TEMPLATE Allgemeinzustand UCO (Allgemeinzustand UCO)

TEMPLATE IDAllgemeinzustand UCO
ConceptAllgemeinzustand UCO
DescriptionZur Darstellung von Informationen zum Allgemeinzustand eines Patienten mit einer onkologischen Diagnose im HiGHmed Projekt.
UseDieses Template wird verwendet, um Informationen über den allgemeinen klinischen Zustand und über die Funktion der relevanten Organe (z.B. Leber, Herz) eines Patienten mit einer onkologischen Diagnose aufzuzeichnen. Es sollen folgende Daten zu dem Patient wie Größe, Körpergewicht, Karnofsky Index sowie Daten zur Organfunktion wie ALBI-Grad, Child-Pugh Score, ECOG Performance Status und New York Heart Association functional classification erfasst werden.
MisuseDieses Template soll nicht verwendet werden, um Therapien und Prozeduren, Nebenerkrankungen und Medikationen, Laborparameter, pathologische Daten (pTNM, Residualstatus, Fernmetastasen oder weitere Klassifikationen), radiologische Daten oder molekularpathologische Daten des Patienten aufzuzeichnen. Für diese Daten jeweils das eigene Template hierzu benutzen.
PurposeZur Darstellung von Informationen zum Allgemeinzustand eines Patienten mit einer onkologischen Diagnose im HiGHmed Projekt.
References
Authorsdate: 2019-12-04; name: Katrin Tröltzsch; organisation: Universitätsklinik Heidelberg; email: katrin.troeltzsch@med.uni-heidelberg.de
Other Details Languagedate: 2019-12-04; name: Katrin Tröltzsch; organisation: Universitätsklinik Heidelberg; email: katrin.troeltzsch@med.uni-heidelberg.de
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, PARENT:MD5-CAM-1.0.1=55DB2D45BC470E831EE8C905348471E4, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr}
KeywordsAllgemeinzustand; AZ; Größe; Körpergewicht; Karnofsky Index; Organfunktion; ALBI-Grad; Child-Pugh Score; ECOG Performance Status; New York Heart Association functional classification; Leberfunktion; NYHA
Language useden
Citeable Identifier1246.169.313
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  •  
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Units:
  • cm
  • [in_i]
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Units:
  • kg
  • [lb_av]
  • g
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  • 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.]
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  • 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.]
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  • 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.]
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  • 1: None  [No ascites is present.]
  • 2: Mild  [Mild ascites is present.]
  • 3: Moderate to severe  [Moderate to severe ascites is present.]
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  • 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.]
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  • 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.]
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  • Class A 5 to 6 points  [The Child-Pugh grade is Class A with a total score of 5 to 6 points.]
  • Class B 7 to 9 points  [The Child-Pugh grade is Class B with a total score of 7 to 9 points.]
  • Class C 10 to 15 points  [The Child-Pugh grade is Class C with a total score of 10 to 15 points.]
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  • Class I  [No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).]
  • Class II  [Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath).]
  • Class III  [Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.]
  • Class IIIa  [As per Class III; no dyspnoea at rest.]
  • Class IIIb  [As per Class III; recent dyspnoea at rest.]
  • Class IV  [Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort increases.]
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  • Class A  [No objective evidence of cardiovascular disease. No symptoms and no limitation in ordinary physical activity.]
  • Class B  [Objective evidence of minimal cardiovascular disease. Mild symptoms and slight limitation during ordinary activity. Comfortable at rest.]
  • Class C  [Objective evidence of moderately severe cardiovascular disease. Marked limitation in activity due to symptoms, even during less-than-ordinary activity. Comfortable only at rest.]
  • Class D  [Objective evidence of severe cardiovascular disease. Severe limitations. Experiences symptoms even while at rest.]
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  • 0: Asymptomatic  [Fully active, able to carry on all pre-disease performance without restriction.]
  • 1: Symptomatic, fully ambulatory  [Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work.]
  • 2: Symptomatic, in bed <50% of the day  [Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours.]
  • 3: Symptomatic, in bed >50% of the day (but not bedridden)  [Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours.]
  • 4: Bedridden  [Completely disabled; cannot carry on any selfcare; totally confined to bed or chair.]
  • 5: Dead  [Patient has died.]
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  • 0: Dead  [Patient died.]
  • 10: Moribund  [Fatal processes progressing rapidly.]
  • 20: Very sick  [Hospital treatment and supportive procedures are required.]
  • 30: Severely disabled  [Hospital admission is indicated although death not imminent.]
  • 40: Disabled  [Patient requires special care and assistance.]
  • 50: Requires occasional assistance  [Patient requires considerable assistance and frequent medical care.]
  • 60: Requires occasional assistance  [Patient requires occasional assistance, but is able to care for most of his personal needs.]
  • 70: Cares for self  [Patient is unable to carry on normal activity or to do active work.]
  • 80: Normal activity with effort  [Patient has some signs or symptoms of disease.]
  • 90: Able to carry on normal activity  [Patient has minor signs or symptoms of disease.]
  • 100: Normal no complaints  [No evidence of disease.]
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  • Grad 1  [Der Gesamtscore ist kleiner oder gleich -2,6.]
  • Grad 2  [Der Gesamtscore ist zwischen -2,6 und -1,39.]
  • Grad 3  [Der Gesamtscore ist größer oder gleich -1,39.]
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