Archetype : openEHR-EHR-OBSERVATION.chaq

OpenEHR Apperta Mirror

Name

Childhood Health Assessment Questionnaire

Description

The Childhood Health Assessment Questionnaire for arthritis.

Purpose

For the recording of details of the Childhood Health Assessment Questionnaire used to assess how a child's arthritis affects his or her ability to function in daily life.

Use

To record the details of the Childhood Health Assessment Questionnaire used in Rare Diseases management settings to assess how a child's arthritis affects his or her ability to function in daily life.

The questionnaire is completed by parents or carers of the child, and it is intended that the person completing the questionnaire checks the one response which best describes the child's usual activities (averaged over an entire day) OVER THE PAST WEEK. It is also intended that only those difficulties or limitations are noted which are due to illness. If most children at the child's age are not expected to do a certain activity, the responder should mark it as "Not Applicable". For example, if the child has difficulty in doing a certain activity or is unable to do it because he/she is too young but not because he/she is RESTRICTED BY ILLNESS, the activity should be marked as "NOT Applicable".

References

Childhood Health Assessment Questionnaire cited 26-Oct-2016 https://www.niehs.nih.gov/research/resources/assets/docs/chaq_instructions_508.pdf

Childhood Health Assessment Questionnaire cited 26-Oct-2016 http://www.badbir.org/Website%20data/Ethical%20Approval/Amendment8/12.%20CHAQ%20form.pdf

