archetype (adl_version=1.4) openEHR-EHR-OBSERVATION.mews_nt_rmp.v1 concept [at0000] -- Modified Early Warning Score (NT RMP) language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Heather Leslie"> ["organisation"] = <"Ocean Informatics"> ["email"] = <"heather.leslie@oceaninformatics.com"> ["date"] = <"2013-02-07"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record provide a composite score based on categorising physiological readings and observations, as a simple method to support objective assessment of the degree of illness in an unwell patient."> use = <"Use to record a composite score to support assessmennt of the degree of illness in an unwell patient. MEWS is based on data derived from four physiological readings (systolic blood pressure, heart rate, respiratory rate, body temperature) and one observation (level of consciousness) which are compared to normal ranges. The score for each parameter is added to generate a single composite score. Different MEWS are in use in different jurisdictions in Australia and in other parts of the world. This version of MEWS is mandated for use by the Remote Medical Practitioner On-Call service in the Northern Territory, Australia to support remote clincians to determine the degree of illness in a unseen patient and the need for emergency retrieval."> keywords = <"MEWS", "warning", "AVPU", "RR", "HR", "BP", "Temp", "SBP"> misuse = <"Not to be used to record each physical measurement or clinical observation. Use specific OBSERVATION archetypes for this purpose - OBSERVATION.blood_pressure, OBSERVATION.heart_rate, OBSERVATION.respirations, OBSERVATION.body_temperature, OBSERVATION.avpu and OBSERVATION.glasgow_coma."> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"CommitteeDraft"> other_contributors = <> other_details = < ["current_contact"] = <"Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com"> ["references"] = <"Professional Practice Group. Remote Health Atlas: Managing Retrievals [PDF]. Northern Territory Government, Department of Health & Families; October 2009. Available from: http://remotehealthatlas.nt.gov.au/appendix_mews.pdf."> ["MD5-CAM-1.0.1"] = <"DDFF49EF2C6204C383C658596BFDC4B4"> > definition OBSERVATION[at0000] matches { -- Modified Early Warning Score (NT RMP) data matches { HISTORY[at0001] matches { -- Event Series events cardinality matches {1..*; unordered} matches { EVENT[at0002] occurrences matches {0..1} matches { -- Any event data matches { ITEM_TREE[at0003] matches { -- Tree items cardinality matches {0..*; unordered} matches { ELEMENT[at0004] occurrences matches {0..1} matches { -- Systolic Blood Pressure value matches { 0|[local::at0014], -- 101-199 1|[local::at0015], -- 81-100 2|[local::at0016], -- 71-80 or >199 3|[local::at0017] -- <70 } } ELEMENT[at0005] occurrences matches {0..1} matches { -- Heart Rate value matches { 0|[local::at0013], -- 51-100 1|[local::at0012], -- 41-50 or 101-110 2|[local::at0011], -- <40 or 111-129 3|[local::at0010] -- >129 } } ELEMENT[at0006] occurrences matches {0..1} matches { -- Respiratory Rate value matches { 0|[local::at0018], -- 9-14 1|[local::at0019], -- 15-20 2|[local::at0020], -- <9 or 21-29 3|[local::at0021] -- >29 } } ELEMENT[at0007] occurrences matches {0..1} matches { -- Temperature value matches { 0|[local::at0022], -- 35-38.4 2|[local::at0023] -- <35 or >38.4 } } ELEMENT[at0008] occurrences matches {0..1} matches { -- AVPU value matches { 0|[local::at0024], -- A 1|[local::at0025], -- V 2|[local::at0026], -- P 3|[local::at0027] -- U } } ELEMENT[at0028] occurrences matches {0..1} matches { -- Total Score value matches { DV_COUNT matches { magnitude matches {|0..13|} } } } } } } } } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Modified Early Warning Score (NT RMP)"> description = <"A simple score used to provide an objective indication of the degree of illness of a patient. This version is used by the Remote Medical Practitioner On-Call service in the Northern Territory, Australia."> > ["at0001"] = < text = <"Event Series"> description = <"@ internal @"> > ["at0002"] = < text = <"Any event"> description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time."> > ["at0003"] = < text = <"Tree"> description = <"@ internal @"> > ["at0004"] = < text = <"Systolic Blood Pressure"> description = <"Range category for the systolic blood pressure (SBP) measurement of a patient."> > ["at0005"] = < text = <"Heart Rate"> description = <"Range category for the heart rate (HR) measurement of a patient."> > ["at0006"] = < text = <"Respiratory Rate"> description = <"Range category for the respiratory rate (RR) measurement of a patient."> > ["at0007"] = < text = <"Temperature"> description = <"Range category for the body temperature (Temp) measurement of a patient."> > ["at0008"] = < text = <"AVPU"> description = <"Observed category for the AVPU scale rating of a patient's conscious state."> > ["at0010"] = < text = <">129"> description = <"The heart rate measurement is greater than 129 beats/min; scored as 3 points."> > ["at0011"] = < text = <"<40 or 111-129"> description = <"The heart rate measurement is less than 40 beats/min or between 111 and 129 beats/min; scored as 2 points."> > ["at0012"] = < text = <"41-50 or 101-110"> description = <"The heart rate measurement is between 41 and 50 beats/min or between 101 and 110 beats/min; scored as 1 point."> > ["at0013"] = < text = <"51-100"> description = <"The heart rate measurement is between 51 and 100 beats/min; scored as 0 points."> > ["at0014"] = < text = <"101-199"> description = <"The systolic blood pressure measurement is between 101 and 199 mmHg; scored as 0 points."> > ["at0015"] = < text = <"81-100"> description = <"The systolic blood pressure measurement is between 81 and 100 mmHg; scored as 1 point."> > ["at0016"] = < text = <"71-80 or >199"> description = <"The systolic blood pressure measurement is between 71 and 80 mmHg or greater than 199 mmHg; scored as 2 points."> > ["at0017"] = < text = <"<70"> description = <"The systolic blood pressure measurement is less than 70 mmHg; scored as 3 points."> > ["at0018"] = < text = <"9-14"> description = <"The respiratory rate measurement is between 9 and 14 breaths/min; scored as 0 points."> > ["at0019"] = < text = <"15-20"> description = <"The respiratory rate measurement is between 15 and 20 breaths/min; scored as 1 point."> > ["at0020"] = < text = <"<9 or 21-29"> description = <"The respiratory rate measurement is less than 9 breaths/min or between 21 and 29 breaths/min; scored as 2 points."> > ["at0021"] = < text = <">29"> description = <"The respiratory rate measurement is greater than 29 breaths/min; scored as 3 points."> > ["at0022"] = < text = <"35-38.4"> description = <"The body temperature measurement is between 35 and 38.4 degrees Celsius; scored as 0 points."> > ["at0023"] = < text = <"<35 or >38.4"> description = <"The body temperature measurement is less than 35 degrees Celsius or greater than 38.4 degrees Celsius; scored as 2 points."> > ["at0024"] = < text = <"A"> description = <"The patient is alert or awake."> > ["at0025"] = < text = <"V"> description = <"The patient responds to verbal stimulus."> > ["at0026"] = < text = <"P"> description = <"The patient responds to painful stimulus."> > ["at0027"] = < text = <"U"> description = <"The patient is unconscious and not responding to stimulation."> > ["at0028"] = < text = <"Total Score"> description = <"The composite total score of each MEWS parameter category."> > > > >