Norwegian openEHR Repository
Name
Apgar score
Description
A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation.
Keywords
newborn index score birth infant neonate assessment
Purpose
To record the results for each component parameter and their total sum for the Apgar score.
Use
Use to record the results for each component parameter and their total sum for the Apgar score.

This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data.
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.
Archetype Id
openEHR-EHR-OBSERVATION.apgar.v0
Copyright
© openEHR Foundation
Licencing
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/.
Original Author
Sam Heard
Ocean Informatics
Date Originally Authored
2004-05-18
Language Details
German
Jasmin Buck, Sebastian Garde, Thilo Schuler
University of Heidelberg, Central Queensland University, Ocean Informatics
Russian
Igor Lizunov
Finnish
Vesa Peltola
Tieto Finland
Swedish
Emma Malm
Karolinska Universitetssjukhuset
Norwegian Bokmal
Lars Bitsch-Larsen, Marit Alice Venheim
Haukeland University Hospital, Bergen, Norway, Helse Vest IKT
Portuguese (Brazil)
Jussara Rötzsch
OpenEHR Foundation
Arabic (Syria)
Mona Saleh
Persian, Farsi
Shahla Foozonkhah
Ocean Informatics
Spanish (Chile)
Sergio Carmona
Chinese (PRC)
Lin Zhang
BIPH
Dutch
Marja Buur
Medisch Centrum Alkmaar
Name Card Type Description
Respiratory effort
0..1 DV_ORDINAL Observation of the infant's respiratory effort.
Constraint for DV_ORDINAL
  • 0 : Absent
  • 1 : Weak or irregular
  • 2 : Normal
Heart rate
0..1 DV_ORDINAL Recording of the infant's heart rate.
Constraint for DV_ORDINAL
  • 0 : Absent
  • 1 : <100 beats per minute
  • 2 : ≥100 beats per minute
Muscle tone
0..1 DV_ORDINAL Observation of the infant's muscle tone.
Constraint for DV_ORDINAL
  • 0 : Limp or flaccid
  • 1 : Reduced tone
  • 2 : Normal tone
Reflex irritability
0..1 DV_ORDINAL Observation of the response of the infant to an irritant stimulation, for example, suctioning the oropharynx and nares with a soft rubber catheter.
Constraint for DV_ORDINAL
  • 0 : No response
  • 1 : Reduced response
  • 2 : Normal response
Skin colour
0..1 DV_ORDINAL Observation of the skin colour of the infant.
Constraint for DV_ORDINAL
  • 0 : Completely blue
  • 1 : Body pink; extremities blue
  • 2 : Completely pink
Total
0..1 DV_COUNT The total sum of each component parameter for the Apgar score.
Comment
If the total is to be calculated, it is necessary for all 5 component values to be recorded.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Name Card Type Description
Extension
0..* Slot (Cluster) Additional information required to extend the model with local content or to align with other reference models or formalisms.
Comment
For example: local information requirements; or additional metadata to align with FHIR.
Slot
Slot
archetype (adl_version=1.4; uid=66dc3057-6714-45fc-a7c0-765e472d9af2)
	openEHR-EHR-OBSERVATION.apgar.v0

concept
	[at0000]	-- Apgar score
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Jasmin Buck, Sebastian Garde, Thilo Schuler">
				["organisation"] = <"University of Heidelberg, Central Queensland University, Ocean Informatics">
			>
		>
		["ru"] = <
			language = <[ISO_639-1::ru]>
			author = <
				["name"] = <"Igor Lizunov">
				["email"] = <"i.lizunov@infinnity.ru">
			>
		>
		["fi"] = <
			language = <[ISO_639-1::fi]>
			author = <
				["name"] = <"Vesa Peltola">
				["organisation"] = <"Tieto Finland">
			>
		>
		["sv"] = <
			language = <[ISO_639-1::sv]>
			author = <
				["name"] = <"Emma Malm">
				["organisation"] = <"Karolinska Universitetssjukhuset">
				["email"] = <"emma.malm@cambio.se">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Lars Bitsch-Larsen, Marit Alice Venheim">
				["organisation"] = <"Haukeland University Hospital, Bergen, Norway, Helse Vest IKT">
				["email"] = <"marit.alice.venheim@helse-vest-ikt.no">
			>
			accreditation = <"MD, DEAA, specialist in anestesia and intensive care, Tropical medicin & MBA">
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			author = <
				["name"] = <"Jussara Rötzsch">
				["organisation"] = <"OpenEHR Foundation">
			>
			accreditation = <"Medical Doctor,  Psychiatrist, Clinical Modeler, OpenEHR Director, Coordinator of  WG ehealth infostructure of brazilian e-health program">
		>
		["ar-sy"] = <
			language = <[ISO_639-1::ar-sy]>
			author = <
				["name"] = <"Mona Saleh">
			>
		>
		["fa"] = <
			language = <[ISO_639-1::fa]>
			author = <
				["name"] = <"Shahla Foozonkhah">
				["organisation"] = <"Ocean Informatics">
				["email"] = <"Shahla.foozonkhah@oceanInformatics.com">
			>
		>
		["es-cl"] = <
			language = <[ISO_639-1::es-cl]>
			author = <
				["name"] = <"Sergio Carmona">
			>
		>
		["zh-cn"] = <
			language = <[ISO_639-1::zh-cn]>
			author = <
				["name"] = <"Lin Zhang">
				["organisation"] = <"BIPH">
				["email"] = <"linforest@163.com">
			>
		>
		["nl"] = <
			language = <[ISO_639-1::nl]>
			author = <
				["name"] = <"Marja Buur">
				["organisation"] = <"Medisch Centrum Alkmaar">
				["email"] = <"m.buur-krom@mca.nl">
			>
			accreditation = <"Erna Vreeke">
		>
	>
description
	original_author = <
		["name"] = <"Sam Heard">
		["organisation"] = <"Ocean Informatics">
		["email"] = <"sam.heard@oceaninformatics.com">
		["date"] = <"2004-05-18">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"*To record the results for each component parameter and their total sum for the Apgar score. (en)">
			use = <"*Use to record the results for each component parameter and their total sum for the Apgar score.

This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data. (en)">
			keywords = <"Neugeborenes", "Index", "Score", "Geburt", "Säugling", "neonatal", "Beurteilung">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["ru"] = <
			language = <[ISO_639-1::ru]>
			purpose = <"*To record the results for each component parameter and their total sum for the Apgar score. (en)">
			use = <"*Use to record the results for each component parameter and their total sum for the Apgar score.

This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data. (en)">
			keywords = <"новорожденный", "оценка", "балл", "младенец", "оценка состояния">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["fi"] = <
			language = <[ISO_639-1::fi]>
			purpose = <"*To record the results for each component parameter and their total sum for the Apgar score. (en)">
			use = <"*Use to record the results for each component parameter and their total sum for the Apgar score.

This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data. (en)">
			keywords = <"vastasyntynyt, indeksi, pistemäärä, syntymä, arviointi", ...>
			misuse = <"">
		>
		["sv"] = <
			language = <[ISO_639-1::sv]>
			purpose = <"Att registrera resultaten för varje komponentparameter och deras totala summa för Apgarskalan.">
			use = <"Används för att registrera resultaten för varje komponentparameter och deras totala summa för Apgarskalan.

Den här arketypen har utformats för att stödja den explicita registreringen av Apgarpoäng vid 1, 2, 3, 5 och/eller 10 minuters ålder på nyfödda barn, inklusive ytterligare händelser efter behov.

Vanlig praxis är att dokumentera Apgarpoängen efter 1 och 5 minuter; ytterligare poäng kan dock registreras. Med denna arketyp är det även möjligt att registrera Apgarpoängen när som helst efter födseln.

Vanlig klinisk praxis är att registrera samtliga 5 parametrar inklusive totala summan. Denna arketyp möjliggör dock registrering av partiell information, om det endast är det som finns tillgängligt från exempelvis historiska data.">
			keywords = <"nyfödd", "index", "poäng", "födelse", "spädbarn", "nyfödd", "bedömning", "apgar", "skala", "apgarskala", "apgarpoäng">
			misuse = <"">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere resultatene for hver komponentparameter og deres totale sum for Apgar skår.">
			use = <"Brukes for å registrere resultatene for hver komponentparameter og deres totale sum for Apgar skår.

