ARCHETYPE ID | openEHR-EHR-OBSERVATION.esas_r.v1 |
Concept | Edmonton Symptom Assessment System Revised (ESAS-r) |
Description | Self-reporting tool used to assess the intensity of symptoms in palliative care patients. |
Use | Use to record a self-reported assessment of symptoms, usually within a palliative care setting. The ESAS-r is intended to capture the patient’s perspective on symptoms, however in some cases where the patient is unable to self-report, the source of information may be from a carer. In this situation, record the care as the source of information using the Information provider attribute in the Reference Model. Each symptom is rated on a 0 to 10 scale, with 0 representing an absence of the symptom and 10 representing the maximal experience of the symptom. If it is not possible to rate a symptom, use the null flavour 'Not applicable' to indicate 'Unable to assess' on the relevant symptom. |
Misuse | Not to be used to record details about a symptom or sign - use the CLUSTER.symptom_sign archetype for this purpose. |
Purpose | To record a self-reported assessment of symptoms, usually within a palliative care setting. |
References | Bruera E, Kuehn N, Miller MJ, Selmser P, Macmillan K. The Edmonton Symptom Assessment System (ESAS): a simple method for the assessment of palliative care patients. J Palliat Care. 1991 Summer;7(2):6-9. PubMed PMID: 1714502. Guidelines for using the revised Edmonton Symptom Assessment System (ESAS-r) [Internet]. Edmonton: Alberta Health Services; 2010 Sep 16 [cited 2019 11 13]. Available from: http://hpcconnection.ca/wp-content/uploads/2018/02/esas-r-guidelines.pdf. Helse Bergen Haukeland Universitetssjukehus [Internet]. Bergen: Helse Bergen Haukeland Universitetssjukehus; c 2019. ESAS symptomregistrering; 2019 May 07 [cited 2019 Oct 25]. Available from: https://helse-bergen.no/kompetansesenter-i-lindrande-behandling/palliasjon-verktoy-for-helsepersonell/esas-symptomregistrering. Norwegian. Watanabe SM, Nekolaichuk C, Beaumont C, Johnson L, Myers J, Strasser F. A multicenter study comparing two numerical versions of the Edmonton Symptom Assessment System in palliative care patients. J Pain Symptom Manage. 2011 Feb;41(2):456-68. doi: 10.1016/j.jpainsymman.2010.04.020. Epub 2010 Sep 15. PubMed PMID: 20832987. |
Copyright | © openEHR Foundation |
Authors | Author name: John Tore Valand Organisation: Helse Bergen HF Date originally authored: 2019-03-28 |
Other Details Language | Author name: John Tore Valand Organisation: Helse Bergen HF Date originally authored: 2019-03-28 |
OtherDetails Language Independent | {licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, references=Bruera E, Kuehn N, Miller MJ, Selmser P, Macmillan K. The Edmonton Symptom Assessment System (ESAS): a simple method for the assessment of palliative care patients. J Palliat Care. 1991 Summer;7(2):6-9. PubMed PMID: 1714502. Guidelines for using the revised Edmonton Symptom Assessment System (ESAS-r) [Internet]. Edmonton: Alberta Health Services; 2010 Sep 16 [cited 2019 11 13]. Available from: http://hpcconnection.ca/wp-content/uploads/2018/02/esas-r-guidelines.pdf. Helse Bergen Haukeland Universitetssjukehus [Internet]. Bergen: Helse Bergen Haukeland Universitetssjukehus; c 2019. ESAS symptomregistrering; 2019 May 07 [cited 2019 Oct 25]. Available from: https://helse-bergen.no/kompetansesenter-i-lindrande-behandling/palliasjon-verktoy-for-helsepersonell/esas-symptomregistrering. Norwegian. Watanabe SM, Nekolaichuk C, Beaumont C, Johnson L, Myers J, Strasser F. A multicenter study comparing two numerical versions of the Edmonton Symptom Assessment System in palliative care patients. J Pain Symptom Manage. 2011 Feb;41(2):456-68. doi: 10.1016/j.jpainsymman.2010.04.020. Epub 2010 Sep 15. PubMed PMID: 20832987., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=869B10A78B155905A8632F2A70373ED7, build_uid=8988e840-c421-4e08-b41a-a1c4f97d79eb, revision=1.0.0} |
Keywords | |
Lifecycle | published |
UID | f0309ce0-a669-443f-b666-50eac5790ac3 |
Language used | en |
Citeable Identifier | 1013.1.3819 |