Archetype Id

openEHR-EHR-OBSERVATION.chaq.v0

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

2016-10-26

Name	Card	Type	Description
Dressing and grooming	0..1	CLUSTER	Assessment of child's ability to perform functions related to dressing and grooming. CLUSTER
Dress	0..1	DV_CODED_TEXT	Assessment of child's ability to dress, including tying shoelaces and doing buttons. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to dress without any difficulty.] With some difficulty [The child is able to dress with some difficulty.] With much difficulty [The child is able to dress with much difficulty.] Unable to do [The child is unable to dress.] Not applicable [This question is not applicable.]
Shampoo	0..1	DV_CODED_TEXT	Assessment of the child's ability to shampoo his or her hair. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to shampoo his or her hair without any difficulty.] With some difficulty [The child is able to shampoo his or her hair with some difficulty.] With much difficulty [The child is able to shampoo his or her hair with much difficulty.] Unable to do [The child is unable to shampoo his or her hair.] Not applicable [This question is not applicable.]
Remove socks	0..1	DV_CODED_TEXT	Assessment of the child's ability to remove socks. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to remove socks without any difficulty.] With some difficulty [The child is able to remove socks with some difficulty.] With much difficulty [The child is able to remove socks with much difficulty.] Unable to do [The child is unable to remove socks.] Not applicable [This question is not applicable.]
Cut fingernails	0..1	DV_CODED_TEXT	Assessment of the child's ability to cut his or her fingernails. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to cut his or her fingernails without any difficulty.] With some difficulty [The child is able to cut his or her fingernails with some difficulty.] With much difficulty [The child is unable to cut his or her fingernails with much difficulty.] Unable to do [The child is unable to cut his or her fingernails.] Not applicable [This question is not applicable.]
Arising	0..1	CLUSTER	Assessment of the child's ability to stand up from low chair or floor or get in and out of bed or stand up in a crib. CLUSTER
Stand up	0..1	DV_CODED_TEXT	Assessment of child's ability to stand up from low chair or floor. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to stand up from low chair or floor without any difficulty.] With some difficulty [The child is able to stand up from low chair or floor with some difficulty.] With much difficulty [The child is able to stand up from low chair or floor with much difficulty.] Unable to do [The child is unable to stand up from low chair or floor.] Not applicable [This question is not applicable.]
Get in and out of bed or stand up in crib	0..1	DV_CODED_TEXT	Assessment of the child's ability to get in and out of bed or stand up in a crib. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to get in and out of bed or stand up in a crib without any difficulty.] With some difficulty [The child is able to get in and out of bed or stand up in a crib with some difficulty.] With much difficulty [The child is able to get in and out of bed or stand up in a crib with much difficulty.] Unable to do [The child is unable to get in and out of bed or stand up in a crib.] Not applicable [The question is not applicable.]
Eating	0..1	CLUSTER	Assessment of the child's ability to perform functions related to eating. CLUSTER
Cut meat	0..1	DV_CODED_TEXT	Assessment of the child's ability to cut his or her own meat. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to cut his or her own meat without any difficulty.] With some difficulty [The child is able to cut his or her own meat with some difficulty.] With much difficulty [The child is able to cut his or her own meat with much difficulty.] Unable to do [The child is unable to cut his or her own meat.] Not applicable [This question is not applicable.]
Lift up cup or glass to mouth	0..1	DV_CODED_TEXT	Assessment of the child's ability to lift a cup or glass to mouth. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to lift a cup or glass to mouth without any difficulty.] With some difficulty [The child is able to lift a cup or glass to mouth with some difficulty.] With much difficulty [The child is able to lift a cup or glass to mouth with much difficulty.] Unable to do [The child is unable to lift a cup or glass to mouth.] Not applicable [This question is not applicable.]
Open new cereal box	0..1	DV_CODED_TEXT	Assessment of the child's ability to open a new cereal box. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to open a new cereal box without any difficulty.] WIth some difficulty [The child is able to open a new cereal box with some difficulty.] With much difficulty [The child is able to open a new cereal box with much difficulty.] Unable to do [The child is unable to open a new cereal box.] Not applicable [This question is not applicable.]
Walking	0..1	CLUSTER	Assessment of the child's ability to perform functions related to walking. CLUSTER
Walk outdoors on flat ground	0..1	DV_CODED_TEXT	Assessment of the child's ability to walk outdoors on flat ground. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to walk outdoors on flat ground without any difficulty.] With some difficulty [The child is able to walk outdoors on flat ground with some difficulty.] With much difficulty [The child is able to walk outdoors on flat ground with much difficulty.] Unable to do [The child is unable to walk outdoors on flat ground.] Not applicable [The question is not applicable.]
Climb up five steps	0..1	DV_CODED_TEXT	Assessment of the child's ability to climb up five steps. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to climb up five steps without any difficulty.] With some difficulty [The child is able to climb up five steps with some difficulty.] With much difficulty [The child is able to climb up five steps with much difficulty.] Unable to do [The child is unable to climb up five steps.] Not applicable [The question is not applicable.]
Devices used	0..*	CHOICE OF DV_CODED_TEXT DV_TEXT	Statement about the aids or devices usually used by the child for dressing, grooming, arising, eating and walking. Constraint for DV_CODED_TEXT Cane [The child usually uses a cane.] Walker [The child usually uses a walker.] Crutches [The child usually uses crutches.] Wheelchair [The child usually uses a wheelchair.] Dressing aids [The child usually using devices used dor dressing, such as button hook, zipper pull, long-handled shoe horn,etc.] Built up pencil or special utensils [The child usually uses a built up pencil or special utensils.] Special or built up chair [The child usually uses a special or built-up chair.]
Needs help from other person	0..*	DV_CODED_TEXT	Statement of which activity categories (dressing and grooming, arising, eating and walking) usually require help for the child from another person because of the child's illness. Constraint for DV_CODED_TEXT Dressing and grooming [The child usually needs help from another person for dressing and grooming because of his or her illness.] Arising [The child usually needs help from another person for arising because of his or her illness.] Eating [The child usually needs help from another person for eating because of his or her illness.] Walking [The child usually needs help from another person for walking because of his or her illness.]
Hygiene	0..1	CLUSTER	Assessment of the child's ability to perform functions related to hygiene. CLUSTER
Wash and dry entire body	0..1	DV_CODED_TEXT	Assessment of the child's ability to wash and dry entire body. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to wash and dry his or her entire body without any difficulty.] With some difficulty [The child is able to wash and dry his or her entire body with some difficulty.] With much difficulty [The child is able to wash and dry his or her entire body with much difficulty.] Unable to do [The child is unable to wash and dry his or her entire body.] Not applicable [The question is not applicable.]
Take a tub bath	0..1	DV_CODED_TEXT	Assessment of the child's ability to take a tub bath including getting in and out of the tub). Constraint for DV_CODED_TEXT Without any difficulty [The child is able to take a tub bath without any difficulty.] With some difficulty [The child is able to take a tub bath with some difficulty.] With much difficulty [The child is able to take a tub bath with much difficulty.] Unable to do [The child is unable to take a tub bath.] Not applicable [This question is not applicable.]
Get on and off toilet or potty chair	0..1	DV_CODED_TEXT	Assessment of the child's ability to get on and off the toilet or potty chair. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to get on and off toilet or potty chair without any difficulty.] With some difficulty [The child is able to get on and off toilet or potty chair with some difficulty.] With much difficulty [The child is able to get on and off toilet or potty chair with much difficulty.] Unable to do [The child is unable to get on and off toilet or potty chair.] Not applicable [This question is not applicable.]
Brush teeth	0..1	DV_CODED_TEXT	Assessment of the child's ability to brush his or her teeth. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to brush his or her teeth without any difficulty.] With some difficulty [The child is able to brush his or her teeth with some difficulty.] With much difficulty [The child is able to brush his or her teeth with much difficulty.] Unable to do [The child is unable to brush his or her teeth.] Not applicable [The question is not applicable.]
Comb or brush hair	0..1	DV_CODED_TEXT	Assessment of the child's ability to comb or brush his or her hair. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to comb or brush his or her hair without any difficulty.] With some difficulty [The child is able to comb or brush his or her hair with some difficulty.] With much difficulty [The child is able to comb or brush his or her hair with much difficulty.] Unable to do [The child is unable to comb or brush his or her hair.] Not applicable [The question is not applicable.]
Reach	0..1	CLUSTER	Assessment of the child's ability to perform functions related to reaching. CLUSTER
Reach and get down heavy object	0..1	DV_CODED_TEXT	Assessment of the child's ability to reach and get down a heavy object such as a large game or books from just above his/her head. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to reach and get down a heavy object such as a large game or books from just above his/her head without any difficulty.] With some difficulty [The child is able to reach and get down a heavy object such as a large game or books from just above his/her head with some difficulty.] With much difficulty [The child is able to reach and get down a heavy object such as a large game or books from just above his/her head with much difficulty.] Unable to do [The child is unable to reach and get down a heavy object such as a large game or books from just above his/her head.] Not applicable [The question is not applicable.]
Bend down to pick up	0..1	DV_CODED_TEXT	Assessment of the child's ability to bend down to pick up clothing or a piece of paper from the floor. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to bend down to pick up clothing or a piece of paper from the floor without any difficulty.] With some difficulty [The child is able to bend down to pick up clothing or a piece of paper from the floor with some difficulty.] With much difficulty [The child is able to bend down to pick up clothing or a piece of paper from the floor with much difficulty.] Unable to do [The child is unable to bend down to pick up clothing or a piece of paper from the floor.] Not applicable [The question is not applicable.]
Pull on sweater	0..1	DV_CODED_TEXT	Assessment of the child's ability to pull on a sweater over his or her head. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to pull on a sweater over his or her head without any difficulty.] With some difficulty [The child is able to pull on a sweater over his or her head with some difficulty.] With much difficulty [The child is able to pull on a sweater over his or her head with much difficulty.] Unable to do [The child is unable to pull on a sweater over his or her head.] Not applicable [The question is not applicable.]
Turn neck	0..1	DV_CODED_TEXT	Assessment of the child's ability to turn his or her neck to look back over his or her shoulder. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to turn his or her neck to look back over his or her shoulder without any difficulty.] With some difficulty [The child is able to turn his or her neck to look back over his or her shoulder with some difficulty.] With much difficulty [The child is able to turn his or her neck to look back over his or her shoulder with much difficulty.] Unable to do [The child is unable to turn his or her neck to look back over his or her shoulder.] Not applicable [The question is not applicable.]
Grip	0..1	CLUSTER	Assessment of the child's ability to perform functions related to gripping. CLUSTER
Write or scribble	0..1	DV_CODED_TEXT	Assessment of the child's ability to write or scribble with a pen or pencil. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to write or scribble with a pen or pencil without any difficulty.] With some difficulty [The child is able to write or scribble with a pen or pencil with some difficulty.] With much difficulty [The child is able to write or scribble with a pen or pencil with much difficulty.] Unable to do [The child is unable to write or scribble with a pen or pencil.] No applicable [The question is not applicable.]
Open car doors	0..1	DV_CODED_TEXT	Assessment of the child's ability to open car doors. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to open car doors without any difficulty.] With some difficulty [The child is able to open car doors with some difficulty.] With much difficulty [The child is able to open car doors with much difficulty.] Unable to do [The child is unable to open car doors.] Not applicable [The question is not applicable.]
Open jars	0..1	DV_CODED_TEXT	Assessment of child's ability to open jars that have been previously opened. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to open jars that have been previously opened without any difficulty.] With some difficulty [The child is able to open jars that have been previously opened with some difficulty.] With much difficulty [The child is able to open jars that have been previously opened with much difficulty.] Unable to do [The child is unable to open jars that have been previously opened.] Not applicable [The question is not applicable.]
Turn faucets on and off	0..1	DV_CODED_TEXT	Assessment of child's ability to turn faucets on and off. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to turn faucets on and off without any difficulty.] With some difficulty [The child is able to turn faucets on and off with some difficulty.] With much difficulty [The child is able to turn faucets on and off with much difficulty.] Unable to do [The child is unable to turn faucets on and off.] No applicable [The question is not applicable.]
Push open door	0..1	DV_CODED_TEXT	Assessment of the child's ability to push open a door when he or she has to turn a door knob. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to push open a door when he or she has to turn a door knob without any difficulty.] With some difficulty [The child is able to push open a door when he or she has to turn a door knob with some difficulty.] With much difficulty [The child is able to push open a door when he or she has to turn a door knob with much difficulty.] Unable to do [The child is unable to push open a door when he or she has to turn a door knob.] Not applicable [The question is not applicable.]
Activities	0..1	CLUSTER	Assessment of the child's ability to perform general activities. CLUSTER
Run errands and shop	0..1	DV_CODED_TEXT	Assessment of the child's ability to run errands and shop. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to run errands and shop without any difficulty.] With some difficulty [The child is able to run errands and shop with some difficulty.] With much difficulty [The child is able to run errands and shop with much difficulty.] Unable to do [The child is unable to run errands and shop.] Not applicable [The question is not applicable.]
Get in and out of car	0..1	DV_CODED_TEXT	Assessment of the child's ability to get in and out of a car, toy car or school bus. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to get in and out of car, toy car or school bus without any difficulty.] With some difficulty [The child is able to get in and out of car, toy car or school bus with some difficulty.] With much difficulty [The child is able to get in and out of car, toy car or school bus with much difficulty.] Unable to do [The child is unable to get in and out of car, toy car or school bus.] Not applicable [The question is not applicable.]
Ride bike or tricycle	0..1	DV_CODED_TEXT	Assessment of the child's ability to ride a bike or tricycle. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to ride a bike or tricycle without any difficulty.] With some difficulty [The child is able to ride a bike or tricycle with some difficulty.] With much difficulty [The child is able to ride a bike or tricycle with much difficulty.] Unable to do [The child is unable to ride a bike or tricycle.] Not applicable [The question is no applicable.]
Do household chores	0..1	DV_CODED_TEXT	Assessment of the child's ability to do household chores (e.g. wash dishes, take out trash, vacuuming, yardwork, make bed, clean room). Constraint for DV_CODED_TEXT Without any difficulty [The child is able to do household chores without any difficulty.] With some difficulty [The child is able to do household chores with some difficulty.] With much difficulty [The child is able to do household chores with much difficulty.] Unable to do [The child is unable to do household chores.] Not applicable [The question is not applicable.]
Run and play	0..1	DV_CODED_TEXT	Assessment of the child's ability to run and play. Constraint for DV_CODED_TEXT Without any difficulty [The child is able to run and play without any difficulty.] With some difficulty [The child is able to run and play with some difficulty.] With much difficulty [The child is able to run and play with much difficulty.] Unable to do [The child is unable to run and play.] Not applicable [The question is not applicable.]
Devices used	0..*	DV_CODED_TEXT	Statement about the aids or devices usually used by the child for hygiene, reach, grip and activities. Constraint for DV_CODED_TEXT Raised toilet seat [The child usually uses a raised toilet seat.] Bathtub seat [The child usually uses a bathtub seat.] Jar opener [The child usually uses a jar opener for jars that have been previously opened.] Bathtub bar [The child usually uses a bathtub bar.] Long-handled appliances for reach [The child usually uses long-handled appliances for reach.] Long-handled appliances in bathroom [The child usually uses long-handled appliances in the bathroom.]
Needs help from other person	0..1	DV_CODED_TEXT	Statement of which activity categories (hygiene, reach, gripping and opening and errands and chores) usually require help for the child from another person because of the child's illness. Constraint for DV_CODED_TEXT Hygiene [The child usually needs help from another person for hygiene because of his or her illness.] Reach [The child usually needs help from another person for reaching because of his or her illness.] Gripping and opening things [The child usually needs help from another person for gripping and opening things because of his or her illness.] Errands and chores [The child usually needs help from another person for errands and chores because of his or her illness.]
Pain score	0..1	DV_QUANTITY	Rating of how much pain the child has had because of his/her illness in the past week on a scale of 0 (no pain) to 100 (very severe pain). DV_QUANTITY
Global evaluation	0..1	DV_QUANTITY	Rating of how child is doing, considering all the ways arthritis is affecting him or her, on a scale of 0 (very well) to 100 (very poor). DV_QUANTITY
Total score	0..1	DV_QUANTITY	Total score from the eight assessment categories, with the highest score in each category counting towards the total score. Use of devices always scores 2, but can be superceded by a 3 score in that category. DV_QUANTITY
Disability Index	0..1	DV_QUANTITY	Calculated from the total score divided by the number of categories answered. DV_QUANTITY
Clinical interpretation	0..1	DV_TEXT	Narrative description of clinical interpretation.

