archetype (adl_version=1.4; uid=ca0ee384-0c93-4a94-92a2-88fdf9278569) openEHR-EHR-OBSERVATION.avpu-c.v0 specialise openEHR-EHR-OBSERVATION.avpu.v0 concept [at0000.1] -- ACVPU language original_language = <[ISO_639-1::en]> translations = < ["nb"] = < language = <[ISO_639-1::nb]> author = < ["name"] = <"Silje Ljosland Bakke; John Tore Valand"> ["organisation"] = <"Nasjonal IKT HF; Helse Bergen HF"> > > ["pt-br"] = < language = <[ISO_639-1::pt-br]> author = < ["name"] = <"Vladimir Pizzo"> ["organisation"] = <"Hospital Sirio Libanes, Brazil"> ["email"] = <"vladimir.pizzo@hsl.org.br"> > > > description original_author = < ["name"] = <"Hildegard Franke"> ["organisation"] = <"freshEHR Clinical Informatics Ltd."> ["email"] = <"hildi@freshehr.com"> ["date"] = <"2018-02-01"> > details = < ["nb"] = < language = <[ISO_639-1::nb]> purpose = <"Brukes for å vurdere et individs bevissthetsnivå."> use = <"For raskt og enkel vurdering av et individs bevissthetsnivå, særlig egnet til vurdering i akutte situasjoner. Denne vurderingen har blitt oppdatert i 2017 som følge av endringer NEWS skåringsverktøyet. Verktøyet er nå publisert som NEWS 2."> keywords = <"AVPU", "alert", "voice", "pain", "unresponsive", "våken", "tale", "smerte", "bevisstløs", "stemme", "bevissthet", "verbal", "verbalrespons", "semikomatøs", "bevisst", "bevissthetsnivå", "komatøs"> misuse = <""> copyright = <"© openEHR Foundation"> > ["pt-br"] = < language = <[ISO_639-1::pt-br]> purpose = <"Registrar a responsividade de um paciente, como uma indicação do seu nível de consciência."> use = <"Usar para registrar, como parte de uma avaliação de rastreamento da responsividade de um paciente, como uma indicação do seu nível de consicência."> keywords = <"avda", "alerta", "voz", "dor", "arresponsivo"> misuse = <""> copyright = <"© openEHR Foundation"> > ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record an individual's level of consciousness."> use = <"Use to record a quick and simple assessment of an individual's level of consciousness, especially in an emergency situation. This assessment has been updated in response to 2017 changes to the NEWS assessment, now published as NEWS2."> keywords = <"avpu", "alert", "voice", "pain", "unresponsive", "awake", "speech", "pain", "unconscious", "voice", "consciousness", "verbal", "verbal response", "semicomatose", "conscious", "level of consciousness", "comatose", "confusion", "acvpu"> misuse = <""> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"in_development"> other_contributors = <"Heather Leslie, Atomica Informatics, Australia", ...> other_details = < ["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"] = <"Ocean Informatics"> ["references"] = <"Derived from: ACVPU, Draft archetype [Internet]. Apperta UK, Apperta UK Clinical Knowledge Manager [cited: 2019-03-12]. Available from: https://ckm.apperta.org/ckm/#showArchetype_1051.32.706 https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2 [cited 01-Feb-2018]."> ["current_contact"] = <"Heather Leslie, Atomica Informatics"> ["original_namespace"] = <"com.oceaninformatics"> ["original_publisher"] = <"Ocean Informatics"> ["custodian_namespace"] = <"com.oceaninformatics"> ["MD5-CAM-1.0.1"] = <"C6561B4A63ED465A9149F9D8F1EF7E8F"> ["build_uid"] = <"498080f1-9204-4f9e-9301-6ebed27ee30c"> ["revision"] = <"0.0.1-alpha"> > definition OBSERVATION[at0000.1] matches { -- ACVPU data matches { HISTORY[at0001] matches { -- Event Series events cardinality matches {1..*; unordered} matches { EVENT[at0002] occurrences matches {0..*} matches { -- Any event data matches { ITEM_TREE[at0003] matches { -- Tree items cardinality matches {0..*; unordered} matches { ELEMENT[at0004.1] occurrences matches {0..1} matches { -- Observation value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0005, -- Alert at0.15, -- Confusion at0006, -- Voice at0007, -- Pain at0008] -- Unresponsive } } } } ELEMENT[at0012] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } } state matches { ITEM_TREE[at0013] matches { -- Tree items cardinality matches {0..