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Name
Caprini score
Description
Assessment tool used to stratify risk for venous thromboembolism (VTE).
Comment
Venous thromboembolism (VTE), a disease which includes deep vein thrombosis (DVT) and pulmonary embolism (PE).
Keywords
VTE Venous Thromboembolism Surgery Pre-op PE DVT thrombosis embolus pulmonary
Purpose
To record values for individual Caprini score parameters and the total score.
Use
Use to record values for individual Caprini score parameters and the total score as part of a pre-operative assessment for venous thromboembolism.
References
Caprini JA. Thrombosis risk assessment as a guide to quality patient care. Dis Mon. 2005 Feb-Mar;51(2-3):70-8. doi: 10.1016/j.disamonth.2005.02.003. PMID: 15900257.
Caprini JA, Arcelus JI, Hasty JH, Tamhane AC, Fabrega F. Clinical assessment of venous thromboembolic risk in surgical patients. Semin Thromb Hemost. 1991;17 Suppl 3:304-12. PMID: 1754886.
Obi AT, Pannucci CJ, Nackashi A, Abdullah N, Alvarez R, Bahl V, Wakefield TW, Henke PK. Validation of the Caprini Venous Thromboembolism Risk Assessment Model in Critically Ill Surgical Patients. JAMA Surg. 2015 Oct;150(10):941-8. doi: 10.1001/jamasurg.2015.1841. PMID: 26288124.
Archetype Id
openEHR-EHR-OBSERVATION.caprini_score.v0
Copyright
© openEHR Foundation
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
Heather Leslie
Atomica Informatics
Date Originally Authored
To record values for individual Caprini score parameters and the total score.
Name Card Type Description
Gender
0..1 DV_CODED_TEXT
Comment
Used to drive UI presentation of pregnancy or hormone related risks only.
Constraint for DV_CODED_TEXT
  • Female
  • Male
Age
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : ≤40 years
  • 1 : 41-60 years
  • 2 : 61-74 years
  • 3 : ≥75 years
Planned surgery
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 1 : Minor (<45 minutes)
  • 2 : Major surgery (>45 minutes), laparoscopic surgery (>45 minutes) or arthroscopic surgery
  • 5 : Elective hip or knee replacement
Overweight or obese (BMI ≥ 25)
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
Varicose veins
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
Swollen legs
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
Abnormal pulmonary function (COPD)
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
Pregnant or postpartum <1 month
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
Current oral contraceptives or hormone replacement
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
Sepsis (<1 month)
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
Serious lung disease, including pneumonia (<1 month)
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
Congestive heart failure (<1 month)
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
Acute myocardial infarction (<1 month)
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
History of major surgery (<1 month)
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
History of inflammatory bowel disease
0..1 DV_ORDINAL
Comment
For example: Crohn's disease or ulcerative colitis.
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
History of unexplained stillborn infant, recurrent spontaneous abortion (≥3 factors present), premature birth with toxaemia or growth restricted infant.
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 1 : Yes
Bed rest or restricted mobility during past month
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Yes, <3 days
  • 2 : Yes, >3 days
Malignant tumour (current or past)
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 2 : Yes
Current central venous access
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 2 : Yes
History of VTE
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 3 : Yes
Family history of VTE
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 3 : Yes
Factor V Leiden
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 3 : Yes
Prothrombin 20210A
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 3 : Yes
Lupus anticoagulant
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 3 : Yes
Anticardiolipin antibodies
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 3 : Yes
Elevated serum homocysteine
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 3 : Yes
Heparin-induced thrombocytopenia
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 3 : Yes
Other congenital or acquired thrombophilia
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 3 : Yes
Stroke (<1 month)
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 5 : Yes
Malignant tumour (current or past)
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 5 : Yes
Multiple trauma (<1 month)
0..1 DV_ORDINAL
Comment
For example: multiple broken bones due to a fall; or car accident.