Revision Number | 1.0.0 |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Self-reporting tool used to assess the intensity of symptoms in palliative care patients., archetypeConceptComment=null, otherContributors=Nuno Abreu, Oporto Hospital Center, Portugal Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor) Heidi Aursand, Oslo universitetssykehus, Norway Silje Ljosland Bakke, Nasjonal IKT HF, Norway Terje Bektesevic Holmlund, UiT Norges arktiske universitet, Norway SB Bhattacharyya, Sudisa Consultancy Services, India Mikkel Gaup Grønmo, FSE, Helse Nord, Norway (Nasjonal IKT redaktør) Nina Hauge, Helse Fonna, Norway Anca Heyd, DIPS ASA, Norway Evelyn Hovenga, EJSH Consulting, Australia Sergey Kovalenko, Chelyabinsk Regional Children Hospital, Russia Liv Laugen, Oslo universitetssykehus, Norway Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Siv Marie Lien, DIPS ASA, Norway Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Lars Morgan Karlsen, Nordlandssykehuset Bodø, Norway Andrej Orel, Marand d.o.o., Slovenia Jayashree Panickar, Karolinska Institute, Sweden Kjersti Solvåg, HAraldsplass Diakonale Sykehus, Norway Norwegian Review Summary, Nasjonal IKT HF, Norway June Susanne Berge, DIPS AS, Norway Micaela Thierley, Helse Bergen/Haraldsplass sykehus, Norway John Tore Valand, Helse Bergen, Norway (openEHR Editor) Sebastian von Hofacker, Haradsplass Diakonale Sykehus, Norway, originalLanguage=en, translators= , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, 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]], details=[], provider=[], items=[], description=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0018]/items[at0019], code=at0019, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], ism_transition=[], context=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Pain, description=Self-rated perception of current pain., comment=0 represents 'No pain' and 10 represents 'Worst possible pain'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Tiredness, description=Self-rated perception of current tiredness or lack of energy., comment=0 represents 'No tiredness' and 10 represents 'Worst possible tiredness'. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Drowsiness, description=Self-rated perception of current drowsiness or sleepiness., comment=0 represents 'No drowsiness' and 10 represents 'Worst possible drowsiness'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Nausea, description=Self-rated perception of current nausea., comment=0 represents 'No nausea' and 10 represents 'Worst possible nausea'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Lack of appetite, description=Self-rated perception of current appetite., comment=0 represents 'No lack of appetite' and 10 represents 'Worst possible lack of appetite'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Shortness of breath, description=Self-rated perception of current shortness of breath., comment=0 represents 'No shortness of breath' and 10 represents 'Worst possible shortness of breath'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Depression, description=Self-rated perception of current depression., comment=0 represents 'No depression' and 10 represents 'Worst possible depression'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Anxiety, description=Self-rated perception of current anxiety or feeling nervous., comment=0 represents 'No anxiety' and 10 represents 'Worst possible anxiety'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Well-being, description=Self-rated perception of current well-being., comment=0 represents 'Best well-being' and 10 represents 'Worst possible well-being'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014], code=at0014, itemType=CLUSTER, level=4, text=Other problem, description=Other symptom or problem., comment=Name-value pair to allow for ad hoc recording of additional problems., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= , subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=Problem name, description=Name of problem., comment=For example 'Constipation'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014]/items[at0017], code=at0017, itemType=ELEMENT, level=5, text=Rating, description=Self-rated perception of identified problem., comment=0 represents 'No <Problem>' and 10 represents 'Worst possible <Problem>'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10 , extendedValues=null]], activities=[], relationships=[], credentials=[], target=[], source=[], state=[], content=[], contacts=[], capabilities=[]}, topLevelItems={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], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, 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 capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |