archetype (adl_version=1.4; uid=58cbbc1a-d58c-4c81-99aa-70f403d1a616)
	openEHR-EHR-OBSERVATION.trunk_impairment_scale.v0

concept
	[at0000]	-- Trunk Impairment Scale (TIS)
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Gustaf Hultgren">
		["organisation"] = <"Cambio CDS">
		["email"] = <"gustaf.hultgren@cambio.se">
		["date"] = <"2021-02-17">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the results for each component parameter and their total sum for the TIS scale.">
			use = <"To record the results for each component parameter and their total sum for the TIS scale.">
			keywords = <"TIS", "trunk", "impairment", "scale", "stroke", "parkinson's", "disease">
			misuse = <"">
			copyright = <"© Cambio CDS, 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"] = <"Verheyden G, Nieuwboer A, Mertin J, Preger R, Kiekens C, De Weerdt W. The Trunk Impairment Scale: a new tool to measure motor impairment of the trunk after stroke. Clin Rehabil. 2004 May;18(3):326-34. doi: 10.1191/0269215504cr733oa. PMID: 15137564.

Verheyden G, Willems AM, Ooms L, Nieuwboer A. Validity of the trunk impairment scale as a measure of trunk performance in people with Parkinson's disease. Arch Phys Med Rehabil. 2007 Oct;88(10):1304-8. doi: 10.1016/j.apmr.2007.06.772. PMID: 17908573.">
		["current_contact"] = <"Gustaf Hultgren, Cambio CDS<gustaf.hultgren@cambio.se>">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"7B241B94E1AF26DF0DA9E65136F1963C">
		["build_uid"] = <"fcf6f269-dd79-4858-b6d8-b3c29ec86947">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Trunk Impairment scale (TIP)
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..1} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0004] occurrences matches {0..1} matches {    -- Maintains starting position
										value matches {
											0|[local::at0005],
											2|[local::at0006]
										}
									}
									ELEMENT[at0007] occurrences matches {0..1} matches {    -- Therapist crosses unaffected leg
										value matches {
											0|[local::at0008],
											2|[local::at0009]
										}
									}
									ELEMENT[at0010] occurrences matches {0..1} matches {    -- Patient crosses unaffected leg
										value matches {
											0|[local::at0011],
											1|[local::at0012],
											2|[local::at0013],
											3|[local::at0014]
										}
									}
									ELEMENT[at0015] occurrences matches {0..1} matches {    -- Static balance score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..7|}
											}
										}
									}
									ELEMENT[at0016] occurrences matches {0..1} matches {    -- Shortens hemiplegic side
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0019] occurrences matches {0..1} matches {    -- Shortens hemiplegic side - repetition 1
										value matches {
											0|[local::at0020],
											1|[local::at0021]
										}
									}
									ELEMENT[at0022] occurrences matches {0..1} matches {    -- Shortens hemiplegic side - repetition 2
										value matches {
											0|[local::at0023],
											1|[local::at0024]
										}
									}
									ELEMENT[at0025] occurrences matches {0..1} matches {    -- Shortens unaffected side
										value matches {
											0|[local::at0017],
											1|[local::at0018]
										}
									}
									ELEMENT[at0026] occurrences matches {0..1} matches {    -- Shorten unaffected side - repetition 1
										value matches {
											0|[local::at0020],
											1|[local::at0021]
										}
									}
									ELEMENT[at0027] occurrences matches {0..1} matches {    -- Shorten unaffected side - repetition 2
										value matches {
											0|[local::at0023],
											1|[local::at0024]
										}
									}
									ELEMENT[at0028] occurrences matches {0..1} matches {    -- Lifts pelvis hemiplegic side
										value matches {
											0|[local::at0020],
											1|[local::at0021]
										}
									}
									ELEMENT[at0029] occurrences matches {0..1} matches {    -- Lifts pelvis hemiplegic side - repetition 1
										value matches {
											0|[local::at0030],
											1|[local::at0031]
										}
									}
									ELEMENT[at0032] occurrences matches {0..1} matches {    -- Lifts pelvis unaffected side
										value matches {
											0|[local::at0020],
											1|[local::at0021]
										}
									}
									ELEMENT[at0033] occurrences matches {0..1} matches {    -- Lifts pelvis unaffected side - repetition 1
										value matches {
											0|[local::at0030],
											1|[local::at0031]
										}
									}
									ELEMENT[at0034] occurrences matches {0..1} matches {    -- Dynamic Balance score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0035] occurrences matches {0..1} matches {    -- Rotates upper trunk
										value matches {
											0|[local::at0036],
											1|[local::at0037],
											2|[local::at0038]
										}
									}
									ELEMENT[at0039] occurrences matches {0..1} matches {    -- Rotates upper trunk - repetition 1
										value matches {
											0|[local::at0040],
											1|[local::at0041]
										}
									}
									ELEMENT[at0042] occurrences matches {0..1} matches {    -- Rotates lower trunk
										value matches {
											0|[local::at0036],
											1|[local::at0037],
											2|[local::at0038]
										}
									}
									ELEMENT[at0049] occurrences matches {0..1} matches {    -- Rotates lower trunk - repetition 1
										value matches {
											0|[local::at0040],
											1|[local::at0041]
										}
									}
									ELEMENT[at0043] occurrences matches {0..1} matches {    -- Coordination score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..6|}
											}
										}
									}
									ELEMENT[at0044] occurrences matches {0..1} matches {    -- Total score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..23|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0052] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0053] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Trunk Impairment Scale (TIS)">
