1 | archetype (adl_version=1.4)
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2 | openEHR-EHR-OBSERVATION.apgar.v1
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3 |
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4 | concept
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5 | [at0000] -- Apgar score
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6 | language
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7 | original_language = <[ISO_639-1::en]>
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8 | translations = <
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9 | ["de"] = <
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10 | language = <[ISO_639-1::de]>
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11 | author = <
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12 | ["name"] = <"Jasmin Buck, Sebastian Garde">
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13 | ["organisation"] = <"University of Heidelberg, Central Queensland University">
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14 | >
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15 | >
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16 | ["en-us"] = <
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17 | language = <[ISO_639-1::en-us]>
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18 | author = <
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19 | ["name"] = <"????">
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20 | >
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21 | >
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22 | >
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23 | description
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24 | original_author = <
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25 | ["name"] = <"Sam Heard">
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26 | ["organisation"] = <"Ocean Informatics">
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27 | ["date"] = <"18/05/2004">
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28 | ["email"] = <"sam.heard@oceaninformatics.biz">
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29 | >
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30 | details = <
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31 | ["en-us"] = <
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32 | language = <[ISO_639-1::en-us]>
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33 | purpose = <"Record Apgar index or assessment for newborn. The root time of the event series is always birth.">
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34 | use = <"Allows recording of infant well-being at 1,2,5 and or 10 mintues after birth. The total may be recorded alone - if this is all that is available - but all five ordinal values should be completed in order that the total can be calculated. The total is the sum of the five ordinal values (min 0, max 10).">
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35 | keywords = <"apgar", "index", "score", "newborn">
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36 | misuse = <"Only partially completing the score and adding less than five values to give the total.">
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37 | >
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38 | ["en"] = <
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39 | language = <[ISO_639-1::en]>
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40 | purpose = <"Record Apgar index or assessment for newborn. The root time of the event series is always birth.">
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41 | use = <"Allows recording of infant well-being at 1,2,5 and or 10 mintues after birth. The total may be recorded alone - if this is all that is available - but all five ordinal values should be completed in order that the total can be calculated. The total is the sum of the five ordinal values (min 0, max 10).">
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42 | keywords = <"apgar", "newborn", "index", "score">
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43 | misuse = <"Only partially completing the score and adding less than five values to give the total.">
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44 | >
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45 | ["de"] = <
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46 | language = <[ISO_639-1::de]>
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47 | purpose = <"Zur Dokumentation des Apgar Wertes oder Beurteilung f%G�%@r Neugeborene. Der zu Grunde liegende Zeitpunkt der Ereignisreihe ist immer die Geburt.">
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48 | use = <"Erm%G�%@glicht die Dokumentation des Wohlergehens des S%G�%@uglings 1, 2, 5 und/ oder 10 Minuten nach der Geburt. Die Summe kann einzeln dokumentiert werden - falls nur diese verf%G�%@gbar ist - es sollten aber alle f%G�%@nf Zahlenwerte vervollst%G�%@ndigt werden, damit die Summe errechnet werden kann. Die Gesamtsumme ist die Summe der f%G�%@nf Zahlenwerte (minimal 0, maximal 10).">
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49 | keywords = <"Apgar", "Neugeborenes", "Index", "Wert">
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50 | misuse = <"Nur teilweise Vervollst%G�%@ndigung der Werte und Addieren von weniger als f%G�%@nf Werten zur Gesamtsumme.">
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51 | >
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52 | >
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53 | lifecycle_state = <"AuthorDraft">
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54 | other_contributors = <>
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55 |
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56 | definition
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57 | OBSERVATION[at0000] matches { -- Apgar score
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58 | data matches {
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59 | HISTORY[at0002] matches { -- history
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60 | events cardinality matches {1..*; unordered} matches {
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61 | POINT_EVENT[at0003] occurrences matches {0..1} matches { -- 1 minute
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62 | offset matches {
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63 | DV_DURATION matches {
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64 | value matches {|PT1M|}
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65 | }
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66 | }
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67 | data matches {
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68 | ITEM_LIST[at0001] matches { -- structure
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69 | items cardinality matches {1..6; ordered} matches {
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70 | ELEMENT[at0005] occurrences matches {0..1} matches { -- Heart rate