Denne arketypen er designet for å støtte den eksplisitte registreringen av Apgar-resultater ved 1, 2, 3, 5 og/eller 10 minutter fra fødselstidspunktet, pluss ytterligere hendelser etter behov.

Vanlig praksis er å dokumentere Apgar skår etter 1 og 5 minutter; ytterligere skårer kan registreres som klinisk indisert. Det er mulig å registrere Apgar skår når som helst etter fødselen ved å bruke denne arketypen.

Vanlig klinisk praksis er å registrere alle 5 parametere pluss totalen, men denne arketypen tillater at all delinformasjon registreres, hvis det er alt som er tilgjengelig for eksempel fra historiske data.">
			keywords = <"Nyfødt", "Spebarn", "Indeks", "score", "fødsel", "neonatal", "vurdering", "respirasjon", "hud farge", "tonus", "refleks", "muskeltonus", "hjertefrekvens">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			purpose = <"*To record the results for each component parameter and their total sum for the Apgar score. (en)">
			use = <"*Use to record the results for each component parameter and their total sum for the Apgar score.

This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data. (en)">
			keywords = <"*recém-nascido(s), recém-nato(s)", "*índice", "*escore, escala", "*nascimento(s),", "*bebê(s)", "*neonato(s)", "*avaliação(ões)">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the results for each component parameter and their total sum for the Apgar score.">
			use = <"Use to record the results for each component parameter and their total sum for the Apgar score.

This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data.">
			keywords = <"newborn", "index", "score", "birth", "infant", "neonate", "assessment">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["ar-sy"] = <
			language = <[ISO_639-1::ar-sy]>
			purpose = <"*To record the results for each component parameter and their total sum for the Apgar score. (en)">
			use = <"*Use to record the results for each component parameter and their total sum for the Apgar score.

This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data. (en)">
			keywords = <"حديث الولادة", "معامل", "الحرز", "الولادة/الوضع", "الرضيع", "حديث الولادة", "تقييم">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["fa"] = <
			language = <[ISO_639-1::fa]>
			purpose = <"*To record the results for each component parameter and their total sum for the Apgar score. (en)">
			use = <"*Use to record the results for each component parameter and their total sum for the Apgar score.

This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data. (en)">
			keywords = <"تازه بدنیا آمده", "شاخص", "نمره", "تولد", "شیر خوار", "نوزاد", "ارزیابی">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["es-cl"] = <
			language = <[ISO_639-1::es-cl]>
			purpose = <"*To record the results for each component parameter and their total sum for the Apgar score. (en)">
			use = <"*Use to record the results for each component parameter and their total sum for the Apgar score.

This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data. (en)">
			keywords = <"score", "apgar", "index", "recién nacido">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["zh-cn"] = <
			language = <[ISO_639-1::zh-cn]>
			purpose = <"*To record the results for each component parameter and their total sum for the Apgar score. (en)">
			use = <"*Use to record the results for each component parameter and their total sum for the Apgar score.

This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data. (en)">
			keywords = <"新生儿", "指标", "指数", "分数", "评分", "分值", "得分", "出生", "生产", "婴幼儿", "婴儿", "新生婴儿", "评价", "评估">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["nl"] = <
			language = <[ISO_639-1::nl]>
			purpose = <"*To record the results for each component parameter and their total sum for the Apgar score. (en)">
			use = <"*Use to record the results for each component parameter and their total sum for the Apgar score.

This archetype has been designed to support the explicit recording of Apgar scores at 1, 2, 3, 5 and/or 10 minute points in time offset from the time of 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 for example from historical data. (en)">
			keywords = <"pasgeborene", "index", "score", "geboorte", "kind", "neonaat", "beoordeling", "baby">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)", "Paul Donaldson, Nursing Informatics Australia, Australia", "Sebastian Garde, Ocean Informatics, Germany", "Anneke Goossen, Results 4 Care, Netherlands", "Anne Harbison, CPCER, Australia", "Sam Heard, Ocean Informatics, Australia", "Omer Hotomaroglu, Turkey", "Pieter Hummel, Medisch Centrum Alkmaar, Netherlands", "Andrew James, University of Toronto, Canada", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)">
	other_details = <
		["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.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"1AD04012E3E0BC801D44585B5257D79A">
		["build_uid"] = <"7fd37534-0358-4809-b28d-c913b6596bdf">
		["ip_acknowledgements"] = <"This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org.">
		["revision"] = <"0.0.1-alpha">
	>

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_TREE[at0001] matches {    -- Tree
								items cardinality matches {1..6; ordered} matches {
									ELEMENT[at0009] occurrences matches {0..1} matches {    -- Respiratory effort
										value matches {
											0|[local::at0010],
											1|[local::at0011],
											2|[local::at0012]
										}
									}
									ELEMENT[at0005] occurrences matches {0..1} matches {    -- Heart rate
										value matches {
											0|[local::at0006],
											1|[local::at0007],
											2|[local::at0008]
										}
									}
									ELEMENT[at0013] occurrences matches {0..1} matches {    -- Muscle tone
										value matches {
											0|[local::at0014],
											1|[local::at0015],
											2|[local::at0016]
										}
									}
									ELEMENT[at0017] occurrences matches {0..1} matches {    -- Reflex irritability
										value matches {
											0|[local::at0018],
											1|[local::at0019],
											2|[local::at0020]
										}
									}
									ELEMENT[at0021] occurrences matches {0..1} matches {    -- Skin colour
										value matches {
											0|[local::at0022],
											1|[local::at0023],
											2|[local::at0024]
										}
									}
									ELEMENT[at0025] occurrences matches {0..1} 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_TREE /data[at0002]/events[at0003]/data[at0001]
						}
					}
					POINT_EVENT[at0027] occurrences matches {0..1} matches {    -- 3 minute
						offset matches {
							DV_DURATION matches {
								value matches {PT3M}
							}
						}
						data matches {
							use_node ITEM_TREE /data[at0002]/events[at0003]/data[at0001]
						}
					}
					POINT_EVENT[at0028] occurrences matches {0..1} matches {    -- 5 minute
						offset matches {
							DV_DURATION matches {
								value matches {PT5M}
							}
						}
						data matches {
							use_node ITEM_TREE /data[at0002]/events[at0003]/data[at0001]
						}
					}
					POINT_EVENT[at0031] occurrences matches {0..1} matches {    -- 10 minute
						offset matches {
							DV_DURATION matches {
								value matches {PT10M}
							}
						}
						data matches {
							use_node ITEM_TREE /data[at0002]/events[at0003]/data[at0001]
						}
					}
					EVENT[at0037] occurrences matches {0..*} matches {    -- Any event
						data matches {
							use_node ITEM_TREE /data[at0002]/events[at0003]/data[at0001]
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0029] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0040] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}



