archetype (adl_version=1.4; uid=cc191f78-3726-44c9-9d31-39c383306b01)
	openEHR-EHR-EVALUATION.inas_count.v0

concept
	[at0000]	-- INAS Count
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Hildegard Franke">
		["organisation"] = <"freshEHR Clinical Informatics Ltd.">
		["email"] = <"hildi@freshehr.com">
		["date"] = <"2016-11-23">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"For the recording of the INAS count, using the presence or absence of one item in each of the 16 signs or syndromes.">
			use = <"INAS provides structured information on non-ataxia signs in ataxia patients. INAS consists of 30 items, each of which is related to one of the following 16 signs or syndromes: areflexia, hyperreflexia, extensor plantar response, spasticity, paresis, amyotrophy, fasciculations, myoclonus, rigidity, chorea, dystonia, resting tremor, sensory symptoms, brainstem oculomotor signs (horizontal and vertical ophthalmoparesis, slowing of saccades), urinary dysfunction and cognitive impairment. 
For a semiquantitative assessement of non-ataxia signs, the number of non-ataxia signs is counted yielding the INAS count, a dimensionless value with a range from 0 to 16. To determine the INAS count, only the presence or absence of one of the 16 signs is considered. A sign is recorded as present if at least one item related to this sign is positive.">
			misuse = <"">
			copyright = <"© Clinical Models UK">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	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"] = <"UK Clinical Models">
		["references"] = <"Ataxia Study Group cited 23-Nov-2016 http://www.ataxia-study-group.net/html/asg">
		["current_contact"] = <"Hildegard Franke, freshEHR Clinical Informatics Ltd.<hildi@freshehr.com>">
		["original_namespace"] = <"uk.org.clinicalmodels">
		["original_publisher"] = <"UK Clinical Models">
		["custodian_namespace"] = <"uk.org.clinicalmodels">
		["MD5-CAM-1.0.1"] = <"60862EA48BCC425ECB80296CA14F0B0C">
		["build_uid"] = <"86673b1a-34c6-4a6a-9aa4-4abc75ca1be3">
		["revision"] = <"0.0.1-alpha">
	>

definition
	EVALUATION[at0000] matches {	-- INAS Count
		data matches {
			ITEM_TREE[at0001] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0003] occurrences matches {0..1} matches {	-- Areflexia
						value matches {
							0|[local::at0019], 	-- Absent
							1|[local::at0020]  	-- Present
						}
					}
					ELEMENT[at0002] occurrences matches {0..1} matches {	-- Hyperreflexia
						value matches {
							0|[local::at0021], 	-- Absent
							1|[local::at0022]  	-- Present
						}
					}
					ELEMENT[at0004] occurrences matches {0..1} matches {	-- Extensor plantar response
						value matches {
							0|[local::at0023], 	-- Absent
							1|[local::at0024]  	-- Present
						}
					}
					ELEMENT[at0005] occurrences matches {0..1} matches {	-- Spasticity
						value matches {
							0|[local::at0025], 	-- Absent
							1|[local::at0026]  	-- Present
						}
					}
					ELEMENT[at0006] occurrences matches {0..1} matches {	-- Paresis
						value matches {
							0|[local::at0027], 	-- Absent
							1|[local::at0028]  	-- Present
						}
					}
					ELEMENT[at0007] occurrences matches {0..1} matches {	-- Amyotrophy
						value matches {
							0|[local::at0029], 	-- Absent
							1|[local::at0030]  	-- Present
						}
					}
					ELEMENT[at0008] occurrences matches {0..1} matches {	-- Fasciculations
						value matches {
							0|[local::at0031], 	-- Absent
							1|[local::at0032]  	-- Present
						}
					}
					ELEMENT[at0009] occurrences matches {0..1} matches {	-- Myotonus
						value matches {
							0|[local::at0033], 	-- Absent
							1|[local::at0034]  	-- Present
						}
					}
					ELEMENT[at0010] occurrences matches {0..1} matches {	-- Rigidity
						value matches {
							0|[local::at0035], 	-- Absent
							1|[local::at0036]  	-- Present
						}
					}
					ELEMENT[at0011] occurrences matches {0..1} matches {	-- Chorea
						value matches {
							0|[local::at0037], 	-- Absent
