ARCHETYPE HEART score (openEHR-EHR-OBSERVATION.heart_score.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.heart_score.v0
ConceptHEART score
DescriptionAn assessment tool tool used to identify patients at low, intermediate, and high risk for short-term adverse outcome resulting from Acute Coronary Syndrome (ACS).
UseUse to record the results for each component parameter and their total sum for the HEART score.
PurposeTo record the results for each component parameter and their total sum for the HEART score.
ReferencesBackus BE, Six AJ, Kelder JC, et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013;168(3):2153–2158. doi:10.1016/j.ijcard.2013.01.255.

Backus BE, Six AJ, Kelder JC, et al. Chest pain in the emergency room: a multicenter validation of the HEART Score. Crit Pathw Cardiol. 2010;9(3):164–169. doi:10.1097/HPC.0b013e3181ec36d8.

Brady W, de Souza K. The HEART score: A guide to its application in the emergency department. Turk J Emerg Med. 2018;18(2):47–51. Published 2018 Jun 14. doi:10.1016/j.tjem.2018.04.004.

The Heart score [Internet]. Netherlands: Heart Study; 2019. Available from: www.heartscore.nl.

Poldervaart JM, Reitsma JB, Koffijberg H, et al. The impact of the HEART risk score in the early assessment of patients with acute chest pain: design of a stepped wedge, cluster randomised trial. BMC Cardiovasc Disord. 2013;13:77. Published 2013 Sep 26. doi:10.1186/1471-2261-13-77.

Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008;16(6):191–196. doi:10.1007/bf03086144.

Six AJ, Cullen L, Backus BE, et al. The HEART score for the assessment of patients with chest pain in the emergency department: a multinational validation study. Crit Pathw Cardiol. 2013;12(3):121–126. doi:10.1097/HPC.0b013e31828b327e.
Copyright© openEHR Foundation
AuthorsAuthor name: Marit Alice Venheim
Organisation: Helse Vest IKT
Email: marit.alice.venheim@helse-vest-ikt.no
Date originally authored: 2020-02-12
Other Details LanguageAuthor name: Marit Alice Venheim
Organisation: Helse Vest IKT
Email: marit.alice.venheim@helse-vest-ikt.no
Date originally authored: 2020-02-12
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=Backus BE, Six AJ, Kelder JC, et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013;168(3):2153–2158. doi:10.1016/j.ijcard.2013.01.255. Backus BE, Six AJ, Kelder JC, et al. Chest pain in the emergency room: a multicenter validation of the HEART Score. Crit Pathw Cardiol. 2010;9(3):164–169. doi:10.1097/HPC.0b013e3181ec36d8. Brady W, de Souza K. The HEART score: A guide to its application in the emergency department. Turk J Emerg Med. 2018;18(2):47–51. Published 2018 Jun 14. doi:10.1016/j.tjem.2018.04.004. The Heart score [Internet]. Netherlands: Heart Study; 2019. Available from: www.heartscore.nl. Poldervaart JM, Reitsma JB, Koffijberg H, et al. The impact of the HEART risk score in the early assessment of patients with acute chest pain: design of a stepped wedge, cluster randomised trial. BMC Cardiovasc Disord. 2013;13:77. Published 2013 Sep 26. doi:10.1186/1471-2261-13-77. Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008;16(6):191–196. doi:10.1007/bf03086144. Six AJ, Cullen L, Backus BE, et al. The HEART score for the assessment of patients with chest pain in the emergency department: a multinational validation study. Crit Pathw Cardiol. 2013;12(3):121–126. doi:10.1097/HPC.0b013e31828b327e., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=C59245AF23B53649899917563DC6CA35, build_uid=71a2b5a3-86d9-473f-88eb-93acb4654136, revision=0.0.1-alpha}
Keywords
Lifecyclein_development
UID0085a539-4e1a-41e2-bf6b-10a6e116bc64
Language useden
Citeable Identifier1013.1.4357
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=An assessment tool tool used to identify patients at low, intermediate, and high risk for short-term adverse outcome resulting from Acute Coronary Syndrome (ACS)., archetypeConceptComment=HEART is an acronym for each of the data element names - History, ECG, Age, Risk factors, Troponin., otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=History, description=The level of suspicion from patient history or anamnesis., comment=Refers to the description of the patient's chest pain and related presentation details., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Nonspecific history for ACS. [A history that is not consistent with chest pain concerning for ACS.]
1: Mixed historic elements. [A history that contains traditional & non-traditional elements of typical ACS presentation.]
2: Specific history for ACS [A history with traditional features of ACS.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Electrocardiogram, description=The interpretation of an electrocardiograph., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal ECG. [A normal ECG tracing.]
1: Abnormal ECG. [Abnormal ECG, with repolarization abnormalities* yet lacking significant ST depression. *BBB, LVH, digoxin effect, implanted right-ventricular pacemaker, past Ml, +/− unchanged repolarization abnormalities.]
2: Abnormal ECG, with significant ST deviation (depression ± elevation). [Either new or not known to be old significant ST deviation (i.e., no prior ECG available for comparison).]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Age, description=The age of the patient, defined in years., comment=Risk Factors: DM, tobacco smoker, HTN, hypercholesterolemia, obesity, +/− family history of CAD., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: <45 years. [The patient is less than 45 years of age.]
1: Between 45 and 64 years. [The patient is aged between 45 and 64 years.]
2: ≤65 years or older. [The patient is 65 years of age or older.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Risk factors, description=Presence of risk factors for the development of coronary artery disease (CAD)., comment=Risk Factors: DM, tobacco smoker, HTN, hypercholesterolemia, obesity, +/− family history of CAD., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No risk factors. [The patient has no identifiable risk factors.]
1: 1 to 2 risk factors [Risk factors: DM, tobacco smoker, HTN, hypercholesterolemia, obesity, +/− family history of CAD.]
2: 3 or more risk factors [Automatic score of 2 with established diagnosis of the any of the following conditions: peripheral arterial disease, myocardial infarction, past coronary revascularization procedure, or stroke.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Troponin, description=The single serum troponin obtained during the emergency department assessment., comment=It is recommended to use the local hospital's standard for determination of normal limit., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Troponin < discriminative level. [Hospital lab discriminative level and/or AccuTroponin <0.04 ng/ml.]
1: Troponin elevated 1–3 times discriminative level. [Hospital lab discriminative level and/or AccuTroponin 0.04–0.12 ng/ml.]
2: Troponin elevated > 3 times discriminative Level. [Hospital lab discriminative level and/or AccuTroponin >0.12 ng/ml.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0026], code=at0026, itemType=ELEMENT, level=4, text=Total score, description=Sum of points assigned for each of the component parameters., comment=null, 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

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  • 0-3 [Low risk, potential candidate for early discharge.]
  • 4-6 [Moderate risk, potential candidate for observation & further evaluation.]
  • 7-10 [High risk, candidate for urgent or emergent intervention.]
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