LOINC Panel Details 95620-1 Neonatal pain, agitation, and sedation scale panel NPASS

95629-2 Sedation panel NPASS

Term Description

The Sedation Scale measures the behaviors and physiologic signs associated with sedation in the neonate. Sedation level is scored from negative two to zero for each behavioral and physiologic criteria, then summed and noted as a negative score. Sedation is mainly assessed during routine care or procedures, as most items assess response to stimulation. Note that a Sedation Scale negative score without administration of opioids/sedatives could indicate prolonged pain or stress response in the premature infant, or neurologic depression, sepsis, or other pathology in the neonate.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Sedation panel
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: NPASS

Additional Names

Short Name: Sed pnl NPASS

Basic Attributes

Class: PANEL.NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.69
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Copyright

Organization: Pat Hummel
Copyright: © 2009 Pat Hummel
Terms of Use: Used with permission.

95630-0 Sedation level.crying or irritability

Reference Information

Type	Source	Reference
Form Coding Instructions	Pat HummelCopyright © 2009 Pat Hummel	Score of 0: Not irritable; appropriate crying for gestational age. May cry intermittently with stimuli; consolable. Score of -1: Moans, sighs, or cries (audible, may have a silent cry if intubated - observed by the movements of mouth and tensing of facial muscles) minimally to painful stimuli, (e.g., needle sticks, ETT or nares suctioning, care giving). Score of -2: No response by infant to painful stimuli; full sedation noted (e.g., No cry or silent cry with needle sticks; No reaction to ETT or nares suctioning; No response to care giving)

Fully-Specified Name

Component: Sedation level.crying or irritability
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Sed level.cry irritab

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.72
Change Reason: Release 2.72: COMPONENT: Updated for improved clarity; AnswerListId: Removed for increased use and clarity.; ANSWER_LIST_TYPE: Removed for increased use and clarity.; Release 2.70: METHOD_TYP: Removed Method because this concept is not specific to NPASS; ANSWER_LIST_TYPE: Updated from Normative to Example to increase usability; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to NPASS;
Order vs. Observation: Observation

Normative Answer List LL5614-4

Answer	Score	Answer ID
No sedation signs	0	LA31093-0
Moans or cries minimally with painful stimuli	-1	LA31094-8
No cry with painful stimuli	-2	LA31095-5

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Sedación, llanto o irritabilidad.:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Livello di sedazione.pianto o irritabilità:Osservazione:Pt:^Paziente:Ord: Synonyms: Livello di sedazione Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	镇静程度.啼哭或烦躁:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间程度等级级级别镇静（药物镇静）程度（水平、深度）镇静（药物镇静）程度（水平、等级、级别）.啼哭（哭泣、哭叫、哭闹）或烦躁（易激惹性、易躁动性、躁动、焦虑、不安、紧张、急燥不安、激惹）

95631-8 Sedation level.behavior state

Reference Information

Type	Source	Reference
Form Coding Instructions	Pat HummelCopyright © 2009 Pat Hummel	Score of 0: Behavior and state are appropriate for gestational age. Score of -1: Arouses minimally and/or intermittently to any stimuli; May open eyes briefly, Reacts to suctioning by pulling head back away from source; Minimal spontaneous movement of extremitites noted; Withdraws body part (i.e., head, hand, foot) from pain source when painful stimuli elicited. Score of -2: No response to any stimuli; Eyes are either closed or open; No spontaneous movement of extremities; full sedation noted

Fully-Specified Name

Component: Sedation level.behavior state
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Sed level.behav state

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.72
Change Reason: Release 2.72: COMPONENT: Updated for improved clarity; ANSWER_LIST_TYPE: Removed for increased use and clarity.; AnswerListId: Removed for increased use and clarity.; Release 2.70: METHOD_TYP: Removed Method because this concept is not specific to NPASS; ANSWER_LIST_TYPE: Updated from Normative to Example to increase usability; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to NPASS;
Order vs. Observation: Observation

