archetype (adl_version=1.4) openEHR-EHR-OBSERVATION.apgar.v1 concept [at0000] -- Apgar score language original_language = <[ISO_639-1::en]> translations = < ["de"] = < language = <[ISO_639-1::de]> author = < ["name"] = <"Jasmin Buck, Sebastian Garde"> ["organisation"] = <"University of Heidelberg, Central Queensland University"> > > ["en-us"] = < language = <[ISO_639-1::en-us]> author = < ["name"] = <"????"> > > > description original_author = < ["name"] = <"Sam Heard"> ["organisation"] = <"Ocean Informatics"> ["date"] = <"18/05/2004"> ["email"] = <"sam.heard@oceaninformatics.biz"> > details = < ["en-us"] = < language = <[ISO_639-1::en-us]> purpose = <"Record Apgar index or assessment for newborn. The root time of the event series is always birth."> 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)."> keywords = <"apgar", "index", "score", "newborn"> misuse = <"Only partially completing the score and adding less than five values to give the total."> > ["en"] = < language = <[ISO_639-1::en]> purpose = <"Record Apgar index or assessment for newborn. The root time of the event series is always birth."> 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)."> keywords = <"apgar", "newborn", "index", "score"> misuse = <"Only partially completing the score and adding less than five values to give the total."> > ["de"] = < language = <[ISO_639-1::de]> purpose = <"Zur Dokumentation des Apgar Wertes oder Beurteilung f%G�%@r Neugeborene. Der zu Grunde liegende Zeitpunkt der Ereignisreihe ist immer die Geburt."> 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)."> keywords = <"Apgar", "Neugeborenes", "Index", "Wert"> misuse = <"Nur teilweise Vervollst%G�%@ndigung der Werte und Addieren von weniger als f%G�%@nf Werten zur Gesamtsumme."> > > lifecycle_state = <"AuthorDraft"> other_contributors = <> definition OBSERVATION[at0000] matches { -- Apgar score data matches { HISTORY[at0002] matches { -- history events cardinality matches {1..*; unordered} matches { POINT_EVENT[at0003] occurrences matches {0..1} matches { -- 1 minute offset matches { DV_DURATION matches { value matches {|PT1M|} } } data matches { ITEM_LIST[at0001] matches { -- structure items cardinality matches {1..6; ordered} matches { ELEMENT[at0005] occurrences matches {0..1} matches { -- Heart rate value matches { 0|[local::at0006], -- No heart beat 1|[local::at0007], -- Less than 100 beats per minute 2|[local::at0008] -- Greater than or equal to 100 beats per minute } } ELEMENT[at0009] occurrences matches {0..1} matches { -- Breathing value matches { 0|[local::at0010], -- No effort 1|[local::at0011], -- Moderate effort 2|[local::at0012] -- Crying } } ELEMENT[at0013] occurrences matches {0..1} matches { -- Muscle tone value matches { 0|[local::at0014], -- Limp 1|[local::at0015], -- Some flexing of arms and legs 2|[local::at0016] -- Active motion } } ELEMENT[at0017] occurrences matches {0..1} matches { -- Reflex response value matches { 0|[local::at0018], -- No response to airways suction 1|[local::at0019], -- Grimace during airways suction 2|[local::at0020] -- Grimace and cough/sneeze during airways suction } } ELEMENT[at0021] occurrences matches {0..1} matches { -- Colour value matches { 0|[local::at0022], -- Whole body is blue or pale 1|[local::at0023], -- Good colour in body, hands or feet blue 2|[local::at0024] -- Completely pink or good colour } } ELEMENT[at0025] matches { -- Total value matches { DV_COUNT matches { magnitude matches {|0..10|} } } } } } } } POINT_EVENT[at0026] occurrences matches {0..1} matches { -- 2 minute offset matches { DV_DURATION matches { value matches {|PT2M|} } } data matches { use_node ITEM_LIST /data[at0002]/events[at0003]/data[at0001] } } POINT_EVENT[at0027] occurrences matches {0..1} matches { -- 5 minute offset matches { DV_DURATION matches { value matches {|PT5M|} } } data matches { use_node ITEM_LIST /data[at0002]/events[at0003]/data[at0001] } } POINT_EVENT[at0028] occurrences matches {0..1} matches { -- 10 minute offset matches { DV_DURATION matches { value matches {|PT10M|} } } data matches { use_node ITEM_LIST /data[at0002]/events[at0003]/data[at0001] } } } } } protocol matches { ITEM_LIST[at0029] matches { -- List items cardinality matches {0..*; unordered} matches { ELEMENT[at0030] occurrences matches {0..1} matches { -- Notes on measurement value matches { DV_TEXT matches {*} } } } } } } ontology terminologies_available = <"LNC205", ...> term_definitions = < ["en"] = < items = < ["at0000"] = < 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"> text = <"Apgar score"> > ["at0001"] = < description = <"@ internal @"> text = <"structure"> > ["at0002"] = < description = <"@ internal @"> text = <"history"> > ["at0003"] = < description = <"Apgar score at one minute from birth"> text = <"1 minute"> > ["at0005"] = < description = <"Assessment of heart function in the new born"> text = <"Heart rate"> > ["at0006"] = < description = <"No heart beat is present (palpation at base of umbilical cord)"> text = <"No heart beat"> > ["at0007"] = < description = <"Heart rate of less than 100 beats per minute"> text = <"Less than 100 beats per minute"> > ["at0008"] = < description = <"Heart rate of greater than or equal to 100 beats per minute"> text = <"Greater than or equal to 100 beats per minute"> > ["at0009"] = < description = <"Assessment of the neonate's breathing effort"> text = <"Breathing"> > ["at0010"] = < description = <"No effort to breath"> text = <"No effort"> > ["at0011"] = < description = <"Some effort to breath, moving chest"> text = <"Moderate effort"> > ["at0012"] = < description = <"Crying or breathing normally"> text = <"Crying"> > ["at0013"] = < description = <"Assessment of the baby's muscle tone"> text = <"Muscle tone"> > ["at0014"] = < description = <"Limp or floppy and not moving spontaneously"> text = <"Limp"> > ["at0015"] = < description = <"Some movement and flexion of the arms or legs"> text = <"Some flexing of arms and legs"> > ["at0016"] = < description = <"Active and mobile"> text = <"Active motion"> > ["at0017"] = < description = <"Assessment of the response of the baby to suction from a nostril"> text = <"Reflex response"> > ["at0018"] = < description = <"No gag or response to suction of the airway"> text = <"No response to airways suction"> > ["at0019"] = < description = <"Grimace only as reaction to airways suction"> text = <"Grimace during airways suction"> > ["at0020"] = < description = <"Grimace and cough, sneeze or gag as response to airway suction"> text = <"Grimace and cough/sneeze during airways suction"> > ["at0021"] = < description = <"The colour of the skin on the body and trunk and limbs"> text = <"Colour"> > ["at0022"] = < description = <"The body is pale or blue in color"> text = <"Whole body is blue or pale"> > ["at0023"] = < description = <"The body is pink, hands and feet pale or blue"> text = <"Good colour in body, hands or feet blue "> > ["at0024"] = < description = <"Pink or good color to whole body"> text = <"Completely pink or good colour"> > ["at0025"] = < description = <"The total of the ordinal scores for each parameter"> text = <"Total"> > ["at0026"] = < description = <"Apgar score 2 minutes after birth"> text = <"2 minute"> > ["at0027"] = < description = <"Apgar score 5 minutes after birth"> text = <"5 minute"> > ["at0028"] = < description = <"Apgar score 10 minutes after birth"> text = <"10 minute"> > ["at0029"] = < description = <"@ internal @"> text = <"List"> > ["at0030"] = < description = <"Notes on measurement of the apgar"> text = <"Notes on measurement"> > > > ["en-us"] = < items = < ["at0000"] = < 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"> text = <"Apgar score"> > ["at0001"] = < description = <"@ internal @"> text = <"structure"> > ["at0002"] = < description = <"@ internal @"> text = <"history"> > ["at0003"] = < description = <"Apgar score at one minute from birth"> text = <"1 minute"> > ["at0005"] = < description = <"Assessment of heart function in the new born"> text = <"Heart rate"> > ["at0006"] = < description = <"No heart beat is present - palpation of the base of umbilical cord"> text = <"No heart beat"> > ["at0007"] = < description = <"Less than 100 beats per minute"> text = <"Less than 100 beats per minute"> > ["at0008"] = < description = <"Heart rate of greater than or equal to 100 beats per minute"> text = <"Greater than or equal to 100 beats per minute"> > ["at0009"] = < description = <"Assessment of the neonate's breathing effort"> text = <"Breathing"> > ["at0010"] = < description = <"No effort to breath"> text = <"No effort"> > ["at0011"] = < description = <"Some effort to breath"> text = <"Moderate effort"> > ["at0012"] = < description = <"Crying or breathing normally"> text = <"Crying"> > ["at0013"] = < description = <"Assessment of the baby's muscle tone"> text = <"Muscle tone"> > ["at0014"] = < description = <"Limp or floppy and not moving spontaneously"> text = <"Limp"> > ["at0015"] = < description = <"Some movement and flexion of the arms or legs"> text = <"Some flexing of arms and legs"> > ["at0016"] = < description = <"Active and mobile"> text = <"Active motion"> > ["at0017"] = < description = <"Assessment of the response of the baby to suction from a nostril"> text = <"Reflex response"> > ["at0018"] = < description = <"No gag or response to suction of the airway"> text = <"No response to airways suction"> > ["at0019"] = < description = <"Grimace only as reaction to airways suction"> text = <"Grimace during airways suction"> > ["at0020"] = < description = <"Grimace and cough, sneeze or gag as response to airway suction"> text = <"Grimace and cough/sneeze during airways suction"> > ["at0021"] = < description = <"The color of the skin on the body, trunk and limbs"> text = <"Color"> > ["at0022"] = < description = <"The body is gray or blue in color"> text = <"Whole body is gray"> > ["at0023"] = < description = <"The body is pink, hands and feet gray or blue"> text = <"Good color in body, hands or feet blue"> > ["at0024"] = < description = <"Pink or good color to whole body"> text = <"Completely pink or good color"> > ["at0025"] = < description = <"The total of the ordinal scores for each parameter"> text = <"Score"> > ["at0026"] = < description = <"Apgar score 2 minutes after birth"> text = <"2 minute"> > ["at0027"] = < description = <"Apgar score 5 minutes after birth"> text = <"5 minute"> > ["at0028"] = < description = <"Apgar score 10 minutes after birth"> text = <"10 minute"> > ["at0029"] = < description = <"@ internal @"> text = <"List"> > ["at0030"] = < description = <"Any notes on the measurement of the apgar"> text = <"Notes on measurement"> > > > ["de"] = < items = < ["at0000"] = < 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"> text = <"Apgar Wert"> > ["at0001"] = < description = <"@ internal @"> text = <"Structure"> > ["at0002"] = < description = <"@ internal @"> text = <"History"> > ["at0003"] = < description = <"Apgar Wert 1 Minute nach der Geburt"> text = <"1 Minute"> > ["at0005"] = < description = <"Beurteilung der Herzfunktion des Neubegorenen"> text = <"Herzfrequenz"> > ["at0006"] = < description = <"Kein Herzschlag vorhanden (Palpation am Ende der Nabelschnur)"> text = <"Kein Herzschlag"> > ["at0007"] = < description = <"Herzfrequenz von weniger als 100 Schl%G�%@gen pro Minute"> text = <"Weniger als 100 Schl%G�%@ge pro Minute"> > ["at0008"] = < description = <"Herzfrequenz von mehr als oder genau 100 Schl%G�%@gen pro Minute"> text = <"Mehr als oder genau 100 Schl%G�%@ge pro Minute"> > ["at0009"] = < description = <"Beurteilung des Atmungsbestreben des Neugeborenen"> text = <"Atmung"> > ["at0010"] = < description = <"Kein Bestreben zu atmen"> text = <"Kein Bestreben"> > ["at0011"] = < description = <"Etwas bestrebt zu atmen, bewegter Brustkorb"> text = <"Geringes Bestreben"> > ["at0012"] = < description = <"Normales Schreien oder normale Atmung"> text = <"Schreien"> > ["at0013"] = < description = <"Beurteilung des Muskeltonus des Neugeborenen"> text = <"Muskeltonus"> > ["at0014"] = < description = <"Schlaff oder schlapp und keine spontane Bewegung"> text = <"Schlaff"> > ["at0015"] = < description = <"Etwas Bewegung und Beugen der Arme oder der Beine"> text = <"Beugen der Arme und Beine"> > ["at0016"] = < description = <"Lebhaft und beweglich"> text = <"Lebhafte Bewegung"> > ["at0017"] = < description = <"Beurteilung der Reaktion des Neugeborenen auf die Absaugung der Nasenl%G�%@cher"> text = <"Reflexantwort"> > ["at0018"] = < description = <"kein W%G�%@rgen oder keine Reaktion auf das Absaugen der Atemwege"> text = <"Keine Reaktion auf die Absaugung der Atemwege"> > ["at0019"] = < description = <"Grimasse als einzige Reaktion auf das Absaugen der Atemwege"> text = <"Grimasse w%G�%@hrend der Absaugung der Atemwege"> > ["at0020"] = < description = <"Grimasse und husten, niesen oder w%G�%@rgen als Reaktion auf die Absaugung der Atemwege"> text = <"Grimasse und Husten/Niesen w%G�%@hrend der Absaugung der Atemwege "> > ["at0021"] = < description = <"Die Farbe der Haut am K%G�%@rper, am Rumpf und an den Gliedern"> text = <"Hautfarbe"> > ["at0022"] = < description = <"Der K%G�%@rper ist blass oder blau gef%G�%@rbt"> text = <"Gesamter K%G�%@rper ist blau oder blass"> > ["at0023"] = < description = <"Der K%G�%@rper ist rosig, H%G�%@nde und F%G��%@e sind blass oder blau"> text = <"Gesunde K%G�%@rperfarbe, blaue H%G�%@nde oder F%G��%@e"> > ["at0024"] = < description = <"Rosige oder gesunde F%G�%@rbung des gesamten K%G�%@rpers"> text = <"Vollst%G�%@ndig gesunde oder rosige Farbe"> > ["at0025"] = < description = <"Die Summe der Zahlenwerte aller Parameter"> text = <"Summe"> > ["at0026"] = < description = <"Apgar Wert 2 Minuten nach der Geburt"> text = <"2 Minuten"> > ["at0027"] = < description = <"Apgar Wert 5 Minuten nach der Geburt"> text = <"5 Minuten"> > ["at0028"] = < description = <"Apgar Wert 10 Minuten nach der Geburt"> text = <"10 Minuten"> > ["at0029"] = < description = <"@ internal @"> text = <"List"> > ["at0030"] = < description = <"Anmerkungen zur Messung des Apgar Wertes"> text = <"Anmerkungen zur Messung"> > > > > term_binding = < ["LNC205"] = < items = < ["/data[at0002]/events[at0003]/data[at0001]/items[at0025]"] = <[LNC205::9272-6]> ["/data[at0002]/events[at0028]/data/items[at0025]"] = <[LNC205::9271-8]> > > >