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

ARCHETYPE IDopenEHR-EHR-OBSERVATION.clinical_frailty_scale.v1
ConceptClinical Frailty Scale (CFS)
DescriptionAn assessment scale used to screen for frailty and to broadly stratify degrees of fitness and frailty in an older adult.
UseUse to record the Clinical Frailty Scale assessment. 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: ©2009. Version 1.2_EN. All rights reserved. Geriatric Medicine Research, Dalhousie University, Halifax, Canada. Copyright information: https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html.
PurposeTo record the Clinical Frailty Scale assessment.
ReferencesRockwood 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/.

Clinical Frailty Scale [Internet]. Dalhousie University. Dalhousie University; 2019 [cited 2020 Apr 21]. Available from: https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html.
Copyright© openEHR Foundation
AuthorsAuthor name: Dr Paul Miller
Organisation: NES Digital Service, NHS Scotland
Email: paul.miller@nes.scot.nhs.uk
Date originally authored: 2019-06-24
Other Details LanguageAuthor name: Dr Paul Miller
Organisation: NES Digital Service, NHS Scotland
Email: paul.miller@nes.scot.nhs.uk
Date originally authored: 2019-06-24
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=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/. Clinical Frailty Scale [Internet]. Dalhousie University. Dalhousie University; 2019 [cited 2020 Apr 21]. Available from: https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html., current_contact=Dr Paul Miller, NDS, Scotland, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=BFBB750FB1DA8E784FECF92023987243, build_uid=0d30467a-375d-4eca-b59b-ae467eeb271a, 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-snomedct or info@snomed.org. Please note: SNOMED-CT term-bindings currently applied to the individual score values belong to the UK SNOMED_CT namespace., revision=1.0.3}
Keywordsfrailty, geriatric, old age, activity, end of life, rockwood, elderly, aging
Lifecyclepublished
UID19ffcc3e-b41c-4a99-9db4-41212d1daa25
Language useden
Citeable Identifier1246.145.1196
Revision Number1.0.3
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  • German: Sarah Ballout, Natalia Strauch, Medizinische Hochschule Hannover, ballout.sarah@mh-hannover.de, Strauch.Natalia@mh-hannover.de
  • Norwegian Bokmål: Marit Alice Venheim, Silje Ljosland Bakke, Helse Vest IKT, Helse Vest IKT AS, marit.alice.venheim@helse-vest-ikt.no, silje.ljosland.bakke@helse-vest-ikt.no
  • Portuguese (Brazil): Nelio Borrozzino, Prontmed, nelio.borrozzino@prontmed.com, MS Social Gerontology
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2: Well [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, but are not regularly active beyond routine walking.]
4: Vulnerable [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: Mildly Frail [These people often have more evident slowing, and need help in high order IADLs (finances, transportation, heavy housework, medications). Typically, mild frailty progressively impairs shopping and walking outside alone, meal preparation and housework.]
6: Moderately Frail [People 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: Severely Frail [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 monts).]
8: Very Severely Frail [Completely dependent, approaching the 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 evidently frail.]
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