ARCHETYPE ASA physical status classification system (openEHR-EHR-OBSERVATION.asa_status.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.asa_status.v1
ConceptASA physical status classification system
DescriptionClassification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment.
UseTo record the classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. The ASA (2020) reference defines each classification and provides some adult, paediatric and obstetric examples to guide clinicians to assign a physical status classification level. However, because these examples are numerous and can further be refined or described at the institution level, specific examples are not included in this archetype.
PurposeTo record the classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment.
ReferencesASA Physical Status Classification System [Internet]. Schaumburg, IL: American Society for Anesthesiologists (ASA); 2014 Oct 15 [updated 2020 Dec 13, cited 2021 Sep 01]. Available from: http://www.asahq.org/resources/clinical-information/asa-physical-status-classification-system.

Saklad M. Grading of patients for surgical procedures. Anesthesiology. 1941;2:281–84.

Dripps RD, Lamont A, Eckenhoff JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261–66.

Derived from: ASA-klassifikasjon, Publisert arketype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [sitert: 2021-09-01]. Hentet fra: https://arketyper.no/ckm/archetypes/1078.36.1980
Copyright© openEHR Foundation, Nasjonal IKT HF
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2010-06-25
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2010-06-25
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=ASA Physical Status Classification System [Internet]. Schaumburg, IL: American Society for Anesthesiologists (ASA); 2014 Oct 15 [updated 2020 Dec 13, cited 2021 Sep 01]. Available from: http://www.asahq.org/resources/clinical-information/asa-physical-status-classification-system. Saklad M. Grading of patients for surgical procedures. Anesthesiology. 1941;2:281–84. Dripps RD, Lamont A, Eckenhoff JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261–66. Derived from: ASA-klassifikasjon, Publisert arketype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [sitert: 2021-09-01]. Hentet fra: https://arketyper.no/ckm/archetypes/1078.36.1980, current_contact=Heather Leslie, Atomica Informatics, heather.leslie@atomicainformatics.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=92CC090128B136009060F7DFA7953E8E, build_uid=e92dde61-d053-45f1-9f2a-6a6c045ca80b, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed or info@snomed.org., revision=1.0.0}
KeywordsASA, pre-operative, surgery, anaesthesiology, anesthesia, anaesthesia, anesthesiology
Lifecyclepublished
UIDe42ba3b0-e0ab-4534-8d9a-9d8c1de3c708
Language useden
Citeable Identifier1051.32.377
Revision Number1.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=[SNOMED-CT::273270000 | American Society of Anaesthesiologists physical status classification], archetypeConceptDescription=Classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment., archetypeConceptComment=null, otherContributors=Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT redaktør)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Sudisa Consultancy Services, India
Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway
paul cooper, NHS Orkney, United Kingdom
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway
Torsten Eken, Oslo universitetssykehus HF, Ullevål, Norway
Grant Forrest, Lunaria Ltd, United Kingdom
Heather Grain, Llewelyn Grain Informatics, Australia
Martin Grundberg, Cambio Healthcare Systems, Sweden
Kristian Heldal, Telemark Hospital Trust, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Jörgen Kuylenstierna, eWeave AB, Sweden
Liv Laugen, ​Oslo University Hospital, Norway, Norway
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Rikard Lovstrom, Swedish Medical Association, Sweden
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Terje Meling, Stavanger University Hospital, Norway
Mette Monsen, Helse Bergen HF, Norway
Lars Morgan Karlsen, DIPS ASA, Norway
Mikael Nyström, Cambio Healthcare Systems AB, Sweden (openEHR Editor)
Bjørn Næss, DIPS ASA, Norway
Åsa Skagerhult, Region Östergötland, Sweden (openEHR Translation Editor)
Niclas Skyttberg, Karolinska Institutet, Sweden
Erik Sundvall, Karolinska University Hospital, Region Stockholm + Linköping University, Sweden
Rowan Thomas, St. Vincent's Hospital Melbourne, Australia
John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør)
Ørjan Vermeer, Haukeland Universitetssjukehus, Kvinneklinikken, Norway
Nils Widnes, Helse-Bergen, Norway, originalLanguage=en, translators=
  • Swedish: Lisa Axelsson, Martin Grundberg, Region Östergötland, Cambio Healthcare Systems, lisa.axelsson@regionostergotland.se, martin.grundberg@cambio.se, Svensk Förening för Anestesi och Intensivvård (SFAI), Daniel Hall, Åsa Skagerhult
  • Spanish (Argentina): Alan March, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina, alandmarch@gmail.com, MD
  • Norwegian Bokmål: Lars Bitsch-Larsen; Einar Fosse, Helse Vest; Helse Nord
  • Portuguese (Brazil): Daniele Bacelar, Healthcare Designs, danielembacelar@gmail.com, Danielembacelar@Gmail.Com: danielembacelar@gmail.com
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[SNOMED-CT::413495001 | American Society of Anesthesiologists physical status class 1]

2: ASA 2 [A patient with mild systemic disease.]
[SNOMED-CT::413496000 | American Society of Anesthesiologists physical status class 2]

3: ASA 3 [A patient with severe systemic disease.]
[SNOMED-CT::413497009 | American Society of Anesthesiologists physical status class 3]

4: ASA 4 [A patient with severe systemic disease that is a constant threat to life.]
[SNOMED-CT::413498004 | American Society of Anesthesiologists physical status class 4]

5: ASA 5 [A moribund patient who is not expected to survive without the operation.]
[SNOMED-CT::413499007 | American Society of Anesthesiologists physical status class 5]

6: ASA 6 [A declared brain-dead patient whose organs are being removed for donor purposes.]
[SNOMED-CT::413500003 | American Society of Anesthesiologists physical status class 6]

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