Frailty score


Parameter Case Report Form and Response Options

Frailty score before admission
Frailty score {score}

This profile of a FHIR Observation is used to capture the result from a Clinical Frailty Scale© (CFS).

Observation.code shall be coded as SNOMED-CT 713636003 |Frailty Index score (observable entity)|.

Observation.method contains the type of assessment scale used for this observation in form of a SNOMED-CT code 445414007 |Canadian Study of Health and Aging clinical frailty scale (assessment scale)|.

Observation.valueCodeableConcept shall be used to capture the coded result.


Profile - Clinical Frailty Scale Score

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/frailty-score

Snapshot

identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusΣ ?!1..1codeBinding
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1Reference(Patient | Group)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
effectivePeriodPeriod
effectiveTimingTiming
effectiveInstantinstant
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..0CodeableConcept
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
specimenI0..0Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)


ValueSets

The Frailty-Score valueset contains the coded results of this assessment scale. Please note the copyright: This artefact includes content under copyright from Geriatric Medicine Research, Dalhousie University, Halifax, Canada. Implementers of these artefacts must complete a Permission for Use Agreement - for more information visit https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html.

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/frailty-score

ValueSet 'FrailtyScore'

Version1.0.6
Published byBerlin Institute of Health at Charité (BIH)
StatusActive (since 2020-05-20)
ExperimentalFalse

Contains all Frailty Score codes

Contact Information

Website: https://www.bihealth.org/en/re...

This value set includes codes from the following code systems:


This code system https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/frailty-score defines the following codes:

CodeDisplay
1Very Fit
2Well
3Managing Well
4Vulnerable
5Mildly Frail
6Moderately Frail
7Severely Frail
8Very Severely Frail
9Terminally Ill

Additional Language Displays

CodeDeutsch (Deutschland) (German (Germany), de)
1Sehr fit
2Durchschnittlich aktiv
3Gut zurechtkommend
4Vulnerabel
5Geringgradig frail
6Mittelgradig frail
7Ausgeprägt frail
8Extrem frail
9Terminal erkrankt


Examples

Frailty Scale Score
Example observation

{
    "resourceType": "Observation",
    "id": "frailty-score-severley-frail",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/frailty-score"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "survey",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "code": "763264000",
                "system": "http://snomed.info/sct",
                "display": "Canadian Study of Health and Aging Clinical Frailty Scale score"
            }
        ],
        "text": "Frailty Scale Score"
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "code": "OBI",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                    }
                ]
            },
            "system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
            "value": "763264000_FrailtyScaleScore",
            "assigner": {
                "reference": "Organization/Charité"
            }
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-02",
    "valueCodeableConcept": {
        "coding":  [
            {
                "code": "7",
                "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/frailty-score",
                "display": "Severely Frail"
            }
        ]
    },
    "method": {
        "coding":  [
            {
                "code": "445414007",
                "system": "http://snomed.info/sct",
                "display": "Canadian Study of Health and Aging clinical frailty scale"
            }
        ]
    }
}