ARCHETYPE Glasgow Outcome Scale - Extended (GOSE) (openEHR-EHR-OBSERVATION.glasgow_outcome_scale_extended.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.glasgow_outcome_scale_extended.v1
ConceptGlasgow Outcome Scale - Extended (GOSE)
DescriptionA scale for assessing outcome after head injury and non-traumatic acute brain insults.
UseUse to record the result for each component parameter and the total score for Glasgow Outcome Scale - Extended. A valid outcome of a GOSE assessment is that the 'Category' will have no result. The ordinal '99' in some elements is intended to represent an unscored value, and any Category calculation should take this into account. The 'Category' data element should remain empty if the lowest recorded ordinal value is '99'.
PurposeTo record the result for each component parameter and the total score for Glasgow Outcome Scale - Extended.
ReferencesJennett, B, and M Bond. “Assessment of outcome after severe brain damage.” Lancet (London, England) vol. 1,7905 (1975): 480-4. doi:10.1016/s0140-6736(75)92830-5

von Steinbuechel N, Rauen K, Krenz U, Wu YJ, Covic A, Plass AM, Cunitz K, Mueller I, Bockhop F, Polinder S, Wilson L, Steyerberg EW, Maas AIR, Menon D, Zeldovich M, The Linguistic Validation Group Of Center-Tbi. Translation and Linguistic Validation of Outcome Instruments for Traumatic Brain Injury Research and Clinical Practice: A Step-by-Step Approach within the Observational CENTER-TBI Study. J Clin Med. 2021 Jun 28;10(13):2863. doi: 10.3390/jcm10132863. PMID: 34203325; PMCID: PMC8269004.

Wilson, J T et al. “Structured interviews for the Glasgow Outcome Scale and the extended Glasgow Outcome Scale: guidelines for their use.” Journal of neurotrauma vol. 15,8 (1998): 573-85. doi:10.1089/neu.1998.15.573

Wilson L, Boase K, Nelson LD, Temkin NR, Giacino JT, Markowitz AJ, Maas A, Menon DK, Teasdale G, Manley GT. A Manual for the Glasgow Outcome Scale-Extended Interview. J Neurotrauma. 2021 Sep 1;38(17):2435-2446. doi: 10.1089/neu.2020.7527. Epub 2021 Apr 6. PMID: 33740873; PMCID: PMC8390784.
AuthorsAuthor name: Hanne Marte Sandal Bårholm
Organisation: Helse Vest IKT
Email: hanne.marte.sandal.barholm@helse-vest-ikt.no
Date originally authored: 2022-11-24
Other Details LanguageAuthor name: Hanne Marte Sandal Bårholm
Organisation: Helse Vest IKT
Email: hanne.marte.sandal.barholm@helse-vest-ikt.no
Date originally authored: 2022-11-24
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=Jennett, B, and M Bond. “Assessment of outcome after severe brain damage.” Lancet (London, England) vol. 1,7905 (1975): 480-4. doi:10.1016/s0140-6736(75)92830-5 von Steinbuechel N, Rauen K, Krenz U, Wu YJ, Covic A, Plass AM, Cunitz K, Mueller I, Bockhop F, Polinder S, Wilson L, Steyerberg EW, Maas AIR, Menon D, Zeldovich M, The Linguistic Validation Group Of Center-Tbi. Translation and Linguistic Validation of Outcome Instruments for Traumatic Brain Injury Research and Clinical Practice: A Step-by-Step Approach within the Observational CENTER-TBI Study. J Clin Med. 2021 Jun 28;10(13):2863. doi: 10.3390/jcm10132863. PMID: 34203325; PMCID: PMC8269004. Wilson, J T et al. “Structured interviews for the Glasgow Outcome Scale and the extended Glasgow Outcome Scale: guidelines for their use.” Journal of neurotrauma vol. 15,8 (1998): 573-85. doi:10.1089/neu.1998.15.573 Wilson L, Boase K, Nelson LD, Temkin NR, Giacino JT, Markowitz AJ, Maas A, Menon DK, Teasdale G, Manley GT. A Manual for the Glasgow Outcome Scale-Extended Interview. J Neurotrauma. 2021 Sep 1;38(17):2435-2446. doi: 10.1089/neu.2020.7527. Epub 2021 Apr 6. PMID: 33740873; PMCID: PMC8390784., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=0891279A5E5716CF57FFA7B31E080CCE, build_uid=600a77e9-24df-458c-81ca-5931e399978c, revision=1.0.0}
KeywordsHead injury, trauma, outcome, function, activity
Lifecyclepublished
UIDb1269152-a930-4c07-9908-380dda296a77
Language useden
Citeable Identifier1013.1.6671
Revision Number1.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A scale for assessing outcome after head injury and non-traumatic acute brain insults., archetypeConceptComment=null, otherContributors=Stein Arne Rimehaug, Sunnaas sykehus, Norway
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Anne Brit Øglend, SUS, Norway
Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor)
Heather Grain, Llewelyn Grain Informatics, Australia
Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (openEHR Editor)
Birgitte Heide, Stavanger Universitetssykehus, Norway
Ylva Hivand Hiorth, sus, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Christine Johansen, Helse Stavanger, Norway
Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Terje Sagmyr, Helse Vest IKT, Norway (openEHR Editor)
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor), originalLanguage=en, translators=
  • Norwegian Bokmål:

