Version 2.78

73789-0 General Physical Condition

Term Description

General physical condition of a neonate is based on their gestational age in the Neonatal Skin Risk Assessment Scale (NSRAS). Gestational age less than or equal to 28 weeks (=4) is described as very poor. Other gestation ages include greater than 28 weeks but less than or equal to 33 (=3), greater than 33 weeks but less than or equal to 38 weeks (=2), and greater than 38 weeks to posterm (=1). Only one numeric value (1, 2, 3 or 4) is selected.
Source: Regenstrief LOINC

Fully-Specified Name

Component
General physical condition
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NSRAS

Basic Attributes

Class
SURVEY.NSRAS
Type
Surveys
First Released
Version 2.44
Last Updated
Version 2.50
Order vs. Observation
Observation

Survey Question

Text
General Physical Condition

Normative Answer List LL2494-4

Answer Code Score Answer ID
Gestational age <28 weeks 4 LA19984-6
Gestational age >28 weeks but <33 weeks 3 LA19985-3
Gestational age >33 weeks but <38 weeks 2 LA19986-1
Gestational age >38 weeks to posterm 1 LA19987-9

Member of these Panels

LOINC Long Common Name
73790-8 Neonatal skin risk assessment scale panel [NSRAS]

73788-2 Mental Status

Term Description

Neonate mental status is described as either completely limited (=4), very limited (=3), slightly limited (=2) or no impairment (=1) in the Neonatal Skin Risk Assessment Scale (NSRAS). Completely limited mental status indicates the neonate is unresponsive (does not flinch, grasp, moan, increase blood pressure or heart rate) to painful stimuli due to diminished level of consciousness or sedation. Very limited mental status is when the infant responds only to painful stimuli (flinches, grasps, moans, increased blood pressure or heart rate). Slightly limited mental status is when the infant is lethargic. No impairment is when the infant is alert and active. Only one numeric value (1, 2, 3 or 4) is selected.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Mental status
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NSRAS

Basic Attributes

Class
SURVEY.NSRAS
Type
Surveys
First Released
Version 2.44
Last Updated
Version 2.50
Order vs. Observation
Observation

Survey Question

Text
Mental Status

Normative Answer List LL2495-1

Answer Code Score Answer ID
Completely limited - Unresponsive (does not flinch, grasp, moan, increase blood pressure, or heart rate) to painful stimuli due to diminished level of consciousness or sedation. 4 LA19988-7
Very limited - Responds only to painful stimuli (flinches, grasps, moans, increased blood pressure or heart rate) 3 LA19989-5
Slightly limited - Lethargic 2 LA19990-3
No impairment - Alert and active 1 LA19991-1

Member of these Panels

LOINC Long Common Name
73790-8 Neonatal skin risk assessment scale panel [NSRAS]

73787-4 Mobility

Term Description

Neonate mobility is described as either completely immobile (=4), very limited (=3), slightly limited (=2) or no limitations (=1) in the Neonatal Skin Risk Assessment Scale (NSRAS). Completely immobile is when the infant does not make even slight changes in body or extremity position without assistance (e.g. Pavulon). Very limited mobility is when the infant makes occasional slight changes in body or extremity but they are unable to make frequent changes independently. Slightly limited mobility is when the infant makes frequent though slight changes in body or extremity position independently. No limitations is when the infant makes major and frequent changes in position without assistance (e.g. turn head). Only one numeric value (1, 2, 3 or 4) is selected.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Mobility
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NSRAS

Basic Attributes

Class
SURVEY.NSRAS
Type
Surveys
First Released
Version 2.44
Last Updated
Version 2.50
Order vs. Observation
Observation

Survey Question

Text
Mobility

Normative Answer List LL2496-9

Answer Code Score Answer ID
Completely immobile - Does not make even slight changes in body or extremity position without assistance (e.g. Pavulon) 4 LA19994-5
Very limited - Makes occasional slight changes in body or extremity but unable to make frequent changes independently 3 LA19995-2
Slightly limited - Makes frequent though slight changes in body or extremity position independently 2 LA19996-0
No limitations - Makes major and frequent changes in position without assistance (e.g., turn head) 1 LA19997-8

Member of these Panels

LOINC Long Common Name
73790-8 Neonatal skin risk assessment scale panel [NSRAS]

73786-6 Activity

Term Description

Neonate activity is described as either completely bed-bound (=4), Limited bed-bound (=3), slightly limited (=2) or unlimited (=1) in the Neonatal Skin Risk Assessment Scale (NSRAS). Completely bed-bound means the infant is in a radiant warmer with a clear plastic "saran" tent. Limited bed-bound means the infant is in a radiant warmer without a clear plastic "saran" tent. Slightly limited activity is when the infant is in a double wall isolette. Unlimited activity is when the infant is in an open crib. Only one numeric value (1, 2, 3 or 4) is selected.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Activity
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NSRAS

Basic Attributes

Class
SURVEY.NSRAS
Type
Surveys
First Released
Version 2.44
Last Updated
Version 2.50
Order vs. Observation
Observation

