TEMPLATE SOFA (SOFA)

TEMPLATE IDSOFA
ConceptSOFA
DescriptionZur Repräsentation des SOFA-Scores im Rahmen des FoDaPI-Projektes / GECCO-Datensatzes.
UseFür die Abbildung des SOFA-Score Wertes von Patienten auf der Intensivstation für die Speicherung im Rahmen des FoDaPI-Projektes / GECCO-Datensatzes.
MisuseNicht zur Repräsentation anderer Scores verwenden.
PurposeZur Repräsentation des SOFA-Scores im Rahmen des FoDaPI-Projektes / GECCO-Datensatzes.
References
AuthorsName: Sarah Ballout; Email: ballout.sarah@mh-hannover.de; Organisation: MHH-Hannover; name: Sarah Ballout; organisation: Peter L. Reichertz Institut für Medizinische Informatik
Other Details LanguageName: Sarah Ballout; Email: ballout.sarah@mh-hannover.de; Organisation: MHH-Hannover; name: Sarah Ballout; organisation: Peter L. Reichertz Institut für Medizinische Informatik
OtherDetails Language Independent{MetaDataSet:Sample Set =Template metadata sample set, PARENT:MD5-CAM-1.0.1=137DCA7D21FA274494054E1B81B67FC5, original_language=ISO_639-1::de, MD5-CAM-1.0.1=cbf62f1ca186c53c365e76d1ddd40e72}
KeywordsSOFA-Score; Sepsis-related organ failure assessment score; Intensivstation; Maßzahl zur Beurteilung des Organversagens bei Sepsis; Organdysfunktion; GECCO; NUM; FoDaPI
Language useden
Citeable Identifier1246.169.1056
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.registereintrag.v1, otherContributors=Antje Wulff, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1], code=at0000, itemType=COMPOSITION, level=0, text=SOFA-Score, description=Generische Zusammenstellung zur Darstellung eines Datensatzes für Forschungszwecke., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/context/other_context[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Status, description=Status der gelieferten Daten für den Registereintrag. Hinweis: Dies ist nicht der Status einzelner Komponenten., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • registriert  [*]
  • vorläufig  [*]
  • final  [*]
  • geändert  [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/context/other_context[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Kategorie, description=Die Klassifikation des Registereintrags (z.B. Typ der Observation des FHIR-Profils)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0], code=at0000, itemType=OBSERVATION, level=1, text=SOFA score, description=The SOFA score represents a score which is used in medicine for the assessment of patients in intensive care units. It is used to assess the degree of organ dysfunction and helps to determine the mortality risk of a patient. SOFA stands for Sequential Organ Failure Assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Respiration, description=The respiratory activity as PaO2/FiO2 ratio in mmHg to evaluate lung function., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: < 400  [PaO2/FiO2 ratio is < 400 mmHg and ≥ 300 mmHg.]
  • 2: < 300  [300 [PaO2/FiO2 ratio is < 300 mmHg and ≥ 200 mmHg.]
  • 3: < 200 and artificial respiration  [PaO2/FiO2 ratio with artificial respiration is < 200 mmHg and ≥ 100 mmHg.]
  • 4: < 100 and artificial respiration  [PaO2/FiO2 ratio with artificial respiration is < 100 mmHg.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Central nervous system, description=The evaluation of the CNS with Glasgow Coma Score., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: 13-14  [Glasgow Coma Score.]
  • 2: 10-12  [Glasgow Coma Score.]
  • 3: 6-9  [Glasgow Coma Score.]
  • 4: <6  [Glasgow Coma Score.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Cardiovascular System, description=Mean arterial pressure (MAP) or administration of vasopressors., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: MAP < 70 mmHg  [The mean arterial blood pressure (MAP) is less than 70mmHg without the use of vasopressors.]
  • 2: Dopamine ≤ 5 µg/kg/min or Dobutamine (regardless of dosage)  [Use of vasopressors dopamine of the dosage ≤ 5 µg/kg/min or dobutamine.]
  • 3: Dopamine > 5 µg/kg/min or adrenaline ≤ 0,1 µg/kg/min oder noradrenaline ≤ 0,1 µg/kg/min  [Use of vasopressors dopamine > 5 µg/kg/min or adrenalin ≤ 0.1 µg/kg/min or noradrenalin ≤ 0.1 µg/kg/min.]
  • 4: Dopamine > 15 µg/kg/min oder adrenaline > 0,1 µg/kg/min or noradrenaline > 0,1 µg/kg/min  [Use of vasopressors dopamine > 15 µg/kg/min or adrenalin > 0.1 µg/kg/min or noradrenalin > 0.1 µg/kg/min.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Liver function, description=The bilirubin value in milligrams per deciliter [mg/dl]., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: 1,2 -1,9 mg/dl  [The bilirubin value is between 1.2 and 1.9 mg/dl.]
  • 2: 2,0 - 5,9 mg/dl  [The bilirubin value is between 2.0 and 5.9 mg/dl.]
  • 3: 6,0 - 11,9 mg/dl  [The bilirubin value is between 6.0 and 11.9 mg/dl.]
  • 4: >12,0 mg/dl  [The bilirubin value is over 12.0 mg/dl.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=5, text=Blood clotting, description=The platelet count per microliter [10³/µl]., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: < 150  [Thrombocytes × 103/µl.]
  • 2: < 100  [Thrombocytes × 103/µl.]
  • 3: < 50  [Thrombocytes × 103/µl.]
  • 4: < 20  [Thrombocytes × 103/µl.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=Renal function, description=The creatinine value in milligrams per deciliter [mg/dl]., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: 1,2 - 1,9 mg/dl  [The creatinine value is between 1.2 and 1.9.]
  • 2: 2,0 - 3,4 mg/dl  [The creatinine value is between 2.0 and 3.4.]
  • 3: 3,5 - 4,9 mg/dl  [The creatinine value is between 3.5 and 4.9.]
  • 4: > 5 mg/dl  [The creatinine level is over 5 mg/dl.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=5, text=Total score, description=Sum of points assigned for each of the component parameters., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=6..24, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/data[at0001]/events[at0002]/state[at0013], code=at0013, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=State, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.sofa_score.v0]/protocol[at0014], code=at0014, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null]], templateType=normal]