archetype (adl_version=1.4; uid=6282937c-99bd-440f-9149-fb1b6eecdc4b)
	openEHR-EHR-OBSERVATION.childhood_asthma_control_test.v0

concept
	[at0000]	-- Childhood Asthma Control Test (C-ACT)
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Ian McNicoll">
		["organisation"] = <"freshEHR Ltd.">
		["email"] = <"ian@freshehr.com">
		["date"] = <"2018-10-16">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record a patient/parent assessment of how well a child’s asthma has been controlled over the previous month.">
			use = <"Use in children age 4 to 11 years.">
			keywords = <"asthma, child, paediatrics, control, PROM", ...>
			misuse = <"Do not use in adults.">
		>
	>
	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"] = <"openEHR Foundation">
		["references"] = <"https://www.asthma.com/content/dam/NA_Pharma/Country/US/Unbranded/Consumer/Common/Images/MPY/documents/816205R0_childhoodasthmacontrolcest_printable.pdf">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"B6DEE6143233A6969EA8CF49C9A8C282">
		["build_uid"] = <"f0db6f13-d520-4b97-b9a3-bacbe6f13850">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Childhood Asthma Control Test (C-ACT)
		data matches {
			HISTORY[at0001] matches {    -- History
				events cardinality matches {0..*; unordered} matches {
					EVENT[at0002] matches {    -- Any Event
						data matches {
							ITEM_TREE[at0003] matches {    -- ItemTree
								items cardinality matches {0..*; unordered} matches {
									CLUSTER[at0029] occurrences matches {0..1} matches {    -- Child responses
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0004] occurrences matches {0..1} matches {    -- Asthma today
												value matches {
													0|[local::at0005],
													1|[local::at0006],
													2|[local::at0007],
													3|[local::at0008]
												}
											}
											ELEMENT[at0010] occurrences matches {0..1} matches {    -- Asthma on exercise
												value matches {
													0|[local::at0012],
													1|[local::at0013],
													2|[local::at0014],
													3|[local::at0015]
												}
											}
											ELEMENT[at0011] occurrences matches {0..1} matches {    -- Cough because of asthma
												value matches {
													0|[local::at0025],
													1|[local::at0026],
													2|[local::at0027],
													3|[local::at0028]
												}
											}
											ELEMENT[at0020] occurrences matches {0..1} matches {    -- Wake up because of asthma
												value matches {
													0|[local::at0021],
													1|[local::at0022],
													2|[local::at0023],
													3|[local::at0024]
												}
											}
										}
									}
									CLUSTER[at0030] occurrences matches {0..1} matches {    -- Adult responses
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0031] occurrences matches {0..1} matches {    -- Daytime asthma symptoms
												value matches {
													5|[local::at0034],
													4|[local::at0035],
													3|[local::at0036],
													2|[local::at0037],
													1|[local::at0038],
													6|[local::at0039]
												}
											}
											ELEMENT[at0032] occurrences matches {0..1} matches {    -- Daytime wheeze
												value matches {
													5|[local::at0045],
													4|[local::at0046],
													3|[local::at0047],
													2|[local::at0048],
													1|[local::at0049],
													6|[local::at0050]
												}
											}
											ELEMENT[at0033] occurrences matches {0..1} matches {    -- Wake up at night
												value matches {
													5|[local::at0051],
													4|[local::at0052],
													3|[local::at0053],
													2|[local::at0054],
													1|[local::at0055],
													6|[local::at0056]
												}
											}
										}
									}
									ELEMENT[at0040] occurrences matches {0..1} matches {    -- Total score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..27|}
											}
										}
									}
									ELEMENT[at0041] occurrences matches {0..1} matches {    -- Interpretation
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0042,    -- 20 or greater: Good control
													at0043,    -- 13-19: Poor control
													at0044]    -- 12 or less: Very poor control
												}
											}
										}
									}
								}
							}
						}
						state matches {
							ITEM_TREE[at0016] matches {    -- ItemTree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0017] occurrences matches {0..1} matches {    -- Confounding factors
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0018] matches {    -- ItemTree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0019] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Childhood Asthma Control Test (C-ACT)">
					description = <"A Patient Recorded Outcome Measure which offers an assessment of how well a child’s asthma has been controlled over the previous month.">
				>
				["at0001"] = <
					text = <"History">
					description = <"*">
				>
				["at0002"] = <
					text = <"Any Event">
					description = <"*">
				>
				["at0003"] = <
					text = <"ItemTree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Asthma today">
