ARCHETYPE ASA physical status classification (openEHR-EHR-OBSERVATION.asa_status.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.asa_status.v0
ConceptASA physical status classification
DescriptionClassification system adopted by the American Society of Anesthesiologists for assessing preoperative physical status.
UseUsed for recordkeeping, for communicating between colleagues, and to create a uniform system for statistical analysis.
PurposeTo record the degree of 'sickness' or 'physical state' prior to selecting the anaesthetic or prior to performing surgery.
ReferencesAmerican Society for Anesthesiologists: ASA Physical Status Classification System [retrieved 2016-06-29]. Available from: http://www.asahq.org/resources/clinical-information/asa-physical-status-classification-system.

Norwegian Association of Anaesthesiologists: ASA-klassifikasjonen [cited 2016-06-29]. Available from: http://nafweb.no/standarder/asa-klassifikasjon/ .
Copyright© openEHR Foundation, Nasjonal IKT HF
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2010-06-25
Other Details LanguageAuthor 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=American Society for Anesthesiologists: ASA Physical Status Classification System [retrieved 2016-06-29]. Available from: http://www.asahq.org/resources/clinical-information/asa-physical-status-classification-system. Norwegian Association of Anaesthesiologists: ASA-klassifikasjonen [cited 2016-06-29]. Available from: http://nafweb.no/standarder/asa-klassifikasjon/ ., current_contact=Heather Leslie, Atomica Informatics, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=9CF9FC0B7433BE66B6906D523033DEFD, build_uid=541044b7-accd-4dcd-95f5-7374cc8d7755, revision=0.0.1-alpha}
KeywordsASA, pre-operative, surgery
Lifecyclein_development
UID03ea2556-57e3-467c-884f-e0172489f1b4
Language useden
Citeable Identifier1013.1.1336
Revision Number0.0.1-alpha
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Silje Ljosland Bakke, Nasjonal IKT HF, Norway (Nasjonal IKT redaktør)
Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway
Torsten Eken, Oslo universitetssykehus HF, Ullevål, Norway
Kristian Heldal, Telemark Hospital Trust, Norway
Lars Morgan Karlsen, DIPS ASA, Norway
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Terje Meling, Stavanger University Hospital, Norway
Mette Monsen, Helse Bergen HF, Norway
Bjørn Næss, DIPS ASA, Norway
John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør)
Ørjan Vermeer, Haukeland Universitetssjukehus, Kvinneklinikken, Norway
Nils Widnes, Helse-Bergen, Norway, originalLanguage=en, translators=Swedish: Lisa Axelsson, Region Östergötland, lisa.axelsson@regionostergotland.se, Svensk Förening för Anestesi och Intensivvård (SFAI), Daniel Hall, Åsa Skagerhult
Spanish (Argentina): Alan March, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina, alandmarch@gmail.com, MD
Norwegian Bokmål: Lars Bitsch-Larsen; Einar Fosse, Helse Vest; Helse Nord
Portuguese (Brazil): Daniele Bacelar, Healthcare Designs, danielembacelar@gmail.com, Danielembacelar@Gmail.Com: danielembacelar@gmail.com
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  • 1 - A normal healthy patient [Healthy, non-smoking, no or minimal alcohol use.]
  • 2 - A patient with mild systemic disease [Mild diseases only without substantive functional limitations. Examples include (but not limited to): current smoker, social alcohol drinker, pregnancy, obesity (30 < BMI < 40), well-controlled DM/HTN, mild lung disease.]
  • 3 - A patient with severe systemic disease [Substantive functional limitations; One or more moderate to severe diseases. Examples include (but not limited to): poorly controlled DM or HTN, COPD, morbid obesity (BMI ≥40), active hepatitis, alcohol dependence or abuse, implanted pacemaker, moderate reduction of ejection fraction, ESRD undergoing regularly scheduled dialysis, premature infant PCA < 60 weeks, history (>3 months) of MI, CVA, TIA, or CAD/stents.]
  • 4 - A patient with severe systemic disease that is a constant threat to life [Examples include (but not limited to): recent ( < 3 months) MI, CVA, TIA, or CAD/stents, ongoing cardiac ischemia or severe valve dysfunction, severe reduction of ejection fraction, sepsis, DIC, ARD or ESRD not undergoing regularly scheduled dialysis.]
  • 5 - A moribund patient who is not expected to survive without the operation [Examples include (but not limited to): Ruptured abdominal/thoracic aneurysm, massive trauma, intracranial bleed with mass effect, ischemic bowel in the face of significant cardiac pathology or multiple organ/system dysfunction.]
  • 6 - A declared brain-dead patient whose organs are being removed for donor purposes [A declared brain-dead patient whose organs are being removed for donor purposes.]
  • 1E - A normal healthy patient (Emergency) [ASA status 1, in an emergency situation.]
  • 2E - A patient with mild systemic disease (Emergency) [ASA status 2, in an emergency situation.]
  • 3E - A patient with severe systemic disease (Emergency) [ASA status 3, in an emergency situation.]
  • 4E - A patient with severe systemic disease that is a constant threat to life (Emergency) [ASA status 4, in an emergency situation.]
  • 5E - A moribund patient who is not expected to survive without the operation (Emergency) [ASA status 5, in an emergency situation.]
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