User Guide — Flowsheets — Congestive Heart Failure

athenaClinicals

This flowsheet tracks analytes related to congestive heart failure.

 

To view a flowsheet, click the flowsheet icon for a problem, a test result, or for vitals

 

 

 

 

When you receive a lab result for a left ventricular ejection fraction (LVEF) containing procedure, such as an echocardiogram, you can trigger certain congestive heart failure quality measures and track LVEF over time using the flowsheet functionality.

 

If you performed or received a result or interpretation for a procedure containing LVEF, you can enter the value in a flowsheet, in an office order type analyte table, or both. (The Congestive Heart Failure flowsheet also includes tracking for LVEF longitudinally.) Entering the LVEF value in this manner can trigger certain congestive heart failure quality measures to appear on the Quality tab.

 

If you record an LVEF below 40% on a flowsheet or office order type analyte table, the appropriate quality measures appear on the Quality tab.

 

 

If you perform left ventricular ejection fraction (LVEF) containing tests in office, you should create an office order type on the Office Order Types page. You can delete fields for data that you do not typically record, but do not change the field names because doing this may prevent the results from populating the flowsheet.

 

 

 

 

Header Fields for Congestive Heart Failure
Beta Blockers

From Medications section
ACE/ARB

From Medications section
Diuretics

From Medications section
Digoxin

From Medications section
Antithrombotics

From Medications section
Statins

From Medications section
Date of last Echocardiogram

date of test, Free text
Ejection Fraction

Percentage of blood ejected from heart with each beat, Free text
Device therapy

Comments on defibrillators and pacemakers, Free text
NYHA Class

NYHA = New York Heart Association

 

Functional Classification, Free text

 

NYHA Class I — No symptoms and no limitation in ordinary physical activity, e.g., shortness of breath when walking, climbing stairs, etc.

 

NYHA Class II — Mild symptoms (mild shortness of breath and/or angina) and slight limitation ordinary activity.

 

NYHA Class III — Marked limitation in activity due to symptoms, even during less-than-ordinary activity, e.g., walking short distances (20-100 m).
Comfortable only at rest.

 

NYHA Class IV — Severe limitations. Experiences symptoms even while at rest. Mostly bed-bound patients.
Notes Free text
Table Fields for Congestive Heart Failure
BP

Blood pressure,From Vitals section
Pulse From Vitals section
Weight

From Vitals section
BMI

Body Mass Index, From Vitals section
O2 Sat

Oxygen Saturation, From Vitals section
BNP

Brain Natriuretic Peptide, Numerical Lab result
Digoxin Level

Numerical Lab result
Sodium

Numerical Lab result
Potassium

Numerical Lab result
BUN

Blood Urea Nitrogen, Numerical Lab result
Creatinine Numerical Lab result