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71 | value matches {
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72 | 0|[local::at0006], -- No heart beat
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73 | 1|[local::at0007], -- Less than 100 beats per minute
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74 | 2|[local::at0008] -- Greater than or equal to 100 beats per minute
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75 | }
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76 | }
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77 | ELEMENT[at0009] occurrences matches {0..1} matches { -- Breathing
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78 | value matches {
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79 | 0|[local::at0010], -- No effort
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80 | 1|[local::at0011], -- Moderate effort
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81 | 2|[local::at0012] -- Crying
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82 | }
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83 | }
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84 | ELEMENT[at0013] occurrences matches {0..1} matches { -- Muscle tone
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85 | value matches {
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86 | 0|[local::at0014], -- Limp
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87 | 1|[local::at0015], -- Some flexing of arms and legs
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88 | 2|[local::at0016] -- Active motion
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89 | }
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90 | }
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91 | ELEMENT[at0017] occurrences matches {0..1} matches { -- Reflex response
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92 | value matches {
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93 | 0|[local::at0018], -- No response to airways suction
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94 | 1|[local::at0019], -- Grimace during airways suction
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95 | 2|[local::at0020] -- Grimace and cough/sneeze during airways suction
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96 | }
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97 | }
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98 | ELEMENT[at0021] occurrences matches {0..1} matches { -- Colour
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99 | value matches {
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100 | 0|[local::at0022], -- Whole body is blue or pale
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101 | 1|[local::at0023], -- Good colour in body, hands or feet blue
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102 | 2|[local::at0024] -- Completely pink or good colour
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103 | }
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104 | }
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105 | ELEMENT[at0025] matches { -- Total
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106 | value matches {
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107 | DV_COUNT matches {
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108 | magnitude matches {|0..10|}
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109 | }
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110 | }
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111 | }
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112 | }
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113 | }
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114 | }
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115 | }
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116 | POINT_EVENT[at0026] occurrences matches {0..1} matches { -- 2 minute
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117 | offset matches {
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118 | DV_DURATION matches {
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119 | value matches {|PT2M|}
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120 | }
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121 | }
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122 | data matches {
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123 | use_node ITEM_LIST /data[at0002]/events[at0003]/data[at0001]
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124 | }
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125 | }
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126 | POINT_EVENT[at0027] occurrences matches {0..1} matches { -- 5 minute
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127 | offset matches {
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128 | DV_DURATION matches {
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129 | value matches {|PT5M|}
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130 | }
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131 | }
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132 | data matches {
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133 | use_node ITEM_LIST /data[at0002]/events[at0003]/data[at0001]
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134 | }
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135 | }
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136 | POINT_EVENT[at0028] occurrences matches {0..1} matches { -- 10 minute
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137 | offset matches {
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138 | DV_DURATION matches {
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139 | value matches {|PT10M|}
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140 | }
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141 | }
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142 | data matches {
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143 | use_node ITEM_LIST /data[at0002]/events[at0003]/data[at0001]
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144 | }
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145 | }
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146 | }
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147 | }
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148 | }
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149 | protocol matches {
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150 | ITEM_LIST[at0029] matches { -- List
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151 | items cardinality matches {0..*; unordered} matches {
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152 | ELEMENT[at0030] occurrences matches {0..1} matches { -- Notes on measurement
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153 | value matches {
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154 | DV_TEXT matches {*}
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155 | }
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156 | }
