| ARCHETYPE ID | openEHR-EHR-OBSERVATION.grace_admission.v0 |
|---|---|
| Concept | GRACE score (admission) |
| Description | The original 8 variable version of an assessment tool used to risk stratify patients diagnosed with Acute Coronary Syndrome - specifically to estimate their risk of death in-hospital and up to 6 months after the ACS event. |
| Use | Use to record the results for each component parameter, the total sum and grade for the GRACE score recorded at presentation or on admission. |
| Misuse | Not to be used to record details about the followup GRACE score recorded at discharge - use the OBSERVATION.grace_discharge for this purpose. Not to be used to record details about the GRACE 2.0 score. |
| Purpose | To record the results for each component parameter, the total sum and grade for the GRACE score recorded at presentation or on admission. |
| References | Alley W, Mahler SA. Clinical decision aids for chest pain in the emergency department: identifying low-risk patients. Open Access Emerg Med. 2015;7:85–92. Published 2015 Nov 16. doi:10.2147/OAEM.S71282 Fox KA, Dabbous OH, Goldberg RJ, et al. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ. 2006;333(7578):1091. doi:10.1136/bmj.38985.646481.55. Granger CB, Goldberg RJ, Dabbous O, et al. Predictors of hospital mortality in the global registry of acute coronary events. Arch Intern Med. 2003;163(19):2345–2353. doi:10.1001/archinte.163.19.2345. |
| Copyright | © Apperta Foundation / Wales Cardiac Network, openEHR Foundation |
| Authors | Author name: Syeeda Farruque Organisation: Cambio Healthcare Systems Email: models@cambiocds.com Date originally authored: 2017-02-18 |
| Other Details Language | Author name: Syeeda Farruque Organisation: Cambio Healthcare Systems Email: models@cambiocds.com Date originally authored: 2017-02-18 |
| Other Details (Language Independent) |
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| Keywords | GRACE, ACS, Risk, score, STEMI, NSTEMI, ACS, Acute Coronary Syndrome, cardiology |
| Lifecycle | in_development |
| UID | 257241b5-1d45-40f8-88ca-a2f4d4d1f3fe |
| Language used | en |
| Citeable Identifier | 1246.145.2830 |
| Revision Number | 0.0.1-alpha |
| Archetype Concept Comment | GRACE is an acronym for Global Registry of Acute Coronary Events. |
| protocol | |
| Extension | Extension: Additional information required to extend the model with local content or to align with other reference models/formalisms. For example: local information requirements; or additional metadata to align with FHIR. Include: All not explicitly excluded archetypes |
| data | |
| Age | Age: Age at admission. 0: ≤ 30 years [Patient is aged ≤ 30 years.] 8: 30-39 years [Patient is aged 30-39 years.] 25: 40-49 years [Patient is aged 40-49 years.] 41: 50-59 years [Patient is aged 50-59 years.] 58: 60-69 years [Patient is aged 60-69 years.] 75: 70-79 years [Patient is aged 70-79 years.] 91: 80-89 years [Patient is aged 80-89 years.] 100: ≥ 90 years [Patient is aged ≥ 90 years.] |
| Heart rate | Heart rate: Category of heart rate on admission. 0: ≤ 50 bpm [Less than 50 beats per minute.] 3: 50-69 bpm [Between 50 and 69 beats per minute.] 9: 70-89 bpm [Between 70 and 89 beats per minute.] 15: 90-109 bpm [Between 90 and 109 beats per minute.] 24: 110-149 bpm [Between 110 and 149 beats per minute.] 38: 150-199 bpm [Between 150 and 199 beats per minute.] 46: ≥ 200 bpm [Greater than 200 beats per minute.] |
| Systolic blood pressure | Systolic blood pressure: Category of systolic blood pressure on admission. 0: ≥ 200 mmHg [Greater than 200 mmHg.] 10: 160-199 mmHg [Between 160 and 199 mmHg.] 24: 140-159 mmHg [Between 140 and 159 mmHg.] 34: 120-139 mmHg [Between 120 and 139 mmHg.] 43: 100-119 mmHg [Between 100 and 119 mmHg.] 53: 80-99 mmHg [Between 80 and 99 mmHg.] 58: ≤ 80 mmHg [Less than 80 mmHg.] |
| Creatinine level | Creatinine level: Category of creatinine measurement on admission. 0: NA [Not available.] 1: 0-0.39 mg/dL [Between 0 and 0.39 mg/dL.] 4: 0.4-0.79 mg/dL [Between 0.4 and 0.79 mg/dL.] 7: 0.8-1.19 mg/dL [Between 0.8 and 1.19 mg/dL.] 10: 1.20-1.59 mg/dL [Between 1.20 and 1.59 mg/dL.] 13: 1.60-1.99 mg/dL [Between 1.60 and 1.99 mg/dL.] 21: 2.00-3.99 mg/dL [Between 2.00 and 3.99 mg/dL.] 28: > 4.0 mg/dL [Greater than 4.0 mg/dL.] |
| Cardiac arrest at admission | Cardiac arrest at admission: Resuscitated after cardiac arrest at admission. 0: No [No cardiac arrest on admission.] 39: Yes [Cardiac arrest on admission.] |
| ST segment deviation on ECG | ST segment deviation on ECG: ST segment deviation on admission. 0: No [No ST segment deviation observed on ECG.] 28: Yes [ST segment deviation observed on ECG.] |
| Elevated/abnormal cardiac enzymes | Elevated/abnormal cardiac enzymes: Cardiac enzymes out of normal range on admission. 0: No [Cardiac enzymes in normal range.] 14: Yes [Cardiac enzymes not in normal range.] |
| Killip class | Killip class: Killip Classification at admission. 0: Class 1 [No clinical signs of heart failure.] 20: Class 2 [Rales or crackles in the lungs, an S3, and elevated jugular venous pressure.] 39: Class 3 [Acute pulmonary oedema.] 59: Class 4 [Cardiogenic shock or hypotension (measured as systolic blood pressure lower than 90 mmHg), and evidence of peripheral vasoconstriction (oliguria, cyanosis or sweating).] |
| Total score | Total score: Sum of points assigned for each of the component parameters. min: >=0; max: <=372 |
| events | |
| Any point in time event | Any point in time event: Default, unspecified point in time event which may be explicitly defined in a template or at run-time. |
| Other contributors | Heather Leslie, Atomica Informatics, Australia |
| Translators |