ARCHETYPE ASA Physical Status Classification (openEHR-EHR-CLUSTER.asa_status.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.asa_status.v1
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. This archetype has been designed to be used within a variety of ENTRY archetypes - for example an EVALUATION for a pre-operative anaesthetic assessment or an infection control investigation.
MisuseNot intended for use as a measure to predict operative risk.
PurposeTo record the degree of 'sickness' or 'physical state' prior to selecting the anaesthetic or prior to performing surgery.
ReferencesAmerican Society for Anesthesiologists: http://www.asahq.org/clinical/physicalstatus.htm
Cleveland Clinic (provided examples of each state): http://my.clevelandclinic.org/services/Anesthesia/hic_ASA_Physical_Classification_System.aspx
Copyright© openEHR Foundation
AuthorsIme avtorja: Heather Leslie
Organizacija: Ocean Informatics
e-Pošta: heather.leslie@oceaninformatics.com
Datum izvora: 2010-06-25
Other Details LanguageIme avtorja: Heather Leslie
Organizacija: Ocean Informatics
e-Pošta: heather.leslie@oceaninformatics.com
Datum izvora: 2010-06-25
OtherDetails Language Independent{references=American Society for Anesthesiologists: http://www.asahq.org/clinical/physicalstatus.htm Cleveland Clinic (provided examples of each state): http://my.clevelandclinic.org/services/Anesthesia/hic_ASA_Physical_Classification_System.aspx, current_contact=Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com, MD5-CAM-1.0.1=76575A6A3B720EDD812A00380EC8810B}
KeywordsASA, pre-operative, surgery
LifecycleAuthorDraft
Language useden
Citeable Identifier1075.67.631
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  • 1 - A normal healthy patient [No organic, physiologic, or psychiatric disturbance; excludes the very young and very old; healthy with good exercise tolerance.]
  • 2 - A patient with mild systemic disease [No functional limitations; has a well-controlled disease of one body system; controlled hypertension or diabetes without systemic effects, cigarette smoking without chronic obstructive pulmonary disease (COPD); mild obesity, pregnancy.]
  • 3 - A patient with severe systemic disease [Some functional limitation; has a controlled disease of more than one body system or one major system; no immediate danger of death; controlled congestive heart failure (CHF), stable angina, old heart attack, poorly controlled hypertension, morbid obesity, chronic renal failure; bronchospastic disease with intermittent symptoms.]
  • 4 - A patient with severe systemic disease that is a constant threat to life [Has at least one severe disease that is poorly controlled or at end stage; possible risk of death; unstable angina, symptomatic COPD, symptomatic CHF, hepatorenal failure.]
  • 5 - A moribund patient who is not expected to survive without the operation [Not expected to survive > 24 hours without surgery; imminent risk of death; multiorgan failure, sepsis syndrome with hemodynamic instability, hypothermia, poorly controlled coagulopathy.]
  • 6 - A declared brain-dead patient whose organs are being removed for donor purposes [6 - 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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  • 1 - A normal healthy patient [No organic, physiologic, or psychiatric disturbance; excludes the very young and very old; healthy with good exercise tolerance.]
  • 2 - A patient with mild systemic disease [No functional limitations; has a well-controlled disease of one body system; controlled hypertension or diabetes without systemic effects, cigarette smoking without chronic obstructive pulmonary disease (COPD); mild obesity, pregnancy.]
  • 3 - A patient with severe systemic disease [Some functional limitation; has a controlled disease of more than one body system or one major system; no immediate danger of death; controlled congestive heart failure (CHF), stable angina, old heart attack, poorly controlled hypertension, morbid obesity, chronic renal failure; bronchospastic disease with intermittent symptoms.]
  • 4 - A patient with severe systemic disease that is a constant threat to life [Has at least one severe disease that is poorly controlled or at end stage; possible risk of death; unstable angina, symptomatic COPD, symptomatic CHF, hepatorenal failure.]
  • 5 - A moribund patient who is not expected to survive without the operation [Not expected to survive > 24 hours without surgery; imminent risk of death; multiorgan failure, sepsis syndrome with hemodynamic instability, hypothermia, poorly controlled coagulopathy.]
  • 6 - A declared brain-dead patient whose organs are being removed for donor purposes [6 - 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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