ARCHETYPE GRACE score (admission) (openEHR-EHR-OBSERVATION.grace_admission.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.grace_admission.v0
ConceptGRACE score (admission)
DescriptionThe original 8 variable version of an assessment tool used to risk stratify patients diagnosed with Acute Coronary Syndrome - specifically to estimate their risk of death in-hospital and up to 6 months after the ACS event.
UseUse to record the results for each component parameter, the total sum and grade for the GRACE score recorded at presentation or on admission.
MisuseNot to be used to record details about the followup GRACE score recorded at discharge - use the OBSERVATION.grace_discharge for this purpose. Not to be used to record details about the GRACE 2.0 score.
PurposeTo record the results for each component parameter, the total sum and grade for the GRACE score recorded at presentation or on admission.
ReferencesAlley W, Mahler SA. Clinical decision aids for chest pain in the emergency department: identifying low-risk patients. Open Access Emerg Med. 2015;7:85–92. Published 2015 Nov 16. doi:10.2147/OAEM.S71282

Fox KA, Dabbous OH, Goldberg RJ, et al. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ. 2006;333(7578):1091. doi:10.1136/bmj.38985.646481.55.

Granger CB, Goldberg RJ, Dabbous O, et al. Predictors of hospital mortality in the global registry of acute coronary events. Arch Intern Med. 2003;163(19):2345–2353. doi:10.1001/archinte.163.19.2345.
Copyright© Apperta Foundation / Wales Cardiac Network, openEHR Foundation
AuthorsAuthor name: Syeeda Farruque
Organisation: Cambio Healthcare Systems
Email: models@cambiocds.com
Date originally authored: 2017-02-18
Other Details LanguageAuthor name: Syeeda Farruque
Organisation: Cambio Healthcare Systems
Email: models@cambiocds.com
Date originally authored: 2017-02-18
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=Alley W, Mahler SA. Clinical decision aids for chest pain in the emergency department: identifying low-risk patients. Open Access Emerg Med. 2015;7:85–92. Published 2015 Nov 16. doi:10.2147/OAEM.S71282 Fox KA, Dabbous OH, Goldberg RJ, et al. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ. 2006;333(7578):1091. doi:10.1136/bmj.38985.646481.55. Granger CB, Goldberg RJ, Dabbous O, et al. Predictors of hospital mortality in the global registry of acute coronary events. Arch Intern Med. 2003;163(19):2345–2353. doi:10.1001/archinte.163.19.2345., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=BB018384263BE2A229D5DE60CE2477F2, build_uid=5d389215-1ad4-470c-813a-d562400fc800, revision=0.0.1-alpha}
KeywordsGRACE, ACS, Risk, score, STEMI, NSTEMI, ACS, Acute Coronary Syndrome, cardiology
Lifecyclein_development
UID257241b5-1d45-40f8-88ca-a2f4d4d1f3fe
Language useden
Citeable Identifier1013.1.4359
Revision Number0.0.1-alpha
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8: 30-39 years [Patient is aged 30-39 years.]
25: 40-49 years [Patient is aged 40-49 years.]
41: 50-59 years [Patient is aged 50-59 years.]
58: 60-69 years [Patient is aged 60-69 years.]
75: 70-79 years [Patient is aged 70-79 years.]
91: 80-89 years [Patient is aged 80-89 years.]
100: ≥ 90 years [Patient is aged ≥ 90 years.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Heart rate, description=Category of heart rate on admission., 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: ≤ 50 bpm [Less than 50 beats per minute.]
3: 50-69 bpm [Between 50 and 69 beats per minute.]
9: 70-89 bpm [Between 70 and 89 beats per minute.]
15: 90-109 bpm [Between 90 and 109 beats per minute.]
24: 110-149 bpm [Between 110 and 149 beats per minute.]
38: 150-199 bpm [Between 150 and 199 beats per minute.]
46: ≥ 200 bpm [Greater than 200 beats per minute.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Systolic blood pressure, description=Category of systolic blood pressure on admission., 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: ≥ 200 mmHg [Greater than 200 mmHg.]
10: 160-199 mmHg [Between 160 and 199 mmHg.]
24: 140-159 mmHg [Between 140 and 159 mmHg.]
34: 120-139 mmHg [Between 120 and 139 mmHg.]
43: 100-119 mmHg [Between 100 and 119 mmHg.]
53: 80-99 mmHg [Between 80 and 99 mmHg.]
58: ≤ 80 mmHg [Less than 80 mmHg.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Creatinine level, description=Category of creatinine measurement on admission., 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: NA [Not available.]
1: 0-0.39 mg/dL [Between 0 and 0.39 mg/dL.]
4: 0.4-0.79 mg/dL [Between 0.4 and 0.79 mg/dL.]
7: 0.8-1.19 mg/dL [Between 0.8 and 1.19 mg/dL.]
10: 1.20-1.59 mg/dL [Between 1.20 and 1.59 mg/dL.]
13: 1.60-1.99 mg/dL [Between 1.60 and 1.99 mg/dL.]
21: 2.00-3.99 mg/dL [Between 2.00 and 3.99 mg/dL.]
28: > 4.0 mg/dL [Greater than 4.0 mg/dL.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Cardiac arrest at admission, description=Resuscitated after cardiac arrest at admission., 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 cardiac arrest on admission.]
39: Yes [Cardiac arrest on admission.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=ST segment deviation on ECG, description=ST segment deviation on admission., 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 ST segment deviation observed on ECG.]
28: Yes [ST segment deviation observed on ECG.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Elevated/abnormal cardiac enzymes, description=Cardiac enzymes out of normal range on admission., 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 [Cardiac enzymes in normal range.]
14: Yes [Cardiac enzymes not in normal range.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Killip class, description=Killip Classification at admission., 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: Class 1 [No clinical signs of heart failure.]
20: Class 2 [Rales or crackles in the lungs, an S3, and elevated jugular venous pressure.]
39: Class 3 [Acute pulmonary oedema.]
59: Class 4 [Cardiogenic shock or hypotension (measured as systolic blood pressure lower than 90 mmHg), and evidence of peripheral vasoconstriction (oliguria, cyanosis or sweating).]
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