archetype (adl_version=1.4; uid=3b4a79a0-4dbb-439e-a9c3-0d2286e378ad)
	openEHR-EHR-OBSERVATION.das28-CRP.v0
specialise
	openEHR-EHR-OBSERVATION.das28.v0

concept
	[at0000.1]	-- Disease Activity Score-28 with CRP (DAS28‐CRP)
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2016-11-18">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the individual DAS28-CRP parameters and total score.">
			use = <"Use to record the individual DAS28-CRP parameters and total score as an assessment of disease activity in rheumatoid arthritis.">
			keywords = <"DAS28", "rheumatoid arthritis", "disease activity">
			misuse = <"Not to be used to record the DAS28 score using the ESR result. Use OBSERVATION.das28 for this purpose.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Mark Greenhalgh, Operon Limited, UK", "Ian McNicoll, freshEHR Clinical Informatics, UK", "Hildi McNicoll, freshEHR Clinical Informatics, UK", "Nadim Anani, Sweden">
	other_details = <
		["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"] = <"http://www.nras.org.uk/the-das28-score">
		["current_contact"] = <"Hildegard Franke, freshEHR Clinical Informatics Ltd.<hildi@freshehr.com>">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"1430641E0F219F56523C5F95090FBB44">
		["build_uid"] = <"26e189ad-545b-40c6-a1e4-e27177e2c6f7">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000.1] matches {    -- Disease Activity Score-28 with CRP (DAS28‐CRP)
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					POINT_EVENT[at0002] occurrences matches {0..1} matches {    -- Point in time
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0004] occurrences matches {0..1} matches {    -- Tender joint count
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..28|}
											}
										}
									}
									ELEMENT[at0005] occurrences matches {0..1} matches {    -- Swollen joint count
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..28|}
											}
										}
									}
									ELEMENT[at0006.1] occurrences matches {0..0} matches {    -- ESR result
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::338]>
												list = <
													["1"] = <
														units = <"mm/h">
														magnitude = <|0.0..300.0|>
														precision = <|0|>
													>
												>
											>
										}
									}
									ELEMENT[at0007] occurrences matches {0..1} matches {    -- Global health
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::380]>
												list = <
													["1"] = <
														units = <"1">
														magnitude = <|0.0..100.0|>
														precision = <|0|>
													>
												>
											>
										}
									}
									ELEMENT[at0008.1] occurrences matches {0..1} matches {    -- DAS28-CRP score
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::380]>
												list = <
													["1"] = <
														units = <"1">
														magnitude = <|0.0..10.0|>
														precision = <|2|>
													>
												>
											>
										}
									}
									ELEMENT[at0015.1] occurrences matches {0..1} matches {    -- DAS28-CRP(3) score
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::380]>
												list = <
													["1"] = <
														units = <"1">
														magnitude = <|0.0..10.0|>
														precision = <|2|>
													>
												>
											>
										}
									}
									ELEMENT[at0.1] occurrences matches {0..1} matches {    -- CRP result
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::119]>
												list = <
													["1"] = <
														units = <"mg/L">
														magnitude = <|>=0.0|>
													>
												>
											>
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0009] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0010] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000.1"] = <
					text = <"Disease Activity Score-28 with CRP (DAS28‐CRP)">
					description = <"Assessment tool used as a measure of disease activity in rheumatoid arthritis (RA), using CRP result.">
					comment = <"28 joints are examined in this assessment.">
				>
				["at0006.1"] = <
					text = <"ESR result">
					description = <"Erythrocyte sedimentation rate test result.">
				>
				["at0.1"] = <
					text = <"CRP result">
					description = <"C-reactive protein test result.">
				>
				["at0008.1"] = <
					text = <"DAS28-CRP score">
					description = <"Total DAS 28-CRP score.">
				>
				["at0015.1"] = <
					text = <"DAS28-CRP(3) score">
					description = <"DAS 28-CRP score using only 3 variables, when the Global health parameter is not available.">
				>
				["at0000"] = <
					text = <"Disease Activity Score-28 (DAS28)">
					description = <"Assessment tool used as a measure of disease activity in rheumatoid arthritis (RA), using ESR result.">
					comment = <"28 joints are examined in this assessment.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Point in time">
					description = <"Default, unspecified point in time event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Tender joint count">
					description = <"The total number of tender joints observed.">
				>
				["at0005"] = <
					text = <"Swollen joint count">
					description = <"The total number of swollen joints observed.">
				>
				["at0006"] = <
					text = <"ESR result">
					description = <"Erythrocyte sedimentation rate test result.">
				>
				["at0007"] = <
					text = <"Global health">
					description = <"Visual analogue scale assessment of overall health and disease activity.">
				>
				["at0008"] = <
					text = <"DAS28 score">
					description = <"Total DAS 28 score.">
				>
				["at0009"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0010"] = <
					text = <"Extension">
					description = <"Additional information required to extend the model with local content or to align with other reference models or formalisms.">
					comment = <"For example: local information requirements; or additional metadata to align with FHIR.">
				>
				["at0015"] = <
					text = <"DAS28(3) score">
					description = <"DAS 28 score using only 3 variables, when the Global health parameter is not available.">
				>
			>
		>
	>