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=cc362638-ca43-4782-a935-b8b0006da2df)
	openEHR-EHR-OBSERVATION.chaq.v0

concept
	[at0000]	-- Childhood Health Assessment Questionnaire
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Hildegard Franke">
		["organisation"] = <"freshEHR Clinical Informatics Ltd.">
		["email"] = <"hildi@freshehr.com">
		["date"] = <"2016-10-26">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"For the recording of details of the Childhood Health Assessment Questionnaire used to assess how a child's arthritis affects his or her ability to function in daily life.">
			use = <"To record the details of the Childhood Health Assessment Questionnaire used in Rare Diseases management settings to assess how a child's arthritis affects his or her ability to function in daily life.

The questionnaire is completed by parents or carers of the child, and it is intended that the person completing the questionnaire checks the one response which best describes the child's usual activities (averaged over an entire day) OVER THE PAST WEEK. It is also intended that only those difficulties or limitations are noted which are due to illness. If most children at the child's age are not expected to do a certain activity, the responder should mark it as \"Not Applicable\". For example, if the child has difficulty in doing a certain activity or is unable to do it because he/she is too young but not because he/she is RESTRICTED BY ILLNESS, the activity should be marked as \"NOT Applicable\".">
			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"] = <"Childhood Health Assessment Questionnaire cited 26-Oct-2016 https://www.niehs.nih.gov/research/resources/assets/docs/chaq_instructions_508.pdf