Survey Question

Text
Activity

Normative Answer List LL2498-5

Answer Code Score Answer ID
Completely bedbound - In a radiant warmer with a clear plastic "saran" tent 4 LA19948-1
Limited bedbound - In a radiant warmer without a clear plastic "saran" tent 3 LA19949-9
Slightly limited - In a double walled isolette 2 LA19998-6
Unlimited - In an open crib 1 LA19999-4

Member of these Panels

LOINC Long Common Name
73790-8 Neonatal skin risk assessment scale panel [NSRAS]

73785-8 Nutrition

Term Description

Neonatal nutrition is described as either very poor (=4), inadequate (=3), adequate (=2) or excellent (=1) in the Neonatal Skin Risk Assessment Scale (NSRAS). Very poor nutrition means infant is NPO (Nil per os) and on intravenous fluids. Inadequate nutrition indicates the neonate receives less than optimum amount of liquid diet for growth (formula/breast milk) and is supplemented with intravenous fluids. Adequate nutrition is when the infant is on tube feedings which meet nutritional needs for growth. Excellent nutrition indicates the neonate bottle/breastfeeds every meal which meets nutritional needs for growth. Only one numeric value is selected.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Nutrition
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NSRAS

Basic Attributes

Class
SURVEY.NSRAS
Type
Surveys
First Released
Version 2.44
Last Updated
Version 2.50
Order vs. Observation
Observation

Survey Question

Text
Nutrition

Normative Answer List LL2499-3

Answer Code Score Answer ID
Very poor - NPO on intravenous fluids 4 LA20000-8
Inadequate - Receives less than optimum amount of liquid diet for growth (formula/breast milk) and supplemented with intravenous fluids 3 LA20001-6
Adequate - Is on tube feedings which meet nutritional needs for growth 2 LA20002-4
Excellent - Bottle/breastfeeds every meal which meets nutritional needs for growth 1 LA20003-2

Member of these Panels

LOINC Long Common Name
73790-8 Neonatal skin risk assessment scale panel [NSRAS]

73784-1 Moisture

Term Description

Moisture of neonatal skin is described as either constantly moist (=4), moist (=3), occasionally moist (=2) or rarely moist (=1) in the Neonatal Skin Risk Assessment Scale (NSRAS). Constantly moist skin is moist/damp every time the infant is moved or turned. Moist skin is often damp but not always; linens must be changed at least once a shift. Occasionally moist skin requires an extra linen change approximately once a day. Rarely moist skin is usually dry; linens require changing only every 24 hours. Only one numeric value is selected.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Moisture
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NSRAS

Basic Attributes

Class
SURVEY.NSRAS
Type
Surveys
First Released
Version 2.44
Last Updated
Version 2.50
Order vs. Observation
Observation

Survey Question

Text
Moisture

Normative Answer List LL2500-8

Answer Code Score Answer ID
Constantly moist 4 LA9607-8
Moist - Skin is often but not always moist/damp; linen must be changed at least once a shift 3 LA20004-0
Occasionally moist - Skin is occasionally moist/damp. Requiring an extra linen change approximately once a day. 2 LA20005-7
Rarely moist - Skin is usually dry, linen requires changing only every 24 hours. 1 LA20006-5

Member of these Panels

LOINC Long Common Name
73790-8 Neonatal skin risk assessment scale panel [NSRAS]

73783-3 Pressure Ulcer Risk Total

Term Description

Neonatal pressure ulcer risk total score is the cumulative value for each scored clinical condition parameter described in the Neonatal Skin Risk Assessment Scale (NSRAS). Neonates are at risk for skin breakdown (e.g. ulcers) if the total score is 16 or less.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Neonatal pressure injury risk total score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
NSRAS

Basic Attributes

Class
SURVEY.NSRAS
Type
Surveys
First Released
Version 2.44
Last Updated
Version 2.73
Change Reason
Release 2.73: COMPONENT: Update older "ulcer" terms to "pressure injury";
Order vs. Observation
Observation

Survey Question

Text
Pressure Ulcer Risk Total

Member of these Panels

LOINC Long Common Name
73790-8 Neonatal skin risk assessment scale panel [NSRAS]

Example Units

Unit Source
{score} Example UCUM Units

73782-5 Pressure Ulcer Risk Evaluation

Term Description

Interpretation of the total score for the neonatal pressure ulcer risk evaluation [LOINC: 73783-3]. A critical cut-off score of 5 on the NSRAS© was determined to indicate neonates are "at risk" for skin breakdown. At a score of 5, the scale was found to be 83% sensitive and 81% specific, with 50% predictive value of positive scores and 95% predictive value of negative scores.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Neonatal pressure injury risk evaluation
Property
Imp
Time
Pt
System
^Patient
Scale
Ord
Method
NSRAS

Basic Attributes

Class
SURVEY.NSRAS
Type
Surveys
First Released
Version 2.44
Last Updated
Version 2.73
Change Reason
Release 2.73: COMPONENT: Update older "ulcer" terms to "pressure injury"; Previous Releases: Changed Scale from "Nom" to "Ord" since results are ordinal (At risk/No risk).
Order vs. Observation
Observation

Survey Question

Text
Pressure Ulcer Risk Evaluation

Normative Answer List LL2510-7

Answer Code Score Answer ID
At risk LA19952-3
No risk LA19983-8

Member of these Panels

LOINC Long Common Name
73790-8 Neonatal skin risk assessment scale panel [NSRAS]