Score and Assessment Systems

   
 
 

Acute Physiology And Chronic Health Evaluation Score (II)

Author: Knaus WA, Draper EA, Wagner DP, et al: APACHE II: A severity of disease classification. Crit Care Med 1985; 13: 818-829
Address: William A Knaus, MD, ICU Research Unit, The George Washingtopn University Medical Center, 2300 K Street, NW, Washington, DC 20037
Original Work: Original
Coypright: unknown
Trademark: unknown
Explanation:
HL7 v2.x datatype:
HL7 V3 datatype:
Links: http://www.talassin.de/apache/score.htm
Specialities: Intensive Care / Intensivmedizin

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 Body temperature
 Körpertemperatur
0 36 - 38,4 °C NM + INT
1 34 - 35,9 °C NM + INT
2 32 - 33,9 °C NM + INT
3 30 - 31,9 °C NM + INT
4 - 29 °C NM + INT

38,5 - 38,9 °C NM + INT

39 - 40,9 °C NM + INT

41 - °C NM + INT
2 Intravascular mean
 mittlerer arterieller Blutdruck
0 70- 109 mmHg - mmHg NM + INT
2 50- 69 mmHg - mmHg NM + INT
3 130- 159 mmHg - mmHg NM + INT
4 =49mmHg - mmHg NM + INT

110- 129 mmHg - mmHg NM + INT

=160mmHg - mmHg NM + INT
3 Heart rate
 Herzfrequenz
0 70- 109 - NM + INT
2 55- 69 - NM + INT
3 40- 54 - NM + INT
4 =39 - NM + INT

110- 139 - NM + INT

140- 179 - NM + INT

- =180 NM + INT
4 Respiratory Rate
 Atemfrequenz
0 24 - 12 NM + INT
1 34 - 25 NM + INT
2 9 - 6 NM + INT
3 49 - 35 NM + INT
4 =5 - NM + INT
1 11 - 10 NM + INT
4 - =50 NM + INT
5 Oxygen.alveolar-arterial^FiO2=0,5
 arterio-alveoläre Sauerstoffdifferenz bei FiO2=0,5
0 <200 mmHg - mmHg NM + INT
2 200- 349 mmHg - mmHg NM + INT
3 350- 499 mmHg - mmHg NM + INT
4 =500 mmHg - mmHg NM + INT
6 oxygen^FiO2<0,5
 arterieller Sauerstoffpartialdruck bei FiO2<0,5
0 >70 mmHg - mmHg NM + INT
1 61- 70 mmHg - mmHg NM + INT
3 55- 60 mmHg - mmHg NM + INT
4 <55mmHg - mmHg NM + INT
7 PH
 arterieller PH-Wert
0 7,33- 7,49 - NM + INT
1 7,5- 7,59 - NM + INT
2 7,25- 7,32 - NM + INT
3 7,6- 7,69& 7,15- 7,24 - NM + INT
4 =7,7& =7,15 - NM + INT
8 Sodium
 Natrium
0 130- 149 - mMol/L NM + INT
1 150- 154 - mMol/L NM + INT
2 155- 159& 120- 129 - mMol/L NM + INT
3 160- 179 & 111- 119 - mMol/L NM + INT
4 =180& =110 - mMol/L NM + INT
9 Potassium
 Kalium
0 3,5- 5,4 - mMol/L NM + INT
1 5,5- 5, 9 or 3- 3,4 - mMol/L NM + INT
2 2,5- 2,9 - mMol/L NM + INT
3 6- 6,9 - mMol/L NM + INT
4 =7 or =2,5 - mMol/L NM + INT
10 Creatinine
 Serumkreatinin
0 0,6- 1,4 - mg/100ml NM + INT
2 1,5- 1,9 or <0,6 - mg/100ml NM + INT
3 2- 3,4 - mg/100ml NM + INT
4 =3, 5 - mg/100ml NM + INT
double values, if patient has acute renal failure bei ANV Werte verdoppeln
- NM + INT
11 Hematocrit
 Hämatokrit
0 30- 45, 9 - NM + INT
1 46- 49,9 - NM + INT
2 20- 29,9 - NM + INT
4 <20 - NM + INT

50- 59,9 - NM + INT

- =60 NM + INT
12 Leucocytes
 Leukozyten
4 - 1 (1000/mm³) NM + INT
2 1 - 2,9 (1000/mm³) NM + INT
3- 14,9 (1000/mm³) 0 3 - 14,9 (1000/mm³) NM + INT
15- 19,9 (1000/mm³) 1 15 - 19,9 (1000/mm³) NM + INT
20- 39, 9 (1000/mm³) & 1- 2,9 (1000/mm³) 2 20 - 39,9 (1000/mm³) NM + INT
=40 (1000/mm³ )& <1 (1000/mm³) 4 40 - (1000/mm³) NM + INT
13 GCS
 GCS
(15 - current value) (15 - aktueller Wert)
- NM + INT
15 Age
 Alter
0 - 44 yers NM + INT
2 45 - 54 years NM + INT
3 55 - 64 years NM + INT
5 65 - 74 years NM + INT
6 75 - years NM + INT
16 Chronic Health Score elective postoperative
 chronische Begleiterkrankungen bei elektiv operiertem Patienten
organinsufficiency or immunosuppression in patient history Organinsuffizienz oder Immunschwäche in der Vorgeschichte 2 - NM + INT
17 Chronic health Score emergency postoperative
 chronische Begleiterkrankungen bei Notfall operiertem Patienten
organinsufficiency or immunosuppression in patient history Organinsuffizienz oder Immunschwäche in der Vorgeschichte 5 - NM + INT
18 Chronic health Score not operated
 chronsiche Begleiterkrankungen bei nicht- operiertem Patienten
organinsufficiency or immunosuppression in patient history Organinsuffizienz oder Immunschwäche in der Vorgeschichte 5 - NM + INT
TOTAL SCORE Acute Physiology And Chronic Health Evaluation Score (II)
LOINC: 9264-3
Snomed CT: 273258004

Please send corrections and additions to hl7(at)oemig.de

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)