					description = <"How is your asthma today?">
				>
				["at0005"] = <
					text = <"Very bad">
					description = <"*">
				>
				["at0006"] = <
					text = <"Bad">
					description = <"*">
				>
				["at0007"] = <
					text = <"Good">
					description = <"*">
				>
				["at0008"] = <
					text = <"Very good">
					description = <"*">
				>
				["at0010"] = <
					text = <"Asthma on exercise">
					description = <"How much of a problem is your asthma when you run, exercise or play sports?">
				>
				["at0011"] = <
					text = <"Cough because of asthma">
					description = <"Do you cough because of your asthma?">
				>
				["at0012"] = <
					text = <"It's a big problem. I can't do what I want to do.">
					description = <"*">
				>
				["at0013"] = <
					text = <"It's a problem and I don't like it">
					description = <"*">
				>
				["at0014"] = <
					text = <"It's a big problem. I can't do what I want to do.">
					description = <"*">
				>
				["at0015"] = <
					text = <"It's not a problem.">
					description = <"*">
				>
				["at0016"] = <
					text = <"ItemTree">
					description = <"@ internal @">
				>
				["at0017"] = <
					text = <"Confounding factors">
					description = <"Record any issues or factors that may impact on the score or interpretation.">
					comment = <"For example: A current upper respiratory tract infection.">
				>
				["at0018"] = <
					text = <"ItemTree">
					description = <"@ internal @">
				>
				["at0019"] = <
					text = <"Extension">
					description = <"Additional information required to capture local context or to align with other reference models/formalisms.">
				>
				["at0020"] = <
					text = <"Wake up because of asthma">
					description = <"Do you wake up during the night because of your asthma?">
				>
				["at0021"] = <
					text = <"Yes, all of the time">
					description = <"*">
				>
				["at0022"] = <
					text = <"Yes, most of the time">
					description = <"*">
				>
				["at0023"] = <
					text = <"Yes, some of the time">
					description = <"*">
				>
				["at0024"] = <
					text = <"No, none of the time4">
					description = <"*">
				>
				["at0025"] = <
					text = <"Yes, all of the time">
					description = <"*">
				>
				["at0026"] = <
					text = <"Yes, most of the time">
					description = <"*">
				>
				["at0027"] = <
					text = <"Yes, some of the time">
					description = <"*">
				>
				["at0028"] = <
					text = <"No, none of the time">
					description = <"*">
				>
				["at0029"] = <
					text = <"Child responses">
					description = <"Responses completed by the child themselves.">
				>
				["at0030"] = <
					text = <"Adult responses">
					description = <"Responses completed by an adult parent or carer.">
				>
				["at0031"] = <
					text = <"Daytime asthma symptoms">
					description = <"During the last 4 weeks, how many days did your child have any daytime asthma symptoms?">
				>
				["at0032"] = <
					text = <"Daytime wheeze">
					description = <"During the last 4 weeks, how many days did your child wheeze during the day because of asthma?">
				>
				["at0033"] = <
					text = <"Wake up at night">
					description = <"During the last 4 weeks, how many days did your child wake up during the night because of asthma?">
				>
				["at0034"] = <
					text = <"Not at all">
					description = <"*">
				>
				["at0035"] = <
					text = <"1-3 days">
					description = <"*">
				>
				["at0036"] = <
					text = <"4-10 days">
					description = <"*">
				>
				["at0037"] = <
					text = <"11-18 days">
					description = <"*">
				>
				["at0038"] = <
					text = <"19-24 days">
					description = <"*">
				>
				["at0039"] = <
					text = <"Everyday">
					description = <"*">
				>
				["at0040"] = <
					text = <"Total score">
					description = <"*">
				>
				["at0041"] = <
					text = <"Interpretation">
					description = <"*">
				>
				["at0042"] = <
					text = <"20 or greater: Good control">
					description = <"The child's asthma is well-controlled.">
				>
				["at0043"] = <
					text = <"13-19: Poor control">
					description = <"The child's asthma is not well-controlled.">
				>
				["at0044"] = <
					text = <"12 or less: Very poor control">
					description = <"The child's asthma is very poorly controlled.">
				>
				["at0045"] = <
					text = <"Not at all">
					description = <"*">
				>
				["at0046"] = <
					text = <"1-3 days">
					description = <"*">
				>
				["at0047"] = <
					text = <"4-10 days">
					description = <"*">
				>
				["at0048"] = <
					text = <"11-18 days">
					description = <"*">
				>
				["at0049"] = <
					text = <"19-24 days">
					description = <"*">
				>
				["at0050"] = <
					text = <"Everyday">
					description = <"*">
				>
				["at0051"] = <
					text = <"Not at all">
					description = <"*">
				>
				["at0052"] = <
					text = <"1-3 days">
					description = <"*">
				>
				["at0053"] = <
					text = <"4-10 days">
					description = <"*">
				>
				["at0054"] = <
					text = <"11-18 days">
					description = <"*">
				>
				["at0055"] = <
					text = <"19-24 days">
					description = <"*">
				>
				["at0056"] = <
					text = <"Everyday">
					description = <"*">
				>
			>
		>
	>