Normative Answer List LL5615-1

Answer	Score	Answer ID
No sedation signs	0	LA31093-0
Arouses minimally to stimuli. Little spontaneous movement	-1	LA31096-3
No arousal to any stimuli. No spontaneous movement	-2	LA31097-1

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Estado de comportamiento de sedación:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Livello di sedazione.stato di comportamento:Osservazione:Pt:^Paziente:Ord: Synonyms: Livello di sedazione Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	镇静程度.行为状态:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论州;邦;政府;国家;状况;情况新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间程度等级级级别镇静（药物镇静）程度（水平、深度）镇静（药物镇静）程度（水平、等级、级别）.行为状态

95632-6 Sedation level.facial expression

Reference Information

Type	Source	Reference
Form Coding Instructions	Pat HummelCopyright © 2009 Pat Hummel	Score of 0: Face is relaxed at rest but not lax -- appropriate gestational age facial movements by observation of mouth and tensing of facial muscles with stimuli. Score of -1: Minimal facial movements by observation of mouth and tensing of facial muscles with stimuli. Score of -2: Any of the following: Mouth is lax (neutral position); Drooling; No facial movements by observation of mouth and tensing of facial muscles (no at rest or with stimuli)

Fully-Specified Name

Component: Sedation level.facial expression
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Sed level.facial exp

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.72
Change Reason: Release 2.72: COMPONENT: Updated for improved clarity; AnswerListId: Removed for increased use and clarity.; ANSWER_LIST_TYPE: Removed for increased use and clarity.; Release 2.70: METHOD_TYP: Removed Method because this concept is not specific to NPASS; ANSWER_LIST_TYPE: Updated from Normative to Example to increase usability; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to NPASS;
Order vs. Observation: Observation

Normative Answer List LL5616-9

Answer	Score	Answer ID
No sedation signs	0	LA31093-0
Minimal expression with stimuli	-1	LA31098-9
Mouth is lax. No expression	-2	LA31099-7

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Sedación expresión facial:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Livello di sedazione.espressione facciale:Osservazione:Pt:^Paziente:Ord: Synonyms: Livello di sedazione Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	镇静程度.面部表情:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间程度等级级级别脸部表情;表情镇静（药物镇静）程度（水平、深度）镇静（药物镇静）程度（水平、等级、级别）.面部表情（脸部表情、表情、面色）

95633-4 Sedation level.extremities tone

Reference Information

Type	Source	Reference
Form Coding Instructions	Pat HummelCopyright © 2009 Pat Hummel	Score of 0: Relaxed hands & feet; normal hand or foot grasp reflexes elicited; tone appropriate for gestational age Score of -1: Any of the following: Weak hand and foot grasp reflexes can be elicited; Decreased tone. Score of -2: Any of the following: No hand or foot grasp reflexes can be elicited; no tone noted

Fully-Specified Name

Component: Sedation level.extremities tone
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Sed level.extrem tone

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.72
Change Reason: Release 2.72: COMPONENT: Updated for improved clarity; AnswerListId: Removed for increased use and clarity.; ANSWER_LIST_TYPE: Removed for increased use and clarity.; Release 2.70: METHOD_TYP: Removed Method because this concept is not specific to NPASS; ANSWER_LIST_TYPE: Updated from Normative to Example to increase usability; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to NPASS;
Order vs. Observation: Observation

Normative Answer List LL5617-7

Answer	Score	Answer ID
No sedation signs	0	LA31093-0
Weak grasp reflex. Decreased muscle tone	-1	LA31100-3
No grasp reflex. Flaccid tone	-2	LA31101-1

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Sedation.extremities tono:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Livello di sedazione.tono estremità:Osservazione:Pt:^Paziente:Ord: Synonyms: Livello di sedazione Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	镇静程度.四肢张力:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间程度等级级级别镇静（药物镇静）程度（水平、深度）镇静（药物镇静）程度（水平、等级、级别）.四肢（肢体、上下肢、手足）张力（肌肉张力、肌张力）