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157 | }
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158 | }
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159 | }
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160 | }
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161 |
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162 | ontology
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163 | terminologies_available = <"LNC205", ...>
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164 | term_definitions = <
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165 | ["en"] = <
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166 | items = <
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167 | ["at0000"] = <
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168 | description = <"Clinical score derived from assessment of breathing, colour, muscle tone, heart rate and reflex response usually taken at 1, 5 and 10 minutes after birth">
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169 | text = <"Apgar score">
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170 | >
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171 | ["at0001"] = <
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172 | description = <"@ internal @">
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173 | text = <"structure">
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174 | >
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175 | ["at0002"] = <
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176 | description = <"@ internal @">
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177 | text = <"history">
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178 | >
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179 | ["at0003"] = <
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180 | description = <"Apgar score at one minute from birth">
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181 | text = <"1 minute">
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182 | >
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183 | ["at0005"] = <
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184 | description = <"Assessment of heart function in the new born">
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185 | text = <"Heart rate">
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186 | >
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187 | ["at0006"] = <
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188 | description = <"No heart beat is present (palpation at base of umbilical cord)">
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189 | text = <"No heart beat">
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190 | >
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191 | ["at0007"] = <
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192 | description = <"Heart rate of less than 100 beats per minute">
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193 | text = <"Less than 100 beats per minute">
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194 | >
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195 | ["at0008"] = <
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196 | description = <"Heart rate of greater than or equal to 100 beats per minute">
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197 | text = <"Greater than or equal to 100 beats per minute">
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198 | >
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199 | ["at0009"] = <
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200 | description = <"Assessment of the neonate's breathing effort">
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201 | text = <"Breathing">
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202 | >
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203 | ["at0010"] = <
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204 | description = <"No effort to breath">
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205 | text = <"No effort">
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206 | >
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207 | ["at0011"] = <
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208 | description = <"Some effort to breath, moving chest">
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209 | text = <"Moderate effort">
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210 | >
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211 | ["at0012"] = <
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212 | description = <"Crying or breathing normally">
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213 | text = <"Crying">
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214 | >
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215 | ["at0013"] = <
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216 | description = <"Assessment of the baby's muscle tone">
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217 | text = <"Muscle tone">
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218 | >
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219 | ["at0014"] = <
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220 | description = <"Limp or floppy and not moving spontaneously">
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221 | text = <"Limp">
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222 | >
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223 | ["at0015"] = <
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224 | description = <"Some movement and flexion of the arms or legs">
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225 | text = <"Some flexing of arms and legs">
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226 | >
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227 | ["at0016"] = <
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228 | description = <"Active and mobile">
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229 | text = <"Active motion">
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230 | >
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231 | ["at0017"] = <
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232 | description = <"Assessment of the response of the baby to suction from a nostril">
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233 | text = <"Reflex response">
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234 | >
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235 | ["at0018"] = <
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236 | description = <"No gag or response to suction of the airway">
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237 | text = <"No response to airways suction">
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238 | >
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239 | ["at0019"] = <
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240 | description = <"Grimace only as reaction to airways suction">
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241 | text = <"Grimace during airways suction">
