Score and Assessment Systems |
Author: | Null |
Address: | |
Original Work: | Null |
Coypright: |
unknown |
Trademark: |
unknown |
Explanation: | |
HL7 v2.x datatype: | |
HL7 V3 datatype: |
Interpretation must be defined!
Comp. | Decription | Bezeichnung | Code System: Codes/ Score Value |
Details / Score Range |
/ Units |
HL7 DT v2 + V3 | / Snomed CT |
---|---|---|---|---|---|---|---|
1 | Alter am Tag der Score-Berechnung |
Alter |
LOINC: 30525-0 |
||||
0 | <40 - | Jahre | + | ||||
7 | 59 - 40 | + | |||||
12 | 69 - 60 | + | |||||
15 | 74 - 70 | + | |||||
16 | 79 - 75 | + | |||||
18 | - >=80 | + | |||||
n. best. | 0 | - | + | ||||
2 | Aufnahmestatus |
99UKFSC: ADMTYPE |
|||||
chirurg. geplant | 0 | - | + | ||||
medizinisch | 6 | - | + | ||||
chirurg. ungeplant | 8 | - | + | ||||
n. best. | 0 | - | + | ||||
3 | Nur das chronische Leiden mit der höchsten Punktzahl wird dokumentiert. |
Chronische Leiden |
99UKFSC: CHRONDIS |
||||
metast. NPL | 9 | - | + | ||||
hämat. NPL | 10 | - | + | ||||
AIDS | 17 | - | + | ||||
ohne NPL/AIDS | 0 | - | + | ||||
n. best. | 0 | - | + | ||||
4 | Es ist der Puls des zu dokumentierenden 24h-Intervalls zu verwenden, der die höchste Punktzahl ergibt. |
Herzfrequenz |
LOINC: 8867-4 |
||||
<40 | 11 | - | 1/min | + | |||
40-69 | 2 | - | + | ||||
70-119 | 0 | - | + | ||||
120-159 | 4 | - | + | ||||
>=160 | 7 | - | + | ||||
n. best. | 0 | - | + | ||||
5 | Es ist der Blutdruckwert des zu dokumentierenden 24h-Intervalls zu verwenden, der die höchste Punktzahl ergibt. |
Systolischer Blutdruck |
LOINC: 8480-6 |
||||
<70 | 13 | - | mmHg | + | |||
70-99 | 5 | - | + | ||||
100-199 | 0 | - | + | ||||
>=200 | 2 | - | + | ||||
n. best. | 0 | - | + | ||||
6 | 24h-Maximum |
Körperkerntemperatur |
LOINC: 8315-4 |
||||
<39 | 0 | - | °C | + | |||
>=39 | 3 | - | + | ||||
n. best. | 0 | - | + | ||||
7 | Erhebung nur im Falle der maschinellen Beatmung |
Oxygenierungsindex (PaO2/FiO2) |
99UKFSC: OXYRATE |
||||
<100 | 11 | - | mmHg | + | |||
100-199 | 9 | - | + | ||||
>=200 | 6 | - | + | ||||
n. best. | 0 | - | + | ||||
8 | 24h-Sammelurin |
Ausfuhr Urin |
LOINC: 9192-6 |
||||
<0,5 | 11 | - | l/d | + | |||
0,5-0,999 | 4 | - | + | ||||
>=1,0 | 0 | - | + | ||||
n. best. | 0 | - | + | ||||
9 | 24h-Maximum |
Harnstoff im Serum |
LOINC: 3091-6 |
||||
<60 | 0 | - | mg/dl | + | |||
60-179 | 6 | - | + | ||||
>=180 | 10 | - | + | ||||
n. best. | 0 | - | + | ||||
10 | Es ist der Wert des zu dokumentierenden 24h-Intervalls zu verwenden, der die höchste Punktzahl ergibt. |
Leukozytenzahl |
LOINC: 26464-8 |
||||
<1,0 | 12 | - | 10³/µl | + | |||
1,0-19,9 | 0 | - | + | ||||
>=20 | 3 | - | + | ||||
n. best. | 0 | - | + | ||||
11 | Es ist der Wert des zu dokumentierenden 24h-Intervalls zu verwenden, der die höchste Punktzahl ergibt. |
Kalium im Serum |
LOINC: 2823-3 |
||||
<3,0 | 3 | - | mmol/l | + | |||
3,0-4,9 | 0 | - | + | ||||
>=5,0 | 3 | - | + | ||||
n. best. | 0 | - | + | ||||
12 | Es ist der Wert des zu dokumentierenden 24h-Intervalls zu verwenden, der die höchste Punktzahl ergibt. |
Natrium im Serum |
LOINC: 2951-2 |
||||
<125 | 5 | - | mmol/l | + | |||
125-144 | 0 | - | + | ||||
>=145 | 1 | - | + | ||||
n. best. | 0 | - | + | ||||
13 | 24h-Minimum |
Bicarbonat im Serum |
LOINC: 1963-8 |
||||
<15 | 6 | - | mmol/l | + | |||
15-19 | 3 | - | + | ||||
>=20 | 0 | - | + | ||||
n. best. | 0 | - | + | ||||
14 | 24h-Maximum |
Bilirubin im Serum |
LOINC: 1975-2 |
||||
<4,0 | 0 | - | mg/dl | + | |||
4,0-5,9 | 4 | - | + | ||||
>=6,0 | 9 | - | + | ||||
n. best. | 0 | - | + | ||||
TOTAL SCORE | SAPS II Intensivscore |
99UKFSC: DAYSAPS |
|||||
SCSA | -- | n | - | + |
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.
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