							1|[local::at0038]  	-- Present
						}
					}
					ELEMENT[at0012] occurrences matches {0..1} matches {	-- Dystonia
						value matches {
							0|[local::at0039], 	-- Absent
							1|[local::at0040]  	-- Present
						}
					}
					ELEMENT[at0013] occurrences matches {0..1} matches {	-- Resting tremor
						value matches {
							0|[local::at0041], 	-- Absent
							1|[local::at0042]  	-- Present
						}
					}
					ELEMENT[at0014] occurrences matches {0..1} matches {	-- Sensory symptoms
						value matches {
							0|[local::at0043], 	-- Absent
							1|[local::at0044]  	-- Present
						}
					}
					ELEMENT[at0015] occurrences matches {0..1} matches {	-- Brainstem oculomotor signs
						value matches {
							0|[local::at0045], 	-- Absent
							1|[local::at0046]  	-- Present
						}
					}
					ELEMENT[at0016] occurrences matches {0..1} matches {	-- Urinary dysfunction
						value matches {
							0|[local::at0047], 	-- Absent
							1|[local::at0048]  	-- Present
						}
					}
					ELEMENT[at0017] occurrences matches {0..1} matches {	-- Cognitive impairment
						value matches {
							0|[local::at0049], 	-- Absent
							1|[local::at0050]  	-- Present
						}
					}
					ELEMENT[at0018] occurrences matches {0..1} matches {	-- Total score
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..16|}
							}
						}
					}
					ELEMENT[at0051] occurrences matches {0..1} matches {	-- Clinical interpretation
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0052] matches {	-- 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 = <"INAS Count">
					description = <"Inventory of Non-Ataxia signs (INAS) count.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Hyperreflexia">
					description = <"Assessment of presence or absence of hyperreflexia symptoms.">
				>
				["at0003"] = <
					text = <"Areflexia">
					description = <"Assessment of presence or absence of areflexia symptoms.">
				>
				["at0004"] = <
					text = <"Extensor plantar response">
					description = <"Assessment of presence or absence of extensor plantar response symptoms.">
				>
				["at0005"] = <
					text = <"Spasticity">
					description = <"Assessment of presence or absence of spasticity symptoms.">
				>
				["at0006"] = <
					text = <"Paresis">
					description = <"Assessment of presence or absence of paresis symptoms.">
				>
				["at0007"] = <
					text = <"Amyotrophy">
					description = <"Assessment of presence or absence of amyotrophy symptoms.">
				>
				["at0008"] = <
					text = <"Fasciculations">
					description = <"Assessment of presence or absence of fasciculations symptoms.">
				>
				["at0009"] = <
					text = <"Myotonus">
					description = <"Assessment of presence or absence of myotonus symptoms.">
				>
				["at0010"] = <
					text = <"Rigidity">
					description = <"Assessment of presence or absence of rigidity symptoms.">
				>
				["at0011"] = <
					text = <"Chorea">
					description = <"Assessment of presence or absence of chorea symptoms.">
				>
				["at0012"] = <
					text = <"Dystonia">
					description = <"Assessment of presence or absence of dystonia symptoms.">
				>
				["at0013"] = <
					text = <"Resting tremor">
					description = <"Assessment of presence or absence of resting tremor symptoms.">
				>
				["at0014"] = <
					text = <"Sensory symptoms">
					description = <"Assessment of presence or absence of sensory symptoms.">
				>
				["at0015"] = <
					text = <"Brainstem oculomotor signs">
					description = <"Assessment of presence or absence of brainstem oculomotor signs (horizontal and vertical ophthalmoparesis, slowing of saccades).">
				>
				["at0016"] = <
					text = <"Urinary dysfunction">
					description = <"Assessment of presence or absence of urinary dysfunction symptoms.">
				>
				["at0017"] = <
					text = <"Cognitive impairment">
					description = <"Assessment of presence or absence of cognitive impairment symptoms.">
				>
				["at0018"] = <
					text = <"Total score">
