ARCHETYPE CRUSADE bleeding score (openEHR-EHR-OBSERVATION.crusade_bleeding.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.crusade_bleeding.v0
ConceptCRUSADE bleeding score
DescriptionAn assessment tool used to stratify risk for major bleeding in patients presenting with NSTEMI or STEMI prior to initiation of treatment.
UseUse to record the results for each component parameter, the total sum and grade for the CRUSADE bleeding score.
PurposeTo record the results for each component parameter, the total sum and grade for the CRUSADE bleeding score.
ReferencesAbu-Assi E, Gracía-Acuña JM, Ferreira-González I, Peña-Gil C, Gayoso-Diz P, González-Juanatey JR. Evaluating the Performance of the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the ACC/AHA Guidelines (CRUSADE) bleeding score in a contemporary Spanish cohort of patients with non-ST-segment elevation acute myocardial infarction. Circulation. 2010;121(22):2419–2426. doi:10.1161/CIRCULATIONAHA.109.925594.

Abu-Assi E, Raposeiras-Roubin S, Lear P, et al. Comparing the predictive validity of three contemporary bleeding risk scores in acute coronary syndrome. Eur Heart J Acute Cardiovasc Care. 2012;1(3):222–231. doi:10.1177/2048872612453924.

Ariza-Solé A, Sánchez-Elvira G, Sánchez-Salado JC, et al. CRUSADE bleeding risk score validation for ST-segment-elevation myocardial infarction undergoing primary percutaneous coronary intervention. Thromb Res. 2013;132(6):652–658. doi:10.1016/j.thromres.2013.09.019.

Flores-Ríos X, Couto-Mallón D, Rodríguez-Garrido J, et al. Comparison of the performance of the CRUSADE, ACUITY-HORIZONS, and ACTION bleeding risk scores in STEMI undergoing primary PCI: insights from a cohort of 1391 patients. Eur Heart J Acute Cardiovasc Care. 2013;2(1):19–26. doi:10.1177/2048872612469885.

