ARCHETYPE ID | openEHR-EHR-OBSERVATION.sofa_score.v0 |
Concept | SOFA score |
Description | A scoring system to grade and follow the development of organ dysfunction in six vital organ systems. Previously known as "Sepsis related Organ Failure Assessment". |
Use | Use to record the results for each component parameter and their total sum for the SOFA score. SOFA score is usually used in intensive care units and in acute settings, but can be used in all patients where organ dysfunction is suspected or identified, for example in sepsis patients. SOFA score is used in adults over the age of 16. |
Misuse | Not to be used to record actual measurements for each component. Use specific OBSERVATION archetypes for this purpose: - OBSERVATION.pf_ratio; - OBSERVATION.blood_pressure; - OBSERVATION.glasgow_coma_scale; and - OBSERVATION.laboratory_test. Not to be used to record SOFA score in children younger than 16 years of age. Not to be used to record qSOFA (quick SOFA). Use the archetype OBSERVATION.qsofa_score for this purpose. |
Purpose | To record the results for each component parameter and their total sum for the SOFA score. |
References | Vincent, J. L., Moreno, R., Takala, J., Willatts, S., de Mendonça, A., Bruining, H., et al. (1996). The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. (Vol. 22, pp. 707–710). Norsk Intensivregister (NIR) [Internet]. Bergen: Helse Bergen HF; 2017 [cited 26 february 2018] Available from: https://helse-bergen.no/norsk-intensivregister-nir/registrering-av-data-i-nir-kun-for-medlemmer |
Copyright | © openEHR Foundation |
Authors | Author name: Siv Fauchald Organisation: DIPS AS Email: sfa@dips.no Date originally authored: 2017-03-07 |
Other Details Language | Author name: Siv Fauchald Organisation: DIPS AS Email: sfa@dips.no Date originally authored: 2017-03-07 |
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=Nasjonal IKT, references=Vincent, J. L., Moreno, R., Takala, J., Willatts, S., de Mendonça, A., Bruining, H., et al. (1996). The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. (Vol. 22, pp. 707–710). Norsk Intensivregister (NIR) [Internet]. Bergen: Helse Bergen HF; 2017 [cited 26 february 2018] Available from: https://helse-bergen.no/norsk-intensivregister-nir/registrering-av-data-i-nir-kun-for-medlemmer, original_namespace=no.nasjonalikt, original_publisher=Nasjonal IKT, custodian_namespace=no.nasjonalikt, MD5-CAM-1.0.1=96CF01A004B30A00A69956021F95766E, build_uid=97d78eda-e400-4355-a38e-46200be65965, revision=0.0.1-alpha} |
Keywords | sepsis, organ failure, organ dysfunction, septic shock, infection |
Lifecycle | in_development |
UID | c39f52e8-2aa9-45f7-bee9-ddb99678e43a |
Language used | en |
Citeable Identifier | 1013.1.4696 |
Revision Number | 0.0.1-alpha |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A scoring system to grade and follow the development of organ dysfunction in six vital organ systems. Previously known as "Sepsis related Organ Failure Assessment"., archetypeConceptComment=null, otherContributors=Morten Aas, Oslo Universitetssykehus, Norway Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor) Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor) Sarah Ballout, MHH-Hannover, Germany Kristian Berg, Vestvågøy kommune - Fagutviklingsavdelingen, Norway Bjørn Christensen, Helse Bergen HF, Norway Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway Siv Fauchald, DIPS ASA, Norway Mikkel Gaup Grønmo, Helse-Nord, FSE, Norway (openEHR Editor) Ingrid Heitmann, Oslo universitetssykehus HF, Norway Annette Hole Sjøborg, DIPS ASA, Norway Hilde Hollås, DIPS AS, Norway Lars Ivar Mehlum, Helse Bergen HF, Norway Liv Laugen, Oslo University Hospital, Norway, Norway (openEHR Editor) Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Marit Ludvigsen, St Olavs Hospital, Norway Siv Marie Lien, DIPS ASA, Norway Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Lars Morgan Karlsen, Nordlandssykehuset Bodø, Norway Stian Torleif Varpe, Helse Bergen, Norway Gro-Hilde Ulriksen, Norwegian center for ehealthresearch, Norway John Tore Valand, Helse Bergen, Norway (openEHR Editor) Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor) Marianne Warholm, Helse Vest IKT, Norway, originalLanguage=en, translators=
1: PaO₂/FiO₂ 300-399 mmHg [The partial pressure of oxygen in arterial or capillary blood measured in mmHg, divided by the fraction of inspired oxygen is between 300 and 399 mmHg. Equivalent to PaO₂/FiO₂ 40.0 - 53.2 kPa.] 2: PaO₂/FiO₂ < 300 mmHg [The partial pressure of oxygen in arterial or capillary blood measured in mmHg, divided by the fraction of inspired oxygen is lower than 300 mmHg. Equivalent to PaO₂/FiO₂ 40 kPa.] 3: Mechanically ventilated and PaO₂/FiO₂ 100-199 mmHg [On mechanical ventilation, the partial pressure of oxygen in arterial or capillary blood measured in mmHg, divided by the fraction of inspired oxygen is between 100 and 199 mmHg. Equivalent to PaO₂/FiO₂ 13.3 - 26.5 kPa.] 4: Mechanically ventilated and PaO₂/FiO₂ < 100 mmHg [On mechanical ventilation, the partial pressure of oxygen in arterial or capillary blood measured in mmHg, divided by the fraction of inspired oxygen is less than 100 mmHg. Equivalent to PaO₂/FiO₂ < 13.3 kPa.