ARCHETYPE Charlson Comorbidity Index (CCI) (openEHR-EHR-OBSERVATION.charlson_comorbidity_index.v2)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.charlson_comorbidity_index.v2
ConceptCharlson Comorbidity Index (CCI)
DescriptionAn assessment tool used to predict the risk of death from comorbid disease.
UseTo record the result for each component parameter of the Charlson Comorbidity Index (CCI) and its total sum, and to calculate the 10 year estimated survival. This data and value set is from the original Charlson et al study in 1987. In the original paper, 19 'conditions' were represented, including a number that had separate representations of the same condition, but with different severity. In this archetype, these conditions have been grouped together - for example, 'Mild liver disease' and 'Moderate to severe liver disease' are values under the condition 'Liver disease'. As a result, there are only 16 conditions represented in this archetype.
PurposeTo record the result for each component parameter of the Charlson Comorbidity Index (CCI) and its total sum, and to calculate the 10 year estimated survival.
ReferencesCharlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-83. doi: 10.1016/0021-9681(87)90171-8. PubMed PMID: 3558716. Available from: https://www.sciencedirect.com/science/article/pii/0021968187901718?via%3Dihub.
Copyright© openEHR Foundation
AuthorsAuthor name: Liv Laugen
Organisation: Oslo universitetssykehus
Email: liv.laugen@ous-hf.no
Other Details LanguageAuthor name: Liv Laugen
Organisation: Oslo universitetssykehus
Email: liv.laugen@ous-hf.no
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=Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-83. doi: 10.1016/0021-9681(87)90171-8. PubMed PMID: 3558716. Available from: https://www.sciencedirect.com/science/article/pii/0021968187901718?via%3Dihub., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=2BE8724AC5D59132F1D82C66EF12D370, build_uid=b82835ec-7181-4c0b-aa6a-89399d1a6e5f, revision=2.0.0}
KeywordsCCI, comorbidity, concurrent conditions, estimated survival, mortality, prognosis, assessment, risk
Lifecyclepublished
UID3bba47ec-ca74-434f-b0db-1257dbf945b8
Language useden
Citeable Identifier1013.1.7218
Revision Number2.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=An assessment tool used to predict the risk of death from comorbid disease., archetypeConceptComment=null, otherContributors=Stein Arne Rimehaug, Sunnaas sykehus, Norway
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Hugo Claudio Briceño García, Catsalut, Spain
Ian Bull, ACT Health, Australia
Stefan Dubois, Dep't of Pathology and Genetics, University Hospitals of Lund and Malmö, Sweden
Heather Grain, Llewelyn Grain Informatics, Australia
Mikkel Johan Gaup Grønmo, Helse Nord IKT, Norway (openEHR Editor)
Elin Hallan Naderi, OUS, Norway
Amanda Herbrand, University Hospital Basel, Switzerland
Evelyn Hovenga, EJSH Consulting, Australia
Anjali Kulkarni, Karkinos, India
Jörgen Kuylenstierna, eWeave AB, Sweden
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Darin Leonhardt, PLRI, Germany
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Michael Lutz, BITsoft, Germany
Terje Nordberg, Helse Bergen, Norway
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Bjørn Næss, DIPS ASA, Norway
Helge Pettersen, Helse Bergen, Norway
Ragnhild Schultz, OUS, Norway
Benjamin Senst, Germany
Natalia Strauch, Medizinische Hochschule Hannover, Germany
Olav Thorsen, Stavanger University Hospital, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor)
Henriette Krogh, Helsedirektoratet, Norway
Hanne Marte Bårholm, Helse Vest IKT, Norway (Nasjonal IKT redaktør), originalLanguage=en, translators=
  • Norwegian Bokmål: Liv Laugen, Oslo universitetssykehus, ​Oslo University Hospital, Norway, liv.laugen@ous-hf.no
  • Spanish (Spain): Santiago Frid, Hospital Clínic de Barcelona, frid@clinic.cat, Santiago Frid, Spain, frid@clinic.cat
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[], identities=[], capabilities=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0004]/items[at0074], code=at0074, 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=Include:
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1: 50–59 years
2: 60-69 years
3: 70–79 years
4: ≥80 years
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Myocardial infarction, description=, 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: No
1: Yes [History of definite or probable Myocardial infarction (EKG changes and/or enzyme changes).]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Congestive heart failure, description=, 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: No
1: Yes [Exertional or paroxysmal nocturnal dyspnea and has responded to symptomatically (or on physical examination) to digitalis, diuretics, or afterload reducing agents.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Peripheral vascular disease, description=, 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: No
1: Yes [Intermittent claudication or past bypass for chronic arterial insufficiency, history of gangrene or acute arterial insufficiency, or untreated thoracic or abdominal aneurysm (≥6 cm).]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0015], code=at0015, itemType=ELEMENT, level=4, text=Cerebrovascular disease, description=, 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: No
1: Yes [History of a cerebrovascular accident (CVA) with minor or no residua and transient ischemic attacks (TIA).]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=Dementia, description=, 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: No
1: Yes [Dementia or chronic cognitive deficit.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Chronic pulmonary disease, description=, 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: No
1: Yes [Mild or moderat or severe chronic pulmonary disease.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Ulcer disease, description=, 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: No
1: Yes [Any history of treatment for ulcer disease or history of ulcer bleeding, or history of gastrointestinal bleeding requiring transfusions from causes other than ulcer disease.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0027], code=at0027, itemType=ELEMENT, level=4, text=Liver disease, description=, 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: None
1: Mild [Cirrhosis without portal hypertension or chronic hepatitis.]
3: Moderate to severe [Moderate: cirrhosis with portal hypertension, but without bleeding. Severe: cirrhosis with portal hypertension and a history of variceal bleeding.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0030], code=at0030, itemType=ELEMENT, level=4, text=Connective tissue disease, description=, 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: No
1: Yes
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0033], code=at0033, itemType=ELEMENT, level=4, text=Diabetes mellitus, description=, 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: None or diet-controlled
1: Uncomplicated [Diabetes treated with insulin or oral hypoglycemics, but not diet alone.]
2: End-organ damage [Diabetes with end organ damage.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0036], code=at0036, itemType=ELEMENT, level=4, text=Hemiplegia, description=, 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: No
2: Yes
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039], code=at0039, itemType=ELEMENT, level=4, text=Moderate or severe renal disease, description=, 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: No
2: Yes [Moderate: creatinine >3 mg/dL (0.27 mmol/L). Severe: on dialysis, status post kidney transplant, uremia.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0045], code=at0045, itemType=ELEMENT, level=4, text=Solid tumor, description=, 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: None
2: Localized [Solid tumor without documented metastases.]
6: Metastatic [Metastatic solid tumor.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0047], code=at0047, itemType=ELEMENT, level=4, text=Leukemia, description=, 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: No
2: Yes
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2: Yes
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6: Yes [Patients with define or probable AIDS, i.e. AIDS related complex.]
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