archetype (adl_version=1.4; uid=e42ba3b0-e0ab-4534-8d9a-9d8c1de3c708)
	openEHR-EHR-OBSERVATION.asa_status.v1

concept
	[at0000]	-- ASA physical status classification system
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["sv"] = <
			language = <[ISO_639-1::sv]>
			author = <
				["name"] = <"Lisa Axelsson, Martin Grundberg">
				["organisation"] = <"Region Östergötland, Cambio Healthcare Systems">
				["email"] = <"lisa.axelsson@regionostergotland.se, martin.grundberg@cambio.se">
			>
			accreditation = <"Svensk Förening för Anestesi och Intensivvård (SFAI), Daniel Hall, Åsa Skagerhult">
		>
		["es-ar"] = <
			language = <[ISO_639-1::es-ar]>
			author = <
				["name"] = <"Alan March">
				["organisation"] = <"Hospital Universitario Austral, Pilar, Buenos Aires, Argentina">
				["email"] = <"alandmarch@gmail.com">
			>
			accreditation = <"MD">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Lars Bitsch-Larsen; Einar Fosse">
				["organisation"] = <"Helse Vest; Helse Nord">
			>
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			author = <
				["name"] = <"Daniele Bacelar">
				["organisation"] = <"Healthcare Designs">
				["email"] = <"danielembacelar@gmail.com">
				["danielembacelar@gmail.com"] = <"danielembacelar@gmail.com">
			>
		>
	>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2010-06-25">
	>
	details = <
		["sv"] = <
			language = <[ISO_639-1::sv]>
			purpose = <"*To record the classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. (en)">
			use = <"*To 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. (en)">
			keywords = <"*ASA (en)", "*pre-operative (en)", "*surgery (en)", "*anaesthesiology (en)", "*anesthesia (en)", "*anaesthesia (en)", "*anesthesiology (en)">
			misuse = <"">
		>
		["es-ar"] = <
			language = <[ISO_639-1::es-ar]>
			purpose = <"*To record the classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. (en)">
			use = <"*To 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. (en)">
			keywords = <"*ASA (en)", "*pre-operative (en)", "*surgery (en)", "*anaesthesiology (en)", "*anesthesia (en)", "*anaesthesia (en)", "*anesthesiology (en)">
			misuse = <"">
			copyright = <"*© openEHR Foundation, Nasjonal IKT HF (en)">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"*To record the classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. (en)">
			use = <"*To 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. (en)">
			keywords = <"*ASA (en)", "*pre-operative (en)", "*surgery (en)", "*anaesthesiology (en)", "*anesthesia (en)", "*anaesthesia (en)", "*anesthesiology (en)">
			misuse = <"">
			copyright = <"*© openEHR Foundation, Nasjonal IKT HF (en)">
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			purpose = <"*To record the classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. (en)">
			use = <"*To 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. (en)">
			keywords = <"*ASA (en)", "*pre-operative (en)", "*surgery (en)", "*anaesthesiology (en)", "*anesthesia (en)", "*anaesthesia (en)", "*anesthesiology (en)">
			misuse = <"">
			copyright = <"*© openEHR Foundation, Nasjonal IKT HF (en)">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment.">
			use = <"To 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.">
			keywords = <"ASA", "pre-operative", "surgery", "anaesthesiology", "anesthesia", "anaesthesia", "anesthesiology">
			misuse = <"">
			copyright = <"© openEHR Foundation, Nasjonal IKT HF">
		>
	>
	lifecycle_state = <"published">
	other_contributors = <"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">
	other_details = <
		["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">
	>

definition
	OBSERVATION[at0000] matches {    -- ASA physical status classification system
		data matches {
			HISTORY[at0015] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					POINT_EVENT[at0016] occurrences matches {0..*} matches {    -- Any point in time event
						data matches {
							ITEM_TREE[at0017] matches {    -- Tree
								items cardinality matches {1..*; unordered} matches {
									ELEMENT[at0001] occurrences matches {0..1} matches {    -- Classification
										value matches {
											1|[local::at0003],
											2|[local::at0004],
											3|[local::at0005],
											4|[local::at0006],
											5|[local::at0007],
											6|[local::at0008]
										}
									}
									ELEMENT[at0020] occurrences matches {0..1} matches {    -- Emergency (E)
										value matches {
											DV_BOOLEAN matches {
												value matches {true}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0018] matches {    -- ItemTree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0019] occurrences matches {0..*} matches {    -- Extension
					}
				}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"ASA physical status classification system">
					description = <"Classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment.">
				>
				["at0001"] = <
					text = <"Classification">
					description = <"Assessed classification of a patient.">
					comment = <"Examples for each class can be found in the ASA (2020) reference.">
				>
				["at0015"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0016"] = <
					text = <"Any point in time event">
					description = <"Unspecified point in time event which may be explicitly defined in a template or at run-time.">
				>
				["at0017"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0018"] = <
					text = <"ItemTree">
					description = <"@ internal @">
				>
				["at0019"] = <
					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.">
				>
				["at0020"] = <
					text = <"Emergency (E)">
					description = <"Record as True if the surgery was carried out in an emergency situation.">
					comment = <"Represented by the suffix 'E' added to the class. For example: '3E'. Class 5 is usually an emergency and is therefore almost always only designated as '5E'. The class '6E' is not valid and is simply recorded as class '6', as all organ retrieval in brain-dead patients is done urgently. Definition of an emergency can be found in the ASA (2020) reference.">
				>
				["at0003"] = <
					text = <"ASA 1">
					description = <"A normal healthy patient.">
				>
				["at0004"] = <
					text = <"ASA 2">
					description = <"A patient with mild systemic disease.">
				>
				["at0005"] = <
					text = <"ASA 3">
					description = <"A patient with severe systemic disease.">
				>
				["at0006"] = <
					text = <"ASA 4">
					description = <"A patient with severe systemic disease that is a constant threat to life.">
				>
				["at0007"] = <
					text = <"ASA 5">
					description = <"A moribund patient who is not expected to survive without the operation.">
				>
				["at0008"] = <
					text = <"ASA 6">
					description = <"A declared brain-dead patient whose organs are being removed for donor purposes.">
				>
			>
		>
		["pt-br"] = <
			items = <
				["at0000"] = <
					text = <"*ASA physical status classification system (en)">
					description = <"*Classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. (en)">
				>
				["at0001"] = <
					text = <"*Classification (en)">
					description = <"*Assessed classification of a patient. (en)">
					comment = <"*Examples for each class can be found in the ASA (2020) reference. (en)">
				>
				["at0015"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0016"] = <
					text = <"*Any event(en)">
					description = <"*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.(en)">
				>
				["at0017"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0018"] = <
					text = <"ItemTree">
					description = <"@ internal @">
				>
				["at0019"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms.(en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR.(en)">
				>
				["at0020"] = <
					text = <"*Emergency (E) (en)">
					description = <"*Record as True if the surgery was carried out in an emergency situation. (en)">
					comment = <"*Represented by the suffix 'E' added to the class. For example: '3E'. Class 5 is usually an emergency and is therefore almost always only designated as '5E'. The class '6E' is not valid and is simply recorded as class '6', as all organ retrieval in brain-dead patients is done urgently. Definition of an emergency can be found in the ASA (2020) reference. (en)">
				>
				["at0003"] = <
					text = <"*ASA I (en)">
					description = <"*A normal healthy patient. (en)">
				>
				["at0004"] = <
