ARCHETYPE Chelsea Critical Care Physical Assessment tool (CPAx) (openEHR-EHR-OBSERVATION.cpax.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.cpax.v0
ConceptChelsea Critical Care Physical Assessment tool (CPAx)
DescriptionA scoring system to measure physical morbidity in critical care.
UseUse to record the results for each component parameter for the Chelsea Critical Care Physical Assessment tool (CPAx).
PurposeTo record the results for each component parameter for the Chelsea Critical Care Physical Assessment tool (CPAx).
ReferencesCorner EJ, Wood H, Englebretsen C, Thomas A, Grant RL, Nikoletou D, Soni N. The Chelsea critical care physical assessment tool (CPAx): validation of an innovative new tool to measure physical morbidity in the general adult critical care population; an observational proof-of-concept pilot study. Physiotherapy. 2013 Mar;99(1):33-41. doi: 10.1016/j.physio.2012.01.003. Epub 2012 Mar 30. PubMed PMID: 23219649.
Copyright© openEHR Foundation
AuthorsAuthor name: Silje Ljosland Bakke
Organisation: Helse Vest IKT AS
Email: silje.ljosland.bakke@helse-vest-ikt.no
Date originally authored: 2023-04-14
Other Details LanguageAuthor name: Silje Ljosland Bakke
Organisation: Helse Vest IKT AS
Email: silje.ljosland.bakke@helse-vest-ikt.no
Date originally authored: 2023-04-14
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=Corner EJ, Wood H, Englebretsen C, Thomas A, Grant RL, Nikoletou D, Soni N. The Chelsea critical care physical assessment tool (CPAx): validation of an innovative new tool to measure physical morbidity in the general adult critical care population; an observational proof-of-concept pilot study. Physiotherapy. 2013 Mar;99(1):33-41. doi: 10.1016/j.physio.2012.01.003. Epub 2012 Mar 30. PubMed PMID: 23219649., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=B98271A2452ACF87C59C064D9D4428C1, build_uid=e35fe2b1-5273-4790-a15c-de16044099d0, revision=0.0.1-alpha}
Keywords
Lifecyclein_development
UID820ec552-9bf6-48d2-aefd-5bab5371bdfc
Language useden
Citeable Identifier1013.1.6782
Revision Number0.0.1-alpha
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1: Initiates movement. Requires assistance of two or more people (maximal)
2: Initiates movement. Requires assistance of at least one person (moderate)
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2: Requires assistanceof at least one person (moderate)
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0017], code=at0017, itemType=ELEMENT, level=4, text=Standing balance, 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=0: Unable/unstable/bedbound
1: Tilt table or similar
2: Standing hoist or similar
3: Dependant on frame, crutches or similar
4: Independent without aids
5: Independent without aids and full dynamic standing balance (i.e. able to reach out of base of support)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=Sit to stand (starting position: ≥90º hip flexion), 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=0: Unable/unstable
1: Sit to stand with maximal assistance (standing hoist or similar)
2: Sit to stand with moderate assistance (e.g. one or two people)
3: Sit to stand with minimal assistance (e.g. one person)
4: Sit to stand independently pushing through arms of the chair
5: Sit to stand independently without upper limb involvement
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0019], code=at0019, itemType=ELEMENT, level=4, text=Transferring from bed to chair, 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=0: Unable/unstable
1: Full hoist
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4: Stand and step transfer with mobility aid or physical assistance
5: Independent transfer without equipment
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Stepping, 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=0: Unable/unstable
1: Using a standing hoist or similar
2: Using mobility aids and assistance of at least one person (moderate)
3: Using mobility aid and assistance of one person (minimal)
4: Using mobility aid or assistance of one person (minimal)
5: Independent without aid
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Grip strength (predicted mean for age and gender on the strongest hand), 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=0: Unable to assess
1: <20%
2: <40%
3: <60%
4: <80%
5: ≥80%
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1: Ventilator dependence. Mandatory breaths with some spontaneous effort
2: Spontaneously breathing with continuous invasive or non-invasive ventilatory support
3: Spontaneously breathing with intermittent invasive or non-invasive ventilatory supportor continuous high flow oxygen (>15 L)
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1: Cough stimulated on deep suctioning only
2: Weak ineffective voluntary cough, unable to clear independently (e.g. requires deep suction)
3: Weak, partially effective voluntary cough, sometimes able to clear secretions (e.g. requires Yankauer suctioning)
4: Effective cough, clearing secretions with airways clearance techniques
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=Moving within the bed (e.g. rolling), 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=0: Unable, maybe fully sedated/ paralysed
1: Initiates movement. Requires assistance of two or more people (maximal)
2: Initiates movement. Requires assistance of at least one person (moderate)
3: Initiates movement. Requires assistance of one person (minimal)
4: Independent in ≥3 seconds
5: Independent in <3 seconds
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1: Initiates movement. Requires assistance of two or more people (maximal)
2: Initiates movement. Requires assistance of at least one person (moderate)
3: Initiates movement. Requires assistance of one person (minimal)
4: Independent in ≥3 seconds
5: Independent in <3 seconds
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1: Requires assistance of two or more people (maximal)
2: Requires assistanceof at least one person (moderate)
3: Requires assistance of one person (minimal)
4: Independent with some dynamic sitting balance (i.e. able to alter trunk position within base of support)
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3: Dependant on frame, crutches or similar
4: Independent without aids
5: Independent without aids and full dynamic standing balance (i.e. able to reach out of base of support)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=Sit to stand (starting position: ≥90º hip flexion), 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=0: Unable/unstable
1: Sit to stand with maximal assistance (standing hoist or similar)
2: Sit to stand with moderate assistance (e.g. one or two people)
3: Sit to stand with minimal assistance (e.g. one person)
4: Sit to stand independently pushing through arms of the chair
5: Sit to stand independently without upper limb involvement
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0019], code=at0019, itemType=ELEMENT, level=4, text=Transferring from bed to chair, 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=0: Unable/unstable
1: Full hoist
2: Standing hoist or similar
3: Pivot transfer (no stepping) with mobility aid or physical assistance
4: Stand and step transfer with mobility aid or physical assistance
5: Independent transfer without equipment
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Stepping, 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=0: Unable/unstable
1: Using a standing hoist or similar
2: Using mobility aids and assistance of at least one person (moderate)
3: Using mobility aid and assistance of one person (minimal)
4: Using mobility aid or assistance of one person (minimal)
5: Independent without aid
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Grip strength (predicted mean for age and gender on the strongest hand), 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=0: Unable to assess
1: <20%
2: <40%
3: <60%
4: <80%
5: ≥80%
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