ARCHETYPE Child-Pugh score (openEHR-EHR-OBSERVATION.child_pugh_score_local.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.child_pugh_score_local.v0
ConceptChild-Pugh score
DescriptionTool used to assess the prognosis of chronic liver disease, mainly cirrhosis.
UseUse to record an assessment of prognosis for chronic liver disease.
MisuseNot 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.
PurposeTo record an assessment of prognosis for chronic liver disease.
ReferencesDerived 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
AuthorsAuthor name: Hildegard McNicoll
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2017-09-27
Other Details LanguageAuthor name: Hildegard McNicoll
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2017-09-27
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=HiGHmed, references=Derived from: 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., current_contact=Dr Ian McNicoll, freshEHR Clinical Informatics, UK , original_namespace=org.highmed, original_publisher=HiGHmed, custodian_namespace=org.highmed, MD5-CAM-1.0.1=8E64091D3FDB820B5E55726DE0B46AA5, build_uid=cd032aab-cc55-40e6-9990-e94839c0cbe1, revision=0.0.1}
KeywordsChild-Pugh, liver, cirrhosis, score, Hepatitis C,
Lifecyclerejected
UIDe6376330-84eb-400e-81b8-43292b8a4c7a
Language useden
Citeable Identifier1246.145.530
Revision Number0.0.1
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2: 34 to 50 [Total bilirubin is between 34 and 50.]
3: Greater than 50 [Total bilirubin is more than 50.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Serum albumin, description=Score for serum albumin in grams per litre., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=INR, description=Score for INR., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Ascites, description=Score for presence of ascites., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: None [No ascites is present.]
2: Mild [Mild ascites is present.]
3: Moderate to severe [Moderate to severe ascites is present.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Hepatic encephalopathy, description=Score for presence of hepatic encephalopathy., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Adjusted bilirubin, description=Score for total bilirubin if the patient has primary biliary cirrhosis or sclerosing cholangitis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Total score, description=Sum of the individual scores assigned for each of the contributing variables., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=[SNOMED-CT::710066005], values=min: >=5; max: <=15

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0029], code=at0029, itemType=ELEMENT, level=4, text=Grade, description=Grading, based on total score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Class A 5 to 6 points [The Child-Pugh grade is Class A with a total score of 5 to 6 points.]
    [SNOMED-CT::710065009]
  • Class B 7 to 9 points [The Child-Pugh grade is Class B with a total score of 7 to 9 points.]
    [SNOMED-CT::710066005]
  • Class C 10 to 15 points [The Child-Pugh grade is Class C with a total score of 10 to 15 points.]
    [SNOMED-CT::710067001]
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