OpenEHR Apperta Mirror
Name
ATRS
Description
Achilles Tendon Total Rupture Score (ATRS).
Purpose
For the capture and reporting of patient-reported limitations and difficulties relating to Achilles tendon injury (ATRS = Achilles Tendon Total Rupture Score).
Use
Use to record patient-reported limitations and difficulties relating to injured Achilles tendon.

While openEHR archetypes are all freely available under an open license, the specific content of this archetype may be copyright protected. Any use of this archetype within implementations must be in compliance with the terms established by the copyright owners where a copyright exists.
Misuse
Not to be used unless the terms of copyright have been observed (if a copyright exists).
References
http://www.londonorthopaedicsurgery.co.uk/media/1467/ATRS-questionnaire.pdf cited 02-Oct-2017
Archetype Id
openEHR-EHR-OBSERVATION.atrs.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
2017-10-02
Name Card Type Description
Limitation due to decreased strength
0..1 DV_COUNT Assessment of degree of limitation due to decreased strength in calf or Achilles tendon or foot.
Comment
Questionnaire wording: Are you limited due to decreased strength in the calf/Achilles tendon/foot? 0=Major limitation, 10=No limitations.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Limitation due to fatigue
0..1 DV_COUNT Assessment of degree of limitation due to fatigue in calf or Achilles tendon or foot.
Comment
Questionnaire wording: Are you limited due to fatigue in the calf/Achilles tendon/foot? 0=Major limitation, 10=No limitations.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Limitation due to stiffness
0..1 DV_COUNT Assessment of degree of limitation due to stiffness in calf or Achilles tendon or foot.
Comment
Questionnaire wording: Are you limited due to stiffness in the calf/Achilles tendon/foot? 0=Major limitation, 10=No limitations.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Limitation due to pain
0..1 DV_COUNT Assessment of degree of limitation due to pain in calf or Achilles tendon or foot.
Comment
Questionnaire wording: Are you limited due to pain in the calf/Achilles tendon/foot? 0=Major limitation, 10=No limitations.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Limitation during activities of daily living
0..1 DV_COUNT Assessment of degree of limitation during activities of daily living.
Comment
Questionnaire wording: Are you limited during activities of daily living? 0=Major limitation, 10=No limitations.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Limitation walking on uneven surfaces
0..1 DV_COUNT Assessment of degree of limitation when walking on uneven surfaces.
Comment
Questionnaire wording: Are you limited when walking on uneven surfaces? 0=Major limitation, 10=No limitations.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Limitation walking quickly up stairs or hill
0..1 DV_COUNT Assessment of degree of limitation when walking quickly up the stairs or up a hill.
Comment
Questionnaire wording: Are you limited when walking quickly up the stairs or up a hill? 0=Major limitation, 10=No limitation.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Limitation running
0..1 DV_COUNT Assessment of degree of limitation during activities that include running.
Comment
Questionnaire wording: Are you limited during activities that include running? 0=Major limitation, 10=No limitation.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Limitation jumping
0..1 DV_COUNT Assessment of degree of limitation during activities that include jumping.
Comment
Questionnaire wording: Are you limited during activities that include jumping? 0=Major limitation, 10=No limitations.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Limitation performing hard physical labour
0..1 DV_COUNT Assessment of degree of limitation performing hard physical labour.
Comment
Questionnaire wording: Are you limited in performing hard physical labour? 0=Major limitation, 10=No limitations.
Constraint for DV_COUNT
min: >= 0; max: <= 10
Total score
0..1 DV_COUNT Total score from all individual scores.
Constraint for DV_COUNT
min: >= 0; max: <= 100
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=91e5614f-2336-49ff-a066-2ab8183bda70)
	openEHR-EHR-OBSERVATION.atrs.v0

concept
	[at0000]	-- ATRS
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Hildegard Franke">
		["organisation"] = <"freshEHR Clinical Informatics Ltd.">
		["email"] = <"hildi@freshehr.com">
		["date"] = <"2017-10-02">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"For the capture and reporting of patient-reported limitations and difficulties relating to Achilles tendon injury (ATRS = Achilles Tendon Total Rupture Score).">
			use = <"Use to record patient-reported limitations and difficulties relating to injured Achilles tendon.

