Type: openEHR TEMPLATE
Purpose: Zur Darstellung der Glasgow-Koma-Skala von COVID-19 Patienten.
Use: Zur Repräsentation der Intensivmedizinische Scores für die Glasgow-Koma-Skala bei COVID-19 Patienten verwenden.
Misuse: Nicht zur Darstellung anderer Intensivmedizinische Scores gedacht.
Tags/Keywords: GCS; Glasgow Koma Skala; Hirnfunktionsstörung
| TEMPLATE ID | Intensivmedizinisches Scoring Glasgow-Koma-Skala |
|---|---|
| Concept | Intensivmedizinisches Scoring Glasgow-Koma-Skala |
| Description | Zur Darstellung der Glasgow-Koma-Skala von COVID-19 Patienten. |
| Use | Zur Repräsentation der Intensivmedizinische Scores für die Glasgow-Koma-Skala bei COVID-19 Patienten verwenden. |
| Misuse | Nicht zur Darstellung anderer Intensivmedizinische Scores gedacht. |
| Purpose | Zur Darstellung der Glasgow-Koma-Skala von COVID-19 Patienten. |
| References | |
| Other Details (Language Independent) |
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| Keywords | GCS; Glasgow Koma Skala; Hirnfunktionsstörung |
| Language used | en |
| Citeable Identifier | 1246.169.3511 |
| Root archetype id | openEHR-EHR-COMPOSITION.report-result.v1 |
| Result Report | Result Report: Document to communicate information to others about the result of a test or assessment. |
| Other Context | |
| Bericht Name | Bericht Name: Identification information about the report.
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| Status | Status: The status of the entire report. Note: This is not the status of any of the report components. |
| Case identification | Case identification: To record case identification details for public health purposes. |
| Case identifier | Case identifier: The identifier of this case. |
| Glasgow Coma Scale (GCS) | Glasgow Coma Scale (GCS): Fifteen point scale used to assess impairment of consciousness in response to defined stimuli. More correctly known as the Modified Glasgow coma scale. |
| Data | |
| 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 | |
| Best eye response (E) | Best eye response (E): Best response of eyes to test stimulus. Most commonly, the score for eye response will be selected from one of the ordinal values, however if a response cannot be tested, for example if the subject of care cannot physically open their eyes due to other injuries, then the "Not Applicable" null flavour should be recorded.
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| Best verbal response (V) | Best verbal response (V): Best verbal response to test stimulus. Most commonly, the score for verbal response will be selected from one of the ordinal values, however if a response cannot be tested, for example if the subject of care is intubated, then the "Not Applicable" null flavour should be recorded.
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| Best motor response (M) | Best motor response (M): Best motor response to test stimulus. Most commonly, the score for motor response will be selected from one of the ordinal values, however if a response cannot be tested, for example if the subject of care cannot move their limbs due to injury or paralysis, then the "Not Applicable" null flavour should be recorded.
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| Total score | Total score: The sum of the ordinal scores recorded for each of the three component responses. The Total Score may be derived as the sum of the three response data elements and, if so, should be validated by the clinical information system against the individual scores entered by the clinician to ensure there is no conflict or inconsistency. Do not report a total score when one or more components are not testable because the score will be artificially low - in this situation record the EVM profile. 3..15 |
| EVM profile | EVM profile: Alternative assessment to 'Total Score' where the Eye Verbal Motor profile is expressed as three discrete components. The EMV Score may be automatically derived as a concatenation of the three response data elements and, if so, should be validated by the clinical information system against the individual scores entered by the clinician to ensure there is no conflict or inconsistency. The 'Not applicable' null flavour value should be recorded as 'NT', for 'not tested' as per http://www.glasgowcomascale.org/. |
| Comment | Comment: Additional narrative about the measurement of the scale not captured in other fields. Record the reasons for inability to test in the 'Confounding factors' data element. |
| State | |
| Confounding factors | Confounding factors: Narrative record of factors that may have contributed to the GCS scores. For example: deafness; aphasia; language issues; use of sedatives; hypothermia; or paralysis, severe facial/eye swelling or tracheal intubation as reasons for inability to record any one of the ordinal E, V or M assessments. |