ID

23628

Description

Derived from www.openehr.org . To be used for adults only. The first 4 questions are used as a initial screening. The main screening is only done if any of the questions in the initial screening are answered YES If all the questions in the initial screening is answered "NO" the patient needs a weekly re screening. If a patient, e.g will undergo a planned major surgery, a preventive nutritional plan needs to be considered to avoid expected nutritional risks. Is the total score ≥3 the patient has a nutritional risk, and a nutritional plan needs to be effectuated. If the total score is below 3 the patient needs weekly re screening. If the patient e.g will undergo major surgery a preventive nutrition plan have to be considered to avoid the expected nutritional risk.

Link

www.openehr.org

Keywords

Versions (2)
  1. 7/10/17 7/10/17 - Martin Dugas
  2. 7/10/17 7/10/17 - Martin Dugas
Uploaded on

July 10, 2017

DOI

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License

Creative Commons BY-SA 3.0
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Nutritional Risk Screening (EHR Archetype)

English Norwegian

openEHR-EHR-OBSERVATION.nutritional_risk_screening.v1

1 forms  
  1. StudyEvent: openEHR-EHR-OBSERVATION.nutritional_risk_screening.v1
    1. openEHR-EHR-OBSERVATION.nutritional_risk_screening.v1
openEHR-EHR-OBSERVATION.nutritional_risk_screening.v1.xml
Description

openEHR-EHR-OBSERVATION.nutritional_risk_screening.v1.xml

Nutritional Risk Screening (NRS 2002)
Description

Screening for malnutrition using the tool NRS 2002.

Data type

text

Alias
UMLS CUI [1]
C4038672
Initial screening
Description

The main screening is done if any of the questions in the inital iscreening is answered "YES".

Data type

text

Is the body mass index <20.5 kg/m²?
Description

Is the patients body mass index below 20.5 kg/m^2?

Data type

integer

Alias
UMLS CUI [1]
C1305855
Has the patient lost weight in the previous 3 months?
Description

Weightloss during the last 3 months?

Data type

integer

Alias
UMLS CUI [1,1]
C1262477
UMLS CUI [1,2]
C4086725
Was nutritional intake reduced in the previous week?
Description

Reduced nutritional intake in the previous week?

Data type

integer

Alias
UMLS CUI [1,1]
C0231353
UMLS CUI [1,2]
C2987125
Is the patient very ill? (e.g. in intensive care)?
Description

Do the patient have an increased stress metabolism related to relevant disease (trauma, intensive care patient).

Data type

integer

Alias
UMLS CUI [1]
C2051438
Main screening
Description

The main screening is performed only if any of the questions in the initial screening is answered "YES".

Data type

text

Nutritional status
Description

Nutritional status (≈ degree of weakening).

Data type

text

Alias
UMLS CUI [1]
C0392209
Illness severity
Description

Severity of disease (≈ increased needs).

Data type

text

Alias
UMLS CUI [1]
C0521117
Is the patients age ≥ 70?
Description

Is the patients age 70 or more.

Data type

integer

Alias
UMLS CUI [1]
C4063060
Total score (age adjusted)
Description

The total score is a combination of nutritional status, disease severity and age.

Data type

integer

Alias
UMLS CUI [1]
C2964552
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Similar models

openEHR-EHR-OBSERVATION.nutritional_risk_screening.v1

1 forms
  1. StudyEvent: openEHR-EHR-OBSERVATION.nutritional_risk_screening.v1
    1. openEHR-EHR-OBSERVATION.nutritional_risk_screening.v1
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Nutritional Risk Screening
Item
Nutritional Risk Screening (NRS 2002)
text
C4038672 (UMLS CUI [1])
Initial screening
Item
Initial screening
text
Item
Is the body mass index <20.5 kg/m²?
integer
C1305855 (UMLS CUI [1])
Is the body mass index below 20.5 kg/m²?
Code List
Is the body mass index <20.5 kg/m²?
CL Item
Yes (1)
CL Item
No (2)
Item
Has the patient lost weight in the previous 3 months?
integer
C1262477 (UMLS CUI [1,1])
C4086725 (UMLS CUI [1,2])
Has the patient lost weight in the previous 3 months?
Code List
Has the patient lost weight in the previous 3 months?
CL Item
Yes (1)
CL Item
No (2)
Item
Was nutritional intake reduced in the previous week?
integer
C0231353 (UMLS CUI [1,1])
C2987125 (UMLS CUI [1,2])
Was nutritional intake reduced in the previous week?
Code List
Was nutritional intake reduced in the previous week?
CL Item
Yes (1)
CL Item
No (2)
Item
Is the patient very ill? (e.g. in intensive care)?
integer
C2051438 (UMLS CUI [1])
Is the patient very ill? (e.g. in intensive care)?
Code List
Is the patient very ill? (e.g. in intensive care)?
CL Item
Yes (1)
CL Item
No (2)
Main screening
Item
Main screening
text
Item
Nutritional status
text
C0392209 (UMLS CUI [1])
Nutritional status
Code List
Nutritional status
CL Item
None (0)
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
Item
Illness severity
text
C0521117 (UMLS CUI [1])
Illness severity
Code List
Illness severity
CL Item
None (0)
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
Item
Is the patients age ≥ 70?
integer
C4063060 (UMLS CUI [1])
Is the patients age ≥ 70?
Code List
Is the patients age ≥ 70?
CL Item
No (0)
CL Item
Yes (1)
Total score
Item
Total score (age adjusted)
integer
C2964552 (UMLS CUI [1])
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