					description = <"An assessment score to evaluate trunk mobility and stability in patients with neurological deficits.">
				>
				["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 = <"Maintains starting position">
					description = <"Patient maintains starting position without support for 10 seconds.">
				>
				["at0005"] = <
					text = <"No">
					description = <"">
				>
				["at0006"] = <
					text = <"Yes">
					description = <"">
				>
				["at0007"] = <
					text = <"Therapist crosses unaffected leg">
					description = <"Therapist crosses unaffected leg over hemiplegic leg.">
				>
				["at0008"] = <
					text = <"Falls or can’t maintain sitting position for 10 seconds without arm support">
					description = <"">
				>
				["at0009"] = <
					text = <"Maintains sitting position for 10 seconds">
					description = <"">
				>
				["at0010"] = <
					text = <"Patient crosses unaffected leg">
					description = <"Patient crosses unaffected leg over hemiplegic leg.">
				>
				["at0011"] = <
					text = <"Falls">
					description = <"">
				>
				["at0012"] = <
					text = <"Cannot cross legs without arm support">
					description = <"">
				>
				["at0013"] = <
					text = <"Crosses legs but displaces trunk >10 cm backwards or assists crossing with hand">
					description = <"">
				>
				["at0014"] = <
					text = <"Crosses legs without displacement or assistance">
					description = <"">
				>
				["at0015"] = <
					text = <"Static balance score">
					description = <"The sum of the three parameters for the Static balance score component.">
				>
				["at0016"] = <
					text = <"Shortens hemiplegic side">
					description = <"Patient touches the bed or table with hemiplegic elbow (shortens hemiplegic side and lengthens unaffected side) and returns to starting position.">
				>
				["at0017"] = <
					text = <"Falls, needs support from upper extremity, or elbow does not touch the bed or table">
					description = <"">
				>
				["at0018"] = <
					text = <"Moves actively without help, elbow touches bed or table">
					description = <"">
				>
				["at0019"] = <
					text = <"Shortens hemiplegic side - repetition 1">
					description = <"">
				>
				["at0020"] = <
					text = <"No (or opposite) shortening/lengthening">
					description = <"">
				>
				["at0021"] = <
					text = <"Appropriate shortening/lengthening">
					description = <"">
				>
				["at0022"] = <
					text = <"Shortens hemiplegic side - repetition 2">
					description = <"">
				>
				["at0023"] = <
					text = <"Compensation (with upper extremity, hips, knees, or feet)">
					description = <"">
				>
				["at0024"] = <
					text = <"Moves without compensation">
					description = <"">
				>
				["at0025"] = <
					text = <"Shortens unaffected side">
					description = <"Patient touches the bed or table with unaffected elbow (shortens unaffected side and lengthens hemiplegic side) and returns to starting position.">
				>
				["at0026"] = <
					text = <"Shorten unaffected side - repetition 1">
					description = <"">
				>
				["at0027"] = <
					text = <"Shorten unaffected side - repetition 2">
					description = <"">
				>
				["at0028"] = <
					text = <"Lifts pelvis hemiplegic side">
					description = <"Lifts pelvis from bed or table at hemiplegic side (shortens hemiplegic side and lengthens unaffected side) and returns to starting position.">
				>
				["at0029"] = <
					text = <"Lifts pelvis hemiplegic side - repetition 1">
					description = <"">
				>
				["at0030"] = <
					text = <"Compensation (with upper extremity or foot)">
					description = <"">
				>
				["at0031"] = <
					text = <"Moves without compensation">
					description = <"">
				>
				["at0032"] = <
					text = <"Lifts pelvis unaffected side">
					description = <"Lifts pelvis from bed or table at unaffected side (shortens unaffected side and lengthens hemiplegic side) and returns to starting position.">
				>
				["at0033"] = <
					text = <"Lifts pelvis unaffected side - repetition 1">
					description = <"">
				>
				["at0034"] = <
					text = <"Dynamic Balance score">
					description = <"The sum of the ten parameters for the Dynamic balance score component.">
				>
				["at0035"] = <
					text = <"Rotates upper trunk">
					description = <"Rotates upper trunk 6x (each shoulder moved forward 3x), hemiplegic side must move first, head fixated in starting position.">
				>
				["at0036"] = <
					text = <"Hemiplegic side not moved 3x">
					description = <"">
				>
				["at0037"] = <
					text = <"Assymetrical rotation">
					description = <"">
				>
				["at0038"] = <
					text = <"Symmetrical rotation">
					description = <"">
				>
				["at0039"] = <
					text = <"Rotates upper trunk - repetition 1">
					description = <"Repeats upper trunk rotations within 6 seconds.">
				>
				["at0040"] = <
					text = <"Assymetrical rotation">
					description = <"">
				>
				["at0041"] = <
					text = <"Symmetrical rotation">
					description = <"">
				>
				["at0042"] = <
					text = <"Rotates lower trunk">
					description = <"Rotate lower trunk 6x (each knee moved forward 3x), hemiplegic side must move first, upper trunk fixated in starting position.">
				>
				["at0043"] = <
					text = <"Coordination score">
					description = <"The sum of the four parameters for the Coordination score component.">
				>
				["at0044"] = <
					text = <"Total score">
					description = <"The total sum of the Static balance, Dynamic balance, and Coordination scores.">
				>
				["at0049"] = <
					text = <"Rotates lower trunk - repetition 1">
					description = <"Repeats lower trunk rotation within 6 seconds.">
				>
				["at0052"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0053"] = <
					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.">
				>
			>
		>
	>