Specifications Manual for Joint Commission National Quality Measures (v2023A1)
Posted: 10/17/2022
Home » New York Heart Association (NYHA) Classification

Release Notes:
Data Element
Version 2023A1

Name:New York Heart Association (NYHA) Classification
Collected For: ACHFOP-03, ACHFOP-04
Definition:The New York Heart Association (NYHA) Classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity; the limitations/symptoms are in regards to normal breathing and varying degrees in shortness of breath and or angina pain.
Question:What is the patient's New York Heart Association (NYHA) Functional Classification?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

1 Class I

2 Class II

3 Class III

4 Class IV

5 Not Documented or Unable to determine (UTD)
Notes for Abstraction:
  • The NYHA Functional Classification must be specifically documented in the medical record and not coded by the abstractor based upon patient symptoms.
  • NYHA Classification - The Stages of Heart Failure:
    • Class I - No symptoms and no limitation in ordinary physical activity, e.g. shortness of breath when walking, climbing stairs etc.
    • Class II - Patients with cardiac disease resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity results in fatigue, palpitation, or dyspnea.
    • Class III - Patients with cardiac disease resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.
    • Class IV - Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms are present even at rest or minimal exertion. If any physical activity is undertaken, discomfort is increased.
Suggested Data Sources:
  • Physician's notes
  • Discharge summary
  • Outpatient medical record
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

New York Heart Association (NYHA) Classification
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Specifications Manual for Joint Commission National Quality Measures (v2023A1)
Discharges 01-01-23 (1Q23) through 06-30-23 (2Q23)

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