Constraint for DV_ORDINAL
  • 0 : No
  • 5 : Yes
Acute spinal cord injury (<1 month)
0..1 DV_ORDINAL
Constraint for DV_ORDINAL
  • 0 : No
  • 5 : Yes
Total score
0..1 DV_COUNT The total sum of each component parameter for the Caprini score.
Constraint for DV_COUNT
min: >= 0
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=74d667fa-e36f-4897-9d5b-5323dcac2ff8)
	openEHR-EHR-OBSERVATION.caprini_score.v0

concept
	[at0000]	-- Caprini score
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2020-10-02">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record values for individual Caprini score parameters and the total score.">
			use = <"Use to record values for individual Caprini score parameters and the total score as part of a pre-operative assessment for venous thromboembolism.">
			keywords = <"VTE", "Venous", "Thromboembolism", "Surgery", "Pre-op", "PE", "DVT", "thrombosis", "embolus", "pulmonary">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	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"] = <"Caprini JA. Thrombosis risk assessment as a guide to quality patient care. Dis Mon. 2005 Feb-Mar;51(2-3):70-8. doi: 10.1016/j.disamonth.2005.02.003. PMID: 15900257.

Caprini JA, Arcelus JI, Hasty JH, Tamhane AC, Fabrega F. Clinical assessment of venous thromboembolic risk in surgical patients. Semin Thromb Hemost. 1991;17 Suppl 3:304-12. PMID: 1754886.

Obi AT, Pannucci CJ, Nackashi A, Abdullah N, Alvarez R, Bahl V, Wakefield TW, Henke PK. Validation of the Caprini Venous Thromboembolism Risk Assessment Model in Critically Ill Surgical Patients. JAMA Surg. 2015 Oct;150(10):941-8. doi: 10.1001/jamasurg.2015.1841. PMID: 26288124.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"10DAA8CF653325FEBA1E312AA2ABB843">
		["build_uid"] = <"005a25b2-4e6b-44c1-a76f-5b5b30189db1">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Caprini score
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..1} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0004] occurrences matches {0..1} matches {    -- Gender
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0005,    -- Female
													at0006]    -- Male
												}
											}
										}
									}
									ELEMENT[at0007] occurrences matches {0..1} matches {    -- Age
										value matches {
											0|[local::at0008],
											1|[local::at0009],
											2|[local::at0010],
											3|[local::at0011]
										}
									}
									ELEMENT[at0012] occurrences matches {0..1} matches {    -- Planned surgery
										value matches {
											1|[local::at0013],
											2|[local::at0014],
											5|[local::at0015]
										}
									}
									ELEMENT[at0016] occurrences matches {0..1} matches {    -- Overweight or obese (BMI ≥ 25)
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0019] occurrences matches {0..1} matches {    -- Varicose veins
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0020] occurrences matches {0..1} matches {    -- Swollen legs
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0021] occurrences matches {0..1} matches {    -- Abnormal pulmonary function (COPD)
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0022] occurrences matches {0..1} matches {    -- Pregnant or postpartum <1 month
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0023] occurrences matches {0..1} matches {    -- Current oral contraceptives or hormone replacement
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0024] occurrences matches {0..1} matches {    -- Sepsis (<1 month)
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0025] occurrences matches {0..1} matches {    -- Serious lung disease, including pneumonia (<1 month)
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0026] occurrences matches {0..1} matches {    -- Congestive heart failure (<1 month)
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0027] occurrences matches {0..1} matches {    -- Acute myocardial infarction (<1 month)
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0028] occurrences matches {0..1} matches {    -- History of major surgery (<1 month)
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0029] occurrences matches {0..1} matches {    -- History of inflammatory bowel disease
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0030] occurrences matches {0..1} matches {    -- History of unexplained stillborn infant, recurrent spontaneous abortion (≥3 factors present), premature birth with toxaemia or growth restricted infant.
