TEST Conditions
Name
MMT8 Assessment
Description
Manual Muscle Testing (8 muscle groups) Assessment.
Purpose
For the recording of results of the MMT8 (Manual Muscle testing - 8 muscle groups) assessment.
Use
Use to record the gradings for manual muscle testing - 8 muscle groups.
References
https://www.niehs.nih.gov/research/resources/assets/docs/mmt8_grading_and_testing_procedures_for_the_abbreviated_8_muscle_groups_508.pdf
Archetype Id
openEHR-EHR-EVALUATION.mmt8.v0
Copyright
© Clinical Models UK
Licencing
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/.
Original Author
Hildegard Franke
freshEHR Clinical Informatics Ltd.
Date Originally Authored
2016-11-23
Name Card Type Description
Deltoid sitting (AG)
0..1 DV_COUNT Grading of deltoid muscle group with patient in sitting (anti-gravity) position.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Deltoid supine (GE)
0..1 DV_COUNT Grading of deltoid muscle group with patient in supine (gravity-eliminated) position (for weaker patients only).
Constraint for DV_COUNT
min: >= 0; max: <= 10
Biceps sitting (AG)
0..1 DV_COUNT Grading of biceps muscle group with patient in sitting (anti-gravity) position.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Biceps sidelying (GE)
0..1 DV_COUNT Grading of biceps muscle group with patient in sidelying (gravity-eliminated) position (used for weaker patients only).
Constraint for DV_COUNT
min: >= 0; max: <= 10
Wrist extensor sitting (AG)
0..1 DV_COUNT Grading of wrist extensor muscle group with patient in sitting (anti-gravity) position.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Wrist extensor neutral (GE)
0..1 DV_COUNT Grading of wrist extensor muscle group with patient in neutral (gravity-eliminated) position (used for weaker patients only).
Constraint for DV_COUNT
min: >= 0; max: <= 10
Quadriceps sitting (AG)
0..1 DV_COUNT Grading of quadriceps muscle group with patient in sitting (anti-gravity) position.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Quadriceps sidelying (GE)
0..1 DV_COUNT Grading of quadriceps muscle group with patient in sidelying (gravity-eliminated) position used for weaker patients only).
Constraint for DV_COUNT
min: >= 0; max: <= 10
Ankle dorsiflexors sitting (AG)
0..1 DV_COUNT Grading of ankle dorsiflexors muscle group with patient in sitting (anti-gravity) position.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Ankle dorsiflexors sidelying (GE)
0..1 DV_COUNT Grading of ankle dorsiflexor muscle group with patient in sidelying (gravity-eliminated) position (used for weaker patients only).
Constraint for DV_COUNT
min: >= 0; max: <= 10
Neck flexors supine (AG)
0..1 DV_COUNT Grading of neck flexors muscle group with patient in supine (anti-gravity) position.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Neck flexors sidelying (GE)
0..1 DV_COUNT Grading of neck flexor muscle group with patient in sidelying (gravity-eliminated) position (used for weaker patients only).
Constraint for DV_COUNT
min: >= 0; max: <= 10
Gluteus medius sidelying (AG)
0..1 DV_COUNT Grading of gluteus medius muscle group with patient in sidelying (anti-gravity) position.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Gluteus medius supine (GE)
0..1 DV_COUNT Grading of gluteus medius muscle group with patient in supine (gravity-eliminated) position (used for weaker patients only).
Constraint for DV_COUNT
min: >= 0; max: <= 10
Gluteus maximus prone (AG)
0..1 DV_COUNT Grading of gluteus maximus muscle group with patient in prone (anti-gravity) position.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Gluteus maximus sidelying (GE)
0..1 DV_COUNT Grading of gluteus maximus muscle group with patient in sidelying (gravity-eliminated) position (used for weaker patients only).
Constraint for DV_COUNT
min: >= 0; max: <= 10
Total score
0..1 DV_COUNT The total score from all 8 muscles groups, counting each muscle group only once, either in anti-gravity position (AG) or gravity-eliminated position (GE).
Constraint for DV_COUNT
min: >= 0; max: <= 80
Clinical interpretation
0..1 DV_TEXT Narrative interpretation of assessment.
Name Card Type Description
Extension
0..* Slot (Cluster) 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.
