ARCHETYPE CAM assessment RESET (openEHR-EHR-OBSERVATION.cam_reset.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.cam_reset.v0
ConceptCAM assessment RESET
DescriptionCAM Assessment for RESET.
UseUse for RESET project for CAM method for diagnosing delirium.
MisuseNot to be used outside the scope of the RESET project.
PurposeLocal archetype for RESET (Rapid response based Emergency Structured Exam Tool) to capture confusion assessment method (CAM) for diagnosing delirium.
ReferencesReference
1. Inouye SK, van Dyck CH, Alessi CA et al. Clarifying confusion: the Confusion Assessment Method. A new
method for detection of delirium. Ann Intern Med 1990; 113: 941–948. (http://www.guysandstthomas.nhs.uk/resources/our-services/acute-medicine-gi-surgery/elderly-care/cam-diagnostic-algorithm.pdf).

2. Madeleine Purchas, Dr Neil Pollard, Dr Fiona Boyd (Update) June 2015: Clinical Guidelines for the Management of Delirium in Adults
(http://www.rcht.nhs.uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/DementiaAndEldercare/GuidelineForTheManagementOfDelerium.pdf).
Copyright© Clinical Models UK
AuthorsAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2016-05-17
Other Details LanguageAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2016-05-17
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=UK Clinical Models, references=Reference 1. Inouye SK, van Dyck CH, Alessi CA et al. Clarifying confusion: the Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med 1990; 113: 941–948. (http://www.guysandstthomas.nhs.uk/resources/our-services/acute-medicine-gi-surgery/elderly-care/cam-diagnostic-algorithm.pdf). 2. Madeleine Purchas, Dr Neil Pollard, Dr Fiona Boyd (Update) June 2015: Clinical Guidelines for the Management of Delirium in Adults (http://www.rcht.nhs.uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/DementiaAndEldercare/GuidelineForTheManagementOfDelerium.pdf)., current_contact=Hildegard Franke, freshEHR Clinical Informatics Ltd., original_namespace=uk.org.clinicalmodels, original_publisher=UK Clinical Models, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=5EA7CE7307F767F031EBE3CDA8B98DF9, build_uid=13ad3d9a-95bb-4c3a-8871-ad7e4c89d60f, revision=0.0.1-alpha}
Keywords
Lifecyclein_development
UID4cd0c01e-7dd0-45fc-a04b-603df8bdc6c2
Language useden
Citeable Identifier1051.32.795
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=CAM Assessment for RESET., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={description=[], state=[], activities=[], target=[], capabilities=[], relationships=[], other_participations=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=2, text=Point in time, description=Point in time event., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null]], items=[], provider=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=F1 (1) Evidence of acute change, description=Feature 1 Acute onset and fluctuating course. This feature is usually obtained from a family member or nurse and is shown by positive responses to the following questions: 1. Is there evidence of an acute change in mental status from the patient’s baseline?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=F1 (2) Fluctuating, description=Feature 1 Acute onset and fluctuating course. This feature is usually obtained from a family member or nurse and is shown by positive responses to the following questions: 2. Did the (abnormal) behaviour fluctuate during the day, that is, tend to come and go, or increase or decrease in severity?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=F2 (3) Inattention, description=Feature 2 Inattention. This feature is usually obtained by interacting with the patient, but may also be reported by family members or staff and is shown by a positive response to the following question: 3. Did the patient have difficulty focusing attention, for example being easily distractible or having difficulty keeping track of what was being said?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=F3 (4) Disorganised thinking, description=Feature 3 Disorganised thinking . This feature is usually obtained by interacting with the patient, but may also be reported by family members or staff and is shown by a positive response to the following question: 4. ‘Was the patient’s thinking disorganised or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject?’., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=F4 (5) Altered level of consciousness, description=Feature 4 Altered level of consciousness. This feature is obtained by observing the patient and is shown by any answer other than ‘alert’ to the following question: 5. Overall, how would you rate this patient’s level of consciousness?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Alert (normal) [The patient's level of consciousness is considered to be alert / normal.]
  • Vigilant (hyperalert) [The patient's level of consciousness is considered to be vigilant / hyperalert.]
  • Lethargic (drowsy/easily aroused) [The patient's level of consciousness is considered to be lethargic / drowsy / easily aroused.]
  • Stupor (difficult to arouse) [The patient's level of consciousness is considered to be stuporous / difficult to arouse.]
  • Coma (unarousable) [The patient's level of consciousness is considered to be comatose / unarousable.]
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  • Alert (normal) [The patient's level of consciousness is considered to be alert / normal.]
  • Vigilant (hyperalert) [The patient's level of consciousness is considered to be vigilant / hyperalert.]
  • Lethargic (drowsy/easily aroused) [The patient's level of consciousness is considered to be lethargic / drowsy / easily aroused.]
  • Stupor (difficult to arouse) [The patient's level of consciousness is considered to be stuporous / difficult to arouse.]
  • Coma (unarousable) [The patient's level of consciousness is considered to be comatose / unarousable.]
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