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    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Interval post-injury, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: years, months, weeks, days, hours

    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0037], code=at0037, itemType=ELEMENT, level=4, text=Respondent, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Patient alone
    • Relative/friend/carer alone
    • Patient + relative/friend/carer
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=CLUSTER, level=4, text=Consciousness, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=1. Is the head injured person able to obey simple commands, or say any words?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=2: No
    99: Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=CLUSTER, level=4, text=Independence in the home, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010]/items[at0012], code=at0012, itemType=ELEMENT, level=5, text=2a Is the assistance of another person at home essential every day for some activities of daily living?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010]/items[at0013], code=at0013, itemType=ELEMENT, level=5, text=2b Do they need frequent help or someone to be around at home most of the time?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=4: No
    3: Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010]/items[at0014], code=at0014, itemType=ELEMENT, level=5, text=2c Was the assistance at home essential before the injury?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0015], code=at0015, itemType=CLUSTER, level=4, text=Independence outside the home, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0015]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=3a Are they able to shop without assistance?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=4: No
    99: Yes
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    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0015]/items[at0018], code=at0018, itemType=ELEMENT, level=5, text=4a Are they able to travel locally without assistance?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=4: No
    99: Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0015]/items[at0019], code=at0019, itemType=ELEMENT, level=5, text=4b Were they able to travel without assistance before the injury?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020], code=at0020, itemType=CLUSTER, level=4, text=Work, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020]/items[at0022], code=at0022, itemType=ELEMENT, level=5, text=5a Are they currently able to work to their previous capacity?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020]/items[at0023], code=at0023, itemType=ELEMENT, level=5, text=5b How restricted are they?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=6: Reduced work capacity.
    5: Able to work only in a sheltered workshop or non-competitive job, or currently unable to work.
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020]/items[at0024], code=at0024, itemType=ELEMENT, level=5, text=5c Were they either working or seeking employment before the injury (answer 'yes') or were they doing neither (answer 'no')?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0025], code=at0025, itemType=CLUSTER, level=4, text=Social & leisure activities, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0025]/items[at0026], code=at0026, itemType=ELEMENT, level=5, text=6a Are they able to resume regular social and leisure activities outside home?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0025]/items[at0027], code=at0027, itemType=ELEMENT, level=5, text=6b What is the extent of restricition on their social and leisure activities?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=7: Participate a bit less: at least half as often as before injury.
    6: Participate much less: less than half as often.
    5: Unable to participate: rarely, if ever, take part.
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0025]/items[at0028], code=at0028, itemType=ELEMENT, level=5, text=6c Did they engage in regular social and leisure activities outside home before the injury?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0029], code=at0029, itemType=CLUSTER, level=4, text=Family & friendships, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0029]/items[at0030], code=at0030, itemType=ELEMENT, level=5, text=7a Have there been psychological problems which have resulted in ongoing family disruption or disruption to friendships?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0029]/items[at0031], code=at0031, itemType=ELEMENT, level=5, text=7b What has been the extent of disruption or strain?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=7: Occasional - less than weekly
    6: Frequent - once a week or more, but tolerable.
    5: Constant - daily and intolerable.
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0029]/items[at0032], code=at0032, itemType=ELEMENT, level=5, text=7c Were there problems with family or friends before the injury?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0033], code=at0033, itemType=CLUSTER, level=4, text=Return to normal life, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0033]/items[at0034], code=at0034, itemType=ELEMENT, level=5, text=8a Are there any other current problems relating to the injury which affect daily life?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=8: No
    7: Yes
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    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0092], code=at0092, itemType=ELEMENT, level=4, text=Since the injury has the head injured person had any epileptic fits?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0093], code=at0093, itemType=ELEMENT, level=4, text=Have they been told that they are currently at risk of developing epilepsy?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No
    • Yes
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0094], code=at0094, itemType=ELEMENT, level=4, text=What is the most important factor in outcome?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Effects of head injury
    • Effects of illness or injury to another part of the body
    • A mixture of these
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0036], code=at0036, itemType=ELEMENT, level=4, text=Category, description=The overall rating based on the lowest outcome value indicated on the scale., 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: Dead
    2: Vegetative state
    3: Lower severe disability
    4: Upper severe disability
    5: Lower moderate disability
    6: Upper moderate disability
    7: Lower good recovery
    8: Upper good recovery
    , extendedValues=null]], relationships=[], credentials=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0095], code=at0095, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=null, subCardinalityText=null, 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=[], minIndents={}, termBindingRetrievalErrorMessage=null]