archetype (adl_version=1.4; uid=20938d79-537a-4576-9739-039d68c51254)
	openEHR-EHR-OBSERVATION.scorad_index.v0

concept
	[at0000]	-- SCORAD index
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Marit Alice Venheim">
				["organisation"] = <"Helse Vest IKT">
				["email"] = <"marit.alice.venheim@helse-vest-ikt.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Ian McNicoll">
		["organisation"] = <"freshEHR Clinical Informatics,UK">
		["email"] = <"ian@freshehr.org">
		["date"] = <"2015-02-09">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"SCORing Atopic Dermatitis (SCORAD) er en indeks som brukes til å uttrykke alvorlighetsgraden av atopisk eksem. Det kombinerer alvorlighetsgrad og andel av berørt område.">
			use = <"">
			misuse = <"">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record an estimate of severity of atopic dermatitis.">
			use = <"">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Heather Leslie, Atomica Informatics, Australia", ...>
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"Severity scoring of atopic dermatitis: the SCORAD index. Consensus Report of the European Task Force on Atopic Dermatitis. Dermatology. 1993;186(1):23-31. doi: 10.1159/000247298. PubMed PMID: 8435513.
PO-SCORAD, Norvege: https://www.fondation-dermatite-atopique.org/sites/default/files/PO_Scorad_Patients_Feuillet-NORVEGE.pdf
Atopisk eksem. Berents TL., Saunes M., Schopf T., Vindenes HK.Tidsskr Nor Legeforen 2018 doi: 10.4045/tidsskr.18.007. https://tidsskriftet.no/2018/08/klinisk-oversikt/atopisk-eksem">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"AE5097765A261D86495DDF910C18C708">
		["build_uid"] = <"b477279f-ab91-4f91-b4bc-9ca691997772">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- SCORAD index
		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[at0004] occurrences matches {0..1} matches {    -- Affected area total (A)
										value matches {
											DV_PROPORTION matches {
												numerator matches {|0.0..100.0|}
												type matches {2}
												precision matches {|0|}
											}
										}
									}
									ELEMENT[at0005] occurrences matches {0..*} matches {    -- Intensity - erythema
										value matches {
											0|[local::at0006],
											1|[local::at0007],
											2|[local::at0008],
											3|[local::at0009]
										}
									}
									ELEMENT[at0010] occurrences matches {0..*} matches {    -- Intensity - oedema/papulation
										value matches {
											0|[local::at0011],
											1|[local::at0012],
											2|[local::at0013],
											3|[local::at0014]
										}
									}
									ELEMENT[at0015] occurrences matches {0..*} matches {    -- Intensity - lichenification
										value matches {
											0|[local::at0016],
											1|[local::at0017],
											2|[local::at0018],
											3|[local::at0019]
										}
									}
									ELEMENT[at0020] occurrences matches {0..*} matches {    -- Intensity - excoriation
										value matches {
											0|[local::at0021],
											1|[local::at0022],
											2|[local::at0023],
											3|[local::at0024]
										}
									}
									ELEMENT[at0025] occurrences matches {0..*} matches {    -- Intensity - oozing/crusts
										value matches {
											0|[local::at0026],
											1|[local::at0027],
											2|[local::at0028],
											3|[local::at0029]
										}
									}
									ELEMENT[at0030] occurrences matches {0..*} matches {    -- Intensity - dryness
										value matches {
											0|[local::at0031],
											1|[local::at0032],
											2|[local::at0033],
											3|[local::at0034]
										}
									}
									ELEMENT[at0035] occurrences matches {0..1} matches {    -- Intensity total (B)
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..18|}
											}
										}
									}
									ELEMENT[at0036] occurrences matches {0..1} matches {    -- Subjective - daily pruritis
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0037] occurrences matches {0..1} matches {    -- Subjective - sleeplessness
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0038] occurrences matches {0..1} matches {    -- Subjective total (C)
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..20|}
											}
										}
									}
									ELEMENT[at0039] occurrences matches {0..1} matches {    -- SCORAD index
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..103|}
											}
										}
									}
									ELEMENT[at0040] occurrences matches {0..1} matches {    -- Total intensity grade
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0041,    -- Mild
													at0042,    -- Moderate
													at0043]    -- Severe
												}
											}
										}
									}
									ELEMENT[at0044] occurrences matches {0..1} matches {    -- Objective SCORAD index
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..83|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0045] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0046] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"SCORAD index">
					description = <"Clinical assessment tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis).">
				>
