ARCHETYPE Supportive and Palliative Action Register (SPAR) (openEHR-EHR-OBSERVATION.spar.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.spar.v0
ConceptSupportive and Palliative Action Register (SPAR)
DescriptionSupportive and Palliative Action Register (SPAR) is a traffic light system used in nursing care homes to identify changing palliative care needs in frail elderly people and people with dementia.
UseUse to record details of the SPAR category describing the observed rate of deterioration of a frail, elderly individual. The SPAR traffic light system is used in conjunction with the Palliative Performance Scale (PPSv2), which is a separate archetype (OBSERVATION.ppsv2). To record a complete SPAR register entry, these two archetypes should be implemented together in a template.
PurposeTo record details of the SPAR category describing the observed rate of deterioration of a frail, elderly individual.
References[Internet]. Palliativecareggc.org.uk. 2021 [cited 2021 Apr 27]. Available from: https://www.palliativecareggc.org.uk/wp-content/uploads/2018/08/SPAR-Residential-2018.pdf
Copyright© Apperta Foundation
AuthorsAuthor name: Heidi Koikkalainen
Organisation: freshEHR Clinical Informatics, UK
Email: heidi@freshehr.com
Date originally authored: 2021-04-27
Other Details LanguageAuthor name: Heidi Koikkalainen
Organisation: freshEHR Clinical Informatics, UK
Email: heidi@freshehr.com
Date originally authored: 2021-04-27
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=[Internet]. Palliativecareggc.org.uk. 2021 [cited 2021 Apr 27]. Available from: https://www.palliativecareggc.org.uk/wp-content/uploads/2018/08/SPAR-Residential-2018.pdf, current_contact=Heidi Koikkalainen, heidi@freshehr.com, original_namespace=uk.org.clinicalmodels, original_publisher=Apperta UK, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=E85A1DDF0D507733406CE4B223C248EA, build_uid=f49af54e-f89e-4c3d-83e9-e00874d8dda4, revision=0.0.1-alpha}
Keywordspalliative, care, frail, frailty, dementia
Lifecyclein_development
UID5f3773cf-23f4-47fe-a009-e6ebda73c1b7
Language useden
Citeable Identifier1051.32.1132
Revision Number0.0.1-alpha
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  • Green (Minimal) [No major change in physical and/or mental status over last month; care needs are stable; no change in PPSv2 score.]
  • Amber (Moderate) [Slow to moderate rate of decline (month by month); signs of irreversible impairment; noticeable increase in care needs; decline in PPSv2 score.]
  • Red (Rapid/Major) [Rapid/severe (day by day) or persistent (week by week) rate of decline; significant and/or accelerating deterioration; extent of reversible deterioration is uncertain or unlikely; significant/very significant increase in care needs; further or significant decline in PPSv2 score; AND admission to hospital is not appropriate or is declined.]
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