					description = <"Total INAS count from 16 signs or syndromes.">
				>
				["at0019"] = <
					text = <"Absent">
					description = <"Areflexia symptoms are absent.">
				>
				["at0020"] = <
					text = <"Present">
					description = <"Areflexia symptoms are present.">
				>
				["at0021"] = <
					text = <"Absent">
					description = <"Hyperreflexia symptoms are absent.">
				>
				["at0022"] = <
					text = <"Present">
					description = <"Hyperreflexia symptoms are present.">
				>
				["at0023"] = <
					text = <"Absent">
					description = <"Extensor plantar response symptoms are absent.">
				>
				["at0024"] = <
					text = <"Present">
					description = <"Extensor plantar response symptoms are present.">
				>
				["at0025"] = <
					text = <"Absent">
					description = <"Spasticity symptoms are absent.">
				>
				["at0026"] = <
					text = <"Present">
					description = <"Spasticity symptoms are present.">
				>
				["at0027"] = <
					text = <"Absent">
					description = <"Paresis symptoms are absent.">
				>
				["at0028"] = <
					text = <"Present">
					description = <"Paresis symptoms are present.">
				>
				["at0029"] = <
					text = <"Absent">
					description = <"Amyotrophy symptoms are absent.">
				>
				["at0030"] = <
					text = <"Present">
					description = <"Amyotrophy symptoms are present.">
				>
				["at0031"] = <
					text = <"Absent">
					description = <"Fasciculations symptoms are absent.">
				>
				["at0032"] = <
					text = <"Present">
					description = <"Fasciculations symptoms are present.">
				>
				["at0033"] = <
					text = <"Absent">
					description = <"Myotonus symptoms are absent.">
				>
				["at0034"] = <
					text = <"Present">
					description = <"Myotonous symptoms are present.">
				>
				["at0035"] = <
					text = <"Absent">
					description = <"Rigidity symptoms are absent.">
				>
				["at0036"] = <
					text = <"Present">
					description = <"Rigidity symptoms are present.">
				>
				["at0037"] = <
					text = <"Absent">
					description = <"Chorea symptoms are absent.">
				>
				["at0038"] = <
					text = <"Present">
					description = <"Chorea symptoms are present.">
				>
				["at0039"] = <
					text = <"Absent">
					description = <"Dystonia symptoms are absent.">
				>
				["at0040"] = <
					text = <"Present">
					description = <"Dystonia symptoms are present.">
				>
				["at0041"] = <
					text = <"Absent">
					description = <"Resting tremor symptoms are absent.">
				>
				["at0042"] = <
					text = <"Present">
					description = <"Resting tremor symptoms are present.">
				>
				["at0043"] = <
					text = <"Absent">
					description = <"Sensory symptoms are absent.">
				>
				["at0044"] = <
					text = <"Present">
					description = <"Sensory symptoms are present.">
				>
				["at0045"] = <
					text = <"Absent">
					description = <"Brainstem oculomotor signs are absent.">
				>
				["at0046"] = <
					text = <"Present">
					description = <"Brainstem oculomotor signs are present.">
				>
				["at0047"] = <
					text = <"Absent">
					description = <"Urinary dysfunction symptoms are absent.">
				>
				["at0048"] = <
					text = <"Present">
					description = <"Urinary dysfunction symptoms are present.">
				>
				["at0049"] = <
					text = <"Absent">
					description = <"Cognitive impairment symptoms are absent.">
				>
				["at0050"] = <
					text = <"Present">
					description = <"Cognitive impairment symptoms are present.">
				>
				["at0051"] = <
					text = <"Clinical interpretation">
					description = <"Narrative interpretation of assessment.">
				>
				["at0052"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0053"] = <
					text = <"Extension">
					description = <"Additional information required to capture local context or to align with other reference models/formalisms.">
					comment = <"e.g. Local hospital departmental infomation or additional metadata to align with HL7 or CDISC equivalents.">
				>
			>
		>
	>