*; unordered} matches { ELEMENT[at0014] occurrences matches {0..1} matches { -- Confounding factors value matches { DV_TEXT matches {*} } } } } } } } } } protocol matches { ITEM_TREE[at0009] matches { -- Tree items cardinality matches {0..*; unordered} matches { ELEMENT[at0010] occurrences matches {0..1} matches { -- Pain stimulus value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0011] occurrences matches {0..*} matches { -- Extension include archetype_id/value matches {/.*/} } } } } } ontology term_definitions = < ["en"] = < items = < ["at0.15"] = < text = <"Confusion"> description = <"New onset of confusion, disorientation and/or agitation, where previously their mental state was normal."> > ["at0000"] = < text = <"AVPU"> description = <"Simple scale used as part of an assessment to measure and record an individual's level of consciousness. AVPU is an acronym for 'Alert', 'Voice', 'Pain', 'Unresponsive'."> > ["at0000.1"] = < text = <"ACVPU"> description = <"Simple scale used as part of an assessment to measure and record an individual's level of consciousness."> comment = <"ACVPU is an acronym for 'Alert', 'Confusion', 'Voice', 'Pain', 'Unresponsive'."> > ["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 = <"Observation"> description = <"The observation of the patient's level of consciousness."> > ["at0004.1"] = < text = <"Observation"> description = <"The observation of the patient's level of consciousness."> > ["at0005"] = < text = <"Alert"> description = <"Eyes open spontaneously, oriented speech, obeys commands."> > ["at0006"] = < text = <"Voice"> description = <"Any verbal, motor or eye response to a voice stimulus."> > ["at0007"] = < text = <"Pain"> description = <"Any verbal, motor or eye response to a pain stimulus, such as pressing the nail root, but not to voice stimulus."> > ["at0008"] = < text = <"Unresponsive"> description = <"No response to voice or pain stimuli."> > ["at0009"] = < text = <"Tree"> description = <"@ internal @"> > ["at0010"] = < text = <"Pain stimulus"> description = <"Description of the type of pain stimulus used to elicit the observation."> comment = <"This element should be coded with a terminology, where possible. For example: pressing the nail root or the sternum."> > ["at0011"] = < text = <"Extension"> description = <"Additional information required to capture local content or to align with other reference models/formalisms."> comment = <"e.g. Local information requirements or additional metadata to align with FHIR or CIMI equivalents."> > ["at0012"] = < text = <"Comment"> description = <"Additional narrative about the observation, not captured in other fields."> > ["at0013"] = < text = <"Tree"> description = <"@ internal @"> > ["at0014"] = < text = <"Confounding factors"> description = <"Narrative description of any issues or factors that may impact on the observation."> > > > ["nb"] = < items = < ["at0.15"] = < text = <"Nyoppstått forvirring"> description = <"Nyoppstått forvirring og eller agitasjon, der den mentale tilstanden tidligere var normal (C)."> > ["at0000"] = < text = <"AVPU"> description = <"En enkel skala for å vurdere et individs bevissthetsnivå. AVPU er en forkortelse for engelsk \"Alert\", \"Voice\", \"Pain\" og \"Unresponsive\", på norsk \"Våken\", \"Tiltale\", \"Smerte\" og \"Reagerer ikke\"."> > ["at0000.1"] = < text = <"ACVPU"> description = <"En enkel skala for å vurdere et individs bevissthetsnivå."> comment = <"AVPU er en forkortelse for engelsk \"Alert\", \"Confusion\", \"Voice\", \"Pain\" og \"Unresponsive\", på norsk \"Våken\", \"Nyoppstått forvirring\", \"Tiltale\", \"Smerte\" og \"Reagerer ikke\"."> > ["at0001"] = < text = <"Event Series"> description = <"@ internal @"> > ["at0002"] = < text = <"Uspesifikk hendelse."> description = <"Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i en template eller i en applikasjon."> > ["at0003"] = < text = <"Tree"> description = <"@ internal @"> > ["at0004"] = < text = <"AVPU-observasjon"> description = <"Observasjonen av individets bevissthetsnivå."> > ["at0004.1"] = < text = <"ACVPU-observasjon"> description = <"Observasjonen av individets bevissthetsnivå."