95634-2 Sedation level.vital signs variability

Reference Information

Type	Source	Reference
Form Coding Instructions	Pat HummelCopyright © 2009 Pat Hummel	Score of 0: Vital signs (heart rate, respiratory rate, blood pressure) and/or oxygen saturations are within normal limits with normal variability or normal for gestational age. Score of -1: Vital signs (heart rate, respiratory rate, blood pressure) show little variability with stimuli -- less than 10% from baseline Score of -2: Any of the following: No variability in vital signs (heart rate, respiratory rate, blood pressure) with stimuli; Hypoventilation; Apnea; Ventilated infant no spontaneous respiratory effort noted by infant breathing over the ventilator. (The measurement here is variability of the vital signs from the baseline.)

Fully-Specified Name

Component: Sedation level.vital signs variability
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Sed level.vital signs

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.72
Change Reason: Release 2.72: COMPONENT: Updated for improved clarity; Release 2.70: ANSWER_LIST_TYPE: Updated from Normative to Example to increase usability; METHOD_TYP: Removed Method because this concept is not specific to NPASS; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to NPASS;
Order vs. Observation: Observation

Normative Answer List LL5618-5

Answer	Score	Answer ID
No sedation signs	0	LA31093-0
<10% variability from baseline with stimuli	-1	LA31102-9
No variability with stimuli. Hypoventilation or apnea	-2	LA31103-7

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Sedación Variabilidad de los signos vitales:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Livello di sedazione.variabilità segni vitali:Osservazione:Pt:^Paziente:Ord: Synonyms: Livello di sedazione Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	镇静程度.生命体征变异程度:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间生命体征类;生命征象程度等级级级别镇静（药物镇静）程度（水平、深度）镇静（药物镇静）程度（水平、等级、级别）.生命体征变异程度（变异性、可变性、变化程度、易变性、变异度）

95635-9 Sedation total score NPASS

Term Description

The total score will range from negative 10 to 0.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Sedation total score
Property: Score
Time: Pt
System: ^Patient
Scale: Qn
Method: NPASS

Additional Names

Short Name: Sed total score NPASS

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.69
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Example Units

Unit	Source
{score}	Example UCUM Units

Copyright

Organization: Pat Hummel
Copyright: © 2009 Pat Hummel
Terms of Use: Used with permission.

95636-7 Sedation level

Fully-Specified Name

Component: Sedation level
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Sed lvl

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.70
Change Reason: Release 2.72: ANSWER_LIST_TYPE: Removed for increased use and clarity.; AnswerListId: Removed for increased use and clarity.; Release 2.70: ANSWER_LIST_TYPE: Updated from Normative to Example to increase usability; METHOD_TYP: Removed Method because this concept is not specific to NPASS; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to NPASS;
Order vs. Observation: Observation

Normative Answer List LL5675-5

Answer	Code	Score	Answer ID
Light: Score of -1 to -3			LA31239-9
Moderate: Score of -4 to -6			LA31240-7
Deep: Score of -7 to -10			LA31241-5

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Nivel de sedación:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Sedazione, livello:Osservazione:Pt:^Paziente:Ord: Synonyms: Livello di sedazione Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	镇静程度:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间程度等级级级别镇静（药物镇静）程度（水平、深度）

95621-9 Pain/agitation panel NPASS

Term Description

The Pain/Agitation Scale measures the behaviors and physiologic signs associated with pain, which is difficult to differentiate from other sources of agitation in neonates. Pain is scored from zero to positive two for each behavioral and physiologic criteria, then summed as a positive score. Total score ranges from zero to ten in neonates greater than/equal to 30 weeks gestation. One point is added to the total when the neonate is less than thirty weeks gestational age, with a total score range from one to eleven in the premature infant.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Pain &or agitation panel
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: NPASS

Additional Names

Short Name: Pain/agitat pnl NPASS

Basic Attributes

Class: PANEL.NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.69
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Copyright

Organization: Pat Hummel
Copyright: © 2009 Pat Hummel
Terms of Use: Used with permission.

