| ARCHETYPE ID | openEHR-EHR-OBSERVATION.four_score.v0 |
|---|---|
| Concept | Full Outline of UnResponsiveness (FOUR) score |
| Description | Screening tool to assess individuals with impaired levels of consciousness. |
| Use | Use to record the results for each component parameter and their total sum for the FOUR score. |
| Purpose | To record the results for each component parameter and their total sum for the FOUR score. |
| References | Wijdicks EF, Bamlet WR, Maramattom BV, Manno EM, McClelland RL. Validation of a new coma scale: The FOUR score. Ann Neurol. 2005 Oct;58(4):585-93. doi: 10.1002/ana.20611. PMID: 16178024. |
| Copyright | © openEHR Foundation |
| Authors | Author name: Sidharth Ramesh Organisation: Medblocks Email: tornadoalert@gmail.com Date originally authored: 2021-02-25 |
| Other Details Language | Author name: Sidharth Ramesh Organisation: Medblocks Email: tornadoalert@gmail.com Date originally authored: 2021-02-25 |
| Other Details (Language Independent) |
|
| Keywords | four, Glasgow, Coma |
| Lifecycle | in_development |
| UID | 0fb0ede1-a1aa-4c39-94d9-e2eebf7b49d8 |
| Language used | en |
| Citeable Identifier | 1246.145.2904 |
| Revision Number | 0.0.1-alpha |
| 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 | |
| Eye response | Eye response: 4: Eyelids open or opened, tracking, or blinking to command 3: Eyelids open but not tracking 2: Eyelids closed but open to loud voice 1: Eyelids closed but open to pain 0: Eyelids remain closed with pain |
| Motor response | Motor response: 4: Thumbs-up, fist, or peace sign 3: Localizing to pain 2: Flexion response to pain 1: Extension response to pain 0: No response to pain or generalized myoclonus status |
| Brain stem reflexes | Brain stem reflexes: 4: Pupil and corneal reflexes present 3: One pupil wide and fixed 2: Pupil or corneal reflexes present 1: Pupil and corneal reflexes absent 0: Absent pupil, corneal and cough reflex |
| Respiration | Respiration: 1: Not intubated, regular breathing pattern 2: Not intubated, Cheyne–Stokes breathing pattern 3: Not intubated, irregular breathing 4: Breathes above ventilator rate 5: Breathes at ventilator rate or apnoea |
| Total score | Total score: The total sum of each component parameter for the FOUR score. min: >=0; max: <=16 |
| 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 | Heather Leslie, Atomica Informatics, Australia |
| Translators |