Childhood Health Assessment Questionnaire cited 26-Oct-2016 http://www.badbir.org/Website%20data/Ethical%20Approval/Amendment8/12.%20CHAQ%20form.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"] = <"CCB533AE2CCAA434FD265FA57013935C">
		["build_uid"] = <"83c5c54b-9836-4b80-b355-67123d9411a1">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {	-- Childhood Health Assessment Questionnaire
		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 {
									CLUSTER[at0008] occurrences matches {0..1} matches {	-- Dressing and grooming
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0004] occurrences matches {0..1} matches {	-- Dress
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0009, 	-- Without any difficulty
															at0010, 	-- With some difficulty
															at0011, 	-- With much difficulty
															at0012, 	-- Unable to do
															at0013]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0005] occurrences matches {0..1} matches {	-- Shampoo
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0014, 	-- Without any difficulty
															at0015, 	-- With some difficulty
															at0016, 	-- With much difficulty
															at0017, 	-- Unable to do
															at0018]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0006] occurrences matches {0..1} matches {	-- Remove socks
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0019, 	-- Without any difficulty
															at0020, 	-- With some difficulty
															at0021, 	-- With much difficulty
															at0022, 	-- Unable to do
															at0023]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0007] occurrences matches {0..1} matches {	-- Cut fingernails
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0024, 	-- Without any difficulty
															at0025, 	-- With some difficulty
															at0026, 	-- With much difficulty
															at0027, 	-- Unable to do
															at0028]	-- Not applicable
														}
													}
												}
											}
										}
									}
									CLUSTER[at0029] occurrences matches {0..1} matches {	-- Arising
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0030] occurrences matches {0..1} matches {	-- Stand up
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0031, 	-- Without any difficulty
															at0032, 	-- With some difficulty
															at0033, 	-- With much difficulty
															at0034, 	-- Unable to do
															at0035]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0036] occurrences matches {0..1} matches {	-- Get in and out of bed or stand up in crib
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0037, 	-- Without any difficulty
															at0038, 	-- With some difficulty
															at0039, 	-- With much difficulty
															at0040, 	-- Unable to do
															at0041]	-- Not applicable
														}
													}
												}
											}
										}
									}
									CLUSTER[at0042] occurrences matches {0..1} matches {	-- Eating
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0043] occurrences matches {0..1} matches {	-- Cut meat
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0044, 	-- Without any difficulty
															at0045, 	-- With some difficulty
															at0046, 	-- With much difficulty
															at0047, 	-- Unable to do
															at0048]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0049] occurrences matches {0..1} matches {	-- Lift up cup or glass to mouth
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0050, 	-- Without any difficulty
															at0051, 	-- With some difficulty
															at0052, 	-- With much difficulty
															at0053, 	-- Unable to do
															at0054]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0055] occurrences matches {0..1} matches {	-- Open new cereal box
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0056, 	-- Without any difficulty
															at0057, 	-- WIth some difficulty
															at0058, 	-- With much difficulty
															at0059, 	-- Unable to do
															at0060]	-- Not applicable
														}
													}
												}
											}
										}
									}
									CLUSTER[at0061] occurrences matches {0..1} matches {	-- Walking
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0062] occurrences matches {0..1} matches {	-- Walk outdoors on flat ground
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0063, 	-- Without any difficulty
															at0064, 	-- With some difficulty
															at0065, 	-- With much difficulty
															at0066, 	-- Unable to do
															at0067]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0068] occurrences matches {0..1} matches {	-- Climb up five steps
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0069, 	-- Without any difficulty
															at0070, 	-- With some difficulty
															at0071, 	-- With much difficulty
															at0072, 	-- Unable to do
															at0073]	-- Not applicable
														}
													}
												}
											}
										}
									}
									ELEMENT[at0074] occurrences matches {0..*} matches {	-- Devices used
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0075, 	-- Cane
													at0076, 	-- Walker
													at0077, 	-- Crutches
													at0078, 	-- Wheelchair
													at0079, 	-- Dressing aids
													at0080, 	-- Built up pencil or special utensils
													at0081]	-- Special or built up chair
												}
											}
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0082] occurrences matches {0..*} matches {	-- Needs help from other person
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0083, 	-- Dressing and grooming
													at0084, 	-- Arising
													at0085, 	-- Eating
													at0086]	-- Walking
												}
											}
										}
									}
									CLUSTER[at0087] occurrences matches {0..1} matches {	-- Hygiene
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0088] occurrences matches {0..1} matches {	-- Wash and dry entire body
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0089, 	-- Without any difficulty
															at0090, 	-- With some difficulty
															at0091, 	-- With much difficulty
															at0092, 	-- Unable to do
															at0093]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0094] occurrences matches {0..1} matches {	-- Take a tub bath
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0095, 	-- Without any difficulty
															at0096, 	-- With some difficulty
															at0098, 	-- With much difficulty
															at0099, 	-- Unable to do
															at0100]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0097] occurrences matches {0..1} matches {	-- Get on and off toilet or potty chair
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0102, 	-- Without any difficulty
															at0103, 	-- With some difficulty
															at0104, 	-- With much difficulty
															at0105, 	-- Unable to do
															at0106]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0101] occurrences matches {0..1} matches {	-- Brush teeth
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0107, 	-- Without any difficulty
															at0108, 	-- With some difficulty
															at0109, 	-- With much difficulty
															at0110, 	-- Unable to do
															at0111]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0112] occurrences matches {0..1} matches {	-- Comb or brush hair
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0113, 	-- Without any difficulty
															at0114, 	-- With some difficulty
															at0115, 	-- With much difficulty
															at0116, 	-- Unable to do
															at0117]	-- Not applicable
														}
													}
												}
											}
										}
									}
									CLUSTER[at0118] occurrences matches {0..1} matches {	-- Reach
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0119] occurrences matches {0..1} matches {	-- Reach and get down heavy object
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0120, 	-- Without any difficulty
															at0121, 	-- With some difficulty
															at0122, 	-- With much difficulty
															at0123, 	-- Unable to do
															at0124]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0125] occurrences matches {0..1} matches {	-- Bend down to pick up
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0126, 	-- Without any difficulty
															at0127, 	-- With some difficulty
															at0128, 	-- With much difficulty
															at0129, 	-- Unable to do
															at0130]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0131] occurrences matches {0..1} matches {	-- Pull on sweater
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0132, 	-- Without any difficulty
															at0133, 	-- With some difficulty
															at0134, 	-- With much difficulty
															at0135, 	-- Unable to do
															at0136]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0137] occurrences matches {0..1} matches {	-- Turn neck
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0138, 	-- Without any difficulty
															at0139, 	-- With some difficulty
															at0140, 	-- With much difficulty
															at0141, 	-- Unable to do
															at0142]	-- Not applicable
														}
													}
												}
											}
										}
									}
									CLUSTER[at0143] occurrences matches {0..1} matches {	-- Grip
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0144] occurrences matches {0..1} matches {	-- Write or scribble
