Apgar Score — FHIR Questionnaire Template

The five Apgar criteria at 1 and 5 minutes after birth, each with its total (0–10) and result band.

Scoring

Each criterion scores 0–2. The total (0–10) at each time point is reassuring at 7–10, moderately abnormal at 4–6 and low at 0–3.

Questions

1. Color (appearance)
   • The baby's whole body is completely bluish-gray or pale
   • Good color in body with bluish hands or feet
   • Good color all over
2. Heart rate (pulse)
   • No heart rate
   • Fewer than 100 beats per minute
   • At least 100 beats per minute
3. Muscle tone (activity)
   • Limp; no movement
   • Some flexion of arms and legs
   • Active motion
4. Reflex irritability (grimace)
   • No response to airways being suctioned
   • Grimace during suctioning
   • Grimace and pulling away, cough, or sneeze during suctioning
5. Respiratory effort
   • Not breathing
   • Weak cry; may sound like whimpering, slow or irregular breathing
   • Good, strong cry; normal rate and effort of breathing
6. Color (appearance)
   • The baby's whole body is completely bluish-gray or pale
   • Good color in body with bluish hands or feet
   • Good color all over
7. Heart rate (pulse)
   • No heart rate
   • Fewer than 100 beats per minute
   • At least 100 beats per minute
8. Muscle tone (activity)
   • Limp; no movement
   • Some flexion of arms and legs
   • Active motion
9. Reflex irritability (grimace)
   • No response to airways being suctioned
   • Grimace during suctioning
   • Grimace and pulling away, cough, or sneeze during suctioning
10. Respiratory effort
    • Not breathing
    • Weak cry; may sound like whimpering, slow or irregular breathing
    • Good, strong cry; normal rate and effort of breathing

Calculated results

• Apgar score (0–10)
• Result
• Apgar score (0–10)
• Result

Source and license

Source: Apgar 1953, Curr Res Anesth Analg 32:260 (Apgar score); score bands per AAP/ACOG. Codes and answer lists: LOINC. (link)

License: Original question wording written for this builder; covered by the project license (non-commercial use with attribution; commercial use needs written permission). The scale itself is a published clinical method; see the source. (link)

Provided to save authoring effort, not as medical advice — confirm the scale and its cut-offs for your use case.

Use it

1. Download the FHIR Questionnaire JSON, or
2. open the Builder, choose + Add → From template…, search for “Apgar Score” and insert it. It arrives as one titled group with its calculations wired, and you can keep editing it.

More templates

• PHQ-9 Depression Screening
• GAD-7 Anxiety Screening
• AUDIT-C Alcohol Use Screening
• PHQ-2 Depression Screening
• GAD-2 Anxiety Screening
• qSOFA Sepsis Screen
• CHA₂DS₂-VASc Stroke Risk Score
• Charlson Comorbidity Index
• Glasgow Coma Scale

This material contains content from LOINC (loinc.org). LOINC is copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the LOINC license.