ARCHETYPE New York Heart Association functional classification (openEHR-EHR-OBSERVATION.nyha_heart_failure.v1)

Name: New York Heart Association functional classification
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.nyha_heart_failure.v1
Concept	New York Heart Association functional classification
Description	A simple method of classifying the extent of heart failure, as defined by the New York Heart Association.
Use	Use to record one or both of: a functional assessment of heart failure based on symptoms; and an objective assessment based on both evidence of cardiovascular disease and symptoms.
Purpose	To record one or both of: a functional assessment of heart failure based on symptoms; and an objective assessment based on both evidence of cardiovascular disease and symptoms.
References	AHA medical/scientific statement. 1994 revisions to classification of functional capacity and objective assessment of patients with diseases of the heart. Circulation. 1994 Jul; 90(1):644-5. PubMed PMID: 12501831. American Heart Association [Internet]. Dallas, Texas: American Heart Association; c 2018. Classification of Functional Capacity and Objective-Assessment [cited 2018 May 08]; [one screen]. Available from: https://professional.heart.org/professional/General/UCM_423811_Classification-of-Functional-Capacity-and-Objective-Assessment.jsp. American Heart Association [Internet]. Dallas, Texas: American Heart Association; c 2018. Classes of Heart Failure; last reviewed 2017 May [cited 2018 May 08]; [one screen]. Available from: http://www.heart.org/HEARTORG/Conditions/HeartFailure/AboutHeartFailure/Classes-of-Heart-Failure_UCM_306328_Article.jsp and https://www.heart.org/HEARTORG/Conditions/HeartFailure/AboutHeartFailure/Classes-of-Heart-Failure_UCM_306328_Article.jsp?appName=MobileApp.
Copyright	© Nasjonal IKT HF, openEHR Foundation
Authors	Author name: Dr Ian McNicoll Organisation: freshEHR Informatics, UK, Email: ian@freshehr.com Date originally authored: 2012-04-12
Other Details Language	Author name: Dr Ian McNicoll Organisation: freshEHR Informatics, UK, Email: ian@freshehr.com Date originally authored: 2012-04-12
Other Details (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: AHA medical/scientific statement. 1994 revisions to classification of functional capacity and objective assessment of patients with diseases of the heart. Circulation. 1994 Jul; 90(1):644-5. PubMed PMID: 12501831. American Heart Association [Internet]. Dallas, Texas: American Heart Association; c 2018. Classification of Functional Capacity and Objective-Assessment [cited 2018 May 08]; [one screen]. Available from: https://professional.heart.org/professional/General/UCM_423811_Classification-of-Functional-Capacity-and-Objective-Assessment.jsp. American Heart Association [Internet]. Dallas, Texas: American Heart Association; c 2018. Classes of Heart Failure; last reviewed 2017 May [cited 2018 May 08]; [one screen]. Available from: http://www.heart.org/HEARTORG/Conditions/HeartFailure/AboutHeartFailure/Classes-of-Heart-Failure_UCM_306328_Article.jsp and https://www.heart.org/HEARTORG/Conditions/HeartFailure/AboutHeartFailure/Classes-of-Heart-Failure_UCM_306328_Article.jsp?appName=MobileApp. Current Contact: Ian McNicoll, freshEHR Informatics, UK, ian@freshehr.com Original Namespace: org.openehr Original Publisher: openEHR Foundation Custodian Namespace: org.openehr MD5-CAM-1.0.1: F17EAAFC478546D29320FFEF082FFF54 Build Uid: f4a6296c-5726-49e1-aed1-f48f42c818af 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. Revision: 1.0.2
Keywords	heart, failure, cardiac, breathlessness, fatigue, dysfunction, ventricular
Lifecycle	published
UID	1bc7a1b6-8702-4c35-9f7f-cf4c7b4ba92f
Language used	en
Citeable Identifier	1246.145.585
Revision Number	1.0.2
protocol
Extension	Extension: Additional information required to capture local context or to align with other reference models/formalisms. For example: Local hospital departmental infomation or additional metadata to align with FHIR or CIMI equivalents. Include: All not explicitly excluded archetypes
state
Confounding factors	Confounding factors: Narrative description of any issues or factors that may impact on the assessment.
data
Functional capacity	Functional capacity: Assessment of heart failure based on how a patient with cardiac disease feels during physical activity. Class III and the Class III subtypes, IIIa and IIIb, are intended to be mutually exclusive but are included in this internal code set for completeness. Within a template either the Class III alone or both of the subtypes, IIIa and IIIb, should be set to inactive. at0005::Class I [No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).] at0006::Class II [Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath).] at0007::Class III [Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.] at0008::Class IIIa [As per Class III; no dyspnoea at rest.] at0009::Class IIIb [As per Class III; recent dyspnoea at rest.] at0010::Class IV [Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort increases.]
Objective assessment	Objective assessment: Assessment of heart failure based on evidence of cardiovascular disease and symptoms. at0012::Class A [No objective evidence of cardiovascular disease. No symptoms and no limitation in ordinary physical activity.] at0013::Class B [Objective evidence of minimal cardiovascular disease. Mild symptoms and slight limitation during ordinary activity. Comfortable at rest.] at0014::Class C [Objective evidence of moderately severe cardiovascular disease. Marked limitation in activity due to symptoms, even during less-than-ordinary activity. Comfortable only at rest.] at0015::Class D [Objective evidence of severe cardiovascular disease. Severe limitations. Experiences symptoms even while at rest.]
events
Any event	Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Other contributors	Tomas Alme, DIPS ASA, Norway Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT redaktør) Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor) SB Bhattacharyya, Sudisa Consultancy Services, India Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway Tom Dahlberg, Helgelandssykehuset HF, Fagstab, Norway Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway Are Edvardsen, SKDE, Norway Heather Grain, Llewelyn Grain Informatics, Australia Morten Grundtvig, Norsk hjertesviktregister, Norway Kristian Heldal, Telemark Hospital Trust, Norway Evelyn Hovenga, EJSH Consulting, Australia Eugene Igras, IRIS Systems, Inc., Canada Tom Jarl Jakobsen, Helse Bergen, Norway Kerrie Lee, Australia Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Hildegard McNicoll, freshEHR Clinical Informatics Ltd., United Kingdom Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Andrej Orel, Marand d.o.o., Slovenia Vladimir Pizzo, Hospital Sírio Libanês, Brazil Jussara Rotzsch, Hospital Alemão Oswaldo Cruz, Brazil Anoop Shah, University College London, United Kingdom Nyree Taylor, Ocean Informatics, Australia Anders Thurin, SU, Sweden John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør) Jon Tysdahl, Furst medlab AS, Norway Thomas Wilson, Finnmarkssykehuset HF Klinikk Hammerfest, Norway
Translators	German: Samer Alkarkoukly, Uniklinik Köln, Mabbouda@uni-koeln.de Finnish: Vesa Peltola, Tieto Finland Norwegian Bokmål: Silje Ljosland Bakke, Nasjonal IKT HF, silje.ljosland.bakke@nasjonalikt.no