ontology
	terminologies_available = <"SNOMED-CT", "LOINC">
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Apgar score">
					description = <"A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"1 minute">
					description = <"Apgar score 1 minute after birth.">
				>
				["at0005"] = <
					text = <"Heart rate">
					description = <"Recording of the infant's heart rate.">
				>
				["at0006"] = <
					text = <"Absent">
					description = <"No heart beat is seen, felt or heard.">
				>
				["at0007"] = <
					text = <"<100 beats per minute">
					description = <"Heart rate less than 100 beats per minute.">
				>
				["at0008"] = <
					text = <"≥100 beats per minute">
					description = <"Heart rate greater than or equal to 100 beats per minute.">
				>
				["at0009"] = <
					text = <"Respiratory effort">
					description = <"Observation of the infant's respiratory effort.">
				>
				["at0010"] = <
					text = <"Absent">
					description = <"No effort to breath.">
				>
				["at0011"] = <
					text = <"Weak or irregular">
					description = <"Some effort to breath, moving chest.">
				>
				["at0012"] = <
					text = <"Normal">
					description = <"Breathing normally or crying.">
				>
				["at0013"] = <
					text = <"Muscle tone">
					description = <"Observation of the infant's muscle tone.">
				>
				["at0014"] = <
					text = <"Limp or flaccid">
					description = <"No spontaneous movement.">
				>
				["at0015"] = <
					text = <"Reduced tone">
					description = <"Some flexion of extremities.">
				>
				["at0016"] = <
					text = <"Normal tone">
					description = <"Normal, vigorous movements.">
				>
				["at0017"] = <
					text = <"Reflex irritability">
					description = <"Observation of the response of the infant to an irritant stimulation, for example, suctioning the oropharynx and nares with a soft rubber catheter.">
				>
				["at0018"] = <
					text = <"No response">
					description = <"No response to stimulation.">
				>
				["at0019"] = <
					text = <"Reduced response">
					description = <"Grimace or feeble cry when stimulated.">
				>
				["at0020"] = <
					text = <"Normal response">
					description = <"Grimace, sneeze, cough or pulls away when stimulated.">
				>
				["at0021"] = <
					text = <"Skin colour">
					description = <"Observation of the skin colour of the infant.">
				>
				["at0022"] = <
					text = <"Completely blue">
					description = <"Body and extremities are blue.">
				>
				["at0023"] = <
					text = <"Body pink; extremities blue">
					description = <"Body is pink; extremities are blue.">
				>
				["at0024"] = <
					text = <"Completely pink">
					description = <"Body and extremities are pink; no cyanosis.">
				>
				["at0025"] = <
					text = <"Total">
					description = <"The total sum of each component parameter for the Apgar score.">
					comment = <"If the total is to be calculated, it is necessary for all 5 component values to be recorded.">
				>
				["at0026"] = <
					text = <"2 minute">
					description = <"Apgar score 2 minutes after birth.">
				>
				["at0027"] = <
					text = <"3 minute">
					description = <"Apgar score 3 minutes after birth.">
				>
				["at0028"] = <
					text = <"5 minute">
					description = <"Apgar score 5 minutes after birth.">
				>
				["at0029"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0031"] = <
					text = <"10 minute">
					description = <"Apgar score 10 minutes after birth.">
				>
				["at0037"] = <
					text = <"Any event">
					description = <"Apgar score at any additional time, as required.">
				>
				["at0040"] = <
					text = <"Extension">
					description = <"Additional information required to extend the model with local content or to align with other reference models or formalisms.">
					comment = <"For example: local information requirements; or additional metadata to align with FHIR.">
				>
			>
		>
		["es-cl"] = <
			items = <
				["at0000"] = <
					text = <"*Apgar score(en)">
					description = <"*A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation. (en)">
				>
				["at0001"] = <
					text = <"Estructura">
					description = <"*@ internal @">
				>
				["at0002"] = <
					text = <"Historia">
					description = <"*@ internal @">
				>
				["at0003"] = <
					text = <"*1 minute(en)">
					description = <"*Apgar score 1 minute after birth(en)">
				>
				["at0005"] = <
					text = <"*Heart rate (en)">
					description = <"Valoración de la función cardíaca en el recién nacido.">
				>
				["at0006"] = <
					text = <"Sin latido cardíaco">
					description = <"No presenta latidos cardíacos (palpación en la base del cordón umbilical).">
				>
				["at0007"] = <
					text = <"Menos de 100 latidos por minuto">
					description = <"Frecuencia cardíaca menor a 100 latidos por minuto.">
				>
				["at0008"] = <
					text = <"Mayor o igual a 100 latidos por minutos">
					description = <"Frecuencia cardíaca mayor o igual a 100 latidos por minuto.">
				>
				["at0009"] = <
					text = <"Respiración">
					description = <"Valoración del esfuerzo respiratorio del neonato.">
				>
				["at0010"] = <
					text = <"Sin esfuerzo">
					description = <"Sin esfuerzo respiratorio.">
				>
				["at0011"] = <
					text = <"Esfuerzo moderado">
					description = <"Esfuerzo respiratorio debil e irregular.">
				>
				["at0012"] = <
					text = <"Llorando">
					description = <"Llorando o respirando normalmente.">
				>
				["at0013"] = <
					text = <"*Muscle tone(en)">
					description = <"*Observation of the infant's muscle tone(en)">
				>
				["at0014"] = <
					text = <"Flacido">
					description = <"Flacido y sin movimientos espontáneos.">
				>
				["at0015"] = <
					text = <"*Reduced tone(en)">
					description = <"*Some flexion of extremities(en)">
				>
				["at0016"] = <
					text = <"*Normal tone(en)">
					description = <"*Normal, vigorous movements(en)">
				>
				["at0017"] = <
					text = <"*Reflex irritability(en)">
					description = <"*Observation of the response of the infant to an irritant stimulation, for example, suctioning the oropharynx and nares with a soft rubber catheter.(en)">
				>
				["at0018"] = <
					text = <"Ninguna respuesta a la aspiración de la vía aérea">
					description = <"Ninguna mueca o respuesta a la aspiración de la vía aérea.">
				>
				["at0019"] = <
					text = <"Mueca durante aspiración de la vía aérea">
					description = <"Sólo mueca como reacción a la aspiración de la vía aérea.">
				>
				["at0020"] = <
					text = <"Mueca y tos/estornudo durante la aspiración de la vía aérea">
					description = <"Mueca y tos, estornudo o gag como respuesta a la aspiración de la vía aérea.">
				>
				["at0021"] = <
					text = <"*Skin colour(en)">
					description = <"*Observation of the skin colour of the infant(en)">
				>
				["at0022"] = <
					text = <"*Completely blue(en)">
					description = <"*Body and extremities are blue(en)">
				>
				["at0023"] = <
					text = <"*Body pink; extremities blue(en)">
					description = <"*Body is pink; extremities are blue(en)">
				>
				["at0024"] = <
					text = <"*Completely pink(en)">
					description = <"*Body and extremities are pink; no cyanosis(en)">
				>
				["at0025"] = <
					text = <"Total">
					description = <"*The total sum of each component parameter for the Apgar score. (en)">
					comment = <"*If the total is to be calculated, it is necessary for all 5 component values to be recorded. (en)">
				>
				["at0026"] = <
					text = <"*2 minute(en)">
					description = <"*Apgar score 2 minutes after birth(en)">
				>
				["at0027"] = <
					text = <"*3 minute(en)">
					description = <"*Apgar score 3 minutes after birth(en)">
				>
				["at0028"] = <
					text = <"*5 minute(en)">
					description = <"*Apgar score 5 minutes after birth(en)">
				>
				["at0029"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0031"] = <
					text = <"*10 minute(en)">