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242 | >
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243 | ["at0020"] = <
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244 | description = <"Grimace and cough, sneeze or gag as response to airway suction">
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245 | text = <"Grimace and cough/sneeze during airways suction">
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246 | >
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247 | ["at0021"] = <
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248 | description = <"The colour of the skin on the body and trunk and limbs">
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249 | text = <"Colour">
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250 | >
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251 | ["at0022"] = <
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252 | description = <"The body is pale or blue in color">
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253 | text = <"Whole body is blue or pale">
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254 | >
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255 | ["at0023"] = <
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256 | description = <"The body is pink, hands and feet pale or blue">
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257 | text = <"Good colour in body, hands or feet blue ">
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258 | >
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259 | ["at0024"] = <
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260 | description = <"Pink or good color to whole body">
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261 | text = <"Completely pink or good colour">
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262 | >
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263 | ["at0025"] = <
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264 | description = <"The total of the ordinal scores for each parameter">
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265 | text = <"Total">
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266 | >
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267 | ["at0026"] = <
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268 | description = <"Apgar score 2 minutes after birth">
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269 | text = <"2 minute">
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270 | >
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271 | ["at0027"] = <
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272 | description = <"Apgar score 5 minutes after birth">
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273 | text = <"5 minute">
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274 | >
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275 | ["at0028"] = <
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276 | description = <"Apgar score 10 minutes after birth">
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277 | text = <"10 minute">
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278 | >
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279 | ["at0029"] = <
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280 | description = <"@ internal @">
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281 | text = <"List">
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282 | >
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283 | ["at0030"] = <
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284 | description = <"Notes on measurement of the apgar">
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285 | text = <"Notes on measurement">
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286 | >
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287 | >
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288 | >
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289 | ["en-us"] = <
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290 | items = <
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291 | ["at0000"] = <
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292 | description = <"Clinical score derived from assessment of breathing, colour, muscle tone, heart rate and reflex response usually taken at 1, 5 and 10 minutes after birth">
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293 | text = <"Apgar score">
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294 | >
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295 | ["at0001"] = <
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296 | description = <"@ internal @">
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297 | text = <"structure">
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298 | >
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299 | ["at0002"] = <
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300 | description = <"@ internal @">
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301 | text = <"history">
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302 | >
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303 | ["at0003"] = <
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304 | description = <"Apgar score at one minute from birth">
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305 | text = <"1 minute">
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306 | >
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307 | ["at0005"] = <
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308 | description = <"Assessment of heart function in the new born">
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309 | text = <"Heart rate">
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310 | >
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311 | ["at0006"] = <
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312 | description = <"No heart beat is present - palpation of the base of umbilical cord">
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313 | text = <"No heart beat">
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314 | >
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315 | ["at0007"] = <
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316 | description = <"Less than 100 beats per minute">
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317 | text = <"Less than 100 beats per minute">
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318 | >
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319 | ["at0008"] = <
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320 | description = <"Heart rate of greater than or equal to 100 beats per minute">
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321 | text = <"Greater than or equal to 100 beats per minute">
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322 | >
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323 | ["at0009"] = <
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324 | description = <"Assessment of the neonate's breathing effort">
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325 | text = <"Breathing">
