Score and Assessment Systems

POSSUM

Author: Null
Address:
Original Work: Null
Coypright: unknown

Trademark: unknown

Explanation:
HL7 v2.x datatype:
HL7 V3 datatype:

Interpretation

Interpretation must be defined!

Components

Comp. Decription Bezeichnung Code System: Codes/
Score Value
Details /
Score Range
/
Units
HL7 DT v2 + V3 /
Snomed CT
1 Age

1 <60 - NM + INT
2 70 - 61 NM + INT
4 - >71 NM + INT
2 cardiac signs

no failure 1 - NM + INT
diuretic, digoxin, anti-anginal or anti- hypertensive 2 - NM + INT
periphereal oedema, borderline cardiomegaly 4 - NM + INT
raised jugular venous pressure or cardiomegaly 8 - NM + INT
3 Physical Findings

no dyspnoea 1 - NM + INT
dyspnoea on exertion 2 - NM + INT
limiting dyspnoea, moderate COPD 4 - NM + INT
dyspnoea at rest, (F>30%) or fibrosis or consilidation 8 - NM + INT
4 intravascular systolic

1 130 - 110 NM + INT
100-109 2 - NM + INT
90-99 4 - NM + INT
8 <90 - NM + INT
131-170
- NM + INT
>171
- NM + INT
5 heart rate

1 80 - 50 NM + INT
40-49 2 - NM + INT
4 120 - 101 NM + INT
<40 8 - NM + INT
81-100
- NM + INT
>121
- NM + INT
6 Glasgow coma scale

1 15 - 15 NM + INT
2 14 - 12 NM + INT
4 11 - 9 NM + INT
8 <8 - NM + INT
7 Hemoglobin

1 16 - 13 NM + INT
16,1- 17 2 - NM + INT
17,1- 18 4 - NM + INT
>18,1 8 - NM + INT
11,5- 12,9
- NM + INT
10- 11,4
- NM + INT
<9,9
- NM + INT
8 Leukocytes

4-10 1 - NM + INT
3,1- 4 2 - NM + INT
<3 4 - NM + INT
10,1- 20
- NM + INT
>20,1
- NM + INT
9 Urea

<7,5 1 - NM + INT
7,6- 10 2 - NM + INT
10,1- 15 4 - NM + INT
>15 8 - NM + INT
10
Sodium
>136 1 - NM + INT
131-135 2 - NM + INT
126-130 4 - NM + INT
<125 8 - NM + INT
11
Potassium
3,5-5 1 - NM + INT
5,1-5,3 2 - NM + INT
5,4- 5,9 4 - NM + INT
>6 8 - NM + INT
3,2- 3,4
- NM + INT
2,9- 3,1
- NM + INT
<2,8
- NM + INT
12
ECG
normal 1 - NM + INT
atrial fibrillation (rate 60-90/min) 4 - NM + INT
any abnormal rhythm, >ectopics/min, Q waves or ST/T wave changes 8 - NM + INT
13 Possum score.physiological

14 operative severity

minor 1 - NM + INT
moderate (cholecystectomy, appendectoma, mastectomy, transurethral resection of prostate 2 - NM + INT
major (any labarotomy, bowel resection, cholecystectomy with choledochotomy, peripheral vascular procedure or major amputation) 4 - NM + INT
major+ (any aortic procedure, abdominoperineal resection pancreatic or liver resection, oesophagogastrectomy) 8 - NM + INT
15 procedures

1 1 - 1 NM + INT
4 2 - 2 NM + INT
8 - >2 NM + INT
16 Blood loss.total

1 <100 - NM + INT
2 500 - 101 NM + INT
4 999 - 501 NM + INT
8 - >999 NM + INT
17 Contamination

none 1 - NM + INT
minor (serous fluid) 2 - NM + INT
local plus 4 - NM + INT
free bowl content, pus or blood 8 - NM + INT
18 metastatic cancer

none 1 - NM + INT
primary only 2 - NM + INT
nodal metastases 4 - NM + INT
distant metastases 8 - NM + INT
19 Type of surgery

elective 1 - NM + INT
emergenvy resus >2h or possible op <24h after admission 4 - NM + INT
emergency surgery <2h needed 8 - NM + INT
20 possum score.operativ

21 possum score.total

TOTAL SCORE


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Links to Further Information

General Note

The primary purpose of the information provided above is to enhance interoperability. The primary focus lies on the assigned codes.
Therefore, no guarantee can be given whether the use of the score or assessment system is allowed or not. It is highly recommended to check with the author directly. We are aware that the presented information may be not enough in order to work with it. The authors have done their best to ensure copyright and other jurisdictional requirements.

Date of Last Change: Nov 06, 2008 (FO)