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0145, 	-- Without any difficulty
															at0146, 	-- With some difficulty
															at0147, 	-- With much difficulty
															at0148, 	-- Unable to do
															at0149]	-- No applicable
														}
													}
												}
											}
											ELEMENT[at0150] occurrences matches {0..1} matches {	-- Open car doors
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0151, 	-- Without any difficulty
															at0152, 	-- With some difficulty
															at0153, 	-- With much difficulty
															at0154, 	-- Unable to do
															at0155]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0156] occurrences matches {0..1} matches {	-- Open jars
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0157, 	-- Without any difficulty
															at0158, 	-- With some difficulty
															at0159, 	-- With much difficulty
															at0160, 	-- Unable to do
															at0161]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0162] occurrences matches {0..1} matches {	-- Turn faucets on and off
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0163, 	-- Without any difficulty
															at0164, 	-- With some difficulty
															at0165, 	-- With much difficulty
															at0166, 	-- Unable to do
															at0167]	-- No applicable
														}
													}
												}
											}
											ELEMENT[at0168] occurrences matches {0..1} matches {	-- Push open door
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0169, 	-- Without any difficulty
															at0170, 	-- With some difficulty
															at0171, 	-- With much difficulty
															at0172, 	-- Unable to do
															at0173]	-- Not applicable
														}
													}
												}
											}
										}
									}
									CLUSTER[at0174] occurrences matches {0..1} matches {	-- Activities
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0175] occurrences matches {0..1} matches {	-- Run errands and shop
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0176, 	-- Without any difficulty
															at0178, 	-- With some difficulty
															at0179, 	-- With much difficulty
															at0180, 	-- Unable to do
															at0181]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0177] occurrences matches {0..1} matches {	-- Get in and out of car
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0182, 	-- Without any difficulty
															at0183, 	-- With some difficulty
															at0184, 	-- With much difficulty
															at0185, 	-- Unable to do
															at0186]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0187] occurrences matches {0..1} matches {	-- Ride bike or tricycle
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0188, 	-- Without any difficulty
															at0189, 	-- With some difficulty
															at0190, 	-- With much difficulty
															at0191, 	-- Unable to do
															at0192]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0193] occurrences matches {0..1} matches {	-- Do household chores
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0194, 	-- Without any difficulty
															at0195, 	-- With some difficulty
															at0196, 	-- With much difficulty
															at0197, 	-- Unable to do
															at0198]	-- Not applicable
														}
													}
												}
											}
											ELEMENT[at0199] occurrences matches {0..1} matches {	-- Run and play
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0200, 	-- Without any difficulty
															at0201, 	-- With some difficulty
															at0202, 	-- With much difficulty
															at0203, 	-- Unable to do
															at0204]	-- Not applicable
														}
													}
												}
											}
										}
									}
									ELEMENT[at0205] occurrences matches {0..*} matches {	-- Devices used
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0206, 	-- Raised toilet seat
													at0207, 	-- Bathtub seat
													at0208, 	-- Jar opener
													at0209, 	-- Bathtub bar
													at0210, 	-- Long-handled appliances for reach
													at0211]	-- Long-handled appliances in bathroom
												}
											}
										}
									}
									ELEMENT[at0212] occurrences matches {0..1} matches {	-- Needs help from other person
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0213, 	-- Hygiene
													at0214, 	-- Reach
													at0215, 	-- Gripping and opening things
													at0216]	-- Errands and chores
												}
											}
										}
									}
									ELEMENT[at0217] occurrences matches {0..1} matches {	-- Pain score
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::380]>
												list = <
													["1"] = <
														units = <"1">
														magnitude = <|0.0..100.0|>
													>
												>
											>
										}
									}
									ELEMENT[at0218] occurrences matches {0..1} matches {	-- Global evaluation
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::380]>
												list = <
													["1"] = <
														units = <"1">
														magnitude = <|0.0..100.0|>
													>
												>
											>
										}
									}
									ELEMENT[at0223] occurrences matches {0..1} matches {	-- Total score
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::380]>
												list = <
													["1"] = <
														units = <"1">
														magnitude = <|0.0..24.0|>
													>
												>
											>
										}
									}
									ELEMENT[at0224] occurrences matches {0..1} matches {	-- Disability Index
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::380]>
												list = <
													["1"] = <
														units = <"1">
														magnitude = <|0.0..3.0|>
													>
												>
											>
										}
									}
									ELEMENT[at0225] occurrences matches {0..1} matches {	-- Clinical interpretation
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
						state matches {
							ITEM_TREE[at0219] matches {	-- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0220] occurrences matches {0..*} matches {	-- Confounding factors
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0221] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0222] occurrences matches {0..*} matches {	-- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Childhood Health Assessment Questionnaire">
					description = <"The Childhood Health Assessment Questionnaire for arthritis.">
				>
				["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 = <"Dress">
					description = <"Assessment of child's ability to dress, including tying shoelaces and doing buttons.">
				>
				["at0005"] = <
					text = <"Shampoo">
					description = <"Assessment of the child's ability to shampoo his or her hair.">
				>
				["at0006"] = <
					text = <"Remove socks">
					description = <"Assessment of the child's ability to remove socks.">
				>
				["at0007"] = <
					text = <"Cut fingernails">
					description = <"Assessment of the child's ability to cut his or her fingernails.">
				>
				["at0008"] = <
					text = <"Dressing and grooming">
					description = <"Assessment of child's ability to perform functions related to dressing and grooming.">
				>
				["at0009"] = <
					text = <"Without any difficulty">
					description = <"The child is able to dress without any difficulty.">
				>
				["at0010"] = <
					text = <"With some difficulty">
					description = <"The child is able to dress with some difficulty.">
				>
				["at0011"] = <
					text = <"With much difficulty">
					description = <"The child is able to dress with much difficulty.">
				>
				["at0012"] = <
					text = <"Unable to do">
					description = <"The child is unable to dress.">
				>
				["at0013"] = <
					text = <"Not applicable">
					description = <"This question is not applicable.">
				>
				["at0014"] = <
					text = <"Without any difficulty">
					description = <"The child is able to shampoo his or her hair without any difficulty.">
				>
				["at0015"] = <
					text = <"With some difficulty">
					description = <"The child is able to shampoo his or her hair with some difficulty.">
				>
				["at0016"] = <
					text = <"With much difficulty">
					description = <"The child is able to shampoo his or her hair with much difficulty.">
				>
				["at0017"] = <
					text = <"Unable to do">
					description = <"The child is unable to shampoo his or her hair.">
				>
				["at0018"] = <
					text = <"Not applicable">
					description = <"This question is not applicable.">
				>
				["at0019"] = <
					text = <"Without any difficulty">
					description = <"The child is able to remove socks without any difficulty.">
				>
				["at0020"] = <
					text = <"With some difficulty">
					description = <"The child is able to remove socks with some difficulty.">
				>
				["at0021"] = <
					text = <"With much difficulty">
					description = <"The child is able to remove socks with much difficulty.">
				>
				["at0022"] = <
					text = <"Unable to do">
					description = <"The child is unable to remove socks.">
				>
				["at0023"] = <
					text = <"Not applicable">
					description = <"This question is not applicable.">
				>
				["at0024"] = <
					text = <"Without any difficulty">
					description = <"The child is able to cut his or her fingernails without any difficulty.">
				>
				["at0025"] = <
					text = <"With some difficulty">
					description = <"The child is able to cut his or her fingernails with some difficulty.">
				>
				["at0026"] = <
					text = <"With much difficulty">
					description = <"The child is unable to cut his or her fingernails with much difficulty.">
