Version 2.78

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 Code 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 Code 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 Code 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 Code 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 Code 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

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）