ARCHETYPE ACVPU (openEHR-EHR-OBSERVATION.avpu-c.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.avpu-c.v0
ConceptACVPU
DescriptionSimple scale used as part of an assessment to measure and record an individual's level of consciousness.
UseUse to record a quick and simple assessment of an individual's level of consciousness, especially in an emergency situation. This assessment has been updated in response to 2017 changes to the NEWS assessment, now published as NEWS2.
PurposeTo record an individual's level of consciousness.
ReferencesDerived from: ACVPU, Draft archetype [Internet]. Apperta UK, Apperta UK Clinical Knowledge Manager [cited: 2019-03-12]. Available from: https://ckm.apperta.org/ckm/#showArchetype_1051.32.706

https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2 [cited 01-Feb-2018].
Copyright© openEHR Foundation
AuthorsAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2018-02-01
Other Details LanguageAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2018-02-01
Other Details (Language Independent)
  • Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
  • Custodian Organisation: Ocean Informatics
  • References: Derived from: ACVPU, Draft archetype [Internet]. Apperta UK, Apperta UK Clinical Knowledge Manager [cited: 2019-03-12]. Available from: https://ckm.apperta.org/ckm/#showArchetype_1051.32.706 https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2 [cited 01-Feb-2018].
  • Current Contact: Heather Leslie, Atomica Informatics
  • Original Namespace: com.oceaninformatics
  • Original Publisher: Ocean Informatics
  • Custodian Namespace: com.oceaninformatics
  • MD5-CAM-1.0.1: C6561B4A63ED465A9149F9D8F1EF7E8F
  • Build Uid: 498080f1-9204-4f9e-9301-6ebed27ee30c
  • Revision: 0.0.1-alpha
Keywordsavpu, alert, voice, pain, unresponsive, awake, speech, pain, unconscious, voice, consciousness, verbal, verbal response, semicomatose, conscious, level of consciousness, comatose, confusion, acvpu
Lifecyclein_development
UIDca0ee384-0c93-4a94-92a2-88fdf9278569
Language useden
Citeable Identifier1013.1.2015
Revision Number0.0.1-alpha
Archetype Concept CommentACVPU is an acronym for 'Alert', 'Confusion', 'Voice', 'Pain', 'Unresponsive'.
state
Confounding factorsConfounding factors: Narrative description of any issues or factors that may impact on the observation.
events
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
protocol
Pain stimulusPain stimulus: Description of the type of pain stimulus used to elicit the observation.
This element should be coded with a terminology, where possible. For example: pressing the nail root or the sternum.
ExtensionExtension: Additional information required to capture local content or to align with other reference models/formalisms.
e.g. Local information requirements or additional metadata to align with FHIR or CIMI equivalents.
Include:
All not explicitly excluded archetypes
data
ObservationObservation: The observation of the patient's level of consciousness.
  • Alert [Eyes open spontaneously, oriented speech, obeys commands.]
  • Confusion [New onset of confusion, disorientation and/or agitation, where previously their mental state was normal.]
  • Voice [Any verbal, motor or eye response to a voice stimulus.]
  • Pain [Any verbal, motor or eye response to a pain stimulus, such as pressing the nail root, but not to voice stimulus.]
  • Unresponsive [No response to voice or pain stimuli.]
CommentComment: Additional narrative about the observation, not captured in other fields.
Other contributorsHeather Leslie, Atomica Informatics, Australia
Translators
  • Norwegian Bokmal: Silje Ljosland Bakke; John Tore Valand, Nasjonal IKT HF; Helse Bergen HF
  • Portuguese (Brazil): Vladimir Pizzo, Hospital Sirio Libanes, Brazil, vladimir.pizzo@hsl.org.br