					text = <"*ASA II (en)">
					description = <"*A patient with mild systemic disease. (en)">
				>
				["at0005"] = <
					text = <"*ASA III (en)">
					description = <"*A patient with severe systemic disease. (en)">
				>
				["at0006"] = <
					text = <"*ASA IV (en)">
					description = <"*A patient with severe systemic disease that is a constant threat to life. (en)">
				>
				["at0007"] = <
					text = <"*ASA V (en)">
					description = <"*A moribund patient who is not expected to survive without the operation. (en)">
				>
				["at0008"] = <
					text = <"*ASA VI (en)">
					description = <"*A declared brain-dead patient whose organs are being removed for donor purposes. (en)">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"*ASA physical status classification system (en)">
					description = <"*Classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. (en)">
				>
				["at0001"] = <
					text = <"*Classification (en)">
					description = <"*Assessed classification of a patient. (en)">
					comment = <"*Examples for each class can be found in the ASA (2020) reference. (en)">
				>
				["at0015"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0016"] = <
					text = <"Uspesifisert tidspunkthendelse">
					description = <"Uspesifisert tidspunkt som kan defineres mer eksplisitt i en templat eller i en applikasjon.">
				>
				["at0017"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0018"] = <
					text = <"ItemTree">
					description = <"@ internal @">
				>
				["at0019"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR.">
				>
				["at0020"] = <
					text = <"*Emergency (E) (en)">
					description = <"*Record as True if the surgery was carried out in an emergency situation. (en)">
					comment = <"*Represented by the suffix 'E' added to the class. For example: '3E'. Class 5 is usually an emergency and is therefore almost always only designated as '5E'. The class '6E' is not valid and is simply recorded as class '6', as all organ retrieval in brain-dead patients is done urgently. Definition of an emergency can be found in the ASA (2020) reference. (en)">
				>
				["at0003"] = <
					text = <"*ASA I (en)">
					description = <"*A normal healthy patient. (en)">
				>
				["at0004"] = <
					text = <"*ASA II (en)">
					description = <"*A patient with mild systemic disease. (en)">
				>
				["at0005"] = <
					text = <"*ASA III (en)">
					description = <"*A patient with severe systemic disease. (en)">
				>
				["at0006"] = <
					text = <"*ASA IV (en)">
					description = <"*A patient with severe systemic disease that is a constant threat to life. (en)">
				>
				["at0007"] = <
					text = <"*ASA V (en)">
					description = <"*A moribund patient who is not expected to survive without the operation. (en)">
				>
				["at0008"] = <
					text = <"*ASA VI (en)">
					description = <"*A declared brain-dead patient whose organs are being removed for donor purposes. (en)">
				>
			>
		>
		["es-ar"] = <
			items = <
				["at0000"] = <
					text = <"*ASA physical status classification system (en)">
					description = <"*Classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. (en)">
				>
				["at0001"] = <
					text = <"*Classification (en)">
					description = <"*Assessed classification of a patient. (en)">
					comment = <"*Examples for each class can be found in the ASA (2020) reference. (en)">
				>
				["at0015"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0016"] = <
					text = <"Point in time">
					description = <"Fecha y/o hora que puede ser explícitamente definida en una plantilla o en tiempo de ejecución.">
				>
				["at0017"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0018"] = <
					text = <"ItemTree">
					description = <"@ internal @">
				>
				["at0019"] = <
					text = <"Extensión">
					description = <"Información adicional requerida para contemplar contenidos locales o para alinear con otros modelos o formalismos de referencia">
					comment = <"ejemplo: requerimientos locales de información o metadatos adicionales necesarios para el alineamiento con FHIR.">
				>
				["at0020"] = <
					text = <"*Emergency (E) (en)">
					description = <"*Record as True if the surgery was carried out in an emergency situation. (en)">
