A low score on the 1-minute mark may show that the neonate requires medical attention, but does not necessarily indicate a long-term problem, particularly if the score improves at the 5-minute mark. An Apgar score that remains below 3 at later times, such as 10, 15, or 30 minutes, may indicate longer-term neurological damage, including hypoxic ischaemic encephalopathy and seizure. However, the Apgar test's purpose is to determine quickly whether or not a newborn needs immediate medical care. It is "not" designed to predict long-term health issues.