95622-7 Pain/agitation severity.crying or irritability

Form Coding Instructions

Score of 0: Not irritable -- appropriate crying based on environmental stimuli (i.e, nurse interaction or noise) and gestational age; consolable. Score of +1: State of Irritability and crying at intervals; however still consolable; If intubated, will see intervals of silent crying (observed by the movements of mouth and tensing of facial muscles). Score of +2: Any of the following: Cry is high-pitched; Infant cries inconsolably or in a disorganized state; If intubated - silent continuous crying (observed by the movements of mouth and tensing of facial muscles)

Source: Pat Hummel

Fully-Specified Name

Component: Pain &or agitation severity.crying or irritability
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Pain/agit severity cry irritab

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.72
Change Reason: Release 2.75: Status: Replaced with the revised NIPs; Release 2.72: COMPONENT: Updated for improved clarity; AnswerListId: Removed for increased use and clarity.; ANSWER_LIST_TYPE: Removed for increased use and clarity.; Release 2.70: METHOD_TYP: Removed Method as this concept is not specific to NPASS; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; EXTERNAL_COPYRIGHT_LINK: Removed copyright as this concept is not specific to NPASS;
Order vs. Observation: Observation

Normative Answer List LL5609-4

Answer	Score	Answer ID
No pain signs	0	LA31082-3
Irritable or crying at intervals, consolable	1	LA31083-1
High-pitched or silent-continuous cry; Inconsolable	2	LA31084-9

Member of these Panels

LOINC	Long Common Name
98008-6	Deprecated Neonatal infant pain scale panel
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Dolor o agitación, llanto o irritabilidad:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Gravità del dolore &o agitazione.pianto o irritabilità:Osservazione:Pt:^Paziente:Ord: Synonyms: Gravità del dolore/agitazione.pianto o irritabilità Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	疼痛和/或躁动严重程度.啼哭或烦躁:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间疼;痛;痛苦;悲痛;苦恼疼痛和/或（和或、&or）躁动（焦虑、不安、紧张、急燥不安、激惹严重程度（严重度、严重性）.啼哭（哭泣、哭叫、哭闹）或烦躁（易激惹性、易躁动性、躁动、焦虑、不安、紧张、急燥不安、激惹）

95623-5 Pain/agitation severity.behavior state

Form Coding Instructions

Score of 0: State and behavior are appropriate for gestational age. Score of +1: Any of the following: Infant may be irritable; restless; easily awakens and frequently with minimal to no environmental stimuli (i.e, nurse interaction or noise). Score of +2: Any of the following: Kicking of legs; Thrashing of extremities; Arching of neck and back; Constantly awake; Or No movement noted or minimal arousal with stimulation; lethargic; (however, not sedated, inappropriate for gestational age or clinical situation)

Source: Pat Hummel

Fully-Specified Name

Component: Pain &or agitation severity.behavior state
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Pain/agit severity behav

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.72
Change Reason: Release 2.75: SHORTNAME: Replaced with revised NIPs; Release 2.72: COMPONENT: Updated for improved clarity; AnswerListId: Removed for increased use and clarity.; ANSWER_LIST_TYPE: Removed for increased use and clarity.; Release 2.70: METHOD_TYP: Removed Method as this concept is not specific to NPASS; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; EXTERNAL_COPYRIGHT_LINK: Removed copyright as this concept is not specific to NPASS;
Order vs. Observation: Observation

Normative Answer List LL5610-2

Answer	Score	Answer ID
No pain signs	0	LA31082-3
Restless, squirming; Awakens frequently	1	LA31085-6
Arching, kicking; Constantly awake or arouses minimally/no movement (not sedated)	2	LA31086-4