					description = <"*Apgar score 10 minutes after birth(en)">
				>
				["at0037"] = <
					text = <"*Any event(en)">
					description = <"*Apgar score at any additional time, as required.(en)">
				>
				["at0040"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
			>
		>
		["de"] = <
			items = <
				["at0000"] = <
					text = <"Apgar-Score">
					description = <"*A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation. (en)">
				>
				["at0001"] = <
					text = <"Structure">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"1 Minute">
					description = <"Apgar-Score 1 Minute nach Geburt.">
				>
				["at0005"] = <
					text = <"*Heart rate (en)">
					description = <"Beurteilung der Herzfrequenz des Neubegorenen.">
				>
				["at0006"] = <
					text = <"Kein Herzschlag">
					description = <"Kein Herzschlag gesehen, gefühlt oder gehört.">
				>
				["at0007"] = <
					text = <"<100 Schläge pro Minute">
					description = <"Herzfrequenz von weniger als 100 Schlägen pro Minute.">
				>
				["at0008"] = <
					text = <"≥100 Schläge pro Minute">
					description = <"Herzfrequenz von mehr als oder genau 100 Schlägen pro Minute.">
				>
				["at0009"] = <
					text = <"Atemantrieb">
					description = <"Beurteilung des Atemantriebs des Neugeborenen.">
				>
				["at0010"] = <
					text = <"Kein Bestreben">
					description = <"Kein Bestreben zu atmen.">
				>
				["at0011"] = <
					text = <"Schwaches oder unregelmäßiges Bestreben">
					description = <"Etwas bestrebt zu atmen, Brustkorb bewegt sich.">
				>
				["at0012"] = <
					text = <"Normal">
					description = <"Normale Atmung oder Schreien.">
				>
				["at0013"] = <
					text = <"Muskeltonus">
					description = <"Beobachtung des Musketonus des Neugeborenen.">
				>
				["at0014"] = <
					text = <"Schlaff">
					description = <"Keine spontane Bewegung.">
				>
				["at0015"] = <
					text = <"Reduzierter Tonus">
					description = <"Geringe Flexion der Extremitäten.">
				>
				["at0016"] = <
					text = <"Normaler Tonus">
					description = <"Normale, kraftvolle Bewegung der Extremitäten.">
				>
				["at0017"] = <
					text = <"Reflexauslösbarkeit">
					description = <"Beobachtung der Antwort des Neugeborens auf eine Reizstimulation, z.B. Absaugen des Oropharynxs und der Nasenlöcher mit einem weichem Gummikatheter.">
				>
				["at0018"] = <
					text = <"Keine Reaktion">
					description = <"Keine Reaktion auf die Stimulation.">
				>
				["at0019"] = <
					text = <"Reduzierte Reaktion">
					description = <"Grimassieren oder schwaches Schreien als Reaktion auf die Stimulation.">
				>
				["at0020"] = <
					text = <"Normale Reaktion">
					description = <"Grimassieren, Niesen, Husten oder Wegziehen als Reaktion auf die Stimulation.">
				>
				["at0021"] = <
					text = <"Hautfarbe">
					description = <"Beobachtung der Hautfarbe des Neugeborenen.">
				>
				["at0022"] = <
					text = <"Komplett blau">
					description = <"Körper und Extremitäten sind blau.">
				>
				["at0023"] = <
					text = <"Akrozyanotisch">
					description = <"Stamm ist rosig, Extremitäten sind blau.">
				>
				["at0024"] = <
					text = <"Komplett rosig">
					description = <"Stamm und Extremitäten sind rosig; keine Zyanose.">
				>
				["at0025"] = <
					text = <"Gesamtwert">
					description = <"*The total sum of each component parameter for the Apgar score. (en)">
					comment = <"*If the total is to be calculated, it is necessary for all 5 component values to be recorded. (en)">
				>
				["at0026"] = <
					text = <"2 Minuten">
					description = <"Apgar-Score 2 Minuten nach der Geburt.">
				>
				["at0027"] = <
					text = <"3 Minuten">
					description = <"Apgar-Score 3 Minuten nach der Geburt.">
				>
				["at0028"] = <
					text = <"5 Minuten">
					description = <"Apgar-Score 5 Minuten nach der Geburt.">
				>
				["at0029"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0031"] = <
					text = <"10 Minuten">
					description = <"Apgar-Score 10 Minuten nach der Geburt">
				>
				["at0037"] = <
					text = <"Beliebiges Ereignis">
					description = <"Apgar-Score zu beliebigen Zeitpunkten, je nach Bedarf.">
				>
				["at0040"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
			>
		>
		["fa"] = <
			items = <
				["at0000"] = <
					text = <"نمره آپگار">
					description = <"*A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation. (en)">
				>
				["at0001"] = <
					text = <"*structure(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"*history(en)">
					description = <"*@ internal @(en)">
				>
				["at0003"] = <
					text = <"دقیقه اول">
					description = <"نمره آپگار یک دقیقه بعد از تولد">
				>
				["at0005"] = <
					text = <"*Heart rate (en)">
					description = <"ثبت ضربان قلب نوزاد">
				>
				["at0006"] = <
					text = <"عدم وجود">
					description = <"ضربان قلبی مشاهده ، احساس یا شنیده نمی شود">
				>
				["at0007"] = <
					text = <"ضربان کمتر از 100 در هر دقیقه">
					description = <"ضربان قلب کمتر از 100 ضربه در هر دقیقه است">
				>
				["at0008"] = <
					text = <"ضربان بیشتر یا مساوی 100 در هر دقیقه">
					description = <"ضربان قلب بیشتریا برابر  100 ضربه در هر دقیقه است">
				>
				["at0009"] = <
					text = <"تلاش تنفسی">
					description = <"مشاهده تلاش تنفسی نوزاد">
				>
				["at0010"] = <
					text = <"غیر موجود">
					description = <"برای تنفس تلاش نمی کند">
				>
				["at0011"] = <
					text = <"ضعیف یا نا منظم">
					description = <" برای تنفس تلاش می کند  ، سینه حرکت می کند">
				>
				["at0012"] = <
					text = <"ظبیعی">
					description = <"تنفس طبیعی یا گریه کردن">
				>
				["at0013"] = <
					text = <"تون عضلانی">
					description = <"مشاهده تلون عضلانی نوزاد">
				>
				["at0014"] = <
					text = <"مشاهده تلون عضلانی نوزاد">
					description = <"حرکات خودبخودی وجود ندارد">
				>
				["at0015"] = <
					text = <"تون کاهش یافته">
					description = <"برخی رفلکسها یا خمیدگی ها وجود دارد">
				>
				["at0016"] = <
					text = <"تون طبیعی">
					description = <"طبیعی ، حرکات نیرومند">
				>
				["at0017"] = <
					text = <"رفلکس تحریک پذیری">
					description = <"مشاهده پاسخ نوزاد به تحریکات محرک به عنوان مثال مکش دهانی حلقی و سوراخ بینی با کاتتر لاستیکی نرم  ">
				>
				["at0018"] = <
					text = <"پاسخ نمی دهد">
					description = <"عدم پاسخ به تحریکات">
				>
				["at0019"] = <
					text = <"کاهش پاسخ">
					description = <"گریه شکلکی یا ضعیف در زمان تحریک">
				>
				["at0020"] = <
					text = <"پاسخ طبیعی">
					description = <"شکلک ، عطسه ف سرفه یا عقب کشیدن در زمان تحریک">
				>
				["at0021"] = <
					text = <"رنگ پوست">
					description = <"مشاهده رنگ پوست نوزاد">
				>
				["at0022"] = <
					text = <"کاملا آبی">
					description = <"دن و دستها و پاها آبی هستند">
				>
				["at0023"] = <
					text = <"بدن صورتی ، دستها و پاها آبی">
					description = <"بدن صورتی ، دستها و پاها آبی هستند">
				>
				["at0024"] = <
					text = <"کاملا صورتی">
					description = <"دن و دستها و پاها کاملا صورتی هستند هیچ سیانوزی وجود ندارد">
				>
				["at0025"] = <
					text = <"مجموع">
					description = <"*The total sum of each component parameter for the Apgar score. (en)">
					comment = <"*If the total is to be calculated, it is necessary for all 5 component values to be recorded. (en)">
				>
				["at0026"] = <
					text = <"دقیقه دو">
					description = <"نمره آپگار دودقیقه بعد از تولد">
				>
				["at0027"] = <
					text = <"دقیقه سه">
					description = <"نمره آپگار سه دقیقه بعد از تولد">
				>
				["at0028"] = <
					text = <"دقیقه پنج">
					description = <"نمره آپگار پنج دقیقه بعد از تولد">
				>
				["at0029"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0031"] = <
					text = <"دقیقه ده">
					description = <"نمره آپگار ده دقیقه بعد از تولد">
				>
				["at0037"] = <
					text = <"هر رویداد">
					description = <"نمره آپگار در هر زمان ممکن و در صورت نیاز">
				>
				["at0040"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
