| ARCHETYPE ID | openEHR-EHR-OBSERVATION.waterlow_score_uk.v0 |
| Concept | Waterlow Score |
| Description | The Waterlow Score is a tool used to assess the risk of a person developing a pressure sore or ulcer. |
| Use | Use to record details of a Waterlow Score, normally in conjunction with a more general clinical assessment of pressure sore risk. While openEHR archetypes are all freely available under an open license, the specific content of this Waterlow Score archetype is copyright protected. Any use of this archetype within implementations must be in compliance with the terms established by the copyright owners. Copyright statement: Copyright Protected © 2005-2007 judy-waterlow.co.uk. Copyright information: http://www.judy-waterlow.co.uk/waterlow-disclaimer.htm. |
| Purpose | To record the individual elements and overall score of the Waterlow Score (or Scale), for the purpose of estimating the risk of a person developing a pressure sore or ulcer. |
| References | The Waterlow Score [Internet];[cited 2011 Aug 1] Available from: http://www.judy-waterlow.co.uk/waterlow_score.htm The Waterlow Score Card [Internet];[cited 2011 Aug 1] Available from: http://www.judy-waterlow.co.uk/downloads/Waterlow%20Score%20Card-front.pdf Ferguson ML, Bauer J, Gallagher B,Capra S, Christie DRH, Mason BR. Validation of a malnutrition screening tool for patients receiving radiotherapy. Australasian Radiology. 1999;43:325–327 |
| Copyright | © openEHR Foundation, Apperta Foundation |
| Authors | Author name: Dr Ian McNicoll Organisation: Ocean Informatics, United Kingdom Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2011-08-01 |
| Other Details Language | Author name: Dr Ian McNicoll Organisation: Ocean Informatics, United Kingdom Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2011-08-01 |
| OtherDetails Language Independent | {licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=Apperta UK, references=The Waterlow Score [Internet];[cited 2011 Aug 1] Available from: http://www.judy-waterlow.co.uk/waterlow_score.htm The Waterlow Score Card [Internet];[cited 2011 Aug 1] Available from: http://www.judy-waterlow.co.uk/downloads/Waterlow%20Score%20Card-front.pdf Ferguson ML, Bauer J, Gallagher B,Capra S, Christie DRH, Mason BR. Validation of a malnutrition screening tool for patients receiving radiotherapy. Australasian Radiology. 1999;43:325–327, current_contact=Dr Ian McNicoll, freshEHR, ian@freshehr.com, original_namespace=uk.org.clinicalmodels, original_publisher=Apperta UK, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=6AAC8FC4EC3A1CF24993F7DF025D6E13, build_uid=b42b6066-80c3-4a22-9484-473b2711aa5f, revision=0.0.1-alpha} |
| Keywords | pressure, ulcer, risk, assessment, sore, skin, score, scale |
| Lifecycle | in_development |
| UID | c43e85cb-db5f-4b1e-bc31-f450a7708615 |
| Language used | en |
| Citeable Identifier | 1051.32.1131 |
| Revision Number | 0.0.1-alpha |
| All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The Waterlow Score is a tool used to assess the risk of a person developing a pressure sore or ulcer., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[], content=[], capabilities=[], relationships=[], activities=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=2, text=Any point in time event, description=Unspecified point in time event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..8, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null]], contacts=[], description=[], target=[], context=[], identities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0132]/items[at0182], code=at0182, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., 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[at0008], code=at0008, itemType=ELEMENT, level=4, text=Sex, description=Risk conferred by the sex of the subject., 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: Male [The subject is male.] 2: Female [The subject is female.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Age group, description=Risk conferred by the age range of the subject., 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: 14-49 [The subject is aged between 14-49.] 2: 50-64 [The subject is aged between 50-64.] 3: 65-74 [The subject is aged between 65-74.] 4: 75-80 [The subject is aged between 75-80.] 5: 81+ [The subject is aged over 81.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Build/weight for height, description=Risk conferred by the subject's build, based on a BMI calculation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Average [The subject's build is average: BMI 20-24.9 .] 1: Above average [The subject's build is above average: BMI 25-29.9 .] 2: Obese [The subject is obese: BMI over 30 .] 3: Below average [The subject's build is below average: BMI below 20 .] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Continence, description=Risk conferred by the subject's degree of 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values=0: Fully mobile [The subject is fully mobile.] 1: Restless/fidgety [The subject is restless and fidgety.] 2: Apathetic [The subject is apathetic.] 3: Restricted [The subject's mobility is restricted.] 4: Bedbound [The subject is confined to bed e.g by traction.] 5: Chairbound [The subject is confined to a chair or wheelchair.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0129], code=at0129, itemType=CLUSTER, level=4, text=Nutrition, description=An estimate of nutritional risk based on the MST nutritional score but can make use of another compatible nutritional score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0129]/items[at0054], code=at0054, itemType=ELEMENT, level=5, text=Weight loss, description=Risk conferred by recent weight loss., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No recent weight loss [The subject has not recently lost weight.] 