| ARCHETYPE ID | openEHR-EHR-OBSERVATION.grace_discharge.v0 |
|---|---|
| Concept | GRACE score (discharge) |
| Description | The original 9 variable version of an assessment tool used to risk stratify patients diagnosed with Acute Coronary Syndrome - specifically to estimate their risk of death on discharge 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 or after discharge. |
| Misuse | Not to be used to record details about the initial GRACE score recorded during admission - use the OBSERVATION.grace_admission 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 or after discharge. |
| References | Abu-Assi E, García-Acuña JM, Peña-Gil C, González-Juanatey JR. Validation of the GRACE risk score for predicting death within 6 months of follow-up in a contemporary cohort of patients with acute coronary syndrome. Rev Esp Cardiol. 2010;63(6):640–648. doi:10.1016/s1885-5857(10)70138-9. Eagle KA, Lim MJ, Dabbous OH, et al. A validated prediction model for all forms of acute coronary syndrome: estimating the risk of 6-month postdischarge death in an international registry. JAMA. 2004;291(22):2727–2733. doi:10.1001/jama.291.22.2727. 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. |
| 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 | fc5a7bde-b9f1-4481-94ab-615c9481f5cb |
| Language used | en |
| Citeable Identifier | 1246.145.2863 |
| 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 assessment. 0: ≤ 30 years [Patient is aged ≤ 30 years.] 0: 30-39 years [Patient is aged 30-39 years.] 18: 40-49 years [Patient is aged 40-49 years.] 36: 50-59 years [Patient is aged 50-59 years.] 55: 60-69 years [Patient is aged 60-69 years.] 73: 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.] |
| History of heart failure | History of heart failure: Known history of congestive heart failure? 0: No [No history of heart failure.] 24: Yes [Known history of heart failure.] |
| History of AMI | History of AMI: Known history of acute myocardial infarction? 0: No [No history of AMI.] 12: Yes [Knowne history of AMI.] |
| Heart rate at presentation | Heart rate at presentation: Category of heart rate at initial hospital presentation. 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.] 14: 90-109 bpm [Between 90 and 109 beats per minute.] 23: 110-149 bpm [Between 110 and 149 beats per minute.] 35: 150-199 bpm [Between 150 and 199 beats per minute.] 43: ≥ 200 bpm [Greater than 200 beats per minute.] |
| Systolic blood pressure at presentation | Systolic blood pressure at presentation: Category of systolic blood pressure at initial hospital presentation. 0: ≥ 200 mmHg [Greater than 200 mmHg.] 4: 160-199 mmHg [Between 160 and 199 mmHg.] 10: 140-159 mmHg [Between 140 and 159 mmHg.] 14: 120-139 mmHg [Between 120 and 139 mmHg.] 18: 100-119 mmHg [Between 100 and 119 mmHg.] 22: 80-99 mmHg [Between 80 and 99 mmHg.] 24: ≤ 80 mmHg [Less than 80 mmHg.] |
| Depressed ST segment at presentation | Depressed ST segment at presentation: ST segment depression at initial hospital presentation. 0: No [No ST segment depression observed on ECG.] 11: Yes [ST segment depression observed on ECG.] |
| Creatinine level at presentation | Creatinine level at presentation: Category of serum creatinine measurement at initial hospital presentation. 1: 0-0.39 mg/dL [Between 0 and 0.39 mg/dL.] 3: 0.4-0.79 mg/dL [Between 0.4 and 0.79 mg/dL.] 5: 0.8-1.19 mg/dL [Between 0.8 and 1.19 mg/dL.] 7: 1.20-1.59 mg/dL [Between 1.20 and 1.59 mg/dL.] 9: 1.60-1.99 mg/dL [Between 1.60 and 1.99 mg/dL.] 15: 2.00-3.99 mg/dL [Between 2.00 and 3.99 mg/dL.] 20: > 4.0 mg/dL [Greater than 4.0 mg/dL.] |
| Elevated cardiac enzymes or markers | Elevated cardiac enzymes or markers: Raised cardiac enzymes or markers during hospitalisation. 0: No [Cardiac enzymes or markers are in the normal range.] 15: Yes [Cardiac enzymes or markers are raised.] |
| Percutaneous revascularisation | Percutaneous revascularisation: In-hospital percutaneous coronary intervention. 14: No [No intervention performed.] 0: Yes [Intervention performed.] |
| Total score | Total score: Sum of points assigned for each of the component parameters. min: >=0; max: <=263 |
| 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 |