TEMPLATE APACHE-II (APACHE-II)

TEMPLATE IDAPACHE-II
ConceptAPACHE-II
DescriptionDas Template für das APACHE II Bewertungssystem wird verwendet, um den Schweregrad einer Erkrankung basierend auf physiologischen Variablen, Alter und chronischen Erkrankungen zu beurteilen.
UseUm den APACHE II Score zu bestimmen, wird zunächst der Acute Physiology Score (APS) berechnet. Hierfür werden die physiologischen Werten mit den stärksten Abweichungen vom Normalbereich gemessen in den ersten 24 Stunden nach Aufnahme auf der Intensivstation berücksichtigt. Anschließend werden die Punkte für das Alter sowie chronische Erkrankungen hinzugefügt.
PurposeDas Template für das APACHE II Bewertungssystem wird verwendet, um den Schweregrad einer Erkrankung basierend auf physiologischen Variablen, Alter und chronischen Erkrankungen zu beurteilen.
References
Authorsdate: 2025-07-25
Other Details Languagedate: 2025-07-25
OtherDetails Language Independent{PARENT:MD5-CAM-1.0.1=A60D0B7F52F1F9C3C9B3518DB83ACDAE, original_language=ISO_639-1::de, MD5-CAM-1.0.1=cea44bae135a3ead46117c79ebdc96e0, sem_ver=0.2.0}
KeywordsAPACHE, Schweregrad, Erkrankung, Acute Physiology Score, APS, Bewertungssystem, Scoring System
Language useden
Citeable Identifier1246.169.3876
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.report.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1], code=at0000, itemType=COMPOSITION, level=0, text=APACHE-II, description=Document to communicate information to others, commonly in response to a request from another party., 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.report.v1]/context/other_context[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Report ID, description=Identification information about the report., 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.report.v1]/context/other_context[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Status, description=The status of the entire report. Note: This is not the status of any of the report components., 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.report.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.case_identification.v0], code=at0000, itemType=CLUSTER, level=2, text=Case identification, description=To record case identification details for public health purposes., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.case_identification.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Case identifier, description=The identifier of this case., 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.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0], code=at0000, itemType=OBSERVATION, level=1, text=APACHE II, description=The APACHE II classification system is a severity of disease classification system based on APACHE (Acute Physiology And Chronic Health Evaluation). It combines an Acute Physiology Score (APS) based on 12 physiologic variables with scoring points assigned to age and chronic health problems. A weighted score from 0 to 4 is assigned to each physiologic variable depending on how strongly it differs from a normal value. The APACHE II score ranges from 0 to 71., 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.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.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.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, text=Any event, description=@ internal @, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.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.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Temperature, description=Rectal temperature in °C., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 36 - 38.4°C 
  • 1: 38.5 - 38.9°C OR 34 - 35.9°C 
  • 2: 32 - 33.9°C 
  • 3: 39 - 40.9°C OR 30 - 31.9°C 
  • 4: >= 41°C OR <= 29.9°C 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Mean arterial pressure, description=Mean arterial pressure in mmHg., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 70 - 109 mmHg 
  • 2: 110 - 129 mmHg OR 50 - 69 mmHg 
  • 3: 130 - 159 mmHg 
  • 4: >= 160 mmHg OR <= 49 mmHg 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=Heart rate, description=Heart rate (ventricular response) in beats/min., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 70 - 109/min 
  • 2: 110 - 139/min OR 55 - 69/min 
  • 3: 140 - 179/min OR 40 - 54/min 
  • 4: >= 180/min OR <= 39/min 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Respiratory rate, description=Respiratory rate non-ventlated or ventilated in breaths/min., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 12 - 24/min 
  • 1: 25 - 34/min OR 10 - 11/min 
  • 2: 6 - 9/min 
  • 3: 35 - 49/min 
  • 4: >= 50/min OR <= 5/min 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0027], code=at0027, itemType=ELEMENT, level=5, text=Oxygenation, description=Oxygenation in mmHg: if FIO_2 >= 0.5: record AaDO_2; if FIO_2 < 0.5: record PaO_2., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: AaDO_2 < 200 mmHg OR PaO_2 > 70 mmHg 
  • 1: PaO_2: 61 - 70 mmHg 
  • 2: AaDO_2: 200 - 349 mmHg 
  • 3: AaDO_2: 350 - 499 mmHg OR PaO_2: 55 - 60 mmHg 
