ARCHETYPE Clinical Frailty Scale (CFS 2.0) (openEHR-EHR-OBSERVATION.clinical_frailty_scale2.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.clinical_frailty_scale2.v1
ConceptClinical Frailty Scale (CFS 2.0)
DescriptionAn assessment scale used to screen for frailty and to broadly stratify degrees of fitness and frailty in an individual over the age of 65.
UseUse to record the Clinical Frailty Scale (CFS) 2.0 assessment. In 2020 the CFS was revised (version 2.0) with minor clarifying edits to the level descriptions and their corresponding labels. Most notably, CFS level 2 changed from "Well" to "Fit", level 4 from "Vulnerable" to "Living with Very Mild Frailty", and levels 5-8 were each restated as "Living with..."and added their respective grades of frailty. While openEHR archetypes are all freely available under an open license, the specific content of this Clinical Frailty Scale archetype is copyright protected. Any use of this archetype within implementations must be in compliance with the terms established by the copyright owners. Copyright statement: Clinical Frailty Scale ©2005-2020 Rockwood, Version 2.0(EN). All rights reserved. For permission: https://www.geriatricmedicineresearch.ca.
PurposeTo record the Clinical Frailty Scale (CFS) 2.0 assessment.
ReferencesDerived from: Clinical Frailty Scale (CFS), Published archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2022-01-27]. Available from: https://ckm.openehr.org/ckm/archetypes/1013.1.4691

Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005 Aug 30;173(5):489-95. doi: 10.1503/cmaj.050051. PMID: 16129869; PMCID: PMC1188185. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1188185/.

Pulok MH, Theou O, van der Valk AM, Rockwood K. The role of illness acuity on the association between frailty and mortality in emergency department patients referred to internal medicine. Age Ageing. 2020;49(6):1071-1079.

Rockwood K, Theou O. Using the Clinical Frailty Scale in Allocating Scarce Health Care Resources. Can Geriatr J. 2020:23(3):210-215.

Clinical Frailty Scale [Internet]. Dalhousie University. Dalhousie University; 2019 [cited 2022 Jan 27]. Available from: https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html.

Clinical Frailty Scale [Internet]. Norsk forening for geriatri. Den norske legeforening. Norwegian translation [cited 2021 08.12.21]. Available from: https://www.legeforeningen.no/foreningsledd/fagmed/norsk-forening-for-geriatri/fag/tester-og-registreringsskjemaer/
Copyright© openEHR Foundation
AuthorsAuthor name: John Tore Valand
Organisation: Helse Vest IKT
Email: john.tore.valand@helse-vest-ikt.no
Date originally authored: 2022-01-24
Other Details LanguageAuthor name: John Tore Valand
Organisation: Helse Vest IKT
Email: john.tore.valand@helse-vest-ikt.no
Date originally authored: 2022-01-24
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=Derived from: Clinical Frailty Scale (CFS), Published archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2022-01-27]. Available from: https://ckm.openehr.org/ckm/archetypes/1013.1.4691 Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005 Aug 30;173(5):489-95. doi: 10.1503/cmaj.050051. PMID: 16129869; PMCID: PMC1188185. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1188185/. Pulok MH, Theou O, van der Valk AM, Rockwood K. The role of illness acuity on the association between frailty and mortality in emergency department patients referred to internal medicine. Age Ageing. 2020;49(6):1071-1079. Rockwood K, Theou O. Using the Clinical Frailty Scale in Allocating Scarce Health Care Resources. Can Geriatr J. 2020:23(3):210-215. Clinical Frailty Scale [Internet]. Dalhousie University. Dalhousie University; 2019 [cited 2022 Jan 27]. Available from: https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html. Clinical Frailty Scale [Internet]. Norsk forening for geriatri. Den norske legeforening. Norwegian translation [cited 2021 08.12.21]. Available from: https://www.legeforeningen.no/foreningsledd/fagmed/norsk-forening-for-geriatri/fag/tester-og-registreringsskjemaer/, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=F6634E28D3EA7BFB28AA3177488BA047, build_uid=0a7a1f2a-70a4-433d-b920-d8ef554c294c, revision=1.0.0}
Keywordsfrailty, geriatric, old age, activity, end of life, rockwood, elderly, aging
Lifecyclepublished
UID793d8a74-be1f-4a25-9799-d8a686e31207
Language useden
Citeable Identifier1013.1.6020
Revision Number1.0.0
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Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Astrid Askeland, Dips AS, Norway
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
Hans Flaatten, Helse Bergen HF, Norway
Tormod Førland, Dips Front, Norway
Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (openEHR Editor)
Merete Havn Torland, Helse Vest IKT, Norway
Lise Kristin Knutsen, Oslo universitetssykehus, Norway
Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia
Ian McNicoll, NDS, Scotland
Bjørn Næss, DIPS ASA, Norway
Dr Paul Miller, NDS, Scotland
Elisabeth Skaar, Helse Bergen, Norway
Arild Stangeland, Helse Bergen, Norway
Norwegian Review Summary, Norwegian Public Hospitals, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor), originalLanguage=en, translators=
  • Norwegian Bokmål: Marit Alice Venheim, Silje Ljosland Bakke, John Tore Valand, Helse Vest IKT, Helse Vest IKT AS, Helse Bergen, marit.alice.venheim@helse-vest-ikt.no, silje.ljosland.bakke@helse-vest-ikt.no, john.tore.valand@helse-vest-ikt.no

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    2: Fit [People who have no active disease symptoms but are less fit than category 1. Often, they exercise or are very active occasionally, e.g., seasonally.]
    3: Managing well [People whose medical problems are well controlled, even if occasionally symptomatic, but often are not regularly active beyond routine walking.]
    4: Living with very mild frailty [Previously 'Vulnerable', this category marks early transition from complete independence. While not dependent on others for daily help, often symptoms limit activities. A common complaint is being 'slowed up' and/or being tired during the day.]
    5: Living with mild frailty [People who often have more evident slowing, and need help with high order instrumental activities of daily living (finances, transportation, heavy housework). Typically, mild frailty progressively impairs shopping and walking outside alone, meal preparation, medications and begins to restrict light housework.]
    6: Living with moderate frailty [People who need help with all outside activities and with keeping house. Inside, they often have problems with stairs and need help with bathing and might need minimal assistance (cuing, standby) with dressing.]
    7: Living with severe frailty [Completely dependent for personal care, from whatever cause (physical or cognitive). Even so, they seem stable and not at high risk of dying (within ~6 months).]
    8: Living with very severe frailty [Completely dependent for personal care and approaching end of life. Typically, they could not recover even from a minor illness.]
    9: Terminally Ill [Approaching the end of life. This category applies to people with a life expectancy <6 months, who are not otherwise living with severe frailty. (Many terminally ill people can still exercise until very close to death).]
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