Archetype : openEHR-EHR-OBSERVATION.haq

OpenEHR Apperta Mirror

Name

Health Assessment Questionnaire

Description

The Health Assessment Questionnaire for arthritis.

Keywords

HAQ Health Assessment Questionnaire Arthritis

Purpose

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

Use

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

References

Health Assessment Questionnaire cited 03-Nov-2016 https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&cad=rja&uact=8&ved=0ahUKEwjtqvS70ozQAhXlCcAKHb7cBE0QFghHMAM&url=http%3A%2F%2Fwww2.gov.bc.ca%2Fassets%2Fgov%2Fhealth%2Fforms%2F5383fil.pdf&usg=AFQjCNFj2qNv5TNwHHL2R__lOQ4urvaX0g&sig2=hqc8K_Mvhd-HaxR4DWi4MA&bvm=bv.137132246,d.d2s

Health Assessment Questionnaire Instructions cited 03-Nov-2016 https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjtqvS70ozQAhXlCcAKHb7cBE0QFgg0MAA&url=https%3A%2F%2Fwww.niehs.nih.gov%2Fresearch%2Fresources%2Fassets%2Fdocs%2Fhaq_instructions_508.pdf&usg=AFQjCNGhSSKJSp4BDsa7KiYNi5QWnT7Tlw&sig2=PfcquJirKTB7M4-xhqwr0Q

Archetype Id

openEHR-EHR-OBSERVATION.haq.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

