archetype (adl_version=1.4; uid=2a2e1acd-c083-428c-b1fa-9ee66e6449d2)
	openEHR-EHR-OBSERVATION.padss.v0

concept
	[at0000]	-- Post Anaesthesia Discharge Scoring System (PADSS)
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2021-02-19">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the results for each component parameter and their total sum for the PADSS.">
			use = <"Use to record the results for each component parameter and their total sum for the PADSS.">
			keywords = <"recovery", "anaesthesia", "post-anaesthesia", "discharge", "ambulatory">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	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"] = <"Marshall SI, Chung F. Discharge criteria and complications after ambulatory surgery. Anesth Analg. 1999 Mar;88(3):508-17. doi: 10.1097/00000539-199903000-00008. PMID: 10071996.">
		["current_contact"] = <"Heather Leslie, Atomica Informatics<heather.leslie@atomicainformatics.com>">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"2912D14DA9833011E874B09DB27822F4">
		["build_uid"] = <"8f99518b-d884-4805-bc6c-e3eaafd7744e">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Post Anaesthesia Discharge Scoring System (PADSS)
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0012] occurrences matches {0..1} matches {    -- Vital signs
										value matches {
											0|[local::at0013],
											1|[local::at0014],
											2|[local::at0015]
										}
									}
									ELEMENT[at0004] occurrences matches {0..1} matches {    -- Activity level
										value matches {
											0|[local::at0005],
											1|[local::at0006],
											2|[local::at0007]
										}
									}
									ELEMENT[at0008] occurrences matches {0..1} matches {    -- Nausea and vomiting
										value matches {
											0|[local::at0009],
											1|[local::at0010],
											2|[local::at0011]
										}
									}
									ELEMENT[at0016] occurrences matches {0..1} matches {    -- Pain acceptable
										value matches {
											1|[local::at0018],
											2|[local::at0019]
										}
									}
									ELEMENT[at0020] occurrences matches {0..1} matches {    -- Surgical bleeding
										value matches {
											0|[local::at0021],
											1|[local::at0022],
											2|[local::at0023]
										}
									}
									ELEMENT[at0024] occurrences matches {0..1} matches {    -- Total score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0025] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0026] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Post Anaesthesia Discharge Scoring System (PADSS)">
					description = <"An assessment score used to evaluate recovery after anaesthesia for determining home-readiness.">
					comment = <"c 1999">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Activity level">
					description = <"">
					comment = <"The patient must be able to ambulate at preoperative level.">
				>
				["at0005"] = <
					text = <"Unable to ambulate">
					description = <"">
				>
				["at0006"] = <
					text = <"Requires assistance">
					description = <"">
				>
				["at0007"] = <
					text = <"Steady gait, no dizziness, or meets preoperative level">
					description = <"">
				>
				["at0008"] = <
					text = <"Nausea and vomiting">
					description = <"">
					comment = <"The patient should have minimal nausea and vomiting before discharge">
				>
				["at0009"] = <
					text = <"Severe: continues after repeated treatment">
					description = <"">
				>
				["at0010"] = <
					text = <"Moderate: successfully treated with IM medication">
					description = <"">
				>
				["at0011"] = <
					text = <"Minimal: successfully treated with PO medication">
					description = <"">
				>
				["at0012"] = <
					text = <"Vital signs">
					description = <"">
					comment = <"Vital signs must be stable and consistent with age and preoperative baseline.">
				>
				["at0013"] = <
					text = <"BP and pulse ±>40% of pre-operative baseline">
					description = <"">
				>
				["at0014"] = <
					text = <"BP and pulse ±20-40% of pre-operative baseline">
					description = <"">
				>
				["at0015"] = <
					text = <"BP and pulse ±<20% of pre-operative baseline">
					description = <"">
				>
				["at0016"] = <
					text = <"Pain acceptable">
					description = <"">
					comment = <"The patient should have minimal or no pain before discharge. The level of pain should be acceptable to the patient. Pain should be controllable by oral analgesics. The location, type and intensity of pain should be consistent with anticipated postoperative discomfort.">
				>
				["at0018"] = <
					text = <"No">
					description = <"">
				>
				["at0019"] = <
					text = <"Yes">
					description = <"">
				>
				["at0020"] = <
					text = <"Surgical bleeding">
					description = <"">
					comment = <"Postoperative bleeding should be consistent with expected blood loss for the procedure.">
				>
				["at0021"] = <
					text = <"Severe: more than three dressing changes required">
					description = <"">
				>
				["at0022"] = <
					text = <"Moderate: up to two dressing changes required">
					description = <"">
				>
				["at0023"] = <
					text = <"Minimal: does not require dressing change">
					description = <"">
				>
				["at0024"] = <
					text = <"Total score">
					description = <"The total sum of each component parameter for the PADSS.">
				>
				["at0025"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0026"] = <
					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.">
				>
			>
		>
	>