Submitted by nedragarrett_CDC on
CDC's Consolidated Comment for USCDI v5
Proposed change:
- Please update the Description to simply "Apgar score at delivery", to allow for reporting additional timing values.
- Please REMOVE the following from "Applicable Standard(s)" because they are not relevant to this data element:1884-4 - Gestational age Estimated.73766-8 - Place where birth occurred [US Standard Certificate of Live Birth]64710-7 - Was your pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy [PhenX] 8339-4 - Birth weight Measured.8305-5 - Body height --post-partum.
- Please KEEP the following in "Applicable Standard(s)": The LOINC codes for the data element are:9272-6 - 1 minute Apgar Score9274-2 - 5-minute Apgar Score9271-8 - 10-minute Apgar Score.
- Please ADD the following from http://snomed.info/sct in "Applicable Standard(s)":443848000 - Apgar score at 15 minutes (observable entity)443849008 - Apgar score at 20 minutes (observable entity).
- Please UPDATE the URL for two "Additional Specifications" entries: Vital Records Common Profiles Library FHIR IG - http://hl7.org/fhir/us/vr-common-library/Vital Records Birth and Fetal Death Reporting - http://hl7.org/fhir/us/bfdr/.
- Justification: Through active collaboration with State Vital Records Offices and electronic birth registration system vendors the Vital Records community has been testing within EHR sandbox environments and conducting birth reporting data quality projects accessing these data in hospital environments. Specific to these active projects in FHIR, Epic hospitals are identifying Apgar scores with the codes identified.Apgar score examples are contained in US Core Observation Screening Assessment Profile (6.1.0) and US Core Observation Survey Profile (5.0.1)
NACCHO Supports CDC's Comment.
Submitted by nedragarrett_CDC on
CDC's Comment for draft USCDI v6
The Apgar Score at 5 and 10 minutes are reported on the U.S. Standard Certificate of Live Birth. The existing U.S. Core Observation Screening Assessment Profile already meets the current requirements of the USCDI Health Status Assessments Data Class, and its associated value set supports the 1, 5, and 10 min Apgar Score. LOINC also includes classes for an Apgar panel at 1, 5, and 10 minutes.
We request consideration of the data element Apgar score under the Health Status Assessment data class.
From <https://hl7.org/fhir/us/core/2025Jan/StructureDefinition-us-core-observation-screening-assessment.html>
Sources: Facility Worksheet for the Live Birth Certificate; Guide to Completing the Facility Worksheets for the Certificate of Live Birth and Report of Fetal Death