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326 | >
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327 | ["at0010"] = <
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328 | description = <"No effort to breath">
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329 | text = <"No effort">
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330 | >
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331 | ["at0011"] = <
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332 | description = <"Some effort to breath">
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333 | text = <"Moderate effort">
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334 | >
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335 | ["at0012"] = <
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336 | description = <"Crying or breathing normally">
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337 | text = <"Crying">
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338 | >
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339 | ["at0013"] = <
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340 | description = <"Assessment of the baby's muscle tone">
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341 | text = <"Muscle tone">
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342 | >
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343 | ["at0014"] = <
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344 | description = <"Limp or floppy and not moving spontaneously">
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345 | text = <"Limp">
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346 | >
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347 | ["at0015"] = <
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348 | description = <"Some movement and flexion of the arms or legs">
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349 | text = <"Some flexing of arms and legs">
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350 | >
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351 | ["at0016"] = <
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352 | description = <"Active and mobile">
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353 | text = <"Active motion">
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354 | >
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355 | ["at0017"] = <
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356 | description = <"Assessment of the response of the baby to suction from a nostril">
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357 | text = <"Reflex response">
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358 | >
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359 | ["at0018"] = <
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360 | description = <"No gag or response to suction of the airway">
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361 | text = <"No response to airways suction">
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362 | >
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363 | ["at0019"] = <
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364 | description = <"Grimace only as reaction to airways suction">
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365 | text = <"Grimace during airways suction">
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366 | >
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367 | ["at0020"] = <
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368 | description = <"Grimace and cough, sneeze or gag as response to airway suction">
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369 | text = <"Grimace and cough/sneeze during airways suction">
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370 | >
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371 | ["at0021"] = <
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372 | description = <"The color of the skin on the body, trunk and limbs">
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373 | text = <"Color">
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374 | >
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375 | ["at0022"] = <
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376 | description = <"The body is gray or blue in color">
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377 | text = <"Whole body is gray">
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378 | >
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379 | ["at0023"] = <
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380 | description = <"The body is pink, hands and feet gray or blue">
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381 | text = <"Good color in body, hands or feet blue">
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382 | >
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383 | ["at0024"] = <
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384 | description = <"Pink or good color to whole body">
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385 | text = <"Completely pink or good color">
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386 | >
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387 | ["at0025"] = <
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388 | description = <"The total of the ordinal scores for each parameter">
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389 | text = <"Score">
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390 | >
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391 | ["at0026"] = <
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392 | description = <"Apgar score 2 minutes after birth">
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393 | text = <"2 minute">
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394 | >
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395 | ["at0027"] = <
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396 | description = <"Apgar score 5 minutes after birth">
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397 | text = <"5 minute">
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398 | >
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399 | ["at0028"] = <
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400 | description = <"Apgar score 10 minutes after birth">
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401 | text = <"10 minute">
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402 | >
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403 | ["at0029"] = <
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404 | description = <"@ internal @">
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405 | text = <"List">
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406 | >
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407 | ["at0030"] = <
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408 | description = <"Any notes on the measurement of the apgar">
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409 | text = <"Notes on measurement">
