Score and Assessment Systems

   
 
 

Acute Physiology And Chronic Health Evaluation Score (III)

Author: Knaus WA, Wagner DP, Draper EA, et al: The APACHE III prognostic system, risk prediction of hospital mortality for critically ill hospitalized adults. Chest 1991; 100: 1619-1636
Address: Dr Knaus, 2300 K Street, NW, Washington DC 20037
Original Work: Original
Coypright: unknown
Trademark: unknown
Explanation:
HL7 v2.x datatype:
HL7 V3 datatype:
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
36- 39,9 0 - NM + INT
35- 35,9 2 - NM + INT
=40 4 - NM + INT
34- 34,9 8 - NM + INT
33,5- 33,9 13 - NM + INT
33-33,4 16 - NM + INT
=32,9 20 - NM + INT
2 Intravascular mean
 mittlerer arterieller Blutdruck
80-99 0 - NM + INT
100-119 4 - NM + INT
70-79 6 - NM + INT
120-129 7 - NM + INT
130-139 9 - NM + INT
=140 10 - NM + INT
40- 59 15 - NM + INT
=39 23 - NM + INT
60-69
- NM + INT
3 Heart rate
 Herzfrequenz
50-99 0 - NM + INT
100-109 1 - NM + INT
40- 49 5 - NM + INT
120- 139 7 - NM + INT
=39 8 - NM + INT
140- 154 13 - NM + INT
=155 17 - NM + INT
110- 119
- NM + INT
4 Respiratory Rate
 Atemfrequenz
14-24 0 - NM + INT
25- 34 6 - NM + INT
12-13 7 - NM + INT
6-11 8 - NM + INT
35-39 9 - NM + INT
40-49 11 - NM + INT
=5 17 - NM + INT
=50 18 - NM + INT
for patient on mechanical ventilation für beatmete Patienten 8 - NM + INT
5 Oxygen
 Sauerstoffpartialdruck
=80 0 - NM + INT
70-79 2 - NM + INT
50-69 5 - NM + INT
=49 15 - NM + INT
6 Oxygen.alveolar-arterial
 arterio-alveoläre Sauerstoffdifferenz
<100 0 - NM + INT
100-249 7 - NM + INT
250- 349 9 - NM + INT
350-499 11 - NM + INT
=500 14 - NM + INT
only use for intubated patients with FiO2=0,5
- NM + INT
8 Sodium
 Natrium
135- 154 mMol/L (mEq/L) 0 - mMol/L NM + INT
120- 134 mMol/L (mEq/L) 2 - mMol/L NM + INT
=119 mMol/L (mEq/L) 3 - mMol/L NM + INT
= 155 mMol/L (mEq/L) 4 - mMol/L NM + INT
10 Creatinine
 Kreatinin
0,6- 1,4 0 - NM + INT
<0,6 2 - NM + INT
2- 3,4 3 - NM + INT
>3, 5 4 - NM + INT
1,5- 1,9
- NM + INT
11 Hematocrit
 Hämatokrit
41-49 0 - NM + INT
=40,9 3 - NM + INT
=50 3 - NM + INT
12 Leucocytes
 Leukozyten
3- 19,9 0 - NM + INT
20-24,9 1 - NM + INT
1,0- 2,9 5 - NM + INT
=1 19 - NM + INT
=25
- NM + INT
13 Glucose
 Glukose
80-190 mg/dL 0 - NM + INT
200- 349 mg/dL 3 - NM + INT
=350 5 - NM + INT
40- 50 mg/dL 9 - mg/dL NM + INT
= 30mg/dL 8 - mg/dL NM + INT
3,4- 11,1mmol/dL
- mmol/dL NM + INT
11,2-19,3 mmol/dL
- mmol/dL NM + INT
=19,4
- NM + INT
2,2-3,3 mmol/dL
- mmol/dL NM + INT
=2,1mmol/dL
- mmol/dL NM + INT
14 Urea nitrogen
 Harnstoff- Stickstoff
= 16,9 mg/dL 0 - mg/dL NM + INT
17- 19 mg/dL 2 - mg/dL NM + INT
20-39 mg/dL 7 - mg/dL NM + INT
40- 79 mg/dL 11 - mg/dL NM + INT
=80mg/dL 12 - NM + INT
=6,1 mmol/L
- NM + INT
6,2- 7,1 mmol/L
- NM + INT
7,2-14,3 mmol/L
- NM + INT
14,4- 28,5 mmol/L
- NM + INT
=28,6 mmol/L
- NM + INT
15 Albumin
 Serumalbumin
2,5-4,4 g/dL 0 - NM + INT
=4,5 g/dL 4 - NM + INT
2,0-2,4 g/dL 6 - NM + INT
=1,9g/dL 11 - NM + INT
25-44 g/L
- NM + INT
=45g/L
- NM + INT
20-24 g/L
- NM + INT
=19g/L
- NM + INT
16 Bilirubin
 Serumbilirubin
=34µmol/L 0 - NM + INT
35-51 µmol/L 5 - NM + INT
52-85 µmol/L 6 - NM + INT
86- 136µmol/L 8 - NM + INT
= 136µmol/L 16 - NM + INT
=1,9 mg/dL
- NM + INT
2-2,9 mg/dL
- NM + INT
3- 4,9 mg/dL
- NM + INT
5- 7,9mg/dL
- NM + INT
=8mg/dL
- NM + INT
17 Urine output
 Urin Ausscheidung
2000-3999 mL/d 0 - NM + INT
=4000 mL/d 1 - NM + INT
1500-1999 mL/d 4 - NM + INT
900-1499 mL/d 5 - NM + INT
600-899 mL/d 7 - NM + INT
400-599 mL/d 8 - NM + INT
=399 mL/d 15 - NM + INT
18 acid- base disturbances acid- base disturbances
 Säure- Basenhaushalt
19 altered GCS
20 Age
 Alter
=44 0 - NM + INT
45- 59 5 - NM + INT
60- 64 11 - NM + INT
65- 69 13 - NM + INT
70-74 16 - NM + INT
75-84 17 - NM + INT
=85 24 - NM + INT
21 Comorbid condition
 Begleiterkrankungen
Zirrhose Cirrhosis 4 - NM + INT
Immunsuppression oder Leukämie/ multiples Myelom Immunosupression or Leukemia/multiple myeloma 10 - NM + INT
metastasierendes Karzinom metastatic cancer 11 - NM + INT
Lymphom lymphoma 13 - NM + INT
Leberversagen hepatic failure 16 - NM + INT
AIDS AIDS 23 - NM + INT
excluded für elective surgery patients
- NM + INT
TOTAL SCORE Acute Physiology And Chronic Health Evaluation Score (III)
LOINC: 9265-0
Snomed CT: 273259007

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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)