Ambulatory Severity Index (ASI)

Purpose: To measure the seriousness of a patient encounter in the ambulatory care setting using the Ambulatory Severity Index (ASI).

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Evaluation

Is the patient being evaluated having care provided in an ambulatory care setting?

Yes

Number of diagnoses and problems (enter from 1-10; if more than 10, enter primary problems or diagnoses)

Seriousness of Diagnoses and Problems

Problem 1

Problem 2

Problem 3

Problem 4

Problem 5

Problem 6

Problem 7

Problem 8

Problem 9

Problem 10

Biologic Complexity Factors

Urgency

Complications

Psychosocial Complexity Factors

Physical functioning

Psychologic functioning

Social situation

Compliance

Communications

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Sum of squares for diagnoses and problems

Sum of squares for biologic complexity

Sum of squares for psychosocial complexity

Sum of squares for all factors

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
- Basic Metabolic Profile (BMP) Risk Score (Intermountain Risk Score)
Other Testing
Criteria For Diagnosis
- Pediatric Advanced Warning System (PAWS)
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
Failure Handling, When To Refer

Therapy

Options
- Patient-At-Risk Early Warning Score
Selection
Failure Handling And Therapy Escalation
- Patient-At-Risk Early Warning Score
Prevention

Monitoring

Response To Therapy
- Vital Sign Score (VSS) for Evaluating a Patient in the ED
Adverse Effects
- Vital Sign Score (VSS) for Evaluating a Patient in the ED
Disease Progression
Complication Detection
- Modified Early Warning Score for a Hospital Inpatient
- Neonatal Trigger Score (NTS)

Societal Concerns

Economic Cost
- Patient Severity Index (PSI)
Public Health

Objective

severity
prognosis
stage
disease progression
economic cost

ICD-10

Z03 - Medical observation and evaluation for suspected diseases and conditions

Info

Purpose: To measure the seriousness of a patient encounter in the ambulatory care setting using the Ambulatory Severity Index (ASI).

Objective: severity, prognosis, stage, disease progression, economic cost

ICD-10: Z03,

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