ARCHETYPE ACVPU scale (openEHR-EHR-OBSERVATION.acvpu.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.acvpu.v1
ConceptACVPU scale
DescriptionSimple scale used as part of an assessment to measure and record an individual's level of consciousness.
UseUse to make a simple assessment of an individual's level of consciousness, especially suitable for assessment in emergency situations. This scale is a refinement of the original AVPU, updated in 2017 by adding 'C', where C represents 'a new onset or worsening confusion, delirium or any other altered mentation'. This scale is now published as a component of NEWS2.
PurposeTo record an individual's level of consciousness.
ReferencesDerived from: ACVPU, Draft archetype [Internet]. Apperta UK, Apperta UK Clinical Knowledge Manager [cited: 2019-03-12]. Available from: https://ckm.apperta.org/ckm/#showArchetype_1051.32.706

National Early Warning Score (NEWS) 2 - Standardising the assessment of acute-illness severity in the NHS [Internet]. Royal College of Physicians [cited 2020 Jan 17]. Available at: https://www.rcplondon.ac.uk/file/8636/download

Williams B. The National Early Warning Score and the acutely confused patient. Clin Med (Lond). 2019 Mar;19(2):190-191. doi: 10.7861/clinmedicine.19-2-190. PMID: 30872312; PMCID: PMC6454357.

National Early Warning Score (NEWS) 2. Pasientsikkerhetsprogrammet [cited 2019.03.01]. Norwegian translation. Available at: https://pasientsikkerhetsprogrammet.no/om-oss/innsatsomrader/tidlig-oppdagelse-av-forverret-tilstand
Copyright© Apperta UK, openEHR Foundation, openEHR Foundation
AuthorsAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2018-02-01
Other Details LanguageAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2018-02-01
OtherDetails Language Independent{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=Derived from: ACVPU, Draft archetype [Internet]. Apperta UK, Apperta UK Clinical Knowledge Manager [cited: 2019-03-12]. Available from: https://ckm.apperta.org/ckm/#showArchetype_1051.32.706 National Early Warning Score (NEWS) 2 - Standardising the assessment of acute-illness severity in the NHS [Internet]. Royal College of Physicians [cited 2020 Jan 17]. Available at: https://www.rcplondon.ac.uk/file/8636/download Williams B. The National Early Warning Score and the acutely confused patient. Clin Med (Lond). 2019 Mar;19(2):190-191. doi: 10.7861/clinmedicine.19-2-190. PMID: 30872312; PMCID: PMC6454357. National Early Warning Score (NEWS) 2. Pasientsikkerhetsprogrammet [cited 2019.03.01]. Norwegian translation. Available at: https://pasientsikkerhetsprogrammet.no/om-oss/innsatsomrader/tidlig-oppdagelse-av-forverret-tilstand, current_contact=Heather Leslie, Atomica Informatics, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=5892AB5EFA99293E4DAEC7080378135A, build_uid=46cd93b6-a2f2-4652-8354-bbcb6e3dff73, revision=1.0.0}
Keywordsavpu, alert, voice, pain, unresponsive, awake, speech, pain, unconscious, consciousness, verbal, semicomatose, conscious, level of consciousness, comatose, confusion, news2
Lifecyclepublished
UIDf00c4336-158d-49e8-94d1-52ce8695b55e
Language useden
Citeable Identifier1246.145.1095
Revision Number1.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Simple scale used as part of an assessment to measure and record an individual's level of consciousness., archetypeConceptComment=ACVPU is an acronym for 'Alert', 'Confusion', 'Voice', 'Pain', 'Unresponsive'., otherContributors=Erling Are Hole, Helse Bergen, Norway
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Sudisa Consultancy Services, India
Gunn Elin Blakkisrud, DIPS ASA, Norway
Grant Forrest, NHS Scotland, United Kingdom
Mikkel Gaup Grønmo, FSE, Helse Nord, Norway (Nasjonal IKT redaktør)
Heather Grain, Llewelyn Grain Informatics, Australia
Evelyn Hovenga, EJSH Consulting, Australia
Morten Hørthe, DIPS, Norway
Nils Kolstrup, Skansen Legekontor og Nasjonalt Senter for samhandling og telemedisin, Norway
Liv Laugen, Oslo universitetssykehus, Norway
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Svenne Naumann, Finnmarkssykehuset, Norway
Andrej Orel, Marand d.o.o., Slovenia
Terje Sagmyr, DIPS AS, Norway
Gro-Hilde Severinsen, Norwegian center for ehealthresearch, Norway
Line Silsand, Universitetssykehuset i Nord-Norge, Norway
Arild Stangeland, Helse Bergen, Norway
Norwegian Review Summary, Nasjonal IKT HF, Norway
June Susanne Berge, DIPS AS, Norway
Nyree Taylor, Ocean Informatics, Australia
Marianne Thorbjørnsen, Oslo Universitetssykehus, Norway
Karl Trygve Kalleberg, Oslo Universitetssykehus, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Ingrid Vange, Helse Bergen, Norway
Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor), originalLanguage=en, translators=German: Antje Wulff, PLRI for Medical Informatics Medical School Hannover and TU Braunschweig, wulff.antje@mh-hannover.de
Swedish: Åsa Skagerhult, Region Östergötland, asa.skagerhult@regionostergotland.se
Norwegian Bokmål: Silje Ljosland Bakke; John Tore Valand, Nasjonal IKT HF; Helse Bergen HF, john.tore.valand@helse-bergen.no
Portuguese (Brazil): Vladimir Pizzo, Hospital Sirio Libanes, Brazil, vladimir.pizzo@hsl.org.br
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={relationships=[], state=[], capabilities=[], target=[], items=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0009]/items[at0011], code=at0011, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=e.g. Local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null]], other_participations=[], details=[], contacts=[], credentials=[], content=[], ism_transition=[], identities=[], provider=[], source=[], description=[], activities=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=2, text=Any point in time event, description=Default, unspecified point in time event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null]], context=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=ACVPU, description=The assessment of the patient's level of consciousness., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Alert [Fully awake. Spontaneous opening of the eyes, responds to voice and have motor function.]
  • Confusion [A new onset or worsening confusion, delirium or any other altered mentation.]
  • Voice [Any verbal, motor or eye response to a voice stimulus.]
  • Pain [Any verbal, motor or eye response to a pain stimulus.]
  • Unresponsive [No response to voice or pain stimuli.]
, extendedValues=null]]}, topLevelItems={state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0013], code=at0013, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=null, subCardinalityText=null, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0009], code=at0009, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=1..*, subCardinalityText=, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0009]/items[at0011], code=at0011, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=e.g. Local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]