					comment = <"*Represented by the suffix 'E' added to the class. For example: '3E'. Class 5 is usually an emergency and is therefore almost always only designated as '5E'. The class '6E' is not valid and is simply recorded as class '6', as all organ retrieval in brain-dead patients is done urgently. Definition of an emergency can be found in the ASA (2020) reference. (en)">
				>
				["at0003"] = <
					text = <"*ASA I (en)">
					description = <"*A normal healthy patient. (en)">
				>
				["at0004"] = <
					text = <"*ASA II (en)">
					description = <"*A patient with mild systemic disease. (en)">
				>
				["at0005"] = <
					text = <"*ASA III (en)">
					description = <"*A patient with severe systemic disease. (en)">
				>
				["at0006"] = <
					text = <"*ASA IV (en)">
					description = <"*A patient with severe systemic disease that is a constant threat to life. (en)">
				>
				["at0007"] = <
					text = <"*ASA V (en)">
					description = <"*A moribund patient who is not expected to survive without the operation. (en)">
				>
				["at0008"] = <
					text = <"*ASA VI (en)">
					description = <"*A declared brain-dead patient whose organs are being removed for donor purposes. (en)">
				>
			>
		>
		["sv"] = <
			items = <
				["at0000"] = <
					text = <"*ASA physical status classification system(en)">
					description = <"*Classification system adopted by the American Society of Anesthesiologists (ASA) as part of a pre-surgical risk assessment. (en)">
				>
				["at0001"] = <
					text = <"*Classification(en)">
					description = <"*Assessed classification of a patient.(en)">
					comment = <"*Examples for each class can be found in the ASA (2020) reference. (en)">
				>
				["at0015"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0016"] = <
					text = <"Tidsobestämd händelse">
					description = <"Händelse vid ospecificerad tidpunkt, där tiden kan anges explicit i en template, eller genereras automatiskt av vissa IT-system.">
				>
				["at0017"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0018"] = <
					text = <"ItemTree">
					description = <"@ internal @">
				>
				["at0019"] = <
					text = <"Tilläggsinformation">
					description = <"Plats för att infoga tilläggsinformation som krävs för lokala anpassningar eller anpassning till andra referensmodeller eller formella krav.">
					comment = <"Exempelvis lokala informationskrav eller metadata för anpassning till FHIR-motsvarigheter.">
				>
				["at0020"] = <
					text = <"*Emergency (E)(en)">
					description = <"*Record as True if the surgery was carried out in an emergency situation. (en)">
					comment = <"*Represented by the suffix 'E' added to the class. For example: '3E'. Class 5 is usually an emergency and is therefore almost always only designated as '5E'. The class '6E' is not valid and is simply recorded as class '6', as all organ retrieval in brain-dead patients is done urgently. Definition of an emergency can be found in the ASA (2020) reference. (en)">
				>
				["at0003"] = <
					text = <"*ASA I (en)">
					description = <"*A normal healthy patient. (en)">
				>
				["at0004"] = <
					text = <"*ASA II (en)">
					description = <"*A patient with mild systemic disease. (en)">
				>
				["at0005"] = <
					text = <"*ASA III (en)">
					description = <"*A patient with severe systemic disease. (en)">
				>
				["at0006"] = <
					text = <"*ASA IV (en)">
					description = <"*A patient with severe systemic disease that is a constant threat to life. (en)">
				>
				["at0007"] = <
					text = <"*ASA V (en)">
					description = <"*A moribund patient who is not expected to survive without the operation. (en)">
				>
				["at0008"] = <
					text = <"*ASA VI (en)">
					description = <"*A declared brain-dead patient whose organs are being removed for donor purposes. (en)">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0000"] = <[SNOMED-CT::273270000]>
				["at0001"] = <[SNOMED-CT::302132005]>
				["at0003"] = <[SNOMED-CT::413495001]>
				["at0004"] = <[SNOMED-CT::413496000]>
				["at0005"] = <[SNOMED-CT::413497009]>
				["at0006"] = <[SNOMED-CT::413498004]>
				["at0007"] = <[SNOMED-CT::413499007]>
				["at0008"] = <[SNOMED-CT::413500003]>
			>
		>
	>