ARCHETYPE SOFA score (openEHR-EHR-OBSERVATION.sofa_score.v0)

Name: SOFA score
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.sofa_score.v0
Concept	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.
Use	To represent the condition of a patient with sepsis and the extent of organ damage during treatment in intensive care. For representation of SOFA parameter and score.
Misuse	Do not use to represent actual values of respiratory rate, blood pressure or the Glasgow Coma Scale. Use the respiratory archetypes respiration, blood pressure or Glasgow Coma Scale for these cases.
Purpose	To represent the SOFA score value, which indicates the degree of organ dysfunction and helps to determine the mortality risk of a patient.
References	https://flexikon.doccheck.com/de/SOFA-Score https://www.mdcalc.com/sequential-organ-failure-assessment-sofa-score
Copyright	© HiGHmed, openEHR Foundation
Authors	Author name: Sarah Ballout Organisation: MHH-Hannover Email: ballout.sarah@mh-hannover.de Date originally authored: 2020-04-23
Other Details Language	Author name: Sarah Ballout Organisation: MHH-Hannover Email: ballout.sarah@mh-hannover.de Date originally authored: 2020-04-23
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, references=https://flexikon.doccheck.com/de/SOFA-Score https://www.mdcalc.com/sequential-organ-failure-assessment-sofa-score, original_namespace=org.openehr, custodian_namespace=org.openehr, original_publisher=openEHR Foundation, MD5-CAM-1.0.1=54E3B5D27B6C8AB494318F8FE8B1158D, build_uid=27274bea-8df8-4399-afc7-bd7f43fcf5df, revision=0.0.1-alpha}
Keywords	SOFA-Score, Sequential Organ Failure Assessment, Organ dysfunction, Mortality risk
Lifecycle	in_development
UID	c39f52e8-2aa9-45f7-bee9-ddb99678e43a
Language used	en
Citeable Identifier	1051.32.1039
Revision Number	0.0.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=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. , archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators= German: Sarah Ballout, MHH-Hannover, ballout.sarah@mh-hannover.de , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[], content=[], capabilities=[], relationships=[], activities=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, 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=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], contacts=[], description=[], target=[], context=[], identities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0014]/items[at0015], code=at0015, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], other_participations=[], items=[], details=[], provider=[], source=[], ism_transition=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Respiration, description=The respiratory activity as PaO2/FiO2 ratio in mmHg to evaluate lung function., 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: at0016::< 400 [PaO2/FiO2 ratio is < 400 mmHg and ≥ 300 mmHg.] 2: at0017::< 300 [300 [PaO2/FiO2 ratio is < 300 mmHg and ≥ 200 mmHg.] 3: at0018::< 200 and artificial respiration [PaO2/FiO2 ratio with artificial respiration is < 200 mmHg and ≥ 100 mmHg.] 4: at0019::< 100 and artificial respiration [PaO2/FiO2 ratio with artificial respiration is < 100 mmHg.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Central nervous system, description=The evaluation of the CNS with Glasgow Coma Score., 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: at0020::13-14 [Glasgow Coma Score.] 2: at0021::10-12 [Glasgow Coma Score.] 3: at0022::6-9 [Glasgow Coma Score.] 4: at0023::<6 [Glasgow Coma Score. ] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Cardiovascular System, description=Mean arterial pressure (MAP) or administration of vasopressors. , 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: at0024::MAP < 70 mmHg [The mean arterial blood pressure (MAP) is less than 70mmHg without the use of vasopressors.] 2: at0025::Dopamine ≤ 5 µg/kg/min or Dobutamine (regardless of dosage) [Use of vasopressors dopamine of the dosage ≤ 5 µg/kg/min or dobutamine.] 3: at0026::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: at0027::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=/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Liver function, description=The bilirubin value in milligrams per deciliter [mg/dl]., 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: at0028::1,2 -1,9 mg/dl [The bilirubin value is between 1.2 and 1.9 mg/dl.] 2: at0029::2,0 - 5,9 mg/dl [The bilirubin value is between 2.0 and 5.9 mg/dl.] 3: at0030::6,0 - 11,9 mg/dl [The bilirubin value is between 6.0 and 11.9 mg/dl.] 4: at0031::>12,0 mg/dl [The bilirubin value is over 12.0 mg/dl.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Blood clotting, description=The platelet count per microliter [10³/µl]., 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: at0032::< 150 [Thrombocytes × 103/µl.] 2: at0033::< 100 [Thrombocytes × 103/µl.] 3: at0034::< 50 [Thrombocytes × 103/µl.] 4: at0035::< 20 [Thrombocytes × 103/µl.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Renal function, description=The creatinine value in milligrams per deciliter [mg/dl]., 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: at0036::1,2 - 1,9 mg/dl [The creatinine value is between 1.2 and 1.9. ] 2: at0037::2,0 - 3,4 mg/dl [The creatinine value is between 2.0 and 3.4.] 3: at0038::3,5 - 4,9 mg/dl [The creatinine value is between 3.5 and 4.9.] 4: at0039::> 5 mg/dl [The creatinine level is over 5 mg/dl.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Total score, description=Sum of points assigned for each of the component parameters., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=6; max: <=24 , extendedValues=null]], credentials=[]}, topLevelItems={state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0013], code=at0013, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=null, subCardinalityText=null, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0014], code=at0014, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0014]/items[at0015], code=at0015, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]