AP Sys BP Field: Difference between revisions

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The '''AP Sys BP''' data input field records systolic blood pressure collected as per the [[:category:APACHE II]] [[Mean BP|Mean Blood Pressure Instructions]].
{{Data element
|field_name=Ap_APSysBP
|CCMDB_label=APSysBP
|CCMDB_tab=Apache
|in_table=L Log table
|data_type=number
|datafield_length=single
|program_collecting=CC
|created_raw=Raw
|data_element_sort_index=59
|element_description=Ap_SysBP is the systolic blood pressure.
}}
== Different instructions for ICU and Medicine ==
The details of collection for ICU and medicine are different. For the timing and which value to use, see:
* for ICU: [[Mean BP]]
* for medicine: [[ALERT Scale]]


''Note: The BP items are separated here on the WIKI however, this does not mean that you pick a systolic value from one BP reading and a diastolic value from another BP reading when selecting worst BP for APACHE II. ''
{{APACHE physiological variable
|AP phys name= Systolic Blood Pressure
|AP phys unit= mmHG
|AP phys absMax= 360
|AP phys warnMax= 243
|AP 0=  as per [[Mean BP]]
|AP phys warnMin= 49
|AP phys absMin= 25
}}


This value is also used by the '''[[MOST]]''' score.  
== Data use ==
Apache Systolic [[BP]] is used for the '''[[ALERT Scale]]''' score.


==Discussion==
== Data Integrity Checks ==
*Previously this read:
{{Data Integrity Check List}}
**for MOST - Value selected is one that is "'''closest to the time'''" the medicine service physician "accepts" the patient to the medicine service from the emergency department.
* There is a problem with that. If Julie has been using the AP Sys BP field then the instruction for collection would have been to follow the [[Mean BP]]. Are the instructions different for medicine and ICU?




== Data Integrity Rules ==
[[Category: Blood Pressure-APACHE]]
The AP Sys BP must be >=25 And <=360.
[[Category: ALERT Scale Elements]]
 
 
[[Category: Data Collection Guide]]
[[Category: APACHE II]]
[[Category: Data Integrity Rules]]
[[Category: MOST Score]]

Latest revision as of 01:34, 3 January 2019

Data Element (edit)
Field Name: Ap_APSysBP
CCMDB Label: APSysBP
CCMDB tab: Apache
Table: L Log table
Data type: number
Length: single
Program: CC
Created/Raw: Raw
Start Date: 1988-07-11
End Date: 2300-01-01
Sort Index: 59

Ap_SysBP is the systolic blood pressure.

  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


Different instructions for ICU and Medicine

The details of collection for ICU and medicine are different. For the timing and which value to use, see:


Apache Physiological Variable
variable name Systolic Blood Pressure
unit mmHG
absolute max allowed 360
warning max 243
high score 4
high score 3
high score 2
high score 1
score 0 as per Mean BP
low score 1
low score 2
low score 3
low score 4
AP phys warnMin 49
AP phys absMin 25

APACHE Score

This value is used to generate the APACHE Score.

Collecting Apache physiological variables

There are some specific rules to follow in choosing which one of several lab results to collect.

See APACHE physiological variable collection for details.

Cross Chcks

Rules described in APACHE_physiological_variable_collection#Exceptionally_high_or_low_values are implemented by Check APACHE physiological variable high low.

Data use

Apache Systolic BP is used for the ALERT Scale score.

Data Integrity Checks

Data Integrity Checks (automatic list)

 AppStatus
Check APACHE physiological variable high lowCCMDB.accdbimplemented
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