Member of these Panels

LOINC	Long Common Name
98008-6	Deprecated Neonatal infant pain scale panel
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Estado de comportamiento de dolor o agitación.:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Gravità del dolore &o agitazione.stato di comportamento:Osservazione:Pt:^Paziente:Ord: Synonyms: Gravità del dolore/agitazione.stato di comportamento Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	疼痛和/或躁动严重程度.行为状态:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论州;邦;政府;国家;状况;情况新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间疼;痛;痛苦;悲痛;苦恼疼痛和/或（和或、&or）躁动（焦虑、不安、紧张、急燥不安、激惹严重程度（严重度、严重性）.行为状态

95624-3 Pain/agitation severity.facial expression

Form Coding Instructions

Score of 0: Face is relaxed at rest; neutral position; with stimuli face muscles react appropriately for gestational age. Score of +1: Any pain facial expression observed intermittently* (assessing intermittent tightening of muscles around the eyebrows, eyes, nose, chin, jaw, and mouth). Score of +2: Any pain face expression is continual* (assessing continuous tightening of muscles around the eyebrows, eyes, nose, chin, jaw, and mouth). (*See Wong & Whaley drawing for pain face expressions)

Source: Pat Hummel

Fully-Specified Name

Component: Pain &or agitation severity. facial expression
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Pain/agit severity face exp

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.75
Change Reason: Release 2.75: Status: Replaced by revised NIPs; Release 2.72: COMPONENT: Updated for improved clarity; ANSWER_LIST_TYPE: Removed for increased use and clarity.; AnswerListId: Removed for increased use and clarity.; Release 2.70: ANSWER_LIST_TYPE: Updated from Normative to Example to increase usability; METHOD_TYP: Removed Method because this concept is not specific to NPASS; EXTERNAL_COPYRIGHT_LINK: Removed copyright as this concept is not specific to NPASS;
Order vs. Observation: Observation

Normative Answer List LL5611-0

Answer	Score	Answer ID
No pain signs	0	LA31082-3
Any pain expression intermittent	1	LA31087-2
Any pain expression continual	2	LA31088-0

Member of these Panels

LOINC	Long Common Name
98008-6	Deprecated Neonatal infant pain scale panel
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Dolor o agitación expresión facial.:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Dolore &o agitazione,gravità.espressione facciale:Osservazione:Pt:^Paziente:Ord: Synonyms: Dolore/agitazione,gravità.espressione facciale Gravità del dolore/agitazione.espressione facciale Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	疼痛和或激惹严重程度.面部表情:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间疼;痛;痛苦;悲痛;苦恼疼痛和/或（和或、&or）躁动（焦虑、不安、紧张、急燥不安、激惹严重程度（严重度、严重性）.面部表情（脸部表情、表情、面色）脸部表情;表情

95625-0 Pain/agitation severity.extremities tone

Form Coding Instructions

Score of 0: Relaxed hands & feet; hand or feet grasp reflexes and body tone appropriate for gestational age. Score of +1: Intermittent (<30 seconds duration) observation of toes and/or hands as clenched or fingers splayed; body is not tense. Score of +2: Frequent (> or equal to 30 seconds duration) observation of toes and/or hands as clenched, or fingers splayed; Body is tense (hypertonic)

Source: Pat Hummel

Fully-Specified Name

Component: Pain &or agitation severity.extremities tone
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Pain/agi severity extrem tone

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.72
Change Reason: Release 2.72: COMPONENT: Updated for improved clarity; AnswerListId: Removed for increased use and clarity.; ANSWER_LIST_TYPE: Removed for increased use and clarity.; Release 2.70: METHOD_TYP: Removed Method as this concept is not specific to NPASS; ANSWER_LIST_TYPE: Updated from Normative to Example since term is now Methodless.; EXTERNAL_COPYRIGHT_LINK: Removed copyright as the term is now Methodless and used across terms/survey instruments.;
Order vs. Observation: Observation

Normative Answer List LL5612-8

Answer	Score	Answer ID
No pain signs	0	LA31082-3
Intermittent clenched toes, fists, or finger splay; Body is not tense	1	LA31089-8
Continual clenched toes, fists, or finger splay; Body is tense	2	LA31090-6