				>
				["at0027"] = <
					text = <"Unable to do">
					description = <"The child is unable to cut his or her fingernails.">
				>
				["at0028"] = <
					text = <"Not applicable">
					description = <"This question is not applicable.">
				>
				["at0029"] = <
					text = <"Arising">
					description = <"Assessment of the child's ability to stand up from low chair or floor or get in and out of bed or stand up in a crib.">
				>
				["at0030"] = <
					text = <"Stand up">
					description = <"Assessment of child's ability to stand up from low chair or floor.">
				>
				["at0031"] = <
					text = <"Without any difficulty">
					description = <"The child is able to stand up from low chair or floor without any difficulty.">
				>
				["at0032"] = <
					text = <"With some difficulty">
					description = <"The child is able to stand up from low chair or floor with some difficulty.">
				>
				["at0033"] = <
					text = <"With much difficulty">
					description = <"The child is able to stand up from low chair or floor with much difficulty.">
				>
				["at0034"] = <
					text = <"Unable to do">
					description = <"The child is unable to stand up from low chair or floor.">
				>
				["at0035"] = <
					text = <"Not applicable">
					description = <"This question is not applicable.">
				>
				["at0036"] = <
					text = <"Get in and out of bed or stand up in crib">
					description = <"Assessment of the child's ability to get in and out of bed or stand up in a crib.">
				>
				["at0037"] = <
					text = <"Without any difficulty">
					description = <"The child is able to get in and out of bed or stand up in a crib without any difficulty.">
				>
				["at0038"] = <
					text = <"With some difficulty">
					description = <"The child is able to get in and out of bed or stand up in a crib with some difficulty.">
				>
				["at0039"] = <
					text = <"With much difficulty">
					description = <"The child is able to get in and out of bed or stand up in a crib with much difficulty.">
				>
				["at0040"] = <
					text = <"Unable to do">
					description = <"The child is unable to get in and out of bed or stand up in a crib.">
				>
				["at0041"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0042"] = <
					text = <"Eating">
					description = <"Assessment of the child's ability to perform functions related to eating.">
				>
				["at0043"] = <
					text = <"Cut meat">
					description = <"Assessment of the child's ability to cut his or her own meat.">
				>
				["at0044"] = <
					text = <"Without any difficulty">
					description = <"The child is able to cut his or her own meat without any difficulty.">
				>
				["at0045"] = <
					text = <"With some difficulty">
					description = <"The child is able to cut his or her own meat with some difficulty.">
				>
				["at0046"] = <
					text = <"With much difficulty">
					description = <"The child is able to cut his or her own meat with much difficulty.">
				>
				["at0047"] = <
					text = <"Unable to do">
					description = <"The child is unable to cut his or her own meat.">
				>
				["at0048"] = <
					text = <"Not applicable">
					description = <"This question is not applicable.">
				>
				["at0049"] = <
					text = <"Lift up cup or glass to mouth">
					description = <"Assessment of the child's ability to lift a cup or glass to mouth.">
				>
				["at0050"] = <
					text = <"Without any difficulty">
					description = <"The child is able to lift a cup or glass to mouth without any difficulty.">
				>
				["at0051"] = <
					text = <"With some difficulty">
					description = <"The child is able to lift a cup or glass to mouth with some difficulty.">
				>
				["at0052"] = <
					text = <"With much difficulty">
					description = <"The child is able to lift a cup or glass to mouth with much difficulty.">
				>
				["at0053"] = <
					text = <"Unable to do">
					description = <"The child is unable to lift a cup or glass to mouth.">
				>
				["at0054"] = <
					text = <"Not applicable">
					description = <"This question is not applicable.">
				>
				["at0055"] = <
					text = <"Open new cereal box">
					description = <"Assessment of the child's ability to open a new cereal box.">
				>
				["at0056"] = <
					text = <"Without any difficulty">
					description = <"The child is able to open a new cereal box without any difficulty.">
				>
				["at0057"] = <
					text = <"WIth some difficulty">
					description = <"The child is able to open a new cereal box with some difficulty.">
				>
				["at0058"] = <
					text = <"With much difficulty">
					description = <"The child is able to open a new cereal box with much difficulty.">
				>
				["at0059"] = <
					text = <"Unable to do">
					description = <"The child is unable to open a new cereal box.">
				>
				["at0060"] = <
					text = <"Not applicable">
					description = <"This question is not applicable.">
				>
				["at0061"] = <
					text = <"Walking">
					description = <"Assessment of the child's ability to perform functions related to walking.">
				>
				["at0062"] = <
					text = <"Walk outdoors on flat ground">
					description = <"Assessment of the child's ability to walk outdoors on flat ground.">
				>
				["at0063"] = <
					text = <"Without any difficulty">
					description = <"The child is able to walk outdoors on flat ground without any difficulty.">
				>
				["at0064"] = <
					text = <"With some difficulty">
					description = <"The child is able to walk outdoors on flat ground with some difficulty.">
				>
				["at0065"] = <
					text = <"With much difficulty">
					description = <"The child is able to walk outdoors on flat ground with much difficulty.">
				>
				["at0066"] = <
					text = <"Unable to do">
					description = <"The child is unable to walk outdoors on flat ground.">
				>
				["at0067"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0068"] = <
					text = <"Climb up five steps">
					description = <"Assessment of the child's ability to climb up five steps.">
				>
				["at0069"] = <
					text = <"Without any difficulty">
					description = <"The child is able to climb up five steps without any difficulty.">
				>
				["at0070"] = <
					text = <"With some difficulty">
					description = <"The child is able to climb up five steps with some difficulty.">
				>
				["at0071"] = <
					text = <"With much difficulty">
					description = <"The child is able to climb up five steps with much difficulty.">
				>
				["at0072"] = <
					text = <"Unable to do">
					description = <"The child is unable to climb up five steps.">
				>
				["at0073"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0074"] = <
					text = <"Devices used">
					description = <"Statement about the aids or devices usually used by the child for dressing, grooming, arising, eating and walking.">
				>
				["at0075"] = <
					text = <"Cane">
					description = <"The child usually uses a cane.">
				>
				["at0076"] = <
					text = <"Walker">
					description = <"The child usually uses a walker.">
				>
				["at0077"] = <
					text = <"Crutches">
					description = <"The child usually uses crutches.">
				>
				["at0078"] = <
					text = <"Wheelchair">
					description = <"The child usually uses a wheelchair.">
				>
				["at0079"] = <
					text = <"Dressing aids">
					description = <"The child usually using devices used dor dressing, such as button hook, zipper pull, long-handled shoe horn,etc.">
				>
				["at0080"] = <
					text = <"Built up pencil or special utensils">
					description = <"The child usually uses a built up pencil or special utensils.">
				>
				["at0081"] = <
					text = <"Special or built up chair">
					description = <"The child usually uses a special or built-up chair.">
				>
				["at0082"] = <
					text = <"Needs help from other person">
					description = <"Statement of which activity categories (dressing and grooming, arising, eating and walking) usually require help for the child from another person because of the child's illness.">
				>
				["at0083"] = <
					text = <"Dressing and grooming">
					description = <"The child usually needs help from another person for dressing and grooming because of his or her illness.">
				>
				["at0084"] = <
					text = <"Arising">
					description = <"The child usually needs help from another person for arising because of his or her illness.">
				>
				["at0085"] = <
					text = <"Eating">
					description = <"The child usually needs help from another person for eating because of his or her illness.">
				>
				["at0086"] = <
					text = <"Walking">
					description = <"The child usually needs help from another person for walking because of his or her illness.">
				>
				["at0087"] = <
					text = <"Hygiene">
					description = <"Assessment of the child's ability to perform functions related to hygiene.">
				>
				["at0088"] = <
					text = <"Wash and dry entire body">
					description = <"Assessment of the child's ability to wash and dry entire body.">
				>
				["at0089"] = <
					text = <"Without any difficulty">
					description = <"The child is able to wash and dry his or her entire body without any difficulty.">
				>
				["at0090"] = <
					text = <"With some difficulty">
					description = <"The child is able to wash and dry his or her entire body with some difficulty.">
				>
				["at0091"] = <
					text = <"With much difficulty">
					description = <"The child is able to wash and dry his or her entire body with much difficulty.">
				>
				["at0092"] = <
					text = <"Unable to do">
					description = <"The child is unable to wash and dry his or her entire body.">
				>
				["at0093"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0094"] = <
					text = <"Take a tub bath">