While openEHR archetypes are all freely available under an open license, the specific content of this archetype may be copyright protected. Any use of this archetype within implementations must be in compliance with the terms established by the copyright owners where a copyright exists.">
			misuse = <"Not to be used unless the terms of copyright have been observed (if a copyright exists).">
			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"] = <"http://www.londonorthopaedicsurgery.co.uk/media/1467/ATRS-questionnaire.pdf cited 02-Oct-2017">
		["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"] = <"C6984A0F14AD71501FFA89812FC7A497">
		["build_uid"] = <"1d606868-59ed-4e44-8289-114019ccba9b">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {	-- ATRS
		data matches {
			HISTORY[at0001] matches {	-- Event Series
				events cardinality matches {1..*; unordered} matches {
					POINT_EVENT[at0002] occurrences matches {0..1} matches {	-- Point in time
						data matches {
							ITEM_TREE[at0003] matches {	-- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0008] occurrences matches {0..1} matches {	-- Limitation due to decreased strength
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0009] occurrences matches {0..1} matches {	-- Limitation due to fatigue
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0010] occurrences matches {0..1} matches {	-- Limitation due to stiffness
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0011] occurrences matches {0..1} matches {	-- Limitation due to pain
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0012] occurrences matches {0..1} matches {	-- Limitation during activities of daily living
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0013] occurrences matches {0..1} matches {	-- Limitation walking on uneven surfaces
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0014] occurrences matches {0..1} matches {	-- Limitation walking quickly up stairs or hill
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0015] occurrences matches {0..1} matches {	-- Limitation running
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0016] occurrences matches {0..1} matches {	-- Limitation jumping
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..10|}
											}
										}
									}
									ELEMENT[at0017] occurrences matches {0..1} matches {	-- Limitation performing hard physical labour
										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..100|}
											}
										}
									}
								}
							}
						}
						state matches {
							ITEM_TREE[at0006] matches {	-- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0007] occurrences matches {0..*} matches {	-- Confounding factors
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0004] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0005] occurrences matches {0..*} matches {	-- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	terminologies_available = <"en", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"ATRS">
					description = <"Achilles Tendon Total Rupture Score (ATRS).">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Point in time">
					description = <"A specific date and/or time which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0005"] = <
					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.">
				>
				["at0006"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0007"] = <
					text = <"Confounding factors">
					description = <"Record any issues or factors that may impact on the overall assessment or score.">
				>
				["at0008"] = <
					text = <"Limitation due to decreased strength">
					description = <"Assessment of degree of limitation due to decreased strength in calf or Achilles tendon or foot.">
					comment = <"Questionnaire wording: Are you limited due to decreased strength in the calf/Achilles tendon/foot? 0=Major limitation, 10=No limitations.">
				>
				["at0009"] = <
					text = <"Limitation due to fatigue">
					description = <"Assessment of degree of limitation due to fatigue in calf or Achilles tendon or foot.">
					comment = <"Questionnaire wording: Are you limited due to fatigue in the calf/Achilles tendon/foot? 0=Major limitation, 10=No limitations.">
				>
				["at0010"] = <
					text = <"Limitation due to stiffness">
					description = <"Assessment of degree of limitation due to stiffness in calf or Achilles tendon or foot.">
					comment = <"Questionnaire wording: Are you limited due to stiffness in the calf/Achilles tendon/foot? 0=Major limitation, 10=No limitations.">
				>
				["at0011"] = <
					text = <"Limitation due to pain">
					description = <"Assessment of degree of limitation due to pain in calf or Achilles tendon or foot.">
					comment = <"Questionnaire wording: Are you limited due to pain in the calf/Achilles tendon/foot? 0=Major limitation, 10=No limitations.">
				>
				["at0012"] = <
					text = <"Limitation during activities of daily living">
					description = <"Assessment of degree of limitation during activities of daily living.">
					comment = <"Questionnaire wording: Are you limited during activities of daily living? 0=Major limitation, 10=No limitations.">
				>
				["at0013"] = <
					text = <"Limitation walking on uneven surfaces">
					description = <"Assessment of degree of limitation when walking on uneven surfaces.">
					comment = <"Questionnaire wording: Are you limited when walking on uneven surfaces? 0=Major limitation, 10=No limitations.">
				>
				["at0014"] = <
					text = <"Limitation walking quickly up stairs or hill">
					description = <"Assessment of degree of limitation when walking quickly up the stairs or up a hill.">
					comment = <"Questionnaire wording: Are you limited when walking quickly up the stairs or up a hill? 0=Major limitation, 10=No limitation.">
				>
				["at0015"] = <
					text = <"Limitation running">
					description = <"Assessment of degree of limitation during activities that include running.">
					comment = <"Questionnaire wording: Are you limited during activities that include running? 0=Major limitation, 10=No limitation.">
				>
				["at0016"] = <
					text = <"Limitation jumping">
					description = <"Assessment of degree of limitation during activities that include jumping.">
					comment = <"Questionnaire wording: Are you limited during activities that include jumping? 0=Major limitation, 10=No limitations.">
				>
				["at0017"] = <
					text = <"Limitation performing hard physical labour">
					description = <"Assessment of degree of limitation performing hard physical labour.">
					comment = <"Questionnaire wording: Are you limited in performing hard physical labour? 0=Major limitation, 10=No limitations.">
				>
				["at0018"] = <
					text = <"Total score">
					description = <"Total score from all individual scores.">
				>
			>
		>
	>