| ARCHETYPE ID | openEHR-EHR-OBSERVATION.sofa_score.v0 |
| Concept | SOFA score |
| Description | A scoring system to grade and follow the development of organ dysfunction in six vital organ systems. Previously known as "Sepsis related Organ Failure Assessment". |
| Use | Use to record the results for each component parameter and their total sum for the SOFA score. SOFA score is usually used in intensive care units and in acute settings, but can be used in all patients where organ dysfunction is suspected or identified, for example in sepsis patients. SOFA score is used in adults over the age of 16. |
| Misuse | Not to be used to record actual measurements for each component. Use specific OBSERVATION archetypes for this purpose: - OBSERVATION.pf_ratio; - OBSERVATION.blood_pressure; - OBSERVATION.glasgow_coma_scale; and - OBSERVATION.laboratory_test. Not to be used to record SOFA score in children younger than 16 years of age. Not to be used to record qSOFA (quick SOFA). Use the archetype OBSERVATION.qsofa_score for this purpose. |
| Purpose | To record the results for each component parameter and their total sum for the SOFA score. |
| References | Vincent, J. L., Moreno, R., Takala, J., Willatts, S., de Mendonça, A., Bruining, H., et al. (1996). The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. (Vol. 22, pp. 707–710). Norsk Intensivregister (NIR) [Internet]. Bergen: Helse Bergen HF; 2017 [cited 26 february 2018] Available from: https://helse-bergen.no/norsk-intensivregister-nir/registrering-av-data-i-nir-kun-for-medlemmer |
| Copyright | © openEHR Foundation |
| Authors | Author name: Siv Fauchald Organisation: DIPS AS Email: sfa@dips.no Date originally authored: 2017-03-07 |
| Other Details Language | Author name: Siv Fauchald Organisation: DIPS AS Email: sfa@dips.no Date originally authored: 2017-03-07 |
| 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=Nasjonal IKT, references=Vincent, J. L., Moreno, R., Takala, J., Willatts, S., de Mendonça, A., Bruining, H., et al. (1996). The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. (Vol. 22, pp. 707–710). Norsk Intensivregister (NIR) [Internet]. Bergen: Helse Bergen HF; 2017 [cited 26 february 2018] Available from: https://helse-bergen.no/norsk-intensivregister-nir/registrering-av-data-i-nir-kun-for-medlemmer, original_namespace=no.nasjonalikt, original_publisher=Nasjonal IKT, custodian_namespace=no.nasjonalikt, MD5-CAM-1.0.1=96CF01A004B30A00A69956021F95766E, build_uid=97d78eda-e400-4355-a38e-46200be65965, revision=0.0.1-alpha} |
| Keywords | sepsis, organ failure, organ dysfunction, septic shock, infection |
| Lifecycle | in_development |
| UID | c39f52e8-2aa9-45f7-bee9-ddb99678e43a |
| Language used | en |
| Citeable Identifier | 1246.145.1198 |
| Revision Number | 0.0.1-alpha |
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Equivalent to PaO₂/FiO₂ ≥ 53.3 kPa.] 1: PaO₂/FiO₂ 300-399 mmHg [The partial pressure of oxygen in arterial or capillary blood measured in mmHg, divided by the fraction of inspired oxygen is between 300 and 399 mmHg. Equivalent to PaO₂/FiO₂ 40.0 - 53.2 kPa.] 2: PaO₂/FiO₂ < 300 mmHg [The partial pressure of oxygen in arterial or capillary blood measured in mmHg, divided by the fraction of inspired oxygen is lower than 300 mmHg. Equivalent to PaO₂/FiO₂ 40 kPa.] 3: Mechanically ventilated and PaO₂/FiO₂ 100-199 mmHg [On mechanical ventilation, the partial pressure of oxygen in arterial or capillary blood measured in mmHg, divided by the fraction of inspired oxygen is between 100 and 199 mmHg. Equivalent to PaO₂/FiO₂ 13.3 - 26.5 kPa.] 4: Mechanically ventilated and PaO₂/FiO₂ < 100 mmHg [On mechanical ventilation, the partial pressure of oxygen in arterial or capillary blood measured in mmHg, divided by the fraction of inspired oxygen is less than 100 mmHg. 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Equivalent to creatinine < 110 µmol/L.] 1: Creatinine 1.2-1.9 mg/dL [The creatinine concentration is between 1.2 and 1.9 mg/dL. Equivalent to creatinine 110 - 170 µmol/L.] 2: Creatinine 2.0-3.4 mg/dL [The creatinine concentration is between 2.0 and 3.4 mg/dL. Equivalent to creatinine 171 - 299 µmol/L.] 3: Creatinine 3.5-4.9 mg/dL or UOP < 500 mL/24h [The creatinine concentration is between 3.5 and 4.9 mg/dL, or the urine output is between 500 and 200 mL/24h. Equivalent to creatinine 300 - 440 µmol/L or UOP < 500 mL/24h.] 4: Creatinine ≥ 5.0 mg/dL or UOP < 200 mL/24h [The creatinine concentration is greater than or equal to 5.0 mg/dL, or the urine output is less than 200 mL/24h. 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