			>
		>
		["ar-sy"] = <
			items = <
				["at0000"] = <
					text = <"حرز أبغار">
					description = <"*A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation. (en)">
				>
				["at0001"] = <
					text = <"*structure(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"*history(en)">
					description = <"*@ internal @(en)">
				>
				["at0003"] = <
					text = <"دقيقة واحدة">
					description = <"حرز أبغار بعد دقيقة واحدة من الولادة/الوضع">
				>
				["at0005"] = <
					text = <"*Heart rate (en)">
					description = <"تسجيل معدل قلب الرضيع">
				>
				["at0006"] = <
					text = <"غائب">
					description = <"لا يمكن سماع, رؤية أو الشعور بضربات القلب">
				>
				["at0007"] = <
					text = <"أقل من 100 ضربة في الدقيقة">
					description = <"معدل القلب أقل من 100 ضربة في الدقيقة">
				>
				["at0008"] = <
					text = <"أكثر من أو يساوي 100 ضربة في الدقيقة">
					description = <"معدل القلب أكبر من أو يساوي 100 ضربة في الدقيقة">
				>
				["at0009"] = <
					text = <"المجهود التنفسي">
					description = <"ملاحظة المجهود التنفسي لدى الرضيع">
				>
				["at0010"] = <
					text = <"غائب">
					description = <"لا يوجد بذل مجهود للتنفس">
				>
				["at0011"] = <
					text = <"ضعيف أو غير منتظم">
					description = <"يوجد بعض المجهود للتنفس, الصدر يتحرك">
				>
				["at0012"] = <
					text = <"طبيعي">
					description = <"يتنفس بشكل طبيعي أو يبكي">
				>
				["at0013"] = <
					text = <"توتر العضلة">
					description = <"ملاحظة توتر عضلات الرضيع">
				>
				["at0014"] = <
					text = <"مرتخٍ/أعرج">
					description = <"لا يوجد حركة تلقائية">
				>
				["at0015"] = <
					text = <"توتر منخفض">
					description = <"يوجد بعض الثني للأطراف">
				>
				["at0016"] = <
					text = <"توتر طبيعي">
					description = <"حركات طبيعية قوية">
				>
				["at0017"] = <
					text = <"التوتر الانعكاسي">
					description = <"ملاحظة استجابة الرضيع لتحفيز مُهَيَّج, مثلا, مص محتويات البلعوم الفمي و فتحات الأنف باستخدام قثطار مطاطي ناعم.">
				>
				["at0018"] = <
					text = <"لا توجد استجابة">
					description = <"لا يوجد استجابة للتحفيز">
				>
				["at0019"] = <
					text = <"استجابة منخفضة">
					description = <"تكشيرة أو بكاء ضعيف عند التحفيز">
				>
				["at0020"] = <
					text = <"استجابة طبيعية">
					description = <"تكشيرة, عُطاس, سعال, أو يتعبد عند تحفيزه">
				>
				["at0021"] = <
					text = <"لون الجلد/البشرة">
					description = <"ملاحظة لون بشرة/جلد الرضيع">
				>
				["at0022"] = <
					text = <"أزرق تماما">
					description = <"الجسم و الأطراف زرقاء اللون">
				>
				["at0023"] = <
					text = <"الجسم متورد و الأطراف زرقاء">
					description = <"الجسم متورد و الأطراف زرقاء">
				>
				["at0024"] = <
					text = <"متورد تماما">
					description = <"الجسم و الأطراف متوردة, لا يوجد ازرقاق">
				>
				["at0025"] = <
					text = <"الإجمالي">
					description = <"*The total sum of each component parameter for the Apgar score. (en)">
					comment = <"*If the total is to be calculated, it is necessary for all 5 component values to be recorded. (en)">
				>
				["at0026"] = <
					text = <"عند دقيقتين">
					description = <"حرز أبغار عند دقيقتين من الولادة/الوضع">
				>
				["at0027"] = <
					text = <"عند ثلاث دقائق">
					description = <"حرز أبغار بعد ثلاث دقائق من الولادة/الوضع">
				>
				["at0028"] = <
					text = <"بعد خمس دقائق">
					description = <"حرز أبغار بعد 5 دقائق من الولادة/الوضع">
				>
				["at0029"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0031"] = <
					text = <"بعد 10 دقائق">
					description = <"حرز أبغار بعد 10 دقائق من الولادة/الوضع">
				>
				["at0037"] = <
					text = <"إحدى الوقائع">
					description = <"حرز أبغار عند أي وقت إضافي, حسب الحاجة">
				>
				["at0040"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
			>
		>
		["ru"] = <
			items = <
				["at0000"] = <
					text = <"Шкала Апгар">
					description = <"*A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation. (en)">
				>
				["at0001"] = <
					text = <"*structure(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"*history(en)">
					description = <"*@ internal @(en)">
				>
				["at0003"] = <
					text = <"1 минута">
					description = <"Оценка по Апгар в 1 минуту после рождения.">
				>
				["at0005"] = <
					text = <"*Heart rate (en)">
					description = <"Запись о ЧСС младенца.">
				>
				["at0006"] = <
					text = <"Отсутствует">
					description = <"Нет дыхательных движений.">
				>
				["at0007"] = <
					text = <"<100 ударов в минуту">
					description = <"ЧСС меньше 100 ударов в минуту.">
				>
				["at0008"] = <
					text = <"≥100 ударов в минуту">
					description = <"ЧСС более 100 ударов в минуту.">
				>
				["at0009"] = <
					text = <"Дыхание">
					description = <"Наблюдается за дыханием.">
				>
				["at0010"] = <
					text = <"Отсутствует">
					description = <"Сердцебиение не видно, не слышно и не ощутимо.">
				>
				["at0011"] = <
					text = <"Слабое или нерегулярное">
					description = <"Некоторые дыхательные движения, движения грудной клетки.">
				>
				["at0012"] = <
					text = <"Нормальное.">
					description = <"Дыхание нормальное или крик.">
				>
				["at0013"] = <
					text = <"Мышечный тонус">
					description = <"Оценка мышечного тонуса младенца.">
				>
				["at0014"] = <
					text = <"Вялый">
					description = <"Нет спонтанных движений.">
				>
				["at0015"] = <
					text = <"Тонус ослаблен">
					description = <"Слабое сгибание конечностей.">
				>
				["at0016"] = <
					text = <"Нормальный тонус">
					description = <"Нормальные, энергичные движения.">
				>
				["at0017"] = <
					text = <"Рефлексы на раздражение">
					description = <"Наблюдение за реакцией ребенка на раздражающее стимуляции, например, очищения ротоглотки и носовых отверстий мягким резиновым катетером.">
				>
				["at0018"] = <
					text = <"Нет реакции">
					description = <"Нет реакци на стимуляцию.">
				>
				["at0019"] = <
					text = <"Реакция ослаблена">
					description = <"Гримаса или слабый крик при стимуляции.">
				>
				["at0020"] = <
					text = <"Нормальная реакция">
					description = <"Гримаса, чихание, кашель или отстранение при стимуляции.">
				>
				["at0021"] = <
					text = <"Цвет кожи">
					description = <"Оценка цвета кожи младенца.">
				>
				["at0022"] = <
					text = <"Общий цианоз">
					description = <"Цианоз туловища и конечностей.">
				>
				["at0023"] = <
					text = <"Акрозианоз, цианоз конечностей">
					description = <"Туловище розовое, цианоз конечностей.">
				>
				["at0024"] = <
					text = <"Цианоза нет">
					description = <"Туловище и конечности розовые. Цианоза нет">
				>
				["at0025"] = <
					text = <"Общая оценка">
					description = <"*The total sum of each component parameter for the Apgar score. (en)">
					comment = <"*If the total is to be calculated, it is necessary for all 5 component values to be recorded. (en)">
				>
				["at0026"] = <
					text = <"2 минута">
					description = <"Оценка по Апгар во 2 минуту после рождения.">
				>
				["at0027"] = <
					text = <"3 минута">
					description = <"Оценка по Апгар в 3 минуту после рождения.">
				>
				["at0028"] = <
					text = <"5 минута">
					description = <"Оценка по Апгар на 5 минуту после рождения.">
				>
				["at0029"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0031"] = <
					text = <"10 минута">
					description = <"Оценка по Апгар в 10 минуту после рождения.">
				>
				["at0037"] = <
					text = <"Любое время">
					description = <"Оценка по Апгар в дополнительное время, если требуется.">
				>
				["at0040"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
			>
		>
		["nl"] = <
			items = <
				["at0000"] = <
					text = <"Apgar score">
					description = <"*A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation. (en)">
				>
				["at0001"] = <
					text = <"*structure(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"*history(en)">
					description = <"*@ internal @(en)">
				>
				["at0003"] = <
