ARCHETYPE Karnofsky Performance Status (KPS) scale (openEHR-EHR-OBSERVATION.karnofsky_performance_status_scale.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.karnofsky_performance_status_scale.v1
ConceptKarnofsky Performance Status (KPS) scale
DescriptionAn assessment scale used to quantify functional capacity in an individual.
UseUse to record the result of a Karnofsky Performance Status (KPS) scale assessment. While the original 1949 paper by Karnofsky et al is referenced in this archetype, it has not been possible to obtain a copy to verify the original content. However, this archetype has been designed to reflect the practical use of Karnofsky Performance Status scale rather than an academic construct and the current wording reflects descriptions found in common use within the other references.
MisuseNot to be used to record variations of the KPS scale, such as the Thorne-modified Karnofsky (TKPS) or the Australia-modified Karnofsky (AKPS). Use purpose-specific archetypes for this purpose.
PurposeTo record the result of a Karnofsky Performance Status (KPS) scale assessment.
ReferencesAbernethy AP, Shelby-James T, Fazekas BS, Woods D, Currow DC. The Australia-modified Karnofsky Performance Status (AKPS) scale: a revised scale for contemporary palliative care clinical practice [ISRCTN81117481]. BMC Palliat Care. 2005 Nov 12;4:7. doi: 10.1186/1472-684X-4-7. PMID: 16283937; PMCID: PMC1308820. Available from: https://bmcpalliatcare.biomedcentral.com/articles/10.1186/1472-684X-4-7.

ECOG-ACRIN Cancer Research Group [Internet]. Philadelphia: ECOG-ACRIN Cancer Research Group; 2022. ECOG Performance Status Scale; [cited 2022 Jun 03]. Available from: https://ecog-acrin.org/resources/ecog-performance-status/#.

Helsedirektoratet. Nasjonalt handlingsprogram for palliasjon i kreftomsorgen. 2019. Available from: https://www.helsedirektoratet.no/retningslinjer/palliasjon-i-kreftomsorgen-handlingsprogram/.

Karnofsky DA, Burchenal JH. The clinical evaluation of chemotherapeutic agents in cancer. In: MacLeod CM, ed. Evaluation of Chemotherapeutic Agents. New York, Columbia University Press, 1949.