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Tono de dolor o agitación.:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Gravità del dolore &o agitazione.tono estremità:Osservazione:Pt:^Paziente:Ord: Synonyms: Gravità del dolore/agitazione.tono delle estremità Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	疼痛和/或躁动严重程度.四肢张力:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间疼;痛;痛苦;悲痛;苦恼疼痛和/或（和或、&or）躁动（焦虑、不安、紧张、急燥不安、激惹严重程度（严重度、严重性）.四肢（肢体、上下肢、手足）张力（肌肉张力、肌张力）

95626-8 Pain/agitation severity.vital signs variability

Form Coding Instructions

Score of 0: Vital signs (heart rate, respiratory rate, blood pressure) and/or oxygen saturations are within normal limits with normal variability and/or appropriate for gestational age or clinical situation. Score of +1: Any of the following: Heart rate, Respiratory Rate, and/or Blood Pressure are 10-20% above baseline vital signs; With care assessments and /or environmental stimuli infant oxygen saturations miniminally or moderately decreases (SpO2 76-85%) and then quickly returns to baseline oxygen saturation level (within 2 minutes). Score of +2: Any of the following: Heart Rate, Respiratory Rate, and/or Blood Pressure are >20% above baseline vital signs; With care assessments and/or environmental stimuli infant oxygen saturation level drops severely (SpO2 <75%) and then baseline oxygen saturation level recovers slowly (>2 minutes); Infant is breathing over the ventilator settings -- fighting the ventilator (The measurement here is variability of the vital signs from the baseline.)

Source: Pat Hummel

Fully-Specified Name

Component: Pain &or agitation severity.vital signs variability
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Pain/agi severity vital sign var

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.72
Change Reason: Release 2.72: COMPONENT: Updated for improved clarity; AnswerListId: Removed for increased use and clarity.; ANSWER_LIST_TYPE: Removed for increased use and clarity.; Release 2.70: METHOD_TYP: Removed Method because this concept is not specific to NPASS; ANSWER_LIST_TYPE: Updated from Normative to Example to increase uasability; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to NPASS;
Order vs. Observation: Observation

Normative Answer List LL5613-6

Answer	Score	Answer ID
No pain signs	0	LA31082-3
Increased 10-20% from baseline. SpO2 76-85% with stimulation--quick increase	1	LA31091-4
Increased >20% from baseline. SpO2 > or equal to 75% with stimulation--slow increase. Out of synch/fighting vent	2	LA31092-2

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Dolor o agitación, variabilidad de los signos vitales:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Gravità del dolore &o agitazione.variabilità segni vitali:Osservazione:Pt:^Paziente:Ord: Synonyms: Gravità del dolore/agitazione.variabilità dei segni vitali Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	疼痛和/或躁动严重程度.生命体征变异程度:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间生命体征类;生命征象疼;痛;痛苦;悲痛;苦恼疼痛和/或（和或、&or）躁动（焦虑、不安、紧张、急燥不安、激惹严重程度（严重度、严重性）.生命体征变异程度（变异性、可变性、变化程度、易变性、变异度）

95656-5 Gestational age <30 weeks

Fully-Specified Name

Component: Gestational age <30 weeks
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: GA<30w

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.70
Order vs. Observation: Observation

Normative Answer List LL5619-3

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)		0	LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)		1	LA33-6

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Edad gestacional <30 semanas:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Età gestazionale<30 settimane:Osservazione:Pt:^Paziente:Ord: Synonyms: Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	孕龄 <30 周:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论受孕受孕期受孕期的受孕的妊娠妊娠期的妊娠的孕龄（胎龄、GA） <30 周（星期、礼拜）;孕龄小于 30 周怀卵怀卵期怀卵期的怀卵的怀孕怀孕期怀孕期的怀孕的新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间胎龄;Gestational Age;GA

Third Party Copyright

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This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

95627-6 Pain agitation total score NPASS

Term Description

Score range is 0-10 if >30 weeks gestational age; 1-11 if <30 weeks gestation/corrected age
Source: Regenstrief LOINC

Fully-Specified Name

Component: Pain &or agitation total score
Property: Score
Time: Pt
System: ^Patient
Scale: Qn
Method: NPASS

Additional Names

Short Name: Pain agi tot score NPASS

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.69
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Example Units

Unit	Source
{score}	Example UCUM Units

Copyright

Organization: Pat Hummel
Terms of Use: Used with permission.