1: 0.5-5kg [The subject has recently lost 0.5-5kg in weight.] 2: 5-10kg (or Amount unsure) [The subject has recently lost 5-10kg in weight.] 3: 10-15kg [The subject has recently lost 10-15kg in weight or the amount of weight loss is unknown.] 4: Over 15kg [The subject has recently lost over 15kg in weight.] 2: Unsure [It is not clear whether the subject has recently lost weight.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0129]/items[at0044], code=at0044, itemType=ELEMENT, level=5, text=Patient eating poorly or lack of appetite, description=Risk conferred by the subject's appetite and eating habit., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No [The subject is not eating poorly or have a lack of appetite.] 1: Yes [The subject is eating poorly or has a poor appetite.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0129]/items[at0130], code=at0130, itemType=ELEMENT, level=5, text=Nutrition score, description=The nutrition score total., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=5 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0156], code=at0156, itemType=ELEMENT, level=4, text=Skin type visual risk areas, description=Category of risks assessed by skin inspection., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Healthy [The skin appears healthy.] 1: Tissue paper [The skin has a tissue-paper quality.] 1: Dry [The skin is dry.] 1: Oedematous [The skin is oedematous.] 1: Clammy/pyrexia [The patient appears clammy or pyrexic.] 2: Discoloured - stage 1 [The skin is discoloured - Pressure sore - Grade 1.] 3: Pressure Ulcer - stage 2-4 [The skin has a frank pressure sore - Grade 2-4.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0164], code=at0164, itemType=ELEMENT, level=4, text=Tissue malnutrition, description=Category of risks conferred by tissue malnutrition., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=8: Terminal cachexia [The subject is terminally-ill and shows significant weight-loss.] 8: Multiple organ failure [The subject has a multiple organ/system failure.] 5: Single organ failure (resp, renal, cardiac) [The subject has a single organ/system failure, e.g. respiratory, cardiac, liver, renal.] 5: Peripheral vascular disease [The subject has a peripheral vascular disease.] 2: Anaemia (Hb less than 8) [The subject is significantly anaemic. Hb less than 8 mg/dl.] 1: Smoking [The subject is a smoker.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0175], code=at0175, itemType=ELEMENT, level=4, text=Diabetes / MS / CVA, description=The subject has diabetes, multiple sclerosis or has had a stroke., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=4: Mild [The subject has a mild overall neurological deficit.] 5: Moderate [The subject has a moderate overall neurological deficit.] 6: Severe [The subject has a severe overall neurological deficit.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0151], code=at0151, itemType=ELEMENT, level=4, text=Motor / sensory deficit, description=The subject has a motor or sensory 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overall neurological deficit.] 6: Severe [The subject has a severe overall neurological deficit.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0171], code=at0171, itemType=ELEMENT, level=4, text=Major surgery or trauma, description=Risk associated with major surgery or trauma., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=5: Orthopaedic/spinal [The subject has undergone orthopaedic or spinal surgery.] 5: On table over 2hr (past 48hrs) [The subject has had surgery within the past 48 hours lasting over 2 hours.] 8: On table over 6hr (past 48hrs) [The subject has had surgery within the past 48 hours lasting over 6 hours.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0106], code=at0106, itemType=ELEMENT, level=4, text=Cytotoxics, description=The subject is receiving cytotoxic medication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No medication risk [The subject has no risk related to medication.] 4: Significant medication risk [The subject has significant risk related to medication.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0107], code=at0107, itemType=ELEMENT, level=4, text=Steroids, description=The subject is receiving high-dose or long-term steroid medication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No medication risk [The subject has no risk related to medication.] 4: Significant medication risk [The subject has significant risk related to medication.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0108], code=at0108, itemType=ELEMENT, level=4, text=Anti-inflammatories, description=The subject is receiving anti-inflammatory medication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No medication risk [The subject has no risk related to medication.] 4: Significant medication risk [The subject has significant risk related to medication.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0140], code=at0140, itemType=ELEMENT, level=4, text=Combined medication risk, description=Overall pressure ulcer risk related to medication. Should not be recorded if individual medication risks are used., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No medication risk [The subject has no risk related to medication.] 4: Significant medication risk [The subject has significant risk related to medication.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=Waterlow score, description=The total summed score of all recorded individual risks., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=1 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0015], code=at0015, itemType=ELEMENT, level=4, text=Risk category, description=The overall risk category., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |