Archetype : openEHR-EHR-OBSERVATION.aldrete_score

Modellbiblioteket openEHR Fork

Name

Aldrete score

Description

An assessment score used to evaluate recovery after anaesthesia and patient readiness to be discharged from a post-anaesthesia care unit (PACU).

Comment

Original version, c 1970

Keywords

Aldrete score recovery anesthesia PACU post-anesthesia care unit discharge

Purpose

To record the results for each component parameter and their total sum for the Aldrete score.

Use

Use to record the results for each component parameter and their total sum for the Aldrete score.

References

Aldrete JA, Kroulik D. A postanesthetic recovery score. Anesth Analg. 1970 Nov-Dec;49(6):924-34. PMID: 5534693.

Archetype Id

openEHR-EHR-OBSERVATION.aldrete_score.v0

Licencing

This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.

Original Author

Konstantinos Kalliamvakos
Cambio CDS

Date Originally Authored

To record the results for each component parameter and their total sum for the Aldrete score.

Name	Card	Type	Description
Activity	0..1	DV_ORDINAL	Constraint for DV_ORDINAL 0 : Unable to move extremities voluntarily or on command 1 : Able to move 2 extremities voluntarily or on command 2 : Able to move 4 extremities voluntarily or on command
Respiration	0..1	DV_ORDINAL	Constraint for DV_ORDINAL 0 : Apnoeic 1 : Dyspnoea or limited breathing 2 : Able to breathe deeply and cough freely
Circulation	0..1	DV_ORDINAL	Constraint for DV_ORDINAL 0 : BP ±50% of pre-anaesthetic level 1 : BP between 20-49% of pre-anaesthetic level 2 : BP ±20% of pre-anaesthetic level
Consciousness	0..1	DV_ORDINAL	Constraint for DV_ORDINAL 0 : Not responding 1 : Arousable on calling 2 : Fully awake
Colour	0..1	DV_ORDINAL	Constraint for DV_ORDINAL 0 : Cyanotic 1 : Pale, dusky, blotchy, jaundiced, or other 2 : Normal
Total score	0..1	DV_COUNT	The total sum of each component parameter for the Aldrete score. Constraint for DV_COUNT min: >= 0; max: <= 10

Name	Card	Type	Description
Extension	0..*	Slot (Cluster)	Additional information required to extend the model with local content or to align with other reference models or formalisms. Comment For example: local information requirements; or additional metadata to align with FHIR. Slot Slot

archetype (adl_version=1.4; uid=43410df5-1ea5-47fb-849e-6040f8f207a6)
	openEHR-EHR-OBSERVATION.aldrete_score.v0

concept
	[at0000]	-- Aldrete score
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Konstantinos Kalliamvakos">
		["organisation"] = <"Cambio CDS">
		["email"] = <"konstantinos.kalliamvakos@cambio.se">
		["date"] = <"2021-02-19">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the results for each component parameter and their total sum for the Aldrete score.">
			use = <"Use to record the results for each component parameter and their total sum for the Aldrete score.">
			keywords = <"Aldrete", "score", "recovery", "anesthesia", "PACU", "post-anesthesia", "care", "unit", "discharge">
			misuse = <"">
			copyright = <"© Cambio CDS, openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Heather Leslie, Atomica Informatics, Australia", ...>
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"Aldrete JA, Kroulik D. A postanesthetic recovery score. Anesth Analg. 1970 Nov-Dec;49(6):924-34. PMID: 5534693.">
		["current_contact"] = <"Konstantinos Kalliamvakos, Cambio CDS<konstantinos.kalliamvakos@cambio.se>">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"FEB715F979F8F91CE8FE499D9B6D0779">
		["build_uid"] = <"b2cec21d-f4a4-45ea-bff7-e7318d6137ab">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Aldrete score
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0004] occurrences matches {0..1} matches {    -- Activity
										value matches {
											0|[local::at0005],
											1|[local::at0006],
											2|[local::at0007]
										}
									}
									ELEMENT[at0008] occurrences matches {0..1} matches {    -- Respiration
										value matches {
											0|[local::at0009],
											1|[local::at0010],
											2|[local::at0011]
										}
									}
									ELEMENT[at0012] occurrences matches {0..1} matches {    -- Circulation
										value matches {
											0|[local::at0013],
											1|[local::at0014],
											2|[local::at0015]
										}
									}
									ELEMENT[at0016] occurrences matches {0..1} matches {    -- Consciousness
										value matches {
											0|[local::at0017],
											1|[local::at0018],
											2|[local::at0019]
										}
									}
									ELEMENT[at0020] occurrences matches {0..1} matches {    -- Colour
										value matches {
											0|[local::at0021],
											1|[local::at0022],
											2|[local::at0023]
										}
									}
									ELEMENT[at0024] occurrences matches {0..1} matches {    -- Total score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0025] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0026] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Aldrete score">
					description = <"An assessment score used to evaluate recovery after anaesthesia and patient readiness to be discharged from a post-anaesthesia care unit (PACU).">
					comment = <"Original version, c 1970">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Activity">
					description = <"">
				>
				["at0005"] = <
					text = <"Unable to move extremities voluntarily or on command">
					description = <"">
				>
				["at0006"] = <
					text = <"Able to move 2 extremities voluntarily or on command">
					description = <"">
				>
				["at0007"] = <
					text = <"Able to move 4 extremities voluntarily or on command">
					description = <"">
				>
				["at0008"] = <
					text = <"Respiration">
					description = <"">
				>
				["at0009"] = <
					text = <"Apnoeic">
					description = <"">
				>
				["at0010"] = <
					text = <"Dyspnoea or limited breathing">
					description = <"">
				>
				["at0011"] = <
					text = <"Able to breathe deeply and cough freely">
					description = <"">
				>
				["at0012"] = <
					text = <"Circulation">
					description = <"">
				>
				["at0013"] = <
					text = <"BP ±50% of pre-anaesthetic level">
					description = <"">
				>
				["at0014"] = <
					text = <"BP between 20-49% of pre-anaesthetic level">
					description = <"">
				>
				["at0015"] = <
					text = <"BP ±20% of pre-anaesthetic level">
					description = <"">
				>
				["at0016"] = <
					text = <"Consciousness">
					description = <"">
				>
				["at0017"] = <
					text = <"Not responding">
					description = <"">
				>
				["at0018"] = <
					text = <"Arousable on calling">
					description = <"">
				>
				["at0019"] = <
					text = <"Fully awake">
					description = <"">
				>
				["at0020"] = <
					text = <"Colour">
					description = <"">
				>
				["at0021"] = <
					text = <"Cyanotic">
					description = <"">
				>
				["at0022"] = <
					text = <"Pale, dusky, blotchy, jaundiced, or other">
					description = <"">
				>
				["at0023"] = <
					text = <"Normal">
					description = <"">
				>
				["at0024"] = <
					text = <"Total score">
					description = <"The total sum of each component parameter for the Aldrete score.">
				>
				["at0025"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0026"] = <
					text = <"Extension">
					description = <"Additional information required to extend the model with local content or to align with other reference models or formalisms.">
					comment = <"For example: local information requirements; or additional metadata to align with FHIR.">
				>
			>
		>
	>