| ARCHETYPE ID | openEHR-EHR-OBSERVATION.has_bled.v0 |
|---|---|
| Concept | HAS-BLED score |
| Description | A risk assessment score to assess the bleeding risk in individuals with atrial fibrillation. |
| Use | Use to record the results for each component parameter and their total sum for the HAS-BLED bleeding risk score. |
| Purpose | To record the results for each component parameter and their total sum for the HAS-BLED bleeding risk score. |
| References | Lip GY, Frison L, Halperin JL, Lane DA. Comparative validation of a novel risk score for predicting bleeding risk in anticoagulated patients with atrial fibrillation: the HAS-BLED (Hypertension, Abnormal Renal/Liver Function, Stroke, Bleeding History or Predisposition, Labile INR, Elderly, Drugs/Alcohol Concomitantly) score. J Am Coll Cardiol. 2011;57(2):173–180. doi:10.1016/j.jacc.2010.09.024. Pisters R, Lane DA, Nieuwlaat R, de Vos CB, Crijns HJ, Lip GY. A novel user-friendly score (HAS-BLED) to assess 1-year risk of major bleeding in patients with atrial fibrillation: the Euro Heart Survey. Chest. 2010;138(5):1093–1100. doi:10.1378/chest.10-0134. |
| Copyright | © Cambio Healthcare Systems, openEHR Foundation |
| Authors | Author name: Konstantinos Kalliamvakos Organisation: Cambio Healthcare Systems Email: models@cambiocds.com Date originally authored: 2014-05-16 |
| Other Details Language | Author name: Konstantinos Kalliamvakos Organisation: Cambio Healthcare Systems Email: models@cambiocds.com Date originally authored: 2014-05-16 |
| Other Details (Language Independent) |
|
| Keywords | HAS-BLED, stroke, atrial fibrillation, anticoagulants, hemorrhage, bleeding |
| Lifecycle | in_development |
| UID | 87a68f1a-346d-46cf-b637-61f7f5a68561 |
| Language used | en |
| Citeable Identifier | 1246.145.2463 |
| Revision Number | 0.0.1-alpha |
| Archetype Concept Comment | The HAS-BLED mnemonic represents each risk factor: - Hypertension, - Abnormal renal/liver function, - Stroke, -Bleeding history or predisposition, - Labile INR, - Elderly (>65), and - Drugs/alcohol concomitantly. |
| protocol | |
| Extension | Extension: Additional information required to extend the model with local content or to align with other reference models/formalisms. For example: local information requirements; or additional metadata to align with FHIR. Include: All not explicitly excluded archetypes |
| data | |
| Hypertension | Hypertension: The systolic blood pressure is >160 mmHg. 0: No [The risk factor is not present.] 1: Yes [The risk factor is present.] |
| Abnormal renal function | Abnormal renal function: The presence of chronic dialysis or renal transplantation or serum creatinine ≥200µmol/L. 0: No [The risk factor is not present.] 1: Yes [The risk factor is present.] |
| Abnormal liver function | Abnormal liver function: Chronic hepatic disease (eg. cirrhosis) or biochemical evidence of significant hepatic derangement (eg. bilirubin >2x upper limit of normal, in association with AST/ALT/ALP >3x upper limit normal, etc). 0: No [The risk factor is not present.] 1: Yes [The risk factor is present.] |
| Stroke | Stroke: A previous history of stroke, particularly lacunar. 0: No [The risk factor is not present.] 1: Yes [The risk factor is present.] |
| Bleeding history or predisposition | Bleeding history or predisposition: A previous bleeding history and/or predisposition to bleeding . For example: bleeding diathesis, anaemia, etc. 0: No [The risk factor is not present.] 1: Yes [The risk factor is present.] |
| Labile INR | Labile INR: Unstable/high INRs or poor time in therapeutic range. For example: <60%. 0: No [The risk factor is not present.] 1: Yes [The risk factor is present.] |
| Elderly | Elderly: Age >65 yrs. 0: No [The risk factor is not present.] 1: Yes [The risk factor is present.] |
| Drugs concomitantly | Drugs concomitantly: The concomitant use of drugs, such as antiplatelet agents, non-steroidal anti-inflammatory drugs, etc. 0: No [The risk factor is not present.] 1: Yes [The risk factor is present.] |
| Alcohol concomitantly | Alcohol concomitantly: Alcohol consumption ≥ 8 units per week. 0: No [The risk factor is not present.] 1: Yes [The risk factor is present.] |
| Total score | Total score: Sum of points assigned for each of the component parameters. min: >=0; max: <=9 |
| events | |
| Any point in time event | Any point in time event: Default, unspecified point in time event which may be explicitly defined in a template or at run-time. |
| Other contributors | Syeeda S Farruque Heather Leslie, Atomica Informatics, Australia |
| Translators |
|