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0031] occurrences matches {0..1} matches {    -- Bed rest or restricted mobility during past month
										value matches {
											0|[local::at0032],
											1|[local::at0033],
											2|[local::at0034]
										}
									}
									ELEMENT[at0035] occurrences matches {0..1} matches {    -- Malignant tumour (current or past)
										value matches {
											0|[local::at0017],
											2|[local::at0018]
										}
									}
									ELEMENT[at0036] occurrences matches {0..1} matches {    -- Current central venous access
										value matches {
											0|[local::at0017],
											2|[local::at0018]
										}
									}
									ELEMENT[at0037] occurrences matches {0..1} matches {    -- History of VTE
										value matches {
											0|[local::at0017],
											3|[local::at0018]
										}
									}
									ELEMENT[at0038] occurrences matches {0..1} matches {    -- Family history of VTE
										value matches {
											0|[local::at0017],
											3|[local::at0018]
										}
									}
									ELEMENT[at0039] occurrences matches {0..1} matches {    -- Factor V Leiden
										value matches {
											0|[local::at0017],
											3|[local::at0018]
										}
									}
									ELEMENT[at0040] occurrences matches {0..1} matches {    -- Prothrombin 20210A
										value matches {
											0|[local::at0017],
											3|[local::at0018]
										}
									}
									ELEMENT[at0041] occurrences matches {0..1} matches {    -- Lupus anticoagulant
										value matches {
											0|[local::at0017],
											3|[local::at0018]
										}
									}
									ELEMENT[at0042] occurrences matches {0..1} matches {    -- Anticardiolipin antibodies
										value matches {
											0|[local::at0017],
											3|[local::at0018]
										}
									}
									ELEMENT[at0043] occurrences matches {0..1} matches {    -- Elevated serum homocysteine
										value matches {
											0|[local::at0017],
											3|[local::at0018]
										}
									}
									ELEMENT[at0044] occurrences matches {0..1} matches {    -- Heparin-induced thrombocytopenia
										value matches {
											0|[local::at0017],
											3|[local::at0018]
										}
									}
									ELEMENT[at0045] occurrences matches {0..1} matches {    -- Other congenital or acquired thrombophilia
										value matches {
											0|[local::at0017],
											3|[local::at0018]
										}
									}
									ELEMENT[at0046] occurrences matches {0..1} matches {    -- Stroke (<1 month)
										value matches {
											0|[local::at0017],
											5|[local::at0018]
										}
									}
									ELEMENT[at0047] occurrences matches {0..1} matches {    -- Malignant tumour (current or past)
										value matches {
											0|[local::at0017],
											5|[local::at0018]
										}
									}
									ELEMENT[at0048] occurrences matches {0..1} matches {    -- Multiple trauma (<1 month)
										value matches {
											0|[local::at0017],
											5|[local::at0018]
										}
									}
									ELEMENT[at0049] occurrences matches {0..1} matches {    -- Acute spinal cord injury (<1 month)
										value matches {
											0|[local::at0017],
											5|[local::at0018]
										}
									}
									ELEMENT[at0050] occurrences matches {0..1} matches {    -- Total score
										value matches {
											DV_COUNT matches {
												magnitude matches {|>=0|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0051] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0052] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}



ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Caprini score">
					description = <"Assessment tool used to stratify risk for venous thromboembolism (VTE).">
					comment = <"Venous thromboembolism (VTE), a disease which includes deep vein thrombosis (DVT) and pulmonary embolism (PE).">
				>
				["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 @">
				>
				["at0007"] = <
					text = <"Age">
					description = <"">
				>
				["at0008"] = <
					text = <"≤40 years">
					description = <"">
				>
				["at0009"] = <
					text = <"41-60 years">
					description = <"">
				>
				["at0010"] = <
					text = <"61-74 years">
					description = <"">
				>
				["at0011"] = <
					text = <"≥75 years">
					description = <"">
				>
