ARCHETYPE GRACE score (discharge) (openEHR-EHR-OBSERVATION.grace_discharge.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.grace_discharge.v0
ConceptGRACE score (discharge)
DescriptionThe original 9 variable version of an assessment tool used to risk stratify patients diagnosed with Acute Coronary Syndrome - specifically to estimate their risk of death on discharge 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 or after discharge.
MisuseNot to be used to record details about the initial GRACE score recorded during admission - use the OBSERVATION.grace_admission 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 or after discharge.
ReferencesAbu-Assi E, García-Acuña JM, Peña-Gil C, González-Juanatey JR. Validation of the GRACE risk score for predicting death within 6 months of follow-up in a contemporary cohort of patients with acute coronary syndrome. Rev Esp Cardiol. 2010;63(6):640–648. doi:10.1016/s1885-5857(10)70138-9.

Eagle KA, Lim MJ, Dabbous OH, et al. A validated prediction model for all forms of acute coronary syndrome: estimating the risk of 6-month postdischarge death in an international registry. JAMA. 2004;291(22):2727–2733. doi:10.1001/jama.291.22.2727.

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.
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=Abu-Assi E, García-Acuña JM, Peña-Gil C, González-Juanatey JR. Validation of the GRACE risk score for predicting death within 6 months of follow-up in a contemporary cohort of patients with acute coronary syndrome. Rev Esp Cardiol. 2010;63(6):640–648. doi:10.1016/s1885-5857(10)70138-9. Eagle KA, Lim MJ, Dabbous OH, et al. A validated prediction model for all forms of acute coronary syndrome: estimating the risk of 6-month postdischarge death in an international registry. JAMA. 2004;291(22):2727–2733. doi:10.1001/jama.291.22.2727. 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., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=a0d42a362dcf8eb6c15c388ce9979284, build_uid=74434747-262c-4951-b7c3-97330df1b9de, revision=0.0.1-alpha}
KeywordsGRACE, ACS, Risk, score, STEMI, NSTEMI, ACS, Acute Coronary Syndrome, cardiology
Lifecyclein_development
UIDfc5a7bde-b9f1-4481-94ab-615c9481f5cb
Language useden
Citeable Identifier1013.1.4362
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The original 9 variable version of an assessment tool used to risk stratify patients diagnosed with Acute Coronary Syndrome - specifically to estimate their risk of death on discharge and up to 6 months after the ACS event., archetypeConceptComment=GRACE is an acronym for Global Registry of Acute Coronary Events., otherContributors=Heather Leslie, Atomica Informatics, Australia, originalLanguage=en, translators=Swedish: Dennis Forslund, Cambio Healthcare Systems
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Age, description=Age at assessment., 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: ≤ 30 years [Patient is aged ≤ 30 years.]
0: 30-39 years [Patient is aged 30-39 years.]
18: 40-49 years [Patient is aged 40-49 years.]
36: 50-59 years [Patient is aged 50-59 years.]
55: 60-69 years [Patient is aged 60-69 years.]
73: 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[at0056], code=at0056, itemType=ELEMENT, level=4, text=History of heart failure, description=Known history of congestive heart failure?, 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 heart failure.]
24: Yes [Known history of heart failure.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059], code=at0059, itemType=ELEMENT, level=4, text=History of AMI, description=Known history of acute myocardial infarction?, 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 AMI.]
12: Yes [Knowne history of AMI.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Heart rate at presentation, description=Category of heart rate at initial hospital 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: ≤ 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.]
14: 90-109 bpm [Between 90 and 109 beats per minute.]
23: 110-149 bpm [Between 110 and 149 beats per minute.]
35: 150-199 bpm [Between 150 and 199 beats per minute.]
43: ≥ 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 at presentation, description=Category of systolic blood pressure at initial hospital 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: ≥ 200 mmHg [Greater than 200 mmHg.]
4: 160-199 mmHg [Between 160 and 199 mmHg.]
10: 140-159 mmHg [Between 140 and 159 mmHg.]
14: 120-139 mmHg [Between 120 and 139 mmHg.]
18: 100-119 mmHg [Between 100 and 119 mmHg.]
22: 80-99 mmHg [Between 80 and 99 mmHg.]
24: ≤ 80 mmHg [Less than 80 mmHg.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Depressed ST segment at presentation, description=ST segment depression at initial hospital 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 ST segment depression observed on ECG.]
11: Yes [ST segment depression observed on ECG.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Creatinine level at presentation, description=Category of serum creatinine measurement at initial hospital 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=1: 0-0.39 mg/dL [Between 0 and 0.39 mg/dL.]
3: 0.4-0.79 mg/dL [Between 0.4 and 0.79 mg/dL.]
5: 0.8-1.19 mg/dL [Between 0.8 and 1.19 mg/dL.]
7: 1.20-1.59 mg/dL [Between 1.20 and 1.59 mg/dL.]
9: 1.60-1.99 mg/dL [Between 1.60 and 1.99 mg/dL.]
15: 2.00-3.99 mg/dL [Between 2.00 and 3.99 mg/dL.]
20: > 4.0 mg/dL [Greater than 4.0 mg/dL.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Elevated cardiac enzymes or markers, description=Raised cardiac enzymes or markers during hospitalisation., 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 or markers are in the normal range.]
15: Yes [Cardiac enzymes or markers are raised.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Percutaneous revascularisation, description=In-hospital percutaneous coronary intervention., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=14: No [No intervention performed.]
0: Yes [Intervention performed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Total score, description=Sum of points assigned for each of the component parameters., 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: <=263

, extendedValues=null]], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0054]/items[at0055], code=at0055, 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]], contacts=[], relationships=[], content=[], description=[], context=[], other_participations=[], capabilities=[], items=[], credentials=[], activities=[], ism_transition=[], details=[], target=[], provider=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=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..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], source=[], state=[], identities=[]}, topLevelItems={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], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0054], code=at0054, 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]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0054]/items[at0055], code=at0055, 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]