| ARCHETYPE ID | openEHR-EHR-OBSERVATION.four_a_test.v1 |
|---|---|
| Concept | 4AT |
| Description | A screening tool used for rapid initial assessment of delirium and cognitive impairment. |
| Use | Use to record the results for each component parameter and their sum for the 4AT test. This archetype is intended to represent version 1.2 of 4AT test. |
| Purpose | To record the results for each component parameter and their sum for the 4AT test. |
| References | 4AT Rapid Clinical Test For Delirium [Internet]. 2014 [cited 2021 Feb 11]. Available from: https://www.the4at.com/. Bellelli G, Morandi A, Davis DH, Mazzola P, Turco R, Gentile S, Ryan T, Cash H, Guerini F, Torpilliesi T, Del Santo F, Trabucchi M, Annoni G, MacLullich AM. Validation of the 4AT, a new instrument for rapid delirium screening: a study in 234 hospitalised older people. Age Ageing. 2014 Jul;43(4):496-502. doi: 10.1093/ageing/afu021. Epub 2014 Mar 2. Erratum in: Age Ageing. 2015 Jan;44(1):175. PMID: 24590568; PMCID: PMC4066613. |
| Copyright | © openEHR Foundation, Nasjonal IKT HF |
| Authors | Author name: John Tore Valand Organisation: Helse Bergen HF Date originally authored: 2019-02-18 |
| Other Details Language | Author name: John Tore Valand Organisation: Helse Bergen HF Date originally authored: 2019-02-18 |
| Other Details (Language Independent) |
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| Keywords | delirium, assessment, alertness, cognitive, screening, screening tool, cognitive impairment, confused |
| Lifecycle | published |
| UID | 5fe8da4a-28be-46e9-b33d-f8739a71fcee |
| Language used | en |
| Citeable Identifier | 1246.145.2763 |
| Revision Number | 1.0.1 |
| protocol | |
| Extension | Extension: Additional information required to extend the model with local content or to align with other reference models or formalisms. For example: local information requirements; or additional metadata to align with FHIR. Include: All not explicitly excluded archetypes |
| data | |
| Alertness | Alertness: 0: Normal (fully alert, but not agitated, throughout assessment) 0: Mild sleepiness for <10 seconds after waking, then normal 4: Clearly abnormal |
| Abbreviated Mental Test 4 (AMT-4) score | Abbreviated Mental Test 4 (AMT-4) score: 0: No mistakes 1: 1 mistake 2: 2 or more mistakes/untestable |
| Attention | Attention: 0: Achieves 7 months or more correctly 1: Starts but scores <7 months / refuses to start 2: Untestable (cannot start because unwell, drowsy, inattentive) |
| Acute change or fluctuating course | Acute change or fluctuating course: 0: No 4: Yes |
| Total score | Total score: The sum of each component parameter in 4AT. min: >=0; max: <=12 |
| events | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Other contributors | Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor) Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor) Aleocidio Balzanelo, UHG Brasil, Brazil SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India Hugo Claudio Briceño García, Catsalut, Spain Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor) Kirvil Flygel, UNN, Helse Nord, Norway Heather Grain, Llewelyn Grain Informatics, Australia Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (openEHR Editor) Nina Hauge, Helse Fonna, Norway Evelyn Hovenga, EJSH Consulting, Australia Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor) Liv Laugen, Oslo University Hospital, Norway, Norway (openEHR Editor) Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Ieva Martinaityte, UNN Tromsø, Norway Christine Mikalsen, Regional forvaltning EPJ, Norway Mikael Nyström, Cambio Healthcare Systems AB, Sweden Vilde Richardsen, Universitetssykehuset Nord-Norge, Norway Marte Rime Bø, Direktoratet for e-helse, Norway Terje Sagmyr, Helse Vest IKT, Norway (openEHR Editor) Norwegian Review Summary, Norwegian Public Hospitals, Norway John Tore Valand, Helse Bergen, Norway (openEHR Editor) Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor) |
| Translators |