					description = <"Assessment of the child's ability to take a tub bath including getting in and out of the tub).">
				>
				["at0095"] = <
					text = <"Without any difficulty">
					description = <"The child is able to take a tub bath without any difficulty.">
				>
				["at0096"] = <
					text = <"With some difficulty">
					description = <"The child is able to take a tub bath with some difficulty.">
				>
				["at0097"] = <
					text = <"Get on and off toilet or potty chair">
					description = <"Assessment of the child's ability to get on and off the toilet or potty chair.">
				>
				["at0098"] = <
					text = <"With much difficulty">
					description = <"The child is able to take a tub bath with much difficulty.">
				>
				["at0099"] = <
					text = <"Unable to do">
					description = <"The child is unable to take a tub bath.">
				>
				["at0100"] = <
					text = <"Not applicable">
					description = <"This question is not applicable.">
				>
				["at0101"] = <
					text = <"Brush teeth">
					description = <"Assessment of the child's ability to brush his or her teeth.">
				>
				["at0102"] = <
					text = <"Without any difficulty">
					description = <"The child is able to get on and off toilet or potty chair without any difficulty.">
				>
				["at0103"] = <
					text = <"With some difficulty">
					description = <"The child is able to get on and off toilet or potty chair with some difficulty.">
				>
				["at0104"] = <
					text = <"With much difficulty">
					description = <"The child is able to get on and off toilet or potty chair with much difficulty.">
				>
				["at0105"] = <
					text = <"Unable to do">
					description = <"The child is unable to get on and off toilet or potty chair.">
				>
				["at0106"] = <
					text = <"Not applicable">
					description = <"This question is not applicable.">
				>
				["at0107"] = <
					text = <"Without any difficulty">
					description = <"The child is able to brush his or her teeth without any difficulty.">
				>
				["at0108"] = <
					text = <"With some difficulty">
					description = <"The child is able to brush his or her teeth with some difficulty.">
				>
				["at0109"] = <
					text = <"With much difficulty">
					description = <"The child is able to brush his or her teeth with much difficulty.">
				>
				["at0110"] = <
					text = <"Unable to do">
					description = <"The child is unable to brush his or her teeth.">
				>
				["at0111"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0112"] = <
					text = <"Comb or brush hair">
					description = <"Assessment of the child's ability to comb or brush his or her hair.">
				>
				["at0113"] = <
					text = <"Without any difficulty">
					description = <"The child is able to comb or brush his or her hair without any difficulty.">
				>
				["at0114"] = <
					text = <"With some difficulty">
					description = <"The child is able to comb or brush his or her hair with some difficulty.">
				>
				["at0115"] = <
					text = <"With much difficulty">
					description = <"The child is able to comb or brush his or her hair with much difficulty.">
				>
				["at0116"] = <
					text = <"Unable to do">
					description = <"The child is unable to comb or brush his or her hair.">
				>
				["at0117"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0118"] = <
					text = <"Reach">
					description = <"Assessment of the child's ability to perform functions related to reaching.">
				>
				["at0119"] = <
					text = <"Reach and get down heavy object">
					description = <"Assessment of the child's ability to reach and get down a heavy object such as a large game or books from just above his/her head.">
				>
				["at0120"] = <
					text = <"Without any difficulty">
					description = <"The child is able to reach and get down a heavy object such as a large game or books from just above his/her head without any difficulty.">
				>
				["at0121"] = <
					text = <"With some difficulty">
					description = <"The child is able to reach and get down a heavy object such as a large game or books from just above his/her head with some difficulty.">
				>
				["at0122"] = <
					text = <"With much difficulty">
					description = <"The child is able to reach and get down a heavy object such as a large game or books from just above his/her head with much difficulty.">
				>
				["at0123"] = <
					text = <"Unable to do">
					description = <"The child is unable to reach and get down a heavy object such as a large game or books from just above his/her head.">
				>
				["at0124"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0125"] = <
					text = <"Bend down to pick up">
					description = <"Assessment of the child's ability to bend down to pick up clothing or a piece of paper from the floor.">
				>
				["at0126"] = <
					text = <"Without any difficulty">
					description = <"The child is able to bend down to pick up clothing or a piece of paper from the floor without any difficulty.">
				>
				["at0127"] = <
					text = <"With some difficulty">
					description = <"The child is able to bend down to pick up clothing or a piece of paper from the floor with some difficulty.">
				>
				["at0128"] = <
					text = <"With much difficulty">
					description = <"The child is able to bend down to pick up clothing or a piece of paper from the floor with much difficulty.">
				>
				["at0129"] = <
					text = <"Unable to do">
					description = <"The child is unable to bend down to pick up clothing or a piece of paper from the floor.">
				>
				["at0130"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0131"] = <
					text = <"Pull on sweater">
					description = <"Assessment of the child's ability to pull on a sweater over his or her head.">
				>
				["at0132"] = <
					text = <"Without any difficulty">
					description = <"The child is able to pull on a sweater over his or her head without any difficulty.">
				>
				["at0133"] = <
					text = <"With some difficulty">
					description = <"The child is able to pull on a sweater over his or her head with some difficulty.">
				>
				["at0134"] = <
					text = <"With much difficulty">
					description = <"The child is able to pull on a sweater over his or her head with much difficulty.">
				>
				["at0135"] = <
					text = <"Unable to do">
					description = <"The child is unable to pull on a sweater over his or her head.">
				>
				["at0136"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0137"] = <
					text = <"Turn neck">
					description = <"Assessment of the child's ability to turn his or her neck to look back over his or her shoulder.">
				>
				["at0138"] = <
					text = <"Without any difficulty">
					description = <"The child is able to turn his or her neck to look back over his or her shoulder without any difficulty.">
				>
				["at0139"] = <
					text = <"With some difficulty">
					description = <"The child is able to turn his or her neck to look back over his or her shoulder with some difficulty.">
				>
				["at0140"] = <
					text = <"With much difficulty">
					description = <"The child is able to turn his or her neck to look back over his or her shoulder with much difficulty.">
				>
				["at0141"] = <
					text = <"Unable to do">
					description = <"The child is unable to turn his or her neck to look back over his or her shoulder.">
				>
				["at0142"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0143"] = <
					text = <"Grip">
					description = <"Assessment of the child's ability to perform functions related to gripping.">
				>
				["at0144"] = <
					text = <"Write or scribble">
					description = <"Assessment of the child's ability to write or scribble with a pen or pencil.">
				>
				["at0145"] = <
					text = <"Without any difficulty">
					description = <"The child is able to write or scribble with a pen or pencil without any difficulty.">
				>
				["at0146"] = <
					text = <"With some difficulty">
					description = <"The child is able to write or scribble with a pen or pencil with some difficulty.">
				>
				["at0147"] = <
					text = <"With much difficulty">
					description = <"The child is able to write or scribble with a pen or pencil with much difficulty.">
				>
				["at0148"] = <
					text = <"Unable to do">
					description = <"The child is unable to write or scribble with a pen or pencil.">
				>
				["at0149"] = <
					text = <"No applicable">
					description = <"The question is not applicable.">
				>
				["at0150"] = <
					text = <"Open car doors">
					description = <"Assessment of the child's ability to open car doors.">
				>
				["at0151"] = <
					text = <"Without any difficulty">
					description = <"The child is able to open car doors without any difficulty.">
				>
				["at0152"] = <
					text = <"With some difficulty">
					description = <"The child is able to open car doors with some difficulty.">
				>
				["at0153"] = <
					text = <"With much difficulty">
					description = <"The child is able to open car doors with much difficulty.">
				>
				["at0154"] = <
					text = <"Unable to do">
					description = <"The child is unable to open car doors.">
				>
				["at0155"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0156"] = <
					text = <"Open jars">
					description = <"Assessment of child's ability to open jars that have been previously opened.">
				>
				["at0157"] = <
					text = <"Without any difficulty">
					description = <"The child is able to open jars that have been previously opened without any difficulty.">
				>
				["at0158"] = <
					text = <"With some difficulty">
					description = <"The child is able to open jars that have been previously opened with some difficulty.">
				>
				["at0159"] = <
					text = <"With much difficulty">