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410 | >
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411 | >
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412 | >
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413 | ["de"] = <
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414 | items = <
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415 | ["at0000"] = <
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416 | description = <"Klinischer Wert, abgeleitet von der Beurteilung der Atmung, der Hautfarbe, dem Muskeltonus, der Herzfrequenz und der Reaktion von Reflexen, %G�%@blicherweise 1, 5 und 10 Minuten nach der Geburt erhoben">
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417 | text = <"Apgar Wert">
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418 | >
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419 | ["at0001"] = <
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420 | description = <"@ internal @">
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421 | text = <"Structure">
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422 | >
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423 | ["at0002"] = <
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424 | description = <"@ internal @">
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425 | text = <"History">
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426 | >
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427 | ["at0003"] = <
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428 | description = <"Apgar Wert 1 Minute nach der Geburt">
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429 | text = <"1 Minute">
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430 | >
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431 | ["at0005"] = <
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432 | description = <"Beurteilung der Herzfunktion des Neubegorenen">
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433 | text = <"Herzfrequenz">
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434 | >
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435 | ["at0006"] = <
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436 | description = <"Kein Herzschlag vorhanden (Palpation am Ende der Nabelschnur)">
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437 | text = <"Kein Herzschlag">
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438 | >
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439 | ["at0007"] = <
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440 | description = <"Herzfrequenz von weniger als 100 Schl%G�%@gen pro Minute">
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441 | text = <"Weniger als 100 Schl%G�%@ge pro Minute">
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442 | >
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443 | ["at0008"] = <
|
---|
444 | description = <"Herzfrequenz von mehr als oder genau 100 Schl%G�%@gen pro Minute">
|
---|
445 | text = <"Mehr als oder genau 100 Schl%G�%@ge pro Minute">
|
---|
446 | >
|
---|
447 | ["at0009"] = <
|
---|
448 | description = <"Beurteilung des Atmungsbestreben des Neugeborenen">
|
---|
449 | text = <"Atmung">
|
---|
450 | >
|
---|
451 | ["at0010"] = <
|
---|
452 | description = <"Kein Bestreben zu atmen">
|
---|
453 | text = <"Kein Bestreben">
|
---|
454 | >
|
---|
455 | ["at0011"] = <
|
---|
456 | description = <"Etwas bestrebt zu atmen, bewegter Brustkorb">
|
---|
457 | text = <"Geringes Bestreben">
|
---|
458 | >
|
---|
459 | ["at0012"] = <
|
---|
460 | description = <"Normales Schreien oder normale Atmung">
|
---|
461 | text = <"Schreien">
|
---|
462 | >
|
---|
463 | ["at0013"] = <
|
---|
464 | description = <"Beurteilung des Muskeltonus des Neugeborenen">
|
---|
465 | text = <"Muskeltonus">
|
---|
466 | >
|
---|
467 | ["at0014"] = <
|
---|
468 | description = <"Schlaff oder schlapp und keine spontane Bewegung">
|
---|
469 | text = <"Schlaff">
|
---|
470 | >
|
---|
471 | ["at0015"] = <
|
---|
472 | description = <"Etwas Bewegung und Beugen der Arme oder der Beine">
|
---|
473 | text = <"Beugen der Arme und Beine">
|
---|
474 | >
|
---|
475 | ["at0016"] = <
|
---|
476 | description = <"Lebhaft und beweglich">
|
---|
477 | text = <"Lebhafte Bewegung">
|
---|
478 | >
|
---|
479 | ["at0017"] = <
|
---|
480 | description = <"Beurteilung der Reaktion des Neugeborenen auf die Absaugung der Nasenl%G�%@cher">
|
---|
481 | text = <"Reflexantwort">
|
---|
482 | >
|
---|
483 | ["at0018"] = <
|
---|
484 | description = <"kein W%G�%@rgen oder keine Reaktion auf das Absaugen der Atemwege">
|
---|
485 | text = <"Keine Reaktion auf die Absaugung der Atemwege">
|
---|
486 | >
|
---|
487 | ["at0019"] = <
|
---|
488 | description = <"Grimasse als einzige Reaktion auf das Absaugen der Atemwege">
|
---|
489 | text = <"Grimasse w%G�%@hrend der Absaugung der Atemwege">
|
---|
490 | >
|
---|
491 | ["at0020"] = <
|
---|
492 | description = <"Grimasse und husten, niesen oder w%G�%@rgen als Reaktion auf die Absaugung der Atemwege">
|
---|
493 | text = <"Grimasse und Husten/Niesen w%G�%@hrend der Absaugung der Atemwege ">
|
---|
494 | >
|
---|
495 | ["at0021"] = <
|
---|
496 | description = <"Die Farbe der Haut am K%G�%@rper, am Rumpf und an den Gliedern">
|
---|
497 | text = <"Hautfarbe">
|
---|
498 | >
|
---|
499 | ["at0022"] = <
|
---|
500 | description = <"Der K%G�%@rper ist blass oder blau gef%G�%@rbt">
|
---|
501 | text = <"Gesamter K%G�%@rper ist blau oder blass">
|
---|
502 | >
|
---|
503 | ["at0023"] = <
|
---|
504 | description = <"Der K%G�%@rper ist rosig, H%G�%@nde und F%G��%@e sind blass oder blau">
|
---|
505 | text = <"Gesunde K%G�%@rperfarbe, blaue H%G�%@nde oder F%G��%@e">
|
---|
506 | >
|
---|
507 | ["at0024"] = <
|
---|
508 | description = <"Rosige oder gesunde F%G�%@rbung des gesamten K%G�%@rpers">
|
---|
509 | text = <"Vollst%G�%@ndig gesunde oder rosige Farbe">
|
---|
510 | >
|
---|
511 | ["at0025"] = <
|
---|
512 | description = <"Die Summe der Zahlenwerte aller Parameter">
|
---|
513 | text = <"Summe">
|
---|
514 | >
|
---|
515 | ["at0026"] = <
|
---|
516 | description = <"Apgar Wert 2 Minuten nach der Geburt">
|
---|
517 | text = <"2 Minuten">
|
---|
518 | >
|
---|
519 | ["at0027"] = <
|
---|
520 | description = <"Apgar Wert 5 Minuten nach der Geburt">
|
---|
521 | text = <"5 Minuten">
|
---|
522 | >
|
---|
523 | ["at0028"] = <
|
---|
524 | description = <"Apgar Wert 10 Minuten nach der Geburt">
|
---|
525 | text = <"10 Minuten">
|
---|
526 | >
|
---|
527 | ["at0029"] = <
|
---|
528 | description = <"@ internal @">
|
---|
529 | text = <"List">
|
---|
530 | >
|
---|
531 | ["at0030"] = <
|
---|
532 | description = <"Anmerkungen zur Messung des Apgar Wertes">
|
---|
533 | text = <"Anmerkungen zur Messung">
|
---|
534 | >
|
---|
535 | >
|
---|
536 | >
|
---|
537 | >
|
---|
538 | term_binding = <
|
---|
539 | ["LNC205"] = <
|
---|
540 | items = <
|
---|
541 | ["/data[at0002]/events[at0003]/data[at0001]/items[at0025]"] = <[LNC205::9272-6]>
|
---|
542 | ["/data[at0002]/events[at0028]/data/items[at0025]"] = <[LNC205::9271-8]>
|
---|
543 | >
|
---|
544 | >
|
---|
545 | >
|
---|