ARCHETYPE 4AT (openEHR-EHR-OBSERVATION.four_a_test.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.four_a_test.v1
Concept4AT
DescriptionA screening tool used for rapid initial assessment of delirium and cognitive impairment.
UseUse to record the results for each component parameter and their sum for the 4AT test. This archetype is intended to represent version 1.2 of 4AT test.
PurposeTo record the results for each component parameter and their sum for the 4AT test.
References4AT Rapid Clinical Test For Delirium [Internet]. 2014 [cited 2021 Feb 11]. Available from: https://www.the4at.com/.

Bellelli G, Morandi A, Davis DH, Mazzola P, Turco R, Gentile S, Ryan T, Cash H, Guerini F, Torpilliesi T, Del Santo F, Trabucchi M, Annoni G, MacLullich AM. Validation of the 4AT, a new instrument for rapid delirium screening: a study in 234 hospitalised older people. Age Ageing. 2014 Jul;43(4):496-502. doi: 10.1093/ageing/afu021. Epub 2014 Mar 2. Erratum in: Age Ageing. 2015 Jan;44(1):175. PMID: 24590568; PMCID: PMC4066613.
Copyright© openEHR Foundation, Nasjonal IKT HF
AuthorsAuthor name: John Tore Valand
Organisation: Helse Bergen HF
Date originally authored: 2019-02-18
Other Details LanguageAuthor name: John Tore Valand
Organisation: Helse Bergen HF
Date originally authored: 2019-02-18
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=4AT Rapid Clinical Test For Delirium [Internet]. 2014 [cited 2021 Feb 11]. Available from: https://www.the4at.com/. Bellelli G, Morandi A, Davis DH, Mazzola P, Turco R, Gentile S, Ryan T, Cash H, Guerini F, Torpilliesi T, Del Santo F, Trabucchi M, Annoni G, MacLullich AM. Validation of the 4AT, a new instrument for rapid delirium screening: a study in 234 hospitalised older people. Age Ageing. 2014 Jul;43(4):496-502. doi: 10.1093/ageing/afu021. Epub 2014 Mar 2. Erratum in: Age Ageing. 2015 Jan;44(1):175. PMID: 24590568; PMCID: PMC4066613., current_contact=John Tore Valand, john.tore.valand@helse-bergen.no, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=57504ABDCA34D6AD1E14E25AA88C7634, build_uid=0da22555-8b72-48cc-a532-d9ad4aef3aac, revision=1.0.1}
Keywordsdelirium, assessment, alertness, cognitive, screening, screening tool, cognitive impairment, confused
Lifecyclepublished
UID5fe8da4a-28be-46e9-b33d-f8739a71fcee
Language useden
Citeable Identifier1013.1.4304
Revision Number1.0.1
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A screening tool used for rapid initial assessment of delirium and cognitive impairment., archetypeConceptComment=null, otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
Aleocidio Balzanelo, UHG Brasil, Brazil
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Hugo Claudio Briceño García, Catsalut, Spain
Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor)
Kirvil Flygel, UNN, Helse Nord, Norway
Heather Grain, Llewelyn Grain Informatics, Australia
Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (openEHR Editor)
Nina Hauge, Helse Fonna, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Ieva Martinaityte, UNN Tromsø, Norway
Christine Mikalsen, Regional forvaltning EPJ, Norway
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Vilde Richardsen, Universitetssykehuset Nord-Norge, Norway
Marte Rime Bø, Direktoratet for e-helse, Norway
Terje Sagmyr, Helse Vest IKT, Norway (openEHR Editor)
Norwegian Review Summary, Norwegian Public Hospitals, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor), originalLanguage=en, translators=
  • Norwegian Bokmål: John Tore Valand, Mikkel Johan Gaup Grønmo, Haukeland Universitetssjukehus, Regional forvaltning EPJ, Helse Nord, john.tore.valand@helse-bergen.no, mikkel.johan.gaup.gronmo@helse-nord.no, Nasjonal IKT

  • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[], identities=[], capabilities=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0020]/items[at0021], code=at0021, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null]], content=[], source=[], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Alertness, description=, 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 (fully alert, but not agitated, throughout assessment)
    0: Mild sleepiness for <10 seconds after waking, then normal
    4: Clearly abnormal
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Abbreviated Mental Test 4 (AMT-4) score, description=, 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 mistakes
    1: 1 mistake
    2: 2 or more mistakes/untestable
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Attention, description=, 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: Achieves 7 months or more correctly
    1: Starts but scores <7 months / refuses to start
    2: Untestable (cannot start because unwell, drowsy, inattentive)
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Acute change or fluctuating course, description=, 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
    4: Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0019], code=at0019, itemType=ELEMENT, level=4, text=Total score, description=The sum of each component parameter in 4AT., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=12

    , extendedValues=null]], contacts=[], ism_transition=[], details=[], relationships=[], state=[], target=[], other_participations=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0020], code=at0020, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0020]/items[at0021], code=at0021, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]