					description = <"The child is able to open jars that have been previously opened with much difficulty.">
				>
				["at0160"] = <
					text = <"Unable to do">
					description = <"The child is unable to open jars that have been previously opened.">
				>
				["at0161"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0162"] = <
					text = <"Turn faucets on and off">
					description = <"Assessment of child's ability to turn faucets on and off.">
				>
				["at0163"] = <
					text = <"Without any difficulty">
					description = <"The child is able to turn faucets on and off without any difficulty.">
				>
				["at0164"] = <
					text = <"With some difficulty">
					description = <"The child is able to turn faucets on and off with some difficulty.">
				>
				["at0165"] = <
					text = <"With much difficulty">
					description = <"The child is able to turn faucets on and off with much difficulty.">
				>
				["at0166"] = <
					text = <"Unable to do">
					description = <"The child is unable to turn faucets on and off.">
				>
				["at0167"] = <
					text = <"No applicable">
					description = <"The question is not applicable.">
				>
				["at0168"] = <
					text = <"Push open door">
					description = <"Assessment of the child's ability to push open a door when he or she has to turn a door knob.">
				>
				["at0169"] = <
					text = <"Without any difficulty">
					description = <"The child is able to push open a door when he or she has to turn a door knob without any difficulty.">
				>
				["at0170"] = <
					text = <"With some difficulty">
					description = <"The child is able to push open a door when he or she has to turn a door knob with some difficulty.">
				>
				["at0171"] = <
					text = <"With much difficulty">
					description = <"The child is able to push open a door when he or she has to turn a door knob with much difficulty.">
				>
				["at0172"] = <
					text = <"Unable to do">
					description = <"The child is unable to push open a door when he or she has to turn a door knob.">
				>
				["at0173"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0174"] = <
					text = <"Activities">
					description = <"Assessment of the child's ability to perform general activities.">
				>
				["at0175"] = <
					text = <"Run errands and shop">
					description = <"Assessment of the child's ability to run errands and shop.">
				>
				["at0176"] = <
					text = <"Without any difficulty">
					description = <"The child is able to run errands and shop without any difficulty.">
				>
				["at0177"] = <
					text = <"Get in and out of car">
					description = <"Assessment of the child's ability to get in and out of a car, toy car or school bus.">
				>
				["at0178"] = <
					text = <"With some difficulty">
					description = <"The child is able to run errands and shop with some difficulty.">
				>
				["at0179"] = <
					text = <"With much difficulty">
					description = <"The child is able to run errands and shop with much difficulty.">
				>
				["at0180"] = <
					text = <"Unable to do">
					description = <"The child is unable to run errands and shop.">
				>
				["at0181"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0182"] = <
					text = <"Without any difficulty">
					description = <"The child is able to get in and out of car, toy car or school bus without any difficulty.">
				>
				["at0183"] = <
					text = <"With some difficulty">
					description = <"The child is able to get in and out of car, toy car or school bus with some difficulty.">
				>
				["at0184"] = <
					text = <"With much difficulty">
					description = <"The child is able to get in and out of car, toy car or school bus with much difficulty.">
				>
				["at0185"] = <
					text = <"Unable to do">
					description = <"The child is unable to get in and out of car, toy car or school bus.">
				>
				["at0186"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0187"] = <
					text = <"Ride bike or tricycle">
					description = <"Assessment of the child's ability to ride a bike or tricycle.">
				>
				["at0188"] = <
					text = <"Without any difficulty">
					description = <"The child is able to ride a bike or tricycle without any difficulty.">
				>
				["at0189"] = <
					text = <"With some difficulty">
					description = <"The child is able to ride a bike or tricycle with some difficulty.">
				>
				["at0190"] = <
					text = <"With much difficulty">
					description = <"The child is able to ride a bike or tricycle with much difficulty.">
				>
				["at0191"] = <
					text = <"Unable to do">
					description = <"The child is unable to ride a bike or tricycle.">
				>
				["at0192"] = <
					text = <"Not applicable">
					description = <"The question is no applicable.">
				>
				["at0193"] = <
					text = <"Do household chores">
					description = <"Assessment of the child's ability to do household chores (e.g. wash dishes, take out trash, vacuuming, yardwork, make bed, clean room).">
				>
				["at0194"] = <
					text = <"Without any difficulty">
					description = <"The child is able to do household chores without any difficulty.">
				>
				["at0195"] = <
					text = <"With some difficulty">
					description = <"The child is able to do household chores with some difficulty.">
				>
				["at0196"] = <
					text = <"With much difficulty">
					description = <"The child is able to do household chores with much difficulty.">
				>
				["at0197"] = <
					text = <"Unable to do">
					description = <"The child is unable to do household chores.">
				>
				["at0198"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0199"] = <
					text = <"Run and play">
					description = <"Assessment of the child's ability to run and play.">
				>
				["at0200"] = <
					text = <"Without any difficulty">
					description = <"The child is able to run and play without any difficulty.">
				>
				["at0201"] = <
					text = <"With some difficulty">
					description = <"The child is able to run and play with some difficulty.">
				>
				["at0202"] = <
					text = <"With much difficulty">
					description = <"The child is able to run and play with much difficulty.">
				>
				["at0203"] = <
					text = <"Unable to do">
					description = <"The child is unable to run and play.">
				>
				["at0204"] = <
					text = <"Not applicable">
					description = <"The question is not applicable.">
				>
				["at0205"] = <
					text = <"Devices used">
					description = <"Statement about the aids or devices usually used by the child for hygiene, reach, grip and activities.">
				>
				["at0206"] = <
					text = <"Raised toilet seat">
					description = <"The child usually uses a raised toilet seat.">
				>
				["at0207"] = <
					text = <"Bathtub seat">
					description = <"The child usually uses a bathtub seat.">
				>
				["at0208"] = <
					text = <"Jar opener">
					description = <"The child usually uses a jar opener for jars that have been previously opened.">
				>
				["at0209"] = <
					text = <"Bathtub bar">
					description = <"The child usually uses a bathtub bar.">
				>
				["at0210"] = <
					text = <"Long-handled appliances for reach">
					description = <"The child usually uses long-handled appliances for reach.">
				>
				["at0211"] = <
					text = <"Long-handled appliances in bathroom">
					description = <"The child usually uses long-handled appliances in the bathroom.">
				>
				["at0212"] = <
					text = <"Needs help from other person">
					description = <"Statement of which activity categories (hygiene, reach, gripping and opening and errands and chores) usually require help for the child from another person because of the child's illness.">
				>
				["at0213"] = <
					text = <"Hygiene">
					description = <"The child usually needs help from another person for hygiene because of his or her illness.">
				>
				["at0214"] = <
					text = <"Reach">
					description = <"The child usually needs help from another person for reaching because of his or her illness.">
				>
				["at0215"] = <
					text = <"Gripping and opening things">
					description = <"The child usually needs help from another person for gripping and opening things because of his or her illness.">
				>
				["at0216"] = <
					text = <"Errands and chores">
					description = <"The child usually needs help from another person for errands and chores because of his or her illness.">
				>
				["at0217"] = <
					text = <"Pain score">
					description = <"Rating of how much pain the  child has had because of his/her illness in the past week on a scale of 0 (no pain) to 100 (very severe pain).">
				>
				["at0218"] = <
					text = <"Global evaluation">
					description = <"Rating of how child is doing, considering all the ways arthritis is affecting him or her, on a scale of 0 (very well) to 100 (very poor).">
				>
				["at0219"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0220"] = <
					text = <"Confounding factors">
					description = <"Record any issues or factors that may impact on the questionnaire answers.">
				>
				["at0221"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0222"] = <
					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.">
				>
				["at0223"] = <
					text = <"Total score">
					description = <"Total score from the eight assessment categories, with the highest score in each category counting towards the total score. Use of devices always scores 2, but can be superceded by a 3 score in that category.">
				>
				["at0224"] = <
					text = <"Disability Index">
					description = <"Calculated from the total score divided by the number of categories answered.">
				>
				["at0225"] = <
					text = <"Clinical interpretation">
					description = <"Narrative description of clinical interpretation.">
				>
			>
		>
	>