Subherwal S, Bach RG, Chen AY, et al. Baseline risk of major bleeding in non-ST-segment-elevation myocardial infarction: the CRUSADE (Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC/AHA Guidelines) Bleeding Score. Circulation. 2009;119(14):1873–1882. doi:10.1161/CIRCULATIONAHA.108.828541.
Copyright© Apperta Foundation, openEHR Foundation
AuthorsAuthor name: John Meredith
Organisation: NHS Wales Informatics Service
Email: john.meredith@wales.nhs.uk
Date originally authored: 2019-04-03
Other Details LanguageAuthor name: John Meredith
Organisation: NHS Wales Informatics Service
Email: john.meredith@wales.nhs.uk
Date originally authored: 2019-04-03
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=Abu-Assi E, Gracía-Acuña JM, Ferreira-González I, Peña-Gil C, Gayoso-Diz P, González-Juanatey JR. Evaluating the Performance of the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the ACC/AHA Guidelines (CRUSADE) bleeding score in a contemporary Spanish cohort of patients with non-ST-segment elevation acute myocardial infarction. Circulation. 2010;121(22):2419–2426. doi:10.1161/CIRCULATIONAHA.109.925594. Abu-Assi E, Raposeiras-Roubin S, Lear P, et al. Comparing the predictive validity of three contemporary bleeding risk scores in acute coronary syndrome. Eur Heart J Acute Cardiovasc Care. 2012;1(3):222–231. doi:10.1177/2048872612453924. Ariza-Solé A, Sánchez-Elvira G, Sánchez-Salado JC, et al. CRUSADE bleeding risk score validation for ST-segment-elevation myocardial infarction undergoing primary percutaneous coronary intervention. Thromb Res. 2013;132(6):652–658. doi:10.1016/j.thromres.2013.09.019. Flores-Ríos X, Couto-Mallón D, Rodríguez-Garrido J, et al. Comparison of the performance of the CRUSADE, ACUITY-HORIZONS, and ACTION bleeding risk scores in STEMI undergoing primary PCI: insights from a cohort of 1391 patients. Eur Heart J Acute Cardiovasc Care. 2013;2(1):19–26. doi:10.1177/2048872612469885. Subherwal S, Bach RG, Chen AY, et al. Baseline risk of major bleeding in non-ST-segment-elevation myocardial infarction: the CRUSADE (Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC/AHA Guidelines) Bleeding Score. Circulation. 2009;119(14):1873–1882. doi:10.1161/CIRCULATIONAHA.108.828541., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=C406593C95354B2A415574B61DF67F98, build_uid=042cd698-77ba-4be5-9157-9f8ca71ca78a, revision=0.0.1-alpha}
KeywordsACS, Acute coronary syndrome, Bleeding, CBRS, CRUSADE bleeding risk score, NSTEMI, Non-ST segment elevation myocardial infarction, PCI, percutaneous coronary intervention, prognosis, ST segment elevation myocardial infarction, STEMI, ischaemic heart disease, myocardial infarction, primary percutaneous coronary intervention, risk score
Lifecyclein_development
UID406da867-ee6b-4e1b-8765-009a2ef7f74b
Language useden
Citeable Identifier1013.1.4358
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=An assessment tool used to stratify risk for major bleeding in patients presenting with NSTEMI or STEMI prior to initiation of treatment., archetypeConceptComment=CRUSADE is an acronym from the original study title: "Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC/AHA Guidelines"., otherContributors=Heather Leslie, Atomica Informatics, Australia, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[], identities=[], capabilities=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0044]/items[at0046], code=at0046, itemType=ELEMENT, level=2, text=Score version, description=The version of the score used, normally recorded as the year., 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=/protocol[at0044]/items[at0071], code=at0071, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models/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=POINT_EVENT, level=2, text=Any point in time event, description=Default, unspecified point in time 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=POINT_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=Baseline haematocrit, description=Haematocrit measured in %., 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: >=40 [Greater than or equal to 40%.]
2: 37-39.9 [Between 37 and 39.9%.]
3: 34-36.9 [Between 34 and 36.9%.]
7: 31-33.9 [Between 31 and 33.9%.]
9: <31 [Less than 31%.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Creatinine clearance, description=Creatinine clearance estimated using the Cockcroft-Gault equation., 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: >120 [Greater than 120 mL/min.]
7: >90-120 [Greater than 90 to 120 mL/min.]
17: >60-90 [Greater than 60 to 90 mL/min.]
28: >30-60 [Greater than 30 to 60 mL/min.]
35: >15-30 [Greater than 15 to 30 mL/min.]
39: <=15 [Less than or equal to 15 mL/min.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0017], code=at0017, itemType=ELEMENT, level=4, text=Heart rate, description=Heart rate measured in beats/min., 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: <=70 [Less than or equal to 70 bpm.]
1: 71-80 [Between 71 and 80 bpm.]
3: 81-90 [Between 81 and 90 bpm.]
6: 91-100 [Between 91 and 100 bpm.]
8: 101-110 [Between 101 and 110 bpm.]
10: 111-120 [Between 111 and 120 bpm.]
11: >=121 [Greater than or equal to 121.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Sex, description=Patient sex., 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: Male [Patient sex is male.]
8: Female [Patient sex is female.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Signs of heart failure, description=Signs of congestive heart failure at presentation?, 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 [No signs of congestive heart failure at presentation.]
7: Yes [Signs of Congestive Heart Failure at presentation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0031], code=at0031, itemType=ELEMENT, level=4, text=Prior vascular disease, description=History of vascular disease?, comment=Prior vascular disease defined as peripheral artery disease or prior stroke., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No [No history of vascular disease.]
7: Yes [Patient has history of vascular disease.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Diabetes mellitus, description=History of diabetes mellitus?, 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 [No history of diabetes mellitus.]
6: Yes [Patient has history of diabetes mellitus.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0073], code=at0073, itemType=ELEMENT, level=4, text=Systolic blood pressure, description=Systolic blood pressure measured in mm Hg., comment=Systolic blood pressure ordinal scores are duplicated between 101 and 120 mm Hg or greater than or equal to 201., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: 121-180 [Between 121 and 180 mm Hg.]
3: 181-200 [Between 181 and 200 mm Hg.]
5: 101-120 or >=201 [Between 101 and 120 mm Hg or greater than or equal to 201.]
8: 91-100 [Between 91 and 100 mm Hg.]
10: <=90 [Systolic blood pressure is less than or equal to 90 mm Hg.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0064], code=at0064, itemType=ELEMENT, level=4, text=Total score, description=Sum of the individual scores assigned for each of the contributing variables., 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: <=91

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0063], code=at0063, itemType=ELEMENT, level=4, text=Risk grade, description=Overall CRUSADE risk score., comment=Relative % calculated by risk score quintiles, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: <=20 [Very low risk.]
21: 21-30 [Low risk.]
31: 31-40 [Moderate risk.]
41: 41-50 [High risk.]
51: >=51 [Very high risk.]
, extendedValues=null]], contacts=[], ism_transition=[], details=[], relationships=[], state=[], target=[], other_participations=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0044], code=at0044, 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[at0044]/items[at0046], code=at0046, itemType=ELEMENT, level=2, text=Score version, description=The version of the score used, normally recorded as the year., 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=/protocol[at0044]/items[at0071], code=at0071, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models/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]