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Cardiovascular system, description=The mean arterial pressure (MAP), or the need for vasopressors (VP), (dopamine (DA), adrenaline (A), noradrenaline (NA) or dobutamine) are indicators for a possible dysfunction of the cardiovascular system., 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: MAP ≥ 70 mmHg [The mean arterial pressure (MAP) is greater than or equal to 70 mmHg.] 1: MAP < 70 mmHg [The mean arterial pressure (MAP) is less than 70 mmHg.] 2: DA ≤ 5; Dobutamine [The dopamine (DA) dosage is less than 5 µg/kg/minute, or any dosage of dobutamine.] 3: DA > 5; NA/A ≤ 0.1 [The dosage of dopamine (DA) is greater than 5 µg/kg/minute, or the dosage of noradrenaline (NA) is less than or equal to 0.1 µg/kg/minute, or the dosage of adrenaline (A) is less than or equal to 0.1 µg/kg/minutt.] 4: NA/A > 0.1 [The dosage of noradrenaline (N) or adrenaline (A) is greater than 0.1 µg/kg/minute.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Central nervous system, description=The Glasgow Coma Scale (GCS) is an indicator for a possible dysfunction of the central nervous system., 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: GCS 15 [Glasgow Coma Scale is 15.] 1: GCS 13 - 14 [Glasgow Coma Scale is 13 or 14.] 2: GCS 10 - 12 [Glasgow Coma Scale is 10, 11 or 12.] 3: GCS 6 - 9 [Glasgow Coma Scale is 6, 7, 8 or 9.] 4: GCS < 6 [Glasgow Coma Scale is less than 6.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Renal function, description=Creatinine concentration and 24 h urine output (UOP) are indicators for a possible dysfunction of the central nervous system., comment=In some localities, creatinine concentration is measured in μmol/L., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Creatinine < 1.2 mg/dL [The creatinine concentration is less than 1.2 mg/dL. Equivalent to creatinine < 110 µmol/L.] 1: Creatinine 1.2-1.9 mg/dL [The creatinine concentration is between 1.2 and 1.9 mg/dL. Equivalent to creatinine 110 - 170 µmol/L.] 2: Creatinine 2.0-3.4 mg/dL [The creatinine concentration is between 2.0 and 3.4 mg/dL. Equivalent to creatinine 171 - 299 µmol/L.] 3: Creatinine 3.5-4.9 mg/dL or UOP < 500 mL/24h [The creatinine concentration is between 3.5 and 4.9 mg/dL, or the urine output is between 500 and 200 mL/24h. Equivalent to creatinine 300 - 440 µmol/L or UOP < 500 mL/24h.] 4: Creatinine ≥ 5.0 mg/dL or UOP < 200 mL/24h [The creatinine concentration is greater than or equal to 5.0 mg/dL, or the urine output is less than 200 mL/24h. Equivalent to creatinine > 440 µmol/L or UOP < 200 mL/24h.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Liver function, description=Bilirubin concentration is an indicator for a possible dysfunction of the central nervous system., comment=In some localities, bilirubin concentration is measured in μmol/L., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Bilirubin < 1.2 mg/dL [The bilirubin concentration is less than 1.2 mg/dL. Equivalent to bilirubin < 20 µmol/L.] 1: Bilirubin 1.2-1.9 mg/dL [The bilirubin concentration is between 1.2 and 1.9 mg/dL. Equivalent to bilirubin 20-32 µmol/L.] 2: Bilirubin 2.0-5.9 mg/dL [The bilirubin concentration is between 2.0 and 5.9 mg/dL. Equivalent to bilirubin 33-101 µmol/L.] 3: Bilirubin 6.0-11.9 mg/dL [The bilirubin concentration is between 6.0 and 11.9 mg/dL. Equivalent to bilirubin 102-204 µmol/L.] 4: Bilirubin ≥ 12.0 mg/dL [The bilirubin concentration is greater than or equal to 12.0 mg/dL. Equivalent to bilirubin > 204 µmol/L.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Blood clotting, description=Platelets concentration is an indicator for a possible dysfunction of the blood clotting system., 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: Platelets ≥ 150 (x10³/µL) [The platelet concentration is greater than or equal to 150,000 /µL.] 1: Platelets < 150 (x10³/µL) [The platelet concentration is between 150,000 and 100,000 /µL.] 2: Platelets < 100 (x10³/µL) [The platelet concentration is between 100,000 and 50,000 /µL.] 3: Platelets < 50 (x10³/µL) [The platelet concentration is between 50,000 and 20,000 /µL.] 4: Platelets < 20 (x10³/µL) [The platelet concentration is less than 20,000 /µL.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0041], code=at0041, itemType=ELEMENT, level=4, text=Total score, description=The total sum of each component parameter for the SOFA score., 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: <=24 , extendedValues=null]], identities=[], other_participations=[], activities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0043]/items[at0044], code=at0044, 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]], 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]], context=[], relationships=[], target=[], capabilities=[], items=[], source=[], ism_transition=[]}, 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=1..*, subCardinalityText= , dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0043], code=at0043, 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[at0043]/items[at0044], code=at0044, 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] |