| ARCHETYPE ID | openEHR-EHR-OBSERVATION.cam_reset.v0 |
| Concept | CAM assessment RESET |
| Description | CAM Assessment for RESET. |
| Use | Use for RESET project for CAM method for diagnosing delirium. |
| Misuse | Not to be used outside the scope of the RESET project. |
| Purpose | Local archetype for RESET (Rapid response based Emergency Structured Exam Tool) to capture confusion assessment method (CAM) for diagnosing delirium. |
| 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). |
| Copyright | © Clinical Models UK |
| Authors | Author name: Hildegard Franke Organisation: freshEHR Clinical Informatics Ltd. Email: hildi@freshehr.com Date originally authored: 2016-05-17 |
| Other Details Language | Author 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. |
| Keywords | |
| Lifecycle | in_development |
| UID | 4cd0c01e-7dd0-45fc-a04b-603df8bdc6c2 |
| Language used | en |
| Citeable Identifier | 1051.32.795 |
| Revision Number | 0.0.1-alpha |
| All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=CAM Assessment for RESET., 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=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]], contacts=[], description=[], target=[], context=[], identities=[], protocol=[], 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=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=
|