				["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 = <"Affected area total (A)">
					description = <"The estimated total of affected area on the body.">
					comment = <"Usually calculated using the 'rule of 9'. ">
				>
				["at0005"] = <
					text = <"Intensity - erythema">
					description = <"The level of intensity of a erythema or redness.">
				>
				["at0006"] = <
					text = <"None">
					description = <"Erythema is absent.">
				>
				["at0007"] = <
					text = <"Mild">
					description = <"Erythema is mild.">
				>
				["at0008"] = <
					text = <"Moderate">
					description = <"Erythema is moderate.">
				>
				["at0009"] = <
					text = <"Severe">
					description = <"Erythema is severe.">
				>
				["at0039"] = <
					text = <"SCORAD index">
					description = <"The calculated index score.">
					comment = <"Based on a formula A/5 = 7B/2 +C.">
				>
				["at0040"] = <
					text = <"Total intensity grade">
					description = <"The total score expressed as a set of grades.">
				>
				["at0041"] = <
					text = <"Mild">
					description = <"The overall score is less than 25.">
				>
				["at0042"] = <
					text = <"Moderate">
					description = <"The score is between 25 and 50.">
				>
				["at0043"] = <
					text = <"Severe">
					description = <"The toal score is over 50.">
				>
				["at0010"] = <
					text = <"Intensity - oedema/papulation">
					description = <"The level of intensity of a oedema or papulation.">
				>
				["at0011"] = <
					text = <"None">
					description = <"Oedema or papulation is absent.">
				>
				["at0012"] = <
					text = <"Mild">
					description = <"Oedema or papulation is mild.">
				>
				["at0013"] = <
					text = <"Moderate">
					description = <"Oedema or papulation is moderate.">
				>
				["at0014"] = <
					text = <"Severe">
					description = <"Oedema or papulation is severe.">
				>
				["at0015"] = <
					text = <"Intensity - lichenification">
					description = <"The level of intensity of a lichenification or thickening of the skin.">
				>
				["at0016"] = <
					text = <"None">
					description = <"Lichenification is absent.">
				>
				["at0017"] = <
					text = <"Mild">
					description = <"Lichenification is mild.">
				>
				["at0018"] = <
					text = <"Moderate">
					description = <"Lichenification is moderate.">
				>
				["at0019"] = <
					text = <"Severe">
					description = <"Lichenification is severe.">
				>
				["at0030"] = <
					text = <"Intensity - dryness">
					description = <"The level of intensity of dryness of unaffected skin.">
				>
				["at0031"] = <
					text = <"None">
					description = <"Dryness is absent.">
				>
				["at0032"] = <
					text = <"Mild">
					description = <"Dryness is mild.">
				>
				["at0033"] = <
					text = <"Moderate">
					description = <"Dryness is moderate.">
				>
				["at0034"] = <
					text = <"Severe">
					description = <"Dryness is severe.">
				>
				["at0020"] = <
					text = <"Intensity - excoriation">
					description = <"The level of intensity of a excoriation or scratching.">
				>
				["at0021"] = <
					text = <"None">
					description = <"Excoriation is absent.">
				>
				["at0022"] = <
					text = <"Mild">
					description = <"Excoriation is mild.">
				>
				["at0023"] = <
					text = <"Moderate">
					description = <"Excoriation is moderate.">
				>
				["at0024"] = <
					text = <"Severe">
					description = <"Excoriation is severe.">
				>
				["at0025"] = <
					text = <"Intensity - oozing/crusts">
					description = <"The level of intensity of a oozing or crusting.">
				>
				["at0026"] = <
					text = <"None">
					description = <"Oozing or crusting is absent.">
				>
				["at0027"] = <
					text = <"Mild">
					description = <"Oozing or crusting is mild.">
				>
				["at0028"] = <
					text = <"Moderate">
					description = <"Oozing or crusting is moderate.">
				>
				["at0029"] = <
					text = <"Severe">
					description = <"Oozing or crusting is severe.">
				>
				["at0035"] = <
					text = <"Intensity total (B)">
					description = <"The total score for the 6 intensity-related values.">
				>
				["at0036"] = <
					text = <"Subjective - daily pruritis">
					description = <"Subjective assessment of the amount of itchiness experienced.">
					comment = <"Usually represented on a visual analogue scale.">
				>
				["at0038"] = <
					text = <"Subjective total (C)">
					description = <"Total of the subjective scores.">
				>
				["at0037"] = <
					text = <"Subjective - sleeplessness">
					description = <"Subjective assessment of the amount of sleeplessness experienced.">
					comment = <"Usually represented on a visual analogue scale.">
				>
				["at0044"] = <
					text = <"Objective SCORAD index">
					description = <"The calculated index score based on the affected area total and intensity only.">
					comment = <"Based on a formula A/5 + 7B/2.">
				>
				["at0045"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0046"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
					comment = <"For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"SCORAD index">
					description = <"En kvantitativ skala for å måle alvorlighetsgraden av atopisk eksem basert på dekningsområde og plakk utseende.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Uspesifisert hendelse">