					text = <"1 minuut">
					description = <"Apgar score 1 minuut na de geboorte.">
				>
				["at0005"] = <
					text = <"*Heart rate (en)">
					description = <"Opnemen van de hartslag van het kind.">
				>
				["at0006"] = <
					text = <"Afwezig">
					description = <"Er is geen hartslag te zien, voelen of horen.">
				>
				["at0007"] = <
					text = <"<100 slagen per minuut">
					description = <"Hartfrequentie minder dan 100 slagen per minuut.">
				>
				["at0008"] = <
					text = <"≥100 slagen per minuut">
					description = <"Hartslag hoger of gelijk aan 100 slagen per minuut.">
				>
				["at0009"] = <
					text = <"Ademhalingsinspanning">
					description = <"Observatie van de ademhalingsinspanning van het kind.">
				>
				["at0010"] = <
					text = <"Afwezig">
					description = <"Geen ademhalingsinspanning.">
				>
				["at0011"] = <
					text = <"Matig of onregelmatig">
					description = <"Enige ademhalingsinspanning, beweging van de borst.">
				>
				["at0012"] = <
					text = <"Normaal">
					description = <"Normale ademhaling of huilend.">
				>
				["at0013"] = <
					text = <"Spiertonus">
					description = <"Observatie van de spiertonus van het kind.">
				>
				["at0014"] = <
					text = <"Slap">
					description = <"Geen spontane bewegingen.">
				>
				["at0015"] = <
					text = <"Verminderde tonus">
					description = <"Enige flexie van de ledematen.">
				>
				["at0016"] = <
					text = <"Normale tonus">
					description = <"Normale, krachtige bewegingen.">
				>
				["at0017"] = <
					text = <"Reactie op prikkels">
					description = <"Observatie van de reactie van het kind op een irritante prikkeling, bijvoorbeeld het uitzuigen van de keel en neus met een zachte rubberen katheter.">
				>
				["at0018"] = <
					text = <"Geen reactie">
					description = <"Geen reactie op prikkeling.">
				>
				["at0019"] = <
					text = <"Verminderde reactie">
					description = <"Grimas of zwak huilen bij prikkeling.">
				>
				["at0020"] = <
					text = <"Normale reactie">
					description = <"Grimas en niezen, hoesten of terugtrekken bij prikkeling.">
				>
				["at0021"] = <
					text = <"Huidskleur">
					description = <"Observatie van de huidskleur van het kind.">
				>
				["at0022"] = <
					text = <"Helemaal blauw">
					description = <"Lichaam en extremiteiten zijn blauw.">
				>
				["at0023"] = <
					text = <"Lichaam is roze, extremiteiten blauw">
					description = <"Het lichaam van het kind is roze, de extremiteiten zijn blauw.">
				>
				["at0024"] = <
					text = <"Helemaal roze">
					description = <"Lichaam en eztremiteiten zijn roze, geen cyanose.">
				>
				["at0025"] = <
					text = <"Totaal">
					description = <"*The total sum of each component parameter for the Apgar score. (en)">
					comment = <"*If the total is to be calculated, it is necessary for all 5 component values to be recorded. (en)">
				>
				["at0026"] = <
					text = <"2 minuten">
					description = <"Apgar score 2 minuten na de geboorte.">
				>
				["at0027"] = <
					text = <"3 minuten">
					description = <"Apgar score 3 minuten na de geboorte.">
				>
				["at0028"] = <
					text = <"5 minuten">
					description = <"Apgar score 5 minuten na de geboorte.">
				>
				["at0029"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0031"] = <
					text = <"10 minuten">
					description = <"Apgar score 10 minuten na de geboorte.">
				>
				["at0037"] = <
					text = <"Any event">
					description = <"Apgar score op elk toe te voegen tijdstip, indien nodig">
				>
				["at0040"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
			>
		>
		["pt-br"] = <
			items = <
				["at0000"] = <
					text = <"Escala Apgar">
					description = <"*A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation. (en)">
				>
				["at0001"] = <
					text = <"*structure(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"*history(en)">
					description = <"*@ internal @(en)">
				>
				["at0003"] = <
					text = <"1 minuto">
					description = <"Escore Apgar obtido 1 minuto apóss o nascimento.">
				>
				["at0005"] = <
					text = <"*Heart rate (en)">
					description = <"Registro da frequência cardíaca do recém-nascido.">
				>
				["at0006"] = <
					text = <"Ausente">
					description = <"Nenhum batimento cardíaco é visto, sentido ou escutado.">
				>
				["at0007"] = <
					text = <"<100 batimentos por minuto">
					description = <"Frequência cardíaca inferior a 100 batimentos por minuto.">
				>
				["at0008"] = <
					text = <"≥100 batimentos por minuto">
					description = <"Frequência cardíaca superior a 100 batimentos por minuto.">
				>
				["at0009"] = <
					text = <"Esforço respiratório">
					description = <"Observação do esforço respiratório do recém-nascido.">
				>
				["at0010"] = <
					text = <"Ausente">
					description = <"Nenhum  esforço para respirar.">
				>
				["at0011"] = <
					text = <"Fraco ou irregular">
					description = <"Algum esforço para respirar, movimento do peito.">
				>
				["at0012"] = <
					text = <"Normal">
					description = <"Respirando normalmente ou chorando.">
				>
				["at0013"] = <
					text = <"Tônus muscular">
					description = <"Observação do tônus muscular do recém-nascido.">
				>
				["at0014"] = <
					text = <"Atônico ou flácido">
					description = <"Sem movimento espontâneo.">
				>
				["at0015"] = <
					text = <"Tônus reduzido">
					description = <"Alguma flexão de extremidades.">
				>
				["at0016"] = <
					text = <"Tônus normal">
					description = <"Movimentos normais, vigorosos.">
				>
				["at0017"] = <
					text = <"Reflexo de irritabilidade">
					description = <"Observação da resposta a um estímulo irritativo, por exemplo, sucção da orofaringe e narinas com um cateter de borracha macia.">
				>
				["at0018"] = <
					text = <"Nenhuma resposta">
					description = <"Nenhuma resposta ao estímulo.">
				>
				["at0019"] = <
					text = <"Resposta reduzida">
					description = <"Careta ou choro débil quando estimulado.">
				>
				["at0020"] = <
					text = <"Resposta normal">
					description = <"Careta, espirro, tosse ou tenta se afastar quando estimulado.">
				>
				["at0021"] = <
					text = <"Cor da pele">
					description = <"Observação da cor da pele do recém-nascido.">
				>
				["at0022"] = <
					text = <"Completamente azul">
					description = <"Corpo e extremidades estão azuis">
				>
				["at0023"] = <
					text = <"Corpo cor de rosa; extremiddades azuis">
					description = <"Corpo está cor de  rosa, extremidades estão azuis.">
				>
				["at0024"] = <
					text = <"Completamente cor de rosa">
					description = <"Corpo e extremidade estão cor de  rosa, ausência de cianose.">
				>
				["at0025"] = <
					text = <"Total">
					description = <"*The total sum of each component parameter for the Apgar score. (en)">
					comment = <"*If the total is to be calculated, it is necessary for all 5 component values to be recorded. (en)">
				>
				["at0026"] = <
					text = <"2 minutos">
					description = <"Escore Apgar 2 minutos após o nascimento.">
				>
				["at0027"] = <
					text = <"3 minutos">
					description = <"escore Apgar 3 minutos após o nascimento.">
				>
				["at0028"] = <
					text = <"5 minutos">
					description = <"Escore Apgar 5 minutos após o nascimento.">
				>
				["at0029"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0031"] = <
					text = <"10 minutos">
					description = <"escore Apgar 10 minutos após o nascimento">
				>
				["at0037"] = <
					text = <"Qualquer evento">
					description = <"Escore Apgar em qualquer tempo adicional, se requerido.">
				>
				["at0040"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
			>
		>
		["zh-cn"] = <
			items = <
				["at0000"] = <
					text = <"Apgar评分">
					description = <"*A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation. (en)">
				>
				["at0001"] = <