> > ["at0005"] = < text = <"Våken"> description = <"Øynene åpnes spontant, orientert tale, adlyder kommandoer (A)."> > ["at0006"] = < text = <"Tiltale"> description = <"Hvilken som helst verbal, motorisk eller øye-respons på verbal tiltale (rop høyt eller rist forsiktig) (V)."> > ["at0007"] = < text = <"Smerte"> description = <"En hvilken som helst verbal, motorisk eller øye-respons på smertestimuli (eksempelvis press på neglerot), men ikke på verbal tiltale (P)."> > ["at0008"] = < text = <"Reagerer ikke"> description = <"Ingen respons på tale- eller smertestimuli (U)."> > ["at0009"] = < text = <"Tree"> description = <"@ internal @"> > ["at0010"] = < text = <"Smertestimuli"> description = <"Beskrivelse av type smertestimuli. Bør kodes ved hjelp av kodeverk eller terminologi."> comment = <"Eksempler: Trykk på neglerot og press mot sternum."> > ["at0011"] = < text = <"Tilleggsinformasjon"> description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer."> comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR eller CIMI."> > ["at0012"] = < text = <"Comment"> description = <"Ytterligere fritekst om observasjonen som ikke passer inn i andre elementer."> > ["at0013"] = < text = <"*Tree(en)"> description = <"*@ internal @(en)"> > ["at0014"] = < text = <"Konfunderende faktorer"> description = <"Fritekstbeskrivelse av problemer eller faktorer som kan ha påvirkning på observasjonen."> > > > ["pt-br"] = < items = < ["at0.15"] = < text = <"*Confusion(en)"> description = <"*New onset of confusion, disorientation and/or agitation, where previously their mental state was normal.(en)"> > ["at0000"] = < text = <"AVDA"> description = <"Escala simples utilizada como parte de uma medida de avaliação e registro da responsividade de um paciente, indicando o seu nível de consciência. AVDA é um acrônimo para 'Alerta', 'Voz', 'Dor' e \"Arresponsivo'"> > ["at0000.1"] = < text = <"*ACVPU(en)"> description = <"*Simple scale used as part of an assessment to measure and record an individual's level of consciousness.(en)"> comment = <"*ACVPU is an acronym for 'Alert', 'Confusion', 'Voice', 'Pain', 'Unresponsive'.(en)"> > ["at0001"] = < text = <"Event Series"> description = <"@ internal @"> > ["at0002"] = < text = <"Qualquer evento"> description = <"Padrão, evento ponto no tempo ou intervalo não especificado que pode ser definido explicitamente num template ou no tempo corrente."> > ["at0003"] = < text = <"Tree"> description = <"@ internal @"> > ["at0004"] = < text = <"Observação AVDA"> description = <"A observação da responsividade do paciente."> > ["at0004.1"] = < text = <"*! - Observation(en)"> description = <"*The observation of the patient's level of consciousness.(en)"> > ["at0005"] = < text = <"Alerta"> description = <"O paciente está completamente acordado e alerta."> > ["at0006"] = < text = <"Voz"> description = <"O paciente responde de alguma forma a um estímulo vocal."> > ["at0007"] = < text = <"Dor"> description = <"O paciente responde de alguma forma a um estímulo doloroso."> > ["at0008"] = < text = <"Arresponsivo"> description = <"O paciente não responde de forma alguma a um estímulo vocal ou doloroso."> > ["at0009"] = < text = <"*Tree(en)"> description = <"*@ internal @(en)"> > ["at0010"] = < text = <"*Pain stimulus(en)"> description = <"*Description of the type of pain stimulus used to elicit the observation.(en)"> comment = <"* This element should be coded with a terminology, where possible. For example: pressing the nail root or the sternum.(en)"> > ["at0011"] = < text = <"*Extension(en)"> description = <"*Additional information required to capture local content or to align with other reference models/formalisms.(en)"> comment = <"*e.g. Local information requirements or additional metadata to align with FHIR or CIMI equivalents.(en)"> > ["at0012"] = < text = <"*Comment(en)"> description = <"*Additional narrative about the observation, not captured in other fields.(en)"> > ["at0013"] = < text = <"*Tree(en)"> description = <"*@ internal @(en)"> > ["at0014"] = < text = <"*Confounding factors(en)"> description = <"*Narrative descripiton of any issues or factors that may impact on the observation.(en)"> > > > >