Oncoline [Online]. Integraal Kankercentrum Nederland. Appendix 1 - Karnofsky/ECOG Performance Status. [cited 2022 Jun 05]. Available from: https://www.oncoline.nl/uploaded/docs/Depressie/Bijlage%20Karnofsky.pdf.
Copyright© openEHR Foundation
AuthorsAuthor name: Henry Lenzi
Email: hank.lenzi@gmail.com
Date originally authored: 2019-06-08
Other Details LanguageAuthor name: Henry Lenzi
Email: hank.lenzi@gmail.com
Date originally authored: 2019-06-08
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=Abernethy AP, Shelby-James T, Fazekas BS, Woods D, Currow DC. The Australia-modified Karnofsky Performance Status (AKPS) scale: a revised scale for contemporary palliative care clinical practice [ISRCTN81117481]. BMC Palliat Care. 2005 Nov 12;4:7. doi: 10.1186/1472-684X-4-7. PMID: 16283937; PMCID: PMC1308820. Available from: https://bmcpalliatcare.biomedcentral.com/articles/10.1186/1472-684X-4-7. ECOG-ACRIN Cancer Research Group [Internet]. Philadelphia: ECOG-ACRIN Cancer Research Group; 2022. ECOG Performance Status Scale; [cited 2022 Jun 03]. Available from: https://ecog-acrin.org/resources/ecog-performance-status/#. Helsedirektoratet. Nasjonalt handlingsprogram for palliasjon i kreftomsorgen. 2019. Available from: https://www.helsedirektoratet.no/retningslinjer/palliasjon-i-kreftomsorgen-handlingsprogram/. Karnofsky DA, Burchenal JH. The clinical evaluation of chemotherapeutic agents in cancer. In: MacLeod CM, ed. Evaluation of Chemotherapeutic Agents. New York, Columbia University Press, 1949. Oncoline [Online]. Integraal Kankercentrum Nederland. Appendix 1 - Karnofsky/ECOG Performance Status. [cited 2022 Jun 05]. Available from: https://www.oncoline.nl/uploaded/docs/Depressie/Bijlage%20Karnofsky.pdf., current_contact=Heather Leslie, heather.leslie@atomicainformatics.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=61553CF0D088B16D6638F20B43125BC9, build_uid=c20376b5-f930-4d60-9975-b4006b979aeb, 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 https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org., revision=1.0.1}
KeywordsKPS, assessment, functional, performance, oncology, cancer, Karnofsky, status, quality, score, index
Lifecyclepublished
UID2ba05447-b01d-4a7e-b891-787e71093252
Language useden
Citeable Identifier1246.145.1915
Revision Number1.0.1
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=[SNOMED-CT::273546003 | Karnofsky performance status], archetypeConceptDescription=An assessment scale used to quantify functional capacity in an individual., archetypeConceptComment=null, otherContributors=Nuno Abreu, Oporto Hospital Center, Portugal
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Astrid Askeland, Dips AS, Norway
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
Kashmira Bhake, Karkinos Healthcare, India
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Samanta Dallagnese, Prontmed, Brazil
Are Edvardsen, SKDE, Helse Nord RHF, Norway
Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (openEHR Editor)
Joost Holslag, Nedap, Netherlands
Evelyn Hovenga, EJSH Consulting, Australia
Anjali Kulkarni, Karkinos, India
Kanika Kuwelker, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Siri Laronningen, Kreftregisteret, Norway
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Bjørn Næss, DIPS ASA, Norway
Jussara Rotzsch, Hospital Alemão Oswaldo Cruz, Brazil
Syeeda S Farruque, Cambio Healthcare Systems
Alexandra Saraiva Leao, Sweden
Natalia Strauch, Medizinische Hochschule Hannover, Germany
Norwegian Review Summary, Norwegian Public Hospitals, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor)
Ina Wille, Helse-Vest RHF, Norway, originalLanguage=en, translators=Portuguese:
Norwegian Bokmål: John Tore Valand, Liv Laugen, Kanika Kuwelker, Vebjørn Arntzen, Helse Vest IKT, Oslo University Hospital, Helse Bergen, john.tore.valand@helse-vest-ikt.no, kanika.kuwelker@helse-vest-ikt.no, varntzen@ous-hf.no
Dutch: Joost Holslag, Nedap, joost.holslag@nedap.com, MD
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={source=[], capabilities=[], contacts=[], items=[], credentials=[], content=[], provider=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Karnofsky performance status, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::761869008 | KPS (Karnofsky Performance Status) score], values=100: Normal; no complaints; no evidence of disease
90: Able to carry on normal activity; minor signs or symptoms of disease
80: Normal activity with effort; some signs or symptoms of disease
70: Cares for self; unable to carry on normal activity or to do active work
60: Requires occasional assistance, but is able to care for most of his personal needs
50: Requires considerable assistance and frequent medical care
40: Disabled; requires special care and assistance
30: Severely disabled; hospital admission is indicated although death not imminent
20: Very sick; hospital admission necessary; active supportive treatment necessary
10: Moribund; fatal processes progressing rapidly.
0: Dead
, extendedValues=null]], relationships=[], context=[], other_participations=[], description=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0016]/items[at0017], code=at0017, 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:
All not explicitly excluded archetypes, extendedValues=null]], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any point in time event, description=Default, unspecified point in time event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], activities=[], state=[], ism_transition=[], identities=[], details=[], target=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0016], code=at0016, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0016]/items[at0017], code=at0017, 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:
All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]