					text = <"*structure(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"*history(en)">
					description = <"*@ internal @(en)">
				>
				["at0003"] = <
					text = <"1分钟">
					description = <"出生1分钟之后的Apgar评分">
				>
				["at0005"] = <
					text = <"*Heart rate (en)">
					description = <"对新生儿心率的观察">
				>
				["at0006"] = <
					text = <"">
					description = <"没有看到、感到或听到心脏跳动。">
				>
				["at0007"] = <
					text = <"<100次/分钟">
					description = <"心率低于100次/分钟。">
				>
				["at0008"] = <
					text = <"≥100次/分钟">
					description = <"心率大于等于(不低于)100次/分钟。">
				>
				["at0009"] = <
					text = <"呼吸力">
					description = <"对新生儿呼吸力的观察">
				>
				["at0010"] = <
					text = <"">
					description = <"没有力量呼吸">
				>
				["at0011"] = <
					text = <"微弱或不规则">
					description = <"呼吸(胸部运动)有一定的力量">
				>
				["at0012"] = <
					text = <"正常">
					description = <"呼吸正常或哭声响亮">
				>
				["at0013"] = <
					text = <"肌张力">
					description = <"对新生儿肌张力的观察">
				>
				["at0014"] = <
					text = <"软弱或松弛无力">
					description = <"肌肉松弛无力,无自发运动。">
				>
				["at0015"] = <
					text = <"张力降低">
					description = <"四肢有一定的屈曲。">
				>
				["at0016"] = <
					text = <"张力正常">
					description = <"正常,运动有力,四肢能活动。">
				>
				["at0017"] = <
					text = <"反射应激性">
					description = <"对新生儿反射应激性的观察">
				>
				["at0018"] = <
					text = <"无反应">
					description = <"对刺激无反应。">
				>
				["at0019"] = <
					text = <"反应降低">
					description = <"当刺激时皱起眉头或微弱哭泣。">
				>
				["at0020"] = <
					text = <"反应正常">
					description = <"当刺激时皱起眉头、打喷嚏、咳嗽或移开(推开)。">
				>
				["at0021"] = <
					text = <"肤色">
					description = <"对新生儿皮肤颜色的观察">
				>
				["at0022"] = <
					text = <"全身青紫">
					description = <"身体或四肢青紫或苍白。">
				>
				["at0023"] = <
					text = <"身体粉红、四肢青紫">
					description = <"身体粉红、四肢青紫。">
				>
				["at0024"] = <
					text = <"全身粉红">
					description = <"身体和四肢均粉红,无青紫(发绀)或苍白。">
				>
				["at0025"] = <
					text = <"总分">
					description = <"*The total sum of each component parameter for the Apgar score. (en)">
					comment = <"*If the total is to be calculated, it is necessary for all 5 component values to be recorded. (en)">
				>
				["at0026"] = <
					text = <"2分钟">
					description = <"出生2分钟之后的Apgar评分">
				>
				["at0027"] = <
					text = <"3分钟">
					description = <"出生3分钟之后的Apgar评分">
				>
				["at0028"] = <
					text = <"5分钟">
					description = <"出生5分钟之后的Apgar评分">
				>
				["at0029"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0031"] = <
					text = <"10分钟">
					description = <"出生10分钟之后的Apgar评分">
				>
				["at0037"] = <
					text = <"任何事件">
					description = <"所需要的任何额外时候的Apgar评分。">
				>
				["at0040"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Apgar skår">
					description = <"Et verktøy for å vurdere den kliniske statusen til det nyfødte spedbarnet umiddelbart etter fødselen og deres respons på gjenopplivning.">
				>
				["at0001"] = <
					text = <"structure">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"history">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"1 minutt">
					description = <"Apgar score etter 1 minutt etter fødsel.">
				>
				["at0005"] = <
					text = <"Hjertefrekvens">
					description = <"Registrering av den nyfødtes hjertefrekvens.">
				>
				["at0006"] = <
					text = <"Ingen hjerte aktivitet">
					description = <"Ingen hjerteslag ses, kjennes eller høres.">
				>
				["at0007"] = <
					text = <"Puls < 100">
					description = <"Hjertefrekvens mindre enn 100.">
				>
				["at0008"] = <
					text = <"Puls > 100">
					description = <"Hjertefrekvens mer enn 100.">
				>
				["at0009"] = <
					text = <"Respirasjon">
					description = <"Observasjon av den nyfødtes respirasjon.">
				>
				["at0010"] = <
					text = <"Fraværende">
					description = <"Ingen respirasjon.">
				>
				["at0011"] = <
					text = <"Svak eller uregelmessig">
					description = <"Noen puste besvær og økt bryst bevegelse.">
				>
				["at0012"] = <
					text = <"Normal">
					description = <"Normal pust eller grått.">
				>
				["at0013"] = <
					text = <"Muskeltonus">
					description = <"Observasjon av den nyfødtes muskeltonus,">
				>
				["at0014"] = <
					text = <"Slapp, inaktiv">
					description = <"Ingen spontan bevegelse.">
				>
				["at0015"] = <
					text = <"Redusert tonus">
					description = <"Noen fleksjon av ekstremiteter.">
				>
				["at0016"] = <
					text = <"Normal tonus">
					description = <"Normale, kraftige bevegelser.">
				>
				["at0017"] = <
					text = <"Refleks irritabilitet">
					description = <"Observasjon av den nyfødtes reaksjon til irriterende stimulering, for eksempel, suging i oropharynx og svelget med en myk silikonkateter .">
				>
				["at0018"] = <
					text = <"Ingen respons">
					description = <"Ingen respons til stimulasjon.">
				>
				["at0019"] = <
					text = <"Redusert respons">
					description = <"Grimase eller svak gråte når stimulert.">
				>
				["at0020"] = <
					text = <"Normal respons">
					description = <"Grimase, nysing, hoste eller avverge bevegelser når stimulert.">
				>
				["at0021"] = <
					text = <"Hud farge">
					description = <"Observasjon av hudfarge til den nyfødte.">
				>
				["at0022"] = <
					text = <"Cyanotisk over hele kroppen">
					description = <"Kropp og ekstremiteter er cyanotisk.">
				>
				["at0023"] = <
					text = <"Kropp lyserød; ekstremiteter cyanotisk">
					description = <"Kropp lyserød; ekstremiteter cyanotisk.">
				>
				["at0024"] = <
					text = <"Helt lyserød">
					description = <"Normal hudfarge, ingen cyanose.">
				>
				["at0025"] = <
					text = <"Total">
					description = <"Totalsummen av hver komponentparameter for Apgar skår.">
					comment = <"Hvis totalen skal beregnes, må alle 5 komponentverdiene registreres.">
				>
				["at0026"] = <
					text = <"2 minutt">
					description = <"Apgar score etter 2 minutt eller fødselen.">
				>
				["at0027"] = <
					text = <"3 minutt">
					description = <"Apgar score etter 3 minutt eller fødselen.">
				>
				["at0028"] = <
					text = <"5 minutt">
					description = <"Apgar score etter 5 minutt eller fødselen.">
				>
				["at0029"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0031"] = <
					text = <"10 minutt">
					description = <"Apgar score etter 10 minutt eller fødselen.">
				>
				["at0037"] = <
					text = <"Enhver hendelse">
					description = <"Apgar score kan tilføyes når som helst etter behov.">
				>
				["at0040"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR.">
				>
			>
		>
		["fi"] = <
			items = <
				["at0000"] = <
					text = <"Apgarin pisteet">
					description = <"*A tool to assess the clinical status of the newborn infant immediately after birth and their response to resuscitation. (en)">
				>
				["at0001"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"historia">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"1 minuutti">
					description = <"Apgarin pisteet 1 minuutti syntymän jälkeen.">
				>
				["at0005"] = <
					text = <"*Heart rate (en)">
					description = <"Vauvan sykkeen kirjaus.">
				>
				["at0006"] = <
					text = <"Ei havaittu">
					description = <"Sydämen sykettä ei nähdä, tunneta tai kuulla.">
				>
				["at0007"] = <
					text = <"< 100 lyöntiä minuutissa">
					description = <"Syke vähemmän kuin 100 lyöntiä minuutissa.">
				>
				["at0008"] = <
					text = <"≥ 100 lyöntiä minuutissa">
					description = <"Syke suurempi tai yhtä suuri kuin 100 lyöntiä minuutissa.">
				>
				["at0009"] = <
					text = <"Hengitys">
					description = <"Havainto vauvan hengitysyrityksistä.">
				>
				["at0010"] = <
					text = <"Ei havaittu">
					description = <"Ei hengitysyritystä.">
				>
				["at0011"] = <
					text = <"Heikko tai epäsäännöllinen">
					description = <"Jonkin verran hengitysyrityksiä, rintakehä liikkuu.">
				>
				["at0012"] = <
					text = <"Normaali">
					description = <"Hengittää normaalisti tai itkee.">
				>
				["at0013"] = <
