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ARCHETYPE SOFA score (openEHR-EHR-OBSERVATION.sofa_score.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.sofa_score.v0
ConceptSOFA score
DescriptionA scoring system to grade and follow the development of organ dysfunction in six vital organ systems. Previously known as "Sepsis related Organ Failure Assessment".
UseUse 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.
MisuseNot 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.
PurposeTo record the results for each component parameter and their total sum for the SOFA score.
ReferencesVincent, 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
AuthorsAuthor name: Siv Fauchald
Organisation: DIPS AS
Email: sfa@dips.no
Date originally authored: 2017-03-07
Other Details LanguageAuthor 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=563A20A418E8745EE74FA600E2DF8017, build_uid=a78b433c-369b-4c8b-8961-adb3a2fea666, revision=0.0.1-alpha}
Keywordssepsis, organ failure, organ dysfunction, septic shock, infection
Lifecyclein_development
UIDc39f52e8-2aa9-45f7-bee9-ddb99678e43a
Language useden
Citeable Identifier1013.1.4971
Revision Number0.0.1-alpha
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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=Norwegian Bokmål: Silje Ljosland Bakke, Helse Vest IKT AS, silje.ljosland.bakke@helse-vest-ikt.no
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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 39.9 - 53 kPa.]
2: PaO₂/FiO₂ 200-299 mmHg [The partial pressure of oxygen in arterial or capillary blood measured in mmHg, divided by the fraction of inspired oxygen is between 200 and 299 mmHg. Equivalent to PaO₂/FiO₂ 26.6 - 39.8 kPa.]
2: Not mechanically ventilated and PaO₂/FiO₂ ≤ 199 mmHg [Not 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 < 26.6 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.]
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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.]
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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.]
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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.]
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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.]
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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.]
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