ARCHETYPE Murray score (openEHR-EHR-OBSERVATION.murray_score.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.murray_score.v0
ConceptMurray score
DescriptionClinical tool used to estimate the severity of acute lung injury.
UseUse to record the score for each component parameter and the calculated final score for the Murray score.
MisuseThe Murray score is a guide only and should not replace clinical evaluation by clinicians on the appropriateness of ECMO initiation.
PurposeTo record the score for each component parameter and the calculated final score for the Murray score.
ReferencesMurray JF, Matthay MA, Luce JM, Flick MR. An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis. 1988 Sep;138(3):720-3. doi: 10.1164/ajrccm/138.3.720. Erratum in: Am Rev Respir Dis 1989 Apr;139(4):1065. PMID: 3202424. Available from: https://pubmed.ncbi.nlm.nih.gov/3202424/.

Peek GJ, Clemens F, Elbourne D, Firmin R, Hardy P, Hibbert C, Killer H, Mugford M, Thalanany M, Tiruvoipati R, Truesdale A, Wilson A. CESAR: conventional ventilatory support vs extracorporeal membrane oxygenation for severe adult respiratory failure. BMC Health Serv Res. 2006 Dec 23;6:163. doi: 10.1186/1472-6963-6-163. PMID: 17187683; PMCID: PMC1766357. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1766357/.

Raghavendran K, Napolitano LM. Definition of ALI/ARDS. Crit Care Clin. 2011 Jul;27(3):429-37. doi: 10.1016/j.ccc.2011.05.006. PMID: 21742209; PMCID: PMC3173767. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3173767/.
CopyrightHiGHmed, openEHR Foundation
AuthorsForfatternavn: Sarah Ballout
Organisasjon: MHH-Hannover
E-post: ballout.sarah@mh-hannover.de
Opprinnelig skrevet dato: 2020-04-23
Other Details LanguageForfatternavn: Sarah Ballout
Organisasjon: MHH-Hannover
E-post: ballout.sarah@mh-hannover.de
Opprinnelig skrevet dato: 2020-04-23
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=HiGHmed, references=Murray JF, Matthay MA, Luce JM, Flick MR. An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis. 1988 Sep;138(3):720-3. doi: 10.1164/ajrccm/138.3.720. Erratum in: Am Rev Respir Dis 1989 Apr;139(4):1065. PMID: 3202424. Available from: https://pubmed.ncbi.nlm.nih.gov/3202424/. Peek GJ, Clemens F, Elbourne D, Firmin R, Hardy P, Hibbert C, Killer H, Mugford M, Thalanany M, Tiruvoipati R, Truesdale A, Wilson A. CESAR: conventional ventilatory support vs extracorporeal membrane oxygenation for severe adult respiratory failure. BMC Health Serv Res. 2006 Dec 23;6:163. doi: 10.1186/1472-6963-6-163. PMID: 17187683; PMCID: PMC1766357. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1766357/. Raghavendran K, Napolitano LM. Definition of ALI/ARDS. Crit Care Clin. 2011 Jul;27(3):429-37. doi: 10.1016/j.ccc.2011.05.006. PMID: 21742209; PMCID: PMC3173767. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3173767/., original_namespace=org.highmed, original_publisher=HiGHmed,, custodian_namespace=org.highmed, MD5-CAM-1.0.1=F1A2397AE5B83DBE7E41229434F931F0, build_uid=84277e48-3029-4b96-aeca-e5acc90e50bb, revision=0.0.1-alpha}
Keywordslung, injury, ARDS
Lifecyclein_development
UID3ffb15ea-178b-4e50-ad00-7468e04b5e62
Language useden
Citeable Identifier1078.36.2338
Revision Number0.0.1-alpha
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Heather Leslie, Atomica Informatics, Australia (openEHR Editor), originalLanguage=en, translators=German: Sarah Ballout, ballout.sarah@mh-hannover.de
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1: 1 quadrant [Alveolar consolidation confined to 1 quadrant.]
2: 2 quadrants [Alveolar consolidation confined to 2 quadrants.]
3: 3 quadrants [Alveolar consolidation confined to 3 quadrants.]
4: 4 quadrants [Alveolar consolidation in all 4 quadrants.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=PaO₂/FiO₂ ratio, description=Index of oxygenation (PaO2/FIO2)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: ≥300 [Ratio is greater than or equal to 300.]
1: 225-299 [Ratio is between 225 and 299.]
2: 175-224 [Ratio is between 175 and 225.]
3: 100-174 [Ratio is between 100 and 174.]
4: <100 [Ratio is less than 100.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0019], code=at0019, itemType=ELEMENT, level=4, text=PEEP, description=The Positive End Expiratory Pressure (PEEP), measured in cm H₂O., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: ≤5 [PEEP is less than or equal to 5 cmH₂O.]
1: 6–8 [PEEP is between 6 and 8 cmH₂O.]
2: 9–11 [PEEP is between 9 and 11 cmH₂O.]
3: 12–14 [PEEP is between 12 and 14 cmH₂O.]
4: ≥15 [PEEP is greater than or equal to 15 cmH₂O.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0026], code=at0026, itemType=ELEMENT, level=4, text=Compliance, description=Lung compliance, calculated in ml/cm H₂O., comment=Calculated value, from VT / ( PIP – PEEP )., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: ≥80 [Compliance is greater than or equal to 80 ml/cmH₂O.]
1: 60–79 [Compliance is between 60 and 79 ml/cmH₂O.]
2: 40–59 [Compliance is between 40 and 59 ml/cmH₂O.]
3: 20–39 [Compliance is between 20 and 39 ml/cmH₂O.]
4: ≤19 [Compliance is less than or equal to 19 ml/cmH₂O.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039], code=at0039, itemType=ELEMENT, level=4, text=Score, description=Sum of points assigned for each of the component parameters divided by the number of parameters., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Egenskap: Qualified real
Enheter:
  • 0.0..4.0
    Begrens antall desimaler: 1
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0046], code=at0046, itemType=ELEMENT, level=4, text=Severity assessment, description=The assessment about severity of the lung injury, based on the Murray score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 0 [No lung injury.]
  • 1–2.5 [Mild to moderate lung injury.]
  • >2.5 [Severe lung injury (ARDS).]
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