					description = <"Enhver vurdering av SCORAD utført på et angitt tidspunkt.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Totalt affektert område (A)">
					description = <"Total estimat av affektert område på kroppen.">
					comment = <"Vanligvis regnet ut ved å bruke \"ni prosentregelen\".">
				>
				["at0005"] = <
					text = <"Intensitet - erythema">
					description = <"Intenistetsnivået på erythema eller rødhet.">
				>
				["at0006"] = <
					text = <"Ingen">
					description = <"Erythema er fraværende.">
				>
				["at0007"] = <
					text = <"Mild">
					description = <"Mild erythema.">
				>
				["at0008"] = <
					text = <"Moderat">
					description = <"Moderat erythema.">
				>
				["at0009"] = <
					text = <"Alvorlig">
					description = <"Alvorlig erythema.">
				>
				["at0010"] = <
					text = <"Intensiset - ødem/hevelse">
					description = <"Intenistetsnivået på ødem eller hevelse.">
				>
				["at0011"] = <
					text = <"Ingen">
					description = <"Ødem eller hevelse er fraværende.">
				>
				["at0012"] = <
					text = <"Mild">
					description = <"Mild grad av ødem eller hevelse.">
				>
				["at0013"] = <
					text = <"Moderat">
					description = <"Moderat grad av ødem eller hevelse.">
				>
				["at0014"] = <
					text = <"Alvorlig">
					description = <"Alvorlig grad av ødem eller hevelse.">
				>
				["at0015"] = <
					text = <"Intensitet - fortykning">
					description = <"Graden av fortykning på huden.">
				>
				["at0016"] = <
					text = <"Ingen">
					description = <"Fortykning på huden er fraværende.">
				>
				["at0017"] = <
					text = <"Mild">
					description = <"Mild fortykning på huden.">
				>
				["at0018"] = <
					text = <"Moderat">
					description = <"Moderat fortykning på huden.">
				>
				["at0019"] = <
					text = <"Alvorlig">
					description = <"Alvorlig fortykning på huden.">
				>
				["at0020"] = <
					text = <"Intensitet - hudavskrapning">
					description = <"Graden av hudavskrapning eller skader på grunn av oppkloring.">
				>
				["at0021"] = <
					text = <"Ingen">
					description = <"Hudavskrapning er fraværende.">
				>
				["at0022"] = <
					text = <"Mild">
					description = <"Mild hudavskrapning.">
				>
				["at0023"] = <
					text = <"Moderat">
					description = <"Moderat hudavskrapning.">
				>
				["at0024"] = <
					text = <"Alvorlig">
					description = <"Alvorlig hudavskrapning.">
				>
				["at0025"] = <
					text = <"Intensitet - væsking/skorper.">
					description = <"Graden av væsking eller skorper.">
				>
				["at0026"] = <
					text = <"Ingen">
					description = <"Væsking eller skorper er fraværende.">
				>
				["at0027"] = <
					text = <"Mild">
					description = <"Mild grad av væsking eller skorper.">
				>
				["at0028"] = <
					text = <"Moderat">
					description = <"Moderat grad av væsking eller skorper">
				>
				["at0029"] = <
					text = <"Alvorlig">
					description = <"Alvorlig grad av væsking eller skorper">
				>
				["at0030"] = <
					text = <"Intensitet - tørrhet">
					description = <"Tørrhetsgraden på hud uten eksem.">
				>
				["at0031"] = <
					text = <"Ingen">
					description = <"Tørrhet er fraværende.">
				>
				["at0032"] = <
					text = <"Mild">
					description = <"Mild grad av tørrhet.">
				>
				["at0033"] = <
					text = <"Moderat">
					description = <"Moderat grad av tørrhet.">
				>
				["at0034"] = <
					text = <"Alvorlig">
					description = <"Alvorlig grad av tørrhet.">
				>
				["at0035"] = <
					text = <"Intensitet totalt (B)">
					description = <"Total poengsum for de 6 intensitets-realterte verdiene.">
				>
				["at0036"] = <
					text = <"Subjektivt - daglig kløe">
					description = <"Subjektiv vurdering av hvor mye det klør.">
					comment = <"Vanligvis representert ved en visuell analog skala.">
				>
				["at0037"] = <
					text = <"Subjektivt - søvnløshet">
					description = <"Subjektiv vurdering av opplevd søvnløshet.">
					comment = <"Vanligvis representert ved en visuell analog skala.">
				>
				["at0038"] = <
					text = <"Subjektivt total (C)">
					description = <"Total poengsum for subjektiv skårene.">
				>
				["at0039"] = <
					text = <"SCORAD index">
					description = <"Den kalkulerte index skåren.">
					comment = <"Basert på formelen A/5 = 7B/2 +C.">
				>
				["at0040"] = <
					text = <"Total intesitets grad">
					description = <"Total poengsum uttrykt som et sett karakterer">
				>
				["at0041"] = <
					text = <"Mild">
					description = <"Den totale poengsummen er mindre enn 25.">
				>
				["at0042"] = <
					text = <"Moderat">
					description = <"Poengsummen er mellom 25 og 50.">
				>
				["at0043"] = <
					text = <"Alvorlig">
					description = <"Poengsummen er over 50.">
				>
				["at0044"] = <
					text = <"Objektiv SCORAD index">
					description = <"Den beregnede indeksskåren kun basert på totalområdet og intensiteten for det berørte området.">
					comment = <"Bassert på formelen A/5 +7B/2.">
				>
				["at0045"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0046"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR eller CIMI.">
				>
			>
		>
	>