95628-4 Pain/agitation severity level

Fully-Specified Name

Component: Pain &or agitation severity level
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Pain/agi sev level

Basic Attributes

Class: NEONAT
Type: Clinical
First Released: Version 2.69
Last Updated: Version 2.72
Change Reason: Release 2.72: COMPONENT: Updated for improved clarity; AnswerListId: Removed for increased use and clarity.; ANSWER_LIST_TYPE: Removed for increased use and clarity.; Release 2.70: METHOD_TYP: Removed Method as this concept is not specific to NPASS; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; EXTERNAL_COPYRIGHT_LINK: Removed copyright as the concept is not specific to NPASS;
Order vs. Observation: Observation

Normative Answer List LL5674-8

Answer	Code	Score	Answer ID
Mild: Score of +1 to +3			LA31236-5
Moderate: Score of +4 to +6			LA31237-3
Severe: Score of +7 to +10 (or +11 for premature infant)			LA31238-1

Member of these Panels

LOINC	Long Common Name
95620-1	Neonatal pain, agitation, and sedation scale panel NPASS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Nivel de dolor o agitación:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Dolore &o agitazione, livello di gravità:Osservazione:Pt:^Paziente:Ord: Synonyms: Livello di gravità del dolore/agitazione Misurazioni neonatali Osservazione paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	疼痛和/或躁动严重程度:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分时刻;随机;随意;瞬间疼;痛;痛苦;悲痛;苦恼疼痛和/或（和或、&or）躁动（焦虑、不安、紧张、急燥不安、激惹）严重程度（严重度、严重性）程度等级级级别

95620-1

Neonatal pain, agitation, and sedation scale panel NPASS

Active

95629-2 Sedation panel NPASS

Term Description

Fully-Specified Name

Additional Names

Basic Attributes

Member of these Panels

Related Names

Copyright

95630-0 Sedation level.crying or irritability

Reference Information

Fully-Specified Name

Additional Names

Basic Attributes

Normative Answer List LL5614-4

Member of these Panels

Language Variants Get Info

Related Names

95631-8 Sedation level.behavior state

Reference Information

Fully-Specified Name

Additional Names

Basic Attributes

Normative Answer List LL5615-1

Member of these Panels

Language Variants Get Info

Related Names

95632-6 Sedation level.facial expression

Reference Information

Fully-Specified Name

Additional Names

Basic Attributes

Normative Answer List LL5616-9

Member of these Panels

Language Variants Get Info

Related Names

95633-4 Sedation level.extremities tone

Reference Information

Fully-Specified Name

Additional Names

Basic Attributes

Normative Answer List LL5617-7

Member of these Panels

Language Variants Get Info

Related Names

95634-2 Sedation level.vital signs variability

Reference Information

Fully-Specified Name

Additional Names

Basic Attributes

Normative Answer List LL5618-5

Member of these Panels

Language Variants Get Info

Related Names

95635-9 Sedation total score NPASS

Term Description

Fully-Specified Name

Additional Names

Basic Attributes

Member of these Panels

Related Names

Example Units

Copyright

95636-7 Sedation level

Fully-Specified Name

Additional Names

Basic Attributes

Normative Answer List LL5675-5

Member of these Panels

Language Variants Get Info

Related Names

95621-9 Pain/agitation panel NPASS

Term Description

Fully-Specified Name

Additional Names

Basic Attributes

Member of these Panels

Related Names