Slot
Slot
archetype (adl_version=1.4; uid=14304f91-58ff-4cea-9696-a7f82f49a954)
	openEHR-EHR-EVALUATION.mmt8.v0

concept
	[at0000]	-- MMT8 Assessment
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 results of the MMT8 (Manual Muscle testing - 8 muscle groups) assessment.">
			use = <"Use to record the gradings for manual muscle testing - 8 muscle groups.">
			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"] = <"https://www.niehs.nih.gov/research/resources/assets/docs/mmt8_grading_and_testing_procedures_for_the_abbreviated_8_muscle_groups_508.pdf">
		["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"] = <"6998DA2A14F82A71961365BC7E50C644">
		["build_uid"] = <"abc40ee7-6e22-4f19-b889-a18c3c1272d2">
		["revision"] = <"0.0.1-alpha">
	>

definition
	EVALUATION[at0000] matches {	-- MMT8 Assessment
		data matches {
			ITEM_TREE[at0001] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0002] occurrences matches {0..1} matches {	-- Deltoid sitting (AG)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0003] occurrences matches {0..1} matches {	-- Deltoid supine (GE)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0004] occurrences matches {0..1} matches {	-- Biceps sitting (AG)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0005] occurrences matches {0..1} matches {	-- Biceps sidelying (GE)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0006] occurrences matches {0..1} matches {	-- Wrist extensor sitting (AG)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0007] occurrences matches {0..1} matches {	-- Wrist extensor neutral (GE)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0008] occurrences matches {0..1} matches {	-- Quadriceps sitting (AG)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0009] occurrences matches {0..1} matches {	-- Quadriceps sidelying (GE)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0010] occurrences matches {0..1} matches {	-- Ankle dorsiflexors sitting (AG)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0011] occurrences matches {0..1} matches {	-- Ankle dorsiflexors sidelying (GE)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0012] occurrences matches {0..1} matches {	-- Neck flexors supine (AG)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0013] occurrences matches {0..1} matches {	-- Neck flexors sidelying (GE)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0014] occurrences matches {0..1} matches {	-- Gluteus medius sidelying (AG)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0015] occurrences matches {0..1} matches {	-- Gluteus medius supine (GE)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0016] occurrences matches {0..1} matches {	-- Gluteus maximus prone (AG)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0017] occurrences matches {0..1} matches {	-- Gluteus maximus sidelying (GE)
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..10|}
							}
						}
					}
					ELEMENT[at0018] occurrences matches {0..1} matches {	-- Total score
						value matches {
							DV_COUNT matches {
								magnitude matches {|0..80|}
							}
						}
					}
					ELEMENT[at0019] occurrences matches {0..1} matches {	-- Clinical interpretation
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0020] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0021] occurrences matches {0..*} matches {	-- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"MMT8 Assessment">
					description = <"Manual Muscle Testing (8 muscle groups) Assessment.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Deltoid sitting (AG)">
					description = <"Grading of deltoid muscle group with patient in sitting (anti-gravity) position.">
				>
				["at0003"] = <
					text = <"Deltoid supine (GE)">
					description = <"Grading of deltoid muscle group with patient in supine (gravity-eliminated) position (for weaker patients only).">
				>
				["at0004"] = <
					text = <"Biceps sitting (AG)">
					description = <"Grading of biceps muscle group with patient in sitting (anti-gravity) position.">
				>
				["at0005"] = <
					text = <"Biceps sidelying (GE)">
					description = <"Grading of biceps muscle group with patient in sidelying (gravity-eliminated) position (used for weaker patients only).">
				>
				["at0006"] = <
					text = <"Wrist extensor sitting (AG)">
					description = <"Grading of wrist extensor muscle group with patient in sitting (anti-gravity) position.">
				>
				["at0007"] = <
					text = <"Wrist extensor neutral (GE)">
					description = <"Grading of wrist extensor muscle group with patient in neutral (gravity-eliminated) position (used for weaker patients only).">
				>
				["at0008"] = <
					text = <"Quadriceps sitting (AG)">
					description = <"Grading of quadriceps muscle group with patient in sitting (anti-gravity) position.">
				>
				["at0009"] = <
					text = <"Quadriceps sidelying (GE)">
					description = <"Grading of quadriceps muscle group with patient in sidelying (gravity-eliminated) position used for weaker patients only).">
				>
				["at0010"] = <
					text = <"Ankle dorsiflexors sitting (AG)">
					description = <"Grading of ankle dorsiflexors muscle group with patient in sitting (anti-gravity) position.">
				>
				["at0011"] = <
					text = <"Ankle dorsiflexors sidelying (GE)">
					description = <"Grading of ankle dorsiflexor muscle group with patient in sidelying (gravity-eliminated) position (used for weaker patients only).">
				>
				["at0012"] = <
					text = <"Neck flexors supine (AG)">
					description = <"Grading of neck flexors muscle group with patient in supine (anti-gravity) position.">
				>
				["at0013"] = <
					text = <"Neck flexors sidelying (GE)">
					description = <"Grading of neck flexor muscle group with patient in sidelying (gravity-eliminated) position (used for weaker patients only).">
				>
				["at0014"] = <
					text = <"Gluteus medius sidelying (AG)">
					description = <"Grading of gluteus medius muscle group with patient in sidelying (anti-gravity) position.">
				>
				["at0015"] = <
					text = <"Gluteus medius supine (GE)">
					description = <"Grading of gluteus medius muscle group with patient in supine (gravity-eliminated) position (used for weaker patients only).">
				>
				["at0016"] = <
					text = <"Gluteus maximus prone (AG)">
					description = <"Grading of gluteus maximus muscle group with patient in prone (anti-gravity) position.">
				>
				["at0017"] = <
					text = <"Gluteus maximus sidelying (GE)">
					description = <"Grading of gluteus maximus muscle group with patient in sidelying (gravity-eliminated) position (used for weaker patients only).">
				>
				["at0018"] = <
					text = <"Total score">
					description = <"The total score from all 8 muscles groups, counting each muscle group only once, either in anti-gravity position (AG) or gravity-eliminated position (GE).">
				>
				["at0019"] = <
					text = <"Clinical interpretation">
					description = <"Narrative interpretation of assessment.">
				>
				["at0020"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0021"] = <
					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.">
				>
			>
		>
	>