Score and Assessment Systems |
Author: | Cullen DJ, Civetta JM, Briggs BA, Ferrara LC: Therapeutic intervention scoring system: a method for quantitative comparison of patient care.Crit Care Med 1974 Mar - Apr; 2 (2):57-60 |
Address: | David J. Cullen, MD, Department of Anesthesia, Massachusetts General Hospital, Boston, Massachusetts 02114 |
Original Work: | Originalarbeit |
Coypright: |
unknown |
Trademark: |
unknown |
Explanation: | in diesem Artikel sind 57 verschiedene Parameter aufgelistet, nicht 76 |
HL7 v2.x datatype: | NM |
HL7 V3 datatype: | INT |
Interpretation must be defined!
Comp. | Decription | Bezeichnung | Code System: Codes/ Score Value |
Details / Score Range |
/ Units |
HL7 DT v2 + V3 | / Snomed CT |
---|---|---|---|---|---|---|---|
1 | Cardiac arrest and/ or countershock |
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within last 48H | 4 | - | NM + INT | ||||
2 | controlled ventilation |
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one or more answers possible: with or without PEEP | 4 | - | NM + INT | ||||
present with intermittent or continuous muscle relaxants | 4 | - | NM + INT | ||||
3 | Balloon tamponade of varices |
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present | 4 | - | NM + INT | ||||
4 | Continuous infusion |
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present | 4 | - | NM + INT | ||||
5 | Catheter |
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present | 4 | - | NM + INT | ||||
6 | Pacing |
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present | 4 | - | NM + INT | ||||
7 | Hemodialysis |
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stable patient | 2 | - | NM + INT | ||||
unstable patient | 4 | - | NM + INT | ||||
8 | Peritoneal dialysis |
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present | 4 | - | NM + INT | ||||
9 | Hypothermia induced |
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present | 4 | - | NM + INT | ||||
10 | Pressure-activated blood infusion |
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present | 4 | - | NM + INT | ||||
11 | G-suit. |
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present | 4 | - | NM + INT | ||||
12 | intracranial pressure measurement |
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present | 4 | - | NM + INT | ||||
13 | transfusion platelet |
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present | 4 | - | NM + INT | ||||
14 | Intra aortic balloon pressure |
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present | 4 | - | NM + INT | ||||
15 | emergency operative procedures |
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present (4), in the last 24h | - | + | |||||
16 | Lavage of acute GI bleeding |
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present | 4 | - | NM + INT | ||||
17 | emergency endoscopy or bronchoscopy |
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present | 4 | - | NM + INT | ||||
18 | Drug infusion vasoactive |
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1 | 3 | - | NM + INT | ||||
>1 | 4 | - | NM + INT | ||||
19 | Hyperalimentation |
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periphereal venous | 1 | - | NM + INT | ||||
central venous | 3 | - | NM + INT | ||||
20 | pacemaker on standby |
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present | 3 | - | NM + INT | ||||
21 | chest tubes |
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present | 3 | - | NM + INT | ||||
22 | IMV or assisted ventilation |
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present | 3 | - | NM + INT | ||||
23 | CPAP |
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present | 3 | - | NM + INT | ||||
24 | concentrated potassium infusion |
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present | 3 | - | NM + INT | ||||
25 | nasotracheal or orotracheal intubation |
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present | 3 | - | NM + INT | ||||
26 | blind intratracheal suctioning |
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present | 3 | - | NM + INT | ||||
27 | metabolic balance |
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standard | 1 | - | NM + INT | ||||
complex | 3 | - | NM + INT | ||||
28 | ABG and/or STAT studies |
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multiple or >4 shift | 3 | - | NM + INT | ||||
29 | frequent infusion of blood products |
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>5 Units/24H | - | + | |||||
30 | medication |
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intermittent schedulded | 1 | - | NM + INT | ||||
Bolus nonschedulded | 3 | - | NM + INT | ||||
31 | continuous antiarrhythmica drug infusion |
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present | 3 | - | NM + INT | ||||
32 | cardioversion for arrhythmia |
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present | 3 | - | NM + INT | ||||
33 | Hypothermia blanket |
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present | 3 | - | NM + INT | ||||
34 | arterial line |
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present | 3 | - | NM + INT | ||||
35 | acute digitalization |
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last 24 h | 3 | - | NM + INT | ||||
36 | measurement of cardiac output |
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present | 3 | - | NM + INT | ||||
37 | active diuresis |
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present (3), for fluid overload or cerebral edema | - | + | |||||
38 | active Rx |
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for acidosis or alkalosis | 3 | - | NM + INT | ||||
39 | emergency thora- para and peri-cardiocenteses |
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present | 3 | - | NM + INT | ||||
40 | anticoagulation |
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chronic | 1 | - | NM + INT | ||||
active | 3 | - | NM + INT | ||||
41 | Phlebotomy for volume overload |
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present | 3 | - | NM + INT | ||||
42 | Antibiotics infusion |
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2 or less | 2 | - | NM + INT | ||||
3 | - >2 | NM + INT | |||||
43 | Rx of seizures or metabolic encephalopathy |
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present | 3 | - | NM + INT | ||||
44 | orthopedic traction |
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standard | 1 | - | NM + INT | ||||
complicated | 3 | - | NM + INT | ||||
45 | Central venous pressure |
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present | 2 | - | NM + INT | ||||
46 | catheter periphereal |
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1 | 1 | - | NM + INT | ||||
2 | 2 | - | NM + INT | ||||
47 | spontanous respiration via endotracheal tube or traeostomy |
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present | 2 | - | NM + INT | ||||
48 | GI feedings |
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present | 2 | - | NM + INT | ||||
49 | Replacement of excess fluid loss |
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present | 2 | - | NM + INT | ||||
50 | Chemotherapy parenteral |
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present | 2 | - | NM + INT | ||||
51 | neuro vital signs |
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hourly | 2 | - | NM + INT | ||||
52 | dressing changes |
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routine | 1 | - | NM + INT | ||||
multiple | 2 | - | NM + INT | ||||
53 | pitressin infusion |
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present | 2 | - | NM + INT | ||||
54 | ECG Monitoring |
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present | 1 | - | NM + INT | ||||
55 | monitoring vital signs |
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hourly | 1 | - | NM + INT | ||||
56 | STAT blood test |
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present | 1 | - | NM + INT | ||||
57 | tracheostomy care |
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present | 1 | - | NM + INT | ||||
58 | Decubitus ulcer |
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present | 1 | - | NM + INT | ||||
59 | catheter |
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present | 1 | - | NM + INT | ||||
60 | Oxygen supplemental |
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present | 1 | - | NM + INT | ||||
61 | physiotherapy chest |
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present | 1 | - | NM + INT | ||||
62 | surgical dressing |
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extensive irrigations, packings or debridement of wound, fistula or colostomy | 1 | - | NM + INT | ||||
63 | GI decompression |
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present | 1 | - | NM + INT | ||||
TOTAL SCORE | in diesem Artikel sind 57 verschiedene Parameter aufgelistet, nicht 76 |
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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