally authored: 2004-05-18 |
OtherDetails 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. http://en.wikipedia.org/wiki/Apgar_score, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=9AA679DE4754F1F0067919F4183050E9, build_uid=781ef2b4-46f6-4e0b-a3aa-002f443f6666, revision=1.0.1} |
Keywords | newborn, index, score, birth, infant, neonate, assessment |
Lifecycle | deprecated |
UID | f5362691-d51a-4317-9d55-f50f1b88dd1a |
Language used | en |
Citeable Identifier | 1013.1.172 |
Revision Number | 1.0.1 |
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