ARCHETYPE NIH Stroke Scale (openEHR-EHR-OBSERVATION.stroke_scale_neurological_assessment.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.stroke_scale_neurological_assessment.v0
ConceptNIH Stroke Scale
Description15-item neurologic examination stroke scale that provides a quantitative measure of stroke-related neurological deficit.
UseUse to record the results of the National Institutes of Health Stroke Score as a quantitative measurement of stroke-related neurologic deficit.
PurposeTo record the results of the National Institutes of Health Stroke Score as a quantitative measurement of stroke-related neurologic deficit.
ReferencesNIH Stroke Scale - Know Stroke [Internet]. Bethesda, MD: National Institute of Neurological Disorders and Stroke; [cited 2018 Jun 29]. Available from: https://stroke.nih.gov/documents/NIH_Stroke_Scale_Booklet.pdf.

Copyright© openEHR Foundation
AuthorsAuthor name: Gustavo M Bacelar-Silva
Organisation: Healthcare Designs
Email: mail@gustavobacelar.com
Date originally authored: 11-05-2012
Other Details LanguageAuthor name: Gustavo M Bacelar-Silva
Organisation: Healthcare Designs
Email: mail@gustavobacelar.com
Date originally authored: 11-05-2012
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=openEHR Foundation, references=NIH Stroke Scale - Know Stroke [Internet]. Bethesda, MD: National Institute of Neurological Disorders and Stroke; [cited 2018 Jun 29]. Available from: https://stroke.nih.gov/documents/NIH_Stroke_Scale_Booklet.pdf. , current_contact=Heather Leslie, Atomica Informatics, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=646741DAE1CB6DE402B74E6194868209, build_uid=818fe647-7afd-436e-b6b5-d7737bc51ef9, revision=0.0.1-alpha}
Keywordsscale, neurological, stroke, assessment, examination, NIHSS
Lifecyclein_development
UID3f64e10e-e330-4a6a-8a54-68f4941c0b88
Language useden
Citeable Identifier1013.1.2041
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=15-item neurologic examination stroke scale that provides a quantitative measure of stroke-related neurological deficit., archetypeConceptComment=null, otherContributors=Gustavo Bacelar-Silva, Healthcare Designs, Portugal
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)
Rong Chen, Cambio Healthcare Systems, Sweden
Ricardo Cruz-Correia, Faculty of Medicine of Porto University, Portugal
Heather Leslie, Atomica Informatics, Australia (openEHR Editor), originalLanguage=en, translators=Portuguese (Brazil): Osmeire Chamelette Sanzovo, osmeire.acsanzovo@hsl.org.br
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1: Not alert, but arousable by minor stimulation [Not alert; but arousable by minor stimulation to obey, answer or respond.]
2: Not alert, requires repeated stimulation or strong stimuli. [Not alert; requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to make movements.]
3: Reflex reponses only or totally unreponsive [Responds only with reflex motor or autonomic effects, or totally unresponsive, flaccid, and areflexic.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=LOC questions, description=The patient is asked the month and his/her age., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Both correct [Patient answered both questions correctly.]
1: One correct [Patient answered one question correctly or is unable to communicate because of a problem not secondary to aphasia.]
2: Neither correct [Patient answered neither question correctly or is comatose or does not comprehend the question.]
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1: One correct [Patient performs one task correctly.]
2: Neither correct [Patient performs neither task correctly.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=Horizontal eye movements, description=Horizontal eye movement observation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal [Normal eye movement.]
1: Partial gaze palsy [Gaze is abnormal in one or both eyes, but forced deviation or total gaze paresis is not present.]
2: Forced deviation or total gaze paresis [Forced deviation or total gaze paresis is not overcome by the oculocephalic maneuver.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Visual fields, description=Visual field test observation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No visual loss [No visual loss detected.]
1: Partial hemianopia [Partial hemianopia or complete quadrantanopia detected.]
