<status value="draft" /> <date value="2022-07-07T15:04:03.2592055+00:00" /> <publisher value="Healthdata.be (Sciensano)" /> <contact> <name value="Service portal – healthdata.be" /> <telecom> <system value="url" /> <value value="https://sciensano.service-now.com/sp" /> <use value="work" /> </telecom> </contact> <description value="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."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De Apgar score geeft de algemene klinische toestand van een pasgeborene weer. Deze wordt één, vijf en tien minuten na de geboorte beoordeeld aan de hand van 5 parameters: ademhaling, hartslag/pols, spierspanning, huidskleur, reflexen/reactie op prikkels. Indien de score bij vijf minuten < 8 is wordt opnieuw gescoord bij 10, 15, 20 minuten etc. tot de score = 8. #### Purpose De Apgarscore is vooral bedoeld om snel te beoordelen hoe de klinische conditie van de pasgeborene post-partum is en of er extra zorg nodig is. Een lage Apgarscore kan het gevolg zijn van aanlegstoornissen, prenatale accidenten of negatieve invloeden tijdens de baring. De Apgarscore is een momentopname en mag niet gebruikt worden om de motorische of mentale ontwikkeling van een kind te voorspellen. #### Evidence Base De definities van de concepten zijn gebaseerd op de Apgar score (zoals gedefinieerd door de KNOV), de richtlijnen Foetale Bewaking van de NVOG en Reanimatie van Pasgeborenen van de NVK. #### Patient Population De ApgarScore bouwsteen is bedoeld voor kinderen in de leeftijd tot 12 maanden." /> </extension> </extension> </description> <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." /> <fhirVersion value="4.0.1" /> <kind value="logical" /> <abstract value="true" /> <type value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/ApgarScore" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <derivation value="specialization" /> <differential> <element id="ApgarScore"> <path value="ApgarScore" /> <short value="ApgarScore"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="ApgarScore" /> </extension> </extension> </short> <definition value="Root concept of the ApgarScore information model. This root concept contains all data elements of the ApgarScore information model."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Rootconcept van de bouwsteen ApgarScore. Dit rootconcept bevat alle gegevenselementen van de bouwsteen ApgarScore." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> </element> <element id="ApgarScore.ApgarScoreDateTime"> <path value="ApgarScore.ApgarScoreDateTime" /> <short value="ApgarScoreDateTime"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="ApgarScoreDatumTijd" /> </extension> </extension> </short> <definition value="The day and time at which the Apgar score is registered."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De dag en tijdstip waarop de Apgar score is vastgelegd." /> </extension> </extension> </definition> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="ApgarScore.ApgarScoreTotal"> <path value="ApgarScore.ApgarScoreTotal" /> <short value="ApgarScoreTotal"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="ApgarScoreTotaal" /> </extension> </extension> </short> <definition value="Total of the Apgar score. The total score has a range from 0 - 10."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Totaal van de Apgar score. Het bereik van de totaalscore is 0 tot 10." /> </extension> </extension> </definition> <min value="1" /> <max value="1" /> <type> <code value="Count" /> </type> </element> <element id="ApgarScore.RespiratoryScore"> <path value="ApgarScore.RespiratoryScore" /> <short value="RespiratoryScore"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="AdemhalingScore" /> </extension> </extension> </short> <definition value="The Apgar subscore for respiration."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De Apgar deelscore voor de ademhaling." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="RespiratoryScore codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/AdemhalingScore" /> </binding> </element> <element id="ApgarScore.AppearanceScore"> <path value="ApgarScore.AppearanceScore" /> <short value="AppearanceScore"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="HuidskleurScore" /> </extension> </extension> </short> <definition value="The Apgar subscore for skin color/appearance."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De Apgar deelscore voor de huidskleur/aspect." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="AppearanceScore codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/HuidskleurScore" /> </binding> </element> <element id="ApgarScore.PulseScore"> <path value="ApgarScore.PulseScore" /> <short value="PulseScore"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="HartslagScore" /> </extension> </extension> </short> <definition value="The Apgar subscore for pulse."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De Apgar deelscore voor de hartslag/pols." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="PulseScore codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/HartslagScore" /> </binding> </element> <element id="ApgarScore.GrimaceScore"> <path value="ApgarScore.GrimaceScore" /> <short value="GrimaceScore"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="ReflexenScore" /> </extension> </extension> </short> <definition value="The Apgar subscore for grimace."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De Apgar deelscore voor de reactie op prikkels." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="GrimaceScore codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/ReflexenScore" /> </binding> </element> <element id="ApgarScore.MusleToneScore"> <path value="ApgarScore.MusleToneScore" /> <short value="MusleToneScore"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="SpierspanningScore" /> </extension> </extension> </short> <definition value="The Apgar subscore for activity/muscle tone."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De Apgar deelscore voor de spierspanning/tonus." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="MusleToneScore codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/SpierspanningScore" /> </binding> </element> <element id="ApgarScore.Comment"> <path value="ApgarScore.Comment" /> <short value="Comment"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Toelichting" /> </extension> </extension> </short> <definition value="Comment on the Apgar score."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De toelichting op de Apgar score." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> </differential> </StructureDefinition>