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HdBe-ApgarScore

WARNING This page contains a draft CBB, as raw output from the zib export and automatic conversion to CBB. It requires thorough review and adaption to the Belgian realm. This CBB is merely added for informative use.

CBBConceptStatus
HdBe-ApgarScore

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.

draft

id0..1string
extensionI0..*Extension
ApgarScoreDateTime1..1dateTime
ApgarScoreTotal1..1positiveInt
RespiratoryScore0..1CodeableConceptBinding
AppearanceScore0..1CodeableConceptBinding
PulseScore0..1CodeableConceptBinding
GrimaceScore0..1CodeableConceptBinding
MusleToneScore0..1CodeableConceptBinding
Comment0..1string

ApgarScore0..*
ApgarScore.ApgarScoreDateTimedateTime1..1
ApgarScore.ApgarScoreTotalpositiveInt1..1
ApgarScore.RespiratoryScoreCodeableConcept0..1
ApgarScore.AppearanceScoreCodeableConcept0..1
ApgarScore.PulseScoreCodeableConcept0..1
ApgarScore.GrimaceScoreCodeableConcept0..1
ApgarScore.MusleToneScoreCodeableConcept0..1
ApgarScore.Commentstring0..1


ApgarScore
DefinitionRoot concept of the ApgarScore information model. This root concept contains all data elements of the ApgarScore information model.
Cardinality0...*
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
ApgarScore.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
ApgarScore.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
ApgarScore.ApgarScoreDateTime
DefinitionThe day and time at which the Apgar score is registered.
Cardinality1...1
TypedateTime
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
ApgarScore.ApgarScoreTotal
DefinitionTotal of the Apgar score. The total score has a range from 0 - 10.
Cardinality1...1
TypepositiveInt
Comments

32 bit number; for values larger than this, use decimal

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
ApgarScore.RespiratoryScore
DefinitionThe Apgar subscore for respiration.
Cardinality0...1
TypeCodeableConcept
Binding

RespiratoryScore codes

RespiratoryScore (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
ApgarScore.AppearanceScore
DefinitionThe Apgar subscore for skin color/appearance.
Cardinality0...1
TypeCodeableConcept
Binding

AppearanceScore codes

AppearanceScore (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
ApgarScore.PulseScore
DefinitionThe Apgar subscore for pulse.
Cardinality0...1
TypeCodeableConcept
Binding

PulseScore codes

PulseScore (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
ApgarScore.GrimaceScore
DefinitionThe Apgar subscore for grimace.
Cardinality0...1
TypeCodeableConcept
Binding

GrimaceScore codes

GrimaceScore (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
ApgarScore.MusleToneScore
DefinitionThe Apgar subscore for activity/muscle tone.
Cardinality0...1
TypeCodeableConcept
Binding

MusleToneScore codes

MusleToneScore (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
ApgarScore.Comment
DefinitionComment on the Apgar score.
Cardinality0...1
Typestring
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a

Example instances

[CBB name]
[Concept name ] [example value]

// example of NameInformation

## Example instances

| NameInformation      |                   |
|----------------------|-------------------|
| FirstNames | Johanna Petronella Maria   
| Initials | J.P.M. 
| GivenName | Jo 
| NameUsage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| LastName.Prefix | van
| LastName.LastName | Putten
| LastNamePartner.PartnerPrefix | van der
| LastNamePartner.PartnerLastName | Giessen
| Titles |

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Concept Category Description
[element.path] [category of change] [Description of change]([Reference to ticket/issue/zulip chat using MarkDown link])



Terminology Bindings

PathNameStrengthURL
RespiratoryScoreRespiratoryScorerequiredhttps://fhir.healthdata.be/ValueSet/RespiratoryScore
AppearanceScoreAppearanceScorerequiredhttps://fhir.healthdata.be/ValueSet/AppearanceScore
PulseScorePulseScorerequiredhttps://fhir.healthdata.be/ValueSet/PulseScore
GrimaceScoreGrimaceScorerequiredhttps://fhir.healthdata.be/ValueSet/GrimaceScore
MusleToneScoreMusleToneScorerequiredhttps://fhir.healthdata.be/ValueSet/MusleToneScore