ARCHETYPE Gugging Swallowing Screen (GUSS) (openEHR-EHR-OBSERVATION.guss.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.guss.v0
ConceptGugging Swallowing Screen (GUSS)
DescriptionAn assessment score used for the identification of dysphagia and aspiration risk.
UseUse to record the result for each component parameter and the total sum for the Gugging Swallowing Screen (GUSS).
MisuseNot to be used to record the Gugging Swallowing Screen for Intensive Care Units (GUSS-ICU). Use the OBSERVATION.guss_icu archetype for this purpose.
PurposeTo record the result for each component parameter and the total sum for the Gugging Swallowing Screen (GUSS).
ReferencesTrapl M, Enderle P, Nowotny M, Teuschl Y, Matz K, Dachenhausen A, Brainin M. Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke. 2007 Nov;38(11):2948-52. doi: 10.1161/STROKEAHA.107.483933. Epub 2007 Sep 20. PMID: 17885261.

University for Continuing Education Krems. GUSS - Gugging Swallowing Screen [Internet]. [cited 2025 September 05]. Available from: https://www.donau-uni.ac.at/en/university/faculties/health-medicine/departments/clinical-neurosciences-preventive-medicine/research/research-projects/guss.html
Copyright© openEHR Foundation
AuthorsAuthor name: Hanne Marte Sandal Bårholm
Organisation: Helse Vest IKT
Email: hanne.marte.sandal.barholm@helse-vest-ikt.no
Date originally authored: 2025-02-03
Other Details LanguageAuthor name: Hanne Marte Sandal Bårholm
Organisation: Helse Vest IKT
Email: hanne.marte.sandal.barholm@helse-vest-ikt.no
Date originally authored: 2025-02-03
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=Trapl M, Enderle P, Nowotny M, Teuschl Y, Matz K, Dachenhausen A, Brainin M. Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke. 2007 Nov;38(11):2948-52. doi: 10.1161/STROKEAHA.107.483933. Epub 2007 Sep 20. PMID: 17885261. University for Continuing Education Krems. GUSS - Gugging Swallowing Screen [Internet]. [cited 2025 September 05]. Available from: https://www.donau-uni.ac.at/en/university/faculties/health-medicine/departments/clinical-neurosciences-preventive-medicine/research/research-projects/guss.html, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=25EC268D4899AD14BE34D341842C2ECC, build_uid=aff7aca7-ea99-48c3-a6ae-74ab7b2e92a0, revision=0.0.1-alpha}
Keywordsdysphagia, aspiration, swallowing
Lifecyclein_development
UID28565fe2-256a-4ee4-b1d8-c1883a61bdfb
Language useden
Citeable Identifier1013.1.7751
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=An assessment score used for the identification of dysphagia and aspiration risk., 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)
Keisha Barwise, openEHR Operations Program, Jamaica
Ivar Berge, Oslo University Hospital, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Martin Brierley, Lovisenberg Diakonale Sykehus, Norway
Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor)
Aleksander Furnes, Helse Nord IKT, Norway
Ciprian Gerstenberger, Helse Nord IKT, Norway (openEHR Editor)
Evelyn Hovenga, EJSH Consulting, Australia
Matteus Janicki, Akershus Universitetssykehus, Norway
Ronald Krawec, Alberta Health Services, Canada
Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)
Jörgen Kuylenstierna, eWeave AB, Sweden
Eli Larsen, UNN, Norway (openEHR Editor)
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
June Marie Knappskog, Helse Nord IKT AS, Norway (openEHR Norway redaktør)
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
Olha Nikolaieva, University Hospital Basel, Switzerland
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Terje Sagmyr, Helse Vest IKT, Norway (openEHR Editor)
John Tore Valand, Helse Vest IKT, Norway (openEHR Editor)
Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor)
Karsten Øvretveit, Helse Vest IKT, Norway (openEHR Editor), originalLanguage=en, translators=
  • Norwegian Bokmål:

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    0: No
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0008], code=at0008, itemType=ELEMENT, level=5, text=Coughing and/or throat clearing, 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=1: Yes
    0: No
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Swallowing successful, 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=1: Yes
    0: No
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0014], code=at0014, itemType=ELEMENT, level=5, text=Drooling, 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: Yes
    1: No
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    1: No
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0034], code=at0034, itemType=ELEMENT, level=5, text=Sum, description=, 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: <=5

    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020], code=at0020, itemType=CLUSTER, level=4, text=Semisolid, 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[at0021], code=at0021, itemType=ELEMENT, level=5, text=Deglutition, 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: Swallowing not possible
    1: Swallowing delayed [> 2 sec (Solid textures > 10 sec).]
    2: Swallowing successful
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020]/items[at0025], code=at0025, itemType=ELEMENT, level=5, text=Coughing (involuntary), 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: Yes
    1: No
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020]/items[at0028], code=at0028, itemType=ELEMENT, level=5, text=Drooling, 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: Yes
    1: No
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020]/items[at0031], code=at0031, itemType=ELEMENT, level=5, text=Voice change, 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: Yes
    1: No
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020]/items[at0035], code=at0035, itemType=ELEMENT, level=5, text=Sum, description=, 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: <=5

    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0036], code=at0036, itemType=CLUSTER, level=4, text=Liquid, 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[at0036]/items[at0037], code=at0037, itemType=ELEMENT, level=5, text=Deglutition, 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: Swallowing not possible
    1: Swallowing delayed [> 2 sec (Solid textures > 10 sec).]
    2: Swallowing successful
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0036]/items[at0041], code=at0041, itemType=ELEMENT, level=5, text=Coughing (involuntary), 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: Yes
    1: No
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0036]/items[at0044], code=at0044, itemType=ELEMENT, level=5, text=Drooling, 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: Yes
    1: No
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0036]/items[at0047], code=at0047, itemType=ELEMENT, level=5, text=Voice change, 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: Yes
    1: No
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0036]/items[at0050], code=at0050, itemType=ELEMENT, level=5, text=Sum, description=, 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: <=5

    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0051], code=at0051, itemType=CLUSTER, level=4, text=Solid, 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[at0051]/items[at0052], code=at0052, itemType=ELEMENT, level=5, text=Deglutition, 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: Swallowing not possible
    1: Swallowing delayed [> 2 sec (Solid textures > 10 sec).]
    2: Swallowing successful
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0051]/items[at0056], code=at0056, itemType=ELEMENT, level=5, text=Coughing (involuntary), 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: Yes
    1: No
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    1: No
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    1: No
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    • Swallowing semisolids successful, swallowing liquids can be deficient, solids can be deficient. Slight dysphagia with aspiration risk
    • Swallowing semisolids successful, swallowing liquids deficient. Moderate dysphagia with aspiration risk
    • Preliminary investigation unsuccessful or swallowing semisolids unsuccessful. Severe dysphagia with high risk of aspiration
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