Version 2.78

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 Code 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 Code 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 Code 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 Code 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 Code 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

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

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