  • 4: AaDO_2 >= 500 mmHg OR PaO_2 < 55 mmHg 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0033], code=at0033, itemType=ELEMENT, level=5, text=Arterial pH, description=Arterial blood pH., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 7.33 - 7.49 
  • 1: 7.5 - 7.59 
  • 2: 7.25 - 7.32 
  • 3: 7.6 - 7.69 OR 7.15 - 7.24 
  • 4: >= 7.7 OR < 7.15 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0039], code=at0039, itemType=ELEMENT, level=5, text=Serum sodium, description=Serum sodium in mmol/l., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 130 - 149 mmol/l 
  • 1: 150 - 154 mmol/l 
  • 2: 155 - 159 mmol/l OR 120 - 129 mmol/l 
  • 3: 160 - 179 mmol/l OR 111 - 119 mmol/l 
  • 4: >= 180 mmol/l OR <= 110 mmol/l 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0045], code=at0045, itemType=ELEMENT, level=5, text=Serum potassium, description=Serum potassium in mmol/l., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 3.5 - 5.4 mmol/l 
  • 1: 5.5 - 5.9 mmol/l OR 3 - 3.4 mmol/l 
  • 2: 2.5 - 2.9 mmol/l 
  • 3: 6 - 6.9 mmol/l 
  • 4: >= 7 mmol/l OR < 2.5 mmol/l 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0051], code=at0051, itemType=ELEMENT, level=5, text=Serum creatinine, description=Serum creatinine in mg/100 ml. Double point score for acute renal failure: In this case a factor of two is registered in the element 'Acute renal failure'. Otherwise, this factor is set to one., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 0.6 - 1.4 mg/100 ml 
  • 2: 1.5 - 1.9 mg/100 ml OR < 0.6 mg/100 ml 
  • 3: 2 - 3.4 mg/100 ml 
  • 4: >= 3.5 mg/100 ml 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0062], code=at0062, itemType=ELEMENT, level=5, text=Acute renal failure, description=Double point score for 'Serum creatinine' in case of acute renal failure. If acute renal failure has been diagnosed, the factor is 2. Otherwise, the factor is set to 1., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: No acute renal failure 
  • 2: Acute renal failure 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0056], code=at0056, itemType=ELEMENT, level=5, text=Hematocrit, description=Hematocrit in %., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 30 - 45.9% 
  • 1: 46 - 49.9% 
  • 2: 50 - 59.9% OR 20 - 29.9% 
  • 4: >= 60% OR <20% 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0061], code=at0061, itemType=ELEMENT, level=5, text=White blood count, description=White blood count in 10^9 /l., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 3 - 14.9 x10^9 /l 
  • 1: 15 - 19.9 x10^9 /l 
  • 2: 20 - 39.9 x10^9 /l OR 1 - 2.9 x10^9 /l 
  • 4: >= 40 x10^9 /l OR < 1 x10^9 /l 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0071], code=at0071, itemType=ELEMENT, level=5, text=GCS points, description=The point score added for the GCS is calculated by subtracting the actual GCS from 15: Points = 15 - actual GCS., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=0..12, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0072], code=at0072, itemType=ELEMENT, level=5, text=Age, description=Age points are assigned to age in years., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: <= 44 
  • 2: 45 - 54 
  • 3: 55 - 64 
  • 5: 65 - 74 
  • 6: >= 75 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0078], code=at0078, itemType=ELEMENT, level=5, text=Chronic health, description=If the patient has a history of severe organ system insufficiency or is immuno-compromised assign points., comment=Organ Insufficiency or immuno-compromised state must have been evident prior to hospital admission and conform to the following criteria: - Liver: Biopsy proven cirrhosis and documented portal hypertension; episodes of past upper GI bleeding attributed to portal hypertension; or prior episodes of hepatic failure / encephalopathy / coma. - Cardiovascular: New York Heart Association Class IV - Respiratory: Chronic restrictive, obstructive, or vascular disease resulting in severe exercise restriction, or documented chronic hypoxia, hypercapnia, secondary polycythemia, severe pulmonary hypertension (>40 mmHg), or respirator dependency. - Renal: Receiving chronic dialysis. - Immuno-compromised: The patient has received therapy that suppresses resistance to infection, e.g. immuno-suppression, chemotherapy, radiation, long term or recent high dose steroids, or has a disease that is sufficiently advanced to suppress resistance to infection, e.g. leukemia, lymphoma, AIDS., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 5: Nonoperative or emergency postoperative patient AND organ system insufficiency or immuno-compromised state 
  • 2: Elective postoperative patient AND organ system insufficiency or immuno-compromised state 
  • 0: No organ system insufficiency or immuno-compromised state 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.apache_ii.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0082], code=at0082, itemType=ELEMENT, level=5, text=APACHE II score, description=Sum of the Acute Physiology Score (given by the sum of the 12 physiologic variable points), age points and chronic health points. Maximum of 71 points., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=0..71, extendedValues=null]], templateType=normal]