					text = <"Lihasjänteys">
					description = <"Havainto vauvan lihasjänteydestä.">
				>
				["at0014"] = <
					text = <"Vetelä tai veltto">
					description = <"Ei spontaaneja liikkeitä.">
				>
				["at0015"] = <
					text = <"Alentunut jänteys">
					description = <"Jonkin verran taivutusta raajoissa.">
				>
				["at0016"] = <
					text = <"Normaali jänteys">
					description = <"Normaalit, tarmokkaat liikkeet.">
				>
				["at0017"] = <
					text = <"Ärtyvyys">
					description = <"Havainto vauvan reaktiosta ärsyttävään ärsykkeeseen, esimerkiksi suunielun ja sierainten imemiseen pehmeällä kumikatetrilla.">
				>
				["at0018"] = <
					text = <"Ei vastetta">
					description = <"Ei reagoi ärsykkeeseen.">
				>
				["at0019"] = <
					text = <"Vähentynyt vaste">
					description = <"Reagoi ärsykkeeseen irvistämällä tai itkemällä heikosti.">
				>
				["at0020"] = <
					text = <"Normaali vaste">
					description = <"Irvistää, aivastaa, yskii tai vetäytyy poispäin, kun ärsyke annetaan.">
				>
				["at0021"] = <
					text = <"Ihon väri">
					description = <"Havainto lapsen ihon väristä.">
				>
				["at0022"] = <
					text = <"Kauttaaltaan sinertävä">
					description = <"Keho ja raajat sinertävät.">
				>
				["at0023"] = <
					text = <"Keho vaaleanpunainen, raajat sinertävät">
					description = <"Keho on vaaleanpunainen, raajat sinertävät.">
				>
				["at0024"] = <
					text = <"Kauttaaltaan punakka">
					description = <"Keho ja raajat ovat vaaleanpunaisia; ei sinerrystä.">
				>
				["at0025"] = <
					text = <"Yhteensä">
					description = <"*The total sum of each component parameter for the Apgar score. (en)">
					comment = <"*If the total is to be calculated, it is necessary for all 5 component values to be recorded. (en)">
				>
				["at0026"] = <
					text = <"2 minuuttia">
					description = <"Apgarin pisteet 2 minuuttia syntymän jälkeen.">
				>
				["at0027"] = <
					text = <"3 minuuttia">
					description = <"Apgarin pisteet 3 minuuttia syntymän jälkeen.">
				>
				["at0028"] = <
					text = <"5 minuuttia">
					description = <"Apgarin pisteet 5 minuuttia syntymän jälkeen.">
				>
				["at0029"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0031"] = <
					text = <"10 minuuttia">
					description = <"Apgarin pisteet 10 minuuttia syntymän jälkeen.">
				>
				["at0037"] = <
					text = <"Mikä tahansa tapahtuma">
					description = <"Apgarin pisteet tarpeen mukaan jonakin muuna aikana.">
				>
				["at0040"] = <
					text = <"Laajennus">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
			>
		>
		["sv"] = <
			items = <
				["at0000"] = <
					text = <"Apgarskalan">
					description = <"Ett verktyg för bedömning av det kliniska tillståndet hos ett nyfött barnet direkt efter födseln, inklusive deras respons på återupplivning.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"1 minut">
					description = <"Apgarpoäng 1 minut efter födseln.">
				>
				["at0005"] = <
					text = <"Hjärtfrekvens">
					description = <"Inspelning av barnets hjärtfrekvens.">
				>
				["at0006"] = <
					text = <"Frånvarande">
					description = <"Ingen hjärtrytm ses, känns eller hörs.">
				>
				["at0007"] = <
					text = <"<100 slag per minut">
					description = <"Hjärtfrekvens mindre än 100 slag per minut.">
				>
				["at0008"] = <
					text = <"≥100 slag per minut">
					description = <"Hjärtfrekvens lika med eller större än 100 slag per minut.">
				>
				["at0009"] = <
					text = <"Andningansträngning">
					description = <"Observation av spädbarnets andningansträngning.">
				>
				["at0010"] = <
					text = <"Frånvarande">
					description = <"Ingen ansträngd andning.">
				>
				["at0011"] = <
					text = <"Svag eller oregelbunden">
					description = <"Delvis ansträngd andning. Rörelse av bröstkorg.">
				>
				["at0012"] = <
					text = <"Normal">
					description = <"Andas normalt eller gråter.">
				>
				["at0013"] = <
					text = <"Muskeltonus">
					description = <"Observation av spädbarnets muskeltonus.">
				>
				["at0014"] = <
					text = <"Haltande eller slapp">
					description = <"Ingen spontan rörelse.">
				>
				["at0015"] = <
					text = <"Minskad tonus">
					description = <"Viss flexion av extremiteter.">
				>
				["at0016"] = <
					text = <"Normal tonus">
					description = <"Normala, kraftfulla rörelser.">
				>
				["at0017"] = <
					text = <"Reflexirritabilitet">
					description = <"Observation av spädbarnets respons på stimulering, till exempel sugning av orofarynx och nares med en mjuk gummikateter.">
				>
				["at0018"] = <
					text = <"Ingen respons">
					description = <"Ingen respons vid stimulering.">
				>
				["at0019"] = <
					text = <"Nedsatt respons">
					description = <"Grimas eller svag gråt vid stimulering.">
				>
				["at0020"] = <
					text = <"Normal respons">
					description = <"Grimas, nysning, hosta eller drar sig bort vid stimulering.">
				>
				["at0021"] = <
					text = <"Hudfärg">
					description = <"Observation av spädbarnets hudfärg.">
				>
				["at0022"] = <
					text = <"Helt blå">
					description = <"Kroppen och extremiteterna är blåa.">
				>
				["at0023"] = <
					text = <"Rosa kropp; blå extremiteter">
					description = <"Kroppen är rosa; extremiteter är blåa.">
				>
				["at0024"] = <
					text = <"Helt rosa">
					description = <"Kroppen och extremiteterna är rosa; ingen cyanos.">
				>
				["at0025"] = <
					text = <"Totalen">
					description = <"Den totala summan av varje komponentparameter för Apgarskalan.">
					comment = <"Om summan ska beräknas är det nödvändigt att alla 5 komponentvärden registreras.">
				>
				["at0026"] = <
					text = <"2 minturer">
					description = <"Apgarpoäng 2 minuter efter födseln.">
				>
				["at0027"] = <
					text = <"3 minuter">
					description = <"Apgarpoäng 3 minuter efter födseln.">
				>
				["at0028"] = <
					text = <"5 minuter">
					description = <"Apgarpoäng 5 minuter efter födseln.">
				>
				["at0029"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0031"] = <
					text = <"10 minuter">
					description = <"Apgarpoäng 10 minuter efter födseln.">
				>
				["at0037"] = <
					text = <"Ospecificerad händelse">
					description = <"Ospecificerad standardhändelse vid en tidpunkt eller inom ett tidsintervall som explicit kan definieras i en mall eller genereras automatiskt av vissa IT-system.">
				>
				["at0040"] = <
					text = <"Tilläggsinformation">
					description = <"Plats för att infoga tilläggsinformation som krävs för lokala anpassningar eller anpassning till andra referensmodeller eller formella krav.">
					comment = <"Exempelvis lokala informationskrav eller metadata för anpassning till FHIR- eller CIMI-motsvarigheter.">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0025"] = <[SNOMED-CT::249228009]>
				["at0021"] = <[SNOMED-CT::249227004]>
				["at0005"] = <[SNOMED-CT::249223000]>
				["at0013"] = <[SNOMED-CT::249225007]>
				["at0009"] = <[SNOMED-CT::249224006]>
				["at0017"] = <[SNOMED-CT::249226008]>
				["at0003"] = <[SNOMED-CT::169895004]>
				["at0028"] = <[SNOMED-CT::169909004]>
				["at0031"] = <[SNOMED-CT::169922007]>
			>
		>
		["LOINC"] = <
			items = <
				["/data[at0002]/events[at0003]"] = <[LOINC::48334-7]>
				["/data[at0002]/events[at0028]"] = <[LOINC::48333-9]>
				["/data[at0002]/events[at0031]"] = <[LOINC::48332-1]>
				["at0006"] = <[LOINC::LA6716-0]>
				["at0007"] = <[LOINC::LA6717-8]>
				["at0008"] = <[LOINC::LA6718-6]>
				["at0010"] = <[LOINC::LA6725-1]>
				["at0011"] = <[LOINC::LA6726-9]>
				["at0012"] = <[LOINC::LA6727-7]>
				["at0014"] = <[LOINC::LA6713-7]>
				["at0015"] = <[LOINC::LA6714-5]>
				["at0016"] = <[LOINC::LA6715-2]>
				["at0018"] = <[LOINC::LA6719-4]>
				["at0019"] = <[LOINC::LA6720-2]>
				["at0020"] = <[LOINC::LA6721-0]>
				["at0022"] = <[LOINC::LA6722-8]>
				["at0023"] = <[LOINC::LA6723-6]>
				["at0024"] = <[LOINC::LA6724-4]>
			>
		>
	>