2: Complete hemianopia [Complete hemianopia detected]
3: Bilateral hemianopia [Blindness from any cause, including cortical blindness.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0027], code=at0027, itemType=ELEMENT, level=4, text=Facial palsy, description=Facial palsy observation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal [Normal symmetrical movements.]
1: Minor paralysis [Flattened nasolabial fold, asymmetry on smiling.]
2: Partial paralysis [Total or near-total paralysis of lower face.]
3: Complete paralysis of one or both sides [Absence of facial movement in the upper and lower face.]
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1: Drift [Limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support.]
2: Some effort against gravity [Limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity.]
3: No effort against gravity [Limb falls. ]
4: No movement [There is no observed limb movement.]
5: UNTESTABLE [Amputation or joint fusion at the shoulder.]
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1: Drift [Limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support.]
2: Some effort against gravity [Limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity.]
3: No effort against gravity [Limb falls. ]
4: No movement [There is no observed limb movement.]
5: UNTESTABLE [Amputation or joint fusion at the shoulder.]
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2: Some effort against gravity [Leg falls to bed by 5 seconds but has some effort against gravity.]
3: No effort against gravity [Leg falls to bed immediately.]
4: No movement [There is no observed leg movement.]
5: UNTESTABLE [Amputation or joint fusion at the hip.]
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1: Drift [Leg falls by the end of the 5-second period but does not hit the bed.]
2: Some effort against gravity [Leg falls to bed by 5 seconds but has some effort against gravity.]
3: No effort against gravity [Leg falls to bed immediately.]
4: No movement [There is no observed leg movement.]
5: UNTESTABLE [Amputation or joint fusion at the hip.]
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1: Present in one limb [Limb ataxia observed in one limb.]
2: Present in two limbs [Limb ataxia observed in two limbs.]
3: UNTESTABLE [Amputation or joint fusion.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0179], code=at0179, itemType=ELEMENT, level=4, text=Reason for limb ataxia untestable, description=Narrative description about why limb ataxia was untestable., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0075], code=at0075, itemType=ELEMENT, level=4, text=Sensory, description=Observation of sensory loss., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal [No sensory loss.]
1: Mild-to-moderate sensory loss [Patient feels pinprick is less sharp or is dull on the affected side; or there is a loss of superficial pain with pinprick, but patient is aware of being touched.]
2: Severe or total sensory loss [Patient is not aware of being touched in the face, arm, and leg.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0079], code=at0079, itemType=ELEMENT, level=4, text=Language, description=Observation of language capability., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No aphasia [Normal]
1: Mild-to-moderate aphasia [Some obvious loss of fluency or facility of comprehension, without significant limitation on ideas expressed or form of expression.]
2: Severe aphasia [All communication is through fragmentary expression; great need for inference, questioning, and guessing by the listener.]
3: Mute, global aphasia [No usable speech or auditory comprehension.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0153], code=at0153, itemType=ELEMENT, level=4, text=Speech, description=Observation about speech capability., comment=Implementation note: while the UNTESTABLE value has been included in this ordinal to allow for inclusion in user interface picklists, the NIHSS applies no numerical score from this selection to the 'Total score'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal [Normal speech.]
1: Mild-to-moderate dysarthria [Patient slurs at least some words and, at worst, can be understood with some difficulty.]
2: Severe dysarthria [Patient's speech is so slurred as to be unintelligible in the absence of or out of proportion to any dysphasia, or is mute/anarthric.]
3: UNTESTABLE [Intubated or other physical barrier.]
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1: Inattention, or bilateral extinction in one sensory modality [Visual, tactile, auditory, spatial, or personal inattention, or extinction to bilateral simultaneous stimulation in one of the sensory modalities.]
2: Profound hemi-inattention or extinction to more than one modality [Profound hemi-inattention or extinction to more than one modality; does not recognize own hand or orients to only one side of space.]
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