| ARCHETYPE ID | openEHR-EHR-OBSERVATION.child_pugh_score_local.v0 |
|---|---|
| Concept | Child-Pugh score |
| Description | Tool used to assess the prognosis of chronic liver disease, mainly cirrhosis. |
| Use | Use to record an assessment of prognosis for chronic liver disease. |
| Misuse | Not to be used to record the results of various liver function tests or the INR test- use the Laboratory test result family of archetypes for this purpose. Not to be used to record the diagnosis of hepatic encephalopathy - use EVALUATION.problem_diagnosis for this purpose. Not to be used to record the finding of ascites - use the Physical examination family of archetypes for this purpose. |
| Purpose | To record an assessment of prognosis for chronic liver disease. |
| References | Derived from: <Add reference to original resource here> Derived from: Child-Pugh Score, Draft archetype [Internet]. Apperta UK, Apperta UK Clinical Knowledge Manager [cited: 2019-05-22]. Available from: https://ckm.apperta.org/ckm/archetypes/1051.32.822. Child CG, Turcotte JG. Surgery and portal hypertension. Major Probl Clin Surg. 1964;1:1-85. Review. PubMed PMID: 4950264. |
| Copyright | © openEHR Foundation, HiGHmed |
| Authors | Author name: Hildegard McNicoll Organisation: freshEHR Clinical Informatics Ltd. Email: hildi@freshehr.com Date originally authored: 2017-09-27 |
| Other Details Language | Author name: Hildegard McNicoll Organisation: freshEHR Clinical Informatics Ltd. Email: hildi@freshehr.com Date originally authored: 2017-09-27 |
| Other Details (Language Independent) |
|
| Keywords | Child-Pugh, liver, cirrhosis, score, Hepatitis C, |
| Lifecycle | rejected |
| UID | e6376330-84eb-400e-81b8-43292b8a4c7a |
| Language used | en |
| Citeable Identifier | 1246.145.530 |
| Revision Number | 0.0.1 |
| protocol | |
| Extension | Extension: Additional information required to capture local content or to align with other reference models/formalisms. Local information requirements or additional metadata to align with FHIR or CIMI equivalents. Include: All not explicitly excluded archetypes |
| 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. |
| data | |
| Total bilirubin | Total bilirubin: Score for total bilirubin in micromole per litre. 1: Less than 34 [Total bilirubin is less than 34.] 2: 34 to 50 [Total bilirubin is between 34 and 50.] 3: Greater than 50 [Total bilirubin is more than 50.] |
| Serum albumin | Serum albumin: Score for serum albumin in grams per litre. 1: Greater than 35 [Serum albumin is greater than 35.] 2: 28 to 35 [Serum albumin is between 28 and 35.] 3: Less than 28 [Serum albumin is less than 28.] |
| INR | INR: Score for INR. 1: Less than 1.7 [INR is less than 1.7.] 2: 1.7 to 2.3 [INR is between 1.7 and 2.3.] 3: Greater than 2.3 [INR is greater than 2.3.] |
| Ascites | Ascites: Score for presence of ascites. 1: None [No ascites is present.] 2: Mild [Mild ascites is present.] 3: Moderate to severe [Moderate to severe ascites is present.] |
| Hepatic encephalopathy | Hepatic encephalopathy: Score for presence of hepatic encephalopathy. 1: None [No hepatic encephalopathy is present.] 2: Grade I to II or suppressed with medication [Grade I or Grade II hepatic encephalopathy is present or hepatic encephalopathy is suppressed with medication.] 3: Grade III to IV or refractory [Grade III or Grade IV hepatic encephalopathy is present or hepatic encephalopathy is refractory.] |
| Adjusted bilirubin | Adjusted bilirubin: Score for total bilirubin if the patient has primary biliary cirrhosis or sclerosing cholangitis. 1: Less than 68 [Total bilirubin is less than 68.] 2: 68 to 170 [Total bilirubin is between 68 and 170.] 3: Greater than 170 [Total bilirubin is greater than 170.] |
| Total score | Total score: Sum of the individual scores assigned for each of the contributing variables. min: >=5; max: <=15 |
| Grade | Grade: Grading, based on total score.
|
| Other contributors | John Meredith, NHS Wales Informatics Service |
| Translators |