				["at0004"] = <
					text = <"Gender">
					description = <"">
					comment = <"Used to drive UI presentation of pregnancy or hormone related risks only.">
				>
				["at0005"] = <
					text = <"Female">
					description = <"">
				>
				["at0006"] = <
					text = <"Male">
					description = <"">
				>
				["at0012"] = <
					text = <"Planned surgery">
					description = <"">
				>
				["at0013"] = <
					text = <"Minor (<45 minutes)">
					description = <"">
				>
				["at0014"] = <
					text = <"Major surgery (>45 minutes), laparoscopic surgery (>45 minutes) or arthroscopic surgery">
					description = <"">
				>
				["at0028"] = <
					text = <"History of major surgery (<1 month)">
					description = <"">
				>
				["at0026"] = <
					text = <"Congestive heart failure (<1 month)">
					description = <"">
				>
				["at0025"] = <
					text = <"Serious lung disease, including pneumonia (<1 month)">
					description = <"">
				>
				["at0024"] = <
					text = <"Sepsis (<1 month)">
					description = <"">
				>
				["at0022"] = <
					text = <"Pregnant or postpartum <1 month">
					description = <"">
				>
				["at0036"] = <
					text = <"Current central venous access">
					description = <"">
				>
				["at0047"] = <
					text = <"Malignant tumour (current or past)">
					description = <"">
				>
				["at0046"] = <
					text = <"Stroke (<1 month)">
					description = <"">
				>
				["at0048"] = <
					text = <"Multiple trauma (<1 month)">
					description = <"">
					comment = <"For example: multiple broken bones due to a fall; or car accident.">
				>
				["at0049"] = <
					text = <"Acute spinal cord injury (<1 month)">
					description = <"">
				>
				["at0019"] = <
					text = <"Varicose veins">
					description = <"">
				>
				["at0020"] = <
					text = <"Swollen legs">
					description = <"">
				>
				["at0037"] = <
					text = <"History of VTE">
					description = <"">
				>
				["at0038"] = <
					text = <"Family history of VTE">
					description = <"">
				>
				["at0039"] = <
					text = <"Factor V Leiden">
					description = <"">
				>
				["at0031"] = <
					text = <"Bed rest or restricted mobility during past month">
					description = <"">
				>
				["at0029"] = <
					text = <"History of inflammatory bowel disease">
					description = <"">
					comment = <"For example: Crohn's disease or ulcerative colitis.">
				>
				["at0016"] = <
					text = <"Overweight or obese (BMI ≥ 25)">
					description = <"">
				>
				["at0027"] = <
					text = <"Acute myocardial infarction (<1 month)">
					description = <"">
				>
				["at0021"] = <
					text = <"Abnormal pulmonary function (COPD)">
					description = <"">
				>
				["at0023"] = <
					text = <"Current oral contraceptives or hormone replacement">
					description = <"">
				>
				["at0032"] = <
					text = <"None">
					description = <"">
				>
				["at0033"] = <
					text = <"Yes, <3 days">
					description = <"">
				>
				["at0034"] = <
					text = <"Yes, >3 days">
					description = <"">
				>
				["at0017"] = <
					text = <"No">
					description = <"">
				>
				["at0018"] = <
					text = <"Yes">
					description = <"">
				>
				["at0050"] = <
					text = <"Total score">
					description = <"The total sum of each component parameter for the Caprini score.">
				>
				["at0015"] = <
					text = <"Elective hip or knee replacement">
					description = <"">
				>
				["at0040"] = <
					text = <"Prothrombin 20210A">
					description = <"">
				>
				["at0041"] = <
					text = <"Lupus anticoagulant">
					description = <"">
				>
				["at0042"] = <
					text = <"Anticardiolipin antibodies">
					description = <"">
				>
				["at0043"] = <
					text = <"Elevated serum homocysteine">
					description = <"">
				>
				["at0044"] = <
					text = <"Heparin-induced thrombocytopenia">
					description = <"">
				>
				["at0045"] = <
					text = <"Other congenital or acquired thrombophilia">
					description = <"">
				>
				["at0030"] = <
					text = <"History of unexplained stillborn infant, recurrent spontaneous abortion (≥3 factors present), premature birth with toxaemia or growth restricted infant.">
					description = <"">
				>
				["at0035"] = <
					text = <"Malignant tumour (current or past)">
					description = <"">
				>
				["at0051"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0052"] = <
					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.">
				>
			>
		>
	>