ARCHETYPE ID | openEHR-EHR-OBSERVATION.asa_status.v1 |
Concept | ASA physical status classification system |
Description | Classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. |
Use | To record the classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. The ASA (2020) reference defines each classification and provides some adult, paediatric and obstetric examples to guide clinicians to assign a physical status classification level. However, because these examples are numerous and can further be refined or described at the institution level, specific examples are not included in this archetype. |
Purpose | To record the classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. |
References | ASA Physical Status Classification System [Internet]. Schaumburg, IL: American Society for Anesthesiologists (ASA); 2014 Oct 15 [updated 2020 Dec 13, cited 2021 Sep 01]. Available from: http://www.asahq.org/resources/clinical-information/asa-physical-status-classification-system. Saklad M. Grading of patients for surgical procedures. Anesthesiology. 1941;2:281–84. Dripps RD, Lamont A, Eckenhoff JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261–66. Derived from: ASA-klassifikasjon, Publisert arketype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [sitert: 2021-09-01]. Hentet fra: https://arketyper.no/ckm/archetypes/1078.36.1980 |
Copyright | © openEHR Foundation, Nasjonal IKT HF |
Authors | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2010-06-25 |
Other Details Language | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2010-06-25 |
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=openEHR Foundation, references=ASA Physical Status Classification System [Internet]. Schaumburg, IL: American Society for Anesthesiologists (ASA); 2014 Oct 15 [updated 2020 Dec 13, cited 2021 Sep 01]. Available from: http://www.asahq.org/resources/clinical-information/asa-physical-status-classification-system. Saklad M. Grading of patients for surgical procedures. Anesthesiology. 1941;2:281–84. Dripps RD, Lamont A, Eckenhoff JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261–66. Derived from: ASA-klassifikasjon, Publisert arketype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [sitert: 2021-09-01]. Hentet fra: https://arketyper.no/ckm/archetypes/1078.36.1980, current_contact=Heather Leslie, Atomica Informatics, heather.leslie@atomicainformatics.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=92CC090128B136009060F7DFA7953E8E, build_uid=e92dde61-d053-45f1-9f2a-6a6c045ca80b, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed or info@snomed.org., revision=1.0.0} |
Keywords | ASA, pre-operative, surgery, anaesthesiology, anesthesia, anaesthesia, anesthesiology |
Lifecycle | published |
UID | e42ba3b0-e0ab-4534-8d9a-9d8c1de3c708 |
Language used | en |
Citeable Identifier | 1013.1.1336 |
Revision Number | 1.0.0 |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=[SNOMED-CT: Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor) SB Bhattacharyya, Sudisa Consultancy Services, India Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway paul cooper, NHS Orkney, United Kingdom Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway Torsten Eken, Oslo universitetssykehus HF, Ullevål, Norway Grant Forrest, Lunaria Ltd, United Kingdom Heather Grain, Llewelyn Grain Informatics, Australia Martin Grundberg, Cambio Healthcare Systems, Sweden Kristian Heldal, Telemark Hospital Trust, Norway Evelyn Hovenga, EJSH Consulting, Australia Jörgen Kuylenstierna, eWeave AB, Sweden Liv Laugen, Oslo University Hospital, Norway, Norway Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Rikard Lovstrom, Swedish Medical Association, Sweden Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Terje Meling, Stavanger University Hospital, Norway Mette Monsen, Helse Bergen HF, Norway Lars Morgan Karlsen, DIPS ASA, Norway Mikael Nyström, Cambio Healthcare Systems AB, Sweden (openEHR Editor) Bjørn Næss, DIPS ASA, Norway Åsa Skagerhult, Region Östergötland, Sweden (openEHR Translation Editor) Niclas Skyttberg, Karolinska Institutet, Sweden Erik Sundvall, Karolinska University Hospital, Region Stockholm + Linköping University, Sweden Rowan Thomas, St. Vincent's Hospital Melbourne, Australia John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør) Ørjan Vermeer, Haukeland Universitetssjukehus, Kvinneklinikken, Norway Nils Widnes, Helse-Bergen, Norway, originalLanguage=en, translators=
[SNOMED-CT: 2: ASA 2 [A patient with mild systemic disease.] [SNOMED-CT: 3: ASA 3 [A patient with severe systemic disease.] [SNOMED-CT: 4: ASA 4 [A patient with severe systemic disease that is a constant threat to life.] [SNOMED-CT: 5: ASA 5 [A moribund patient who is not expected to survive without the operation.] [SNOMED-CT: 6: ASA 6 [A declared brain-dead patient whose organs are being removed for donor purposes.] [SNOMED-CT: , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0015]/events[at0016]/data[at0017]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Emergency (E), description=Record as True if the surgery was carried out in an emergency situation., comment=Represented by the suffix 'E' added to the class. For example: '3E'. Class 5 is usually an emergency and is therefore almost always only designated as '5E'. The class '6E' is not valid and is simply recorded as class '6', as all organ retrieval in brain-dead patients is done urgently. Definition of an emergency can be found in the ASA (2020) reference., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null]], identities=[], other_participations=[], activities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0018]/items[at0019], code=at0019, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null]], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0015]/events[at0016], code=at0016, itemType=POINT_EVENT, level=2, text=Any point in time event, description=Unspecified point in time event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null]], context=[], relationships=[], target=[], capabilities=[], items=[], source=[], ism_transition=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0015]/events[at0016]/data[at0017], code=at0017, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=1..*, subCardinalityText= , dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0018], code=at0018, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items , dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0018]/items[at0019], code=at0019, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |