| ARCHETYPE ID | openEHR-EHR-OBSERVATION.heart_score.v0 |
|---|---|
| Concept | HEART score |
| Description | An assessment tool tool used to identify patients at low, intermediate, and high risk for short-term adverse outcome resulting from Acute Coronary Syndrome (ACS). |
| Use | Use to record the results for each component parameter and their total sum for the HEART score. |
| Purpose | To record the results for each component parameter and their total sum for the HEART score. |
| References | Backus BE, Six AJ, Kelder JC, et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013;168(3):2153–2158. doi:10.1016/j.ijcard.2013.01.255. Backus BE, Six AJ, Kelder JC, et al. Chest pain in the emergency room: a multicenter validation of the HEART Score. Crit Pathw Cardiol. 2010;9(3):164–169. doi:10.1097/HPC.0b013e3181ec36d8. Brady W, de Souza K. The HEART score: A guide to its application in the emergency department. Turk J Emerg Med. 2018;18(2):47–51. Published 2018 Jun 14. doi:10.1016/j.tjem.2018.04.004. The Heart score [Internet]. Netherlands: Heart Study; 2019. Available from: www.heartscore.nl. Poldervaart JM, Reitsma JB, Koffijberg H, et al. The impact of the HEART risk score in the early assessment of patients with acute chest pain: design of a stepped wedge, cluster randomised trial. BMC Cardiovasc Disord. 2013;13:77. Published 2013 Sep 26. doi:10.1186/1471-2261-13-77. Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008;16(6):191–196. doi:10.1007/bf03086144. Six AJ, Cullen L, Backus BE, et al. The HEART score for the assessment of patients with chest pain in the emergency department: a multinational validation study. Crit Pathw Cardiol. 2013;12(3):121–126. doi:10.1097/HPC.0b013e31828b327e. |
| Copyright | © openEHR Foundation |
| Authors | Author name: Marit Alice Venheim Organisation: Helse Vest IKT Email: marit.alice.venheim@helse-vest-ikt.no Date originally authored: 2020-02-12 |
| Other Details Language | Author name: Marit Alice Venheim Organisation: Helse Vest IKT Email: marit.alice.venheim@helse-vest-ikt.no Date originally authored: 2020-02-12 |
| Other Details (Language Independent) |
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| Keywords | |
| Lifecycle | in_development |
| UID | 0085a539-4e1a-41e2-bf6b-10a6e116bc64 |
| Language used | en |
| Citeable Identifier | 1246.145.2838 |
| Revision Number | 0.0.1-alpha |
| Archetype Concept Comment | HEART is an acronym for each of the data element names - History, ECG, Age, Risk factors, Troponin. |
| 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 | |
| History | History: The level of suspicion from patient history or anamnesis. Refers to the description of the patient's chest pain and related presentation details. 0: Nonspecific history for ACS. [A history that is not consistent with chest pain concerning for ACS.] 1: Mixed historic elements. [A history that contains traditional & non-traditional elements of typical ACS presentation.] 2: Specific history for ACS [A history with traditional features of ACS.] |
| Electrocardiogram | Electrocardiogram: The interpretation of an electrocardiograph. 0: Normal ECG. [A normal ECG tracing.] 1: Abnormal ECG. [Abnormal ECG, with repolarization abnormalities* yet lacking significant ST depression. *BBB, LVH, digoxin effect, implanted right-ventricular pacemaker, past Ml, +/− unchanged repolarization abnormalities.] 2: Abnormal ECG, with significant ST deviation (depression ± elevation). [Either new or not known to be old significant ST deviation (i.e., no prior ECG available for comparison).] |
| Age | Age: The age of the patient, defined in years. Risk Factors: DM, tobacco smoker, HTN, hypercholesterolemia, obesity, +/− family history of CAD. 0: <45 years. [The patient is less than 45 years of age.] 1: Between 45 and 64 years. [The patient is aged between 45 and 64 years.] 2: ≤65 years or older. [The patient is 65 years of age or older.] |
| Risk factors | Risk factors: Presence of risk factors for the development of coronary artery disease (CAD). Risk Factors: DM, tobacco smoker, HTN, hypercholesterolemia, obesity, +/− family history of CAD. 0: No risk factors. [The patient has no identifiable risk factors.] 1: 1 to 2 risk factors [Risk factors: DM, tobacco smoker, HTN, hypercholesterolemia, obesity, +/− family history of CAD.] 2: 3 or more risk factors [Automatic score of 2 with established diagnosis of the any of the following conditions: peripheral arterial disease, myocardial infarction, past coronary revascularization procedure, or stroke.] |
| Troponin | Troponin: The single serum troponin obtained during the emergency department assessment. It is recommended to use the local hospital's standard for determination of normal limit. 0: Troponin < discriminative level. [Hospital lab discriminative level and/or AccuTroponin <0.04 ng/ml.] 1: Troponin elevated 1–3 times discriminative level. [Hospital lab discriminative level and/or AccuTroponin 0.04–0.12 ng/ml.] 2: Troponin elevated > 3 times discriminative Level. [Hospital lab discriminative level and/or AccuTroponin >0.12 ng/ml.] |
| Total score | Total score: Sum of points assigned for each of the component parameters. min: >=0; max: <=10 |
| Risk category | Risk category: Risk category & recommended management strategy.
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| 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 | |
| Translators |