2016-11-02

Name	Card	Type	Description
Dressing and grooming	0..1	CLUSTER	Assessment of subject's ability to perform functions related to dressing and grooming. CLUSTER
Dress	0..1	DV_CODED_TEXT	Assessment of subject's ability to dress, including tying shoelaces and doing buttons. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to dress without any difficulty.] With some difficulty [The subject is able to dress with some difficulty.] With much difficulty [The subject is able to dress with much difficulty.] Unable to do [The subject is unable to dress.]
Shampoo	0..1	DV_CODED_TEXT	Assessment of the subject's ability to shampoo his or her hair. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to shampoo his or her hair without any difficulty.] With some difficulty [The subject is able to shampoo his or her hair with some difficulty.] With much difficulty [The subject is able to shampoo his or her hair with much difficulty.] Unable to do [The subject is unable to shampoo his or her hair.]
Arising	0..1	CLUSTER	Assessment of the subject's ability to stand up from low chair or floor or get in and out of bed. CLUSTER
Stand up	0..1	DV_CODED_TEXT	Assessment of subject's ability to stand up from low chair or floor. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to stand up from low chair or floor without any difficulty.] With some difficulty [The subject is able to stand up from low chair or floor with some difficulty.] With much difficulty [The subject is able to stand up from low chair or floor with much difficulty.] Unable to do [The subject is unable to stand up from low chair or floor.]
Get in and out of bed	0..1	DV_CODED_TEXT	Assessment of the subject's ability to get in and out of bed. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to get in and out of bed without any difficulty.] With some difficulty [The subject is able to get in and out of bed with some difficulty.] With much difficulty [The subject is able to get in and out of bed with much difficulty.] Unable to do [The subject is unable to get in and out of bed .]
Eating	0..1	CLUSTER	Assessment of the subject's ability to perform functions related to eating. CLUSTER
Cut meat	0..1	DV_CODED_TEXT	Assessment of the subject's ability to cut his or her own meat. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to cut his or her own meat without any difficulty.] With some difficulty [The subject is able to cut his or her own meat with some difficulty.] With much difficulty [The subject is able to cut his or her own meat with much difficulty.] Unable to do [The subject is unable to cut his or her own meat.]
Lift up cup or glass to mouth	0..1	DV_CODED_TEXT	Assessment of the subject's ability to lift a full cup or glass to mouth. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to lift a cup or glass to mouth without any difficulty.] With some difficulty [The subject is able to lift a cup or glass to mouth with some difficulty.] With much difficulty [The subject is able to lift a cup or glass to mouth with much difficulty.] Unable to do [The subject is unable to lift a cup or glass to mouth.]
Open new carton of milk	0..1	DV_CODED_TEXT	Assessment of the subject's ability to open a new carton of milk. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to open a new carton of milk without any difficulty.] WIth some difficulty [The subject is able to open a new carton of milk with some difficulty.] With much difficulty [The subject is able to open a new carton of milk with much difficulty.] Unable to do [The subject is unable to open a new carton of milk.]
Walking	0..1	CLUSTER	Assessment of the subject's ability to perform functions related to walking. CLUSTER
Walk outdoors on flat ground	0..1	DV_CODED_TEXT	Assessment of the subject's ability to walk outdoors on flat ground. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to walk outdoors on flat ground without any difficulty.] With some difficulty [The subject is able to walk outdoors on flat ground with some difficulty.] With much difficulty [The subject is able to walk outdoors on flat ground with much difficulty.] Unable to do [The subject is unable to walk outdoors on flat ground.]
Climb up five steps	0..1	DV_CODED_TEXT	Assessment of the subject's ability to climb up five steps. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to climb up five steps without any difficulty.] With some difficulty [The subject is able to climb up five steps with some difficulty.] With much difficulty [The subject is able to climb up five steps with much difficulty.] Unable to do [The subject is unable to climb up five steps.]
Hygiene	0..1	CLUSTER	Assessment of the subject's ability to perform functions related to hygiene. CLUSTER
Wash and dry entire body	0..1	DV_CODED_TEXT	Assessment of the subject's ability to wash and dry entire body. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to wash and dry his or her entire body without any difficulty.] With some difficulty [The subject is able to wash and dry his or her entire body with some difficulty.] With much difficulty [The subject is able to wash and dry his or her entire body with much difficulty.] Unable to do [The subject is unable to wash and dry his or her entire body.]
Take a bath	0..1	DV_CODED_TEXT	Assessment of the subject's ability to take a tub bath including getting in and out of the tub). Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to take a tub bath without any difficulty.] With some difficulty [The subject is able to take a tub bath with some difficulty.] With much difficulty [The subject is able to take a tub bath with much difficulty.] Unable to do [The subject is unable to take a tub bath.]
Get on and off toilet	0..1	DV_CODED_TEXT	Assessment of the subject's ability to get on and off the toilet or potty chair. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to get on and off toilet or potty chair without any difficulty.] With some difficulty [The subject is able to get on and off toilet or potty chair with some difficulty.] With much difficulty [The subject is able to get on and off toilet or potty chair with much difficulty.] Unable to do [The subject is unable to get on and off toilet or potty chair.]
Reach	0..1	CLUSTER	Assessment of the subject's ability to perform functions related to reaching. CLUSTER
Reach and get down 5lb object	0..1	DV_CODED_TEXT	Assessment of the subject's ability to reach and get down a 5lb object from just above his/her head. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to reach and get down a 5lb object from just above his/her head without any difficulty.] With some difficulty [The subject is able to reach and get down a 5lb object from just above his/her head with some difficulty.] With much difficulty [The subject is able to reach and get down a 5lb object from just above his/her head with much difficulty.] Unable to do [The subject is unable to reach and get down a 5lb object from just above his/her head.]
Bend down to pick up	0..1	DV_CODED_TEXT	Assessment of the subject'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 subject is able to bend down to pick up clothing or a piece of paper from the floor without any difficulty.] With some difficulty [The subject is able to bend down to pick up clothing or a piece of paper from the floor with some difficulty.] With much difficulty [The subject is able to bend down to pick up clothing or a piece of paper from the floor with much difficulty.] Unable to do [The subject is unable to bend down to pick up clothing or a piece of paper from the floor.]
Grip	0..1	CLUSTER	Assessment of the subject's ability to perform functions relating to gripping or handling. CLUSTER
Open car doors	0..1	DV_CODED_TEXT	Assessment of the subject's ability to open car doors. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to open car doors without any difficulty.] With some difficulty [The subject is able to open car doors with some difficulty.] With much difficulty [The subject is able to open car doors with much difficulty.] Unable to do [The subject is unable to open car doors.]
Open jars	0..1	DV_CODED_TEXT	Assessment of subject's ability to open jars that have been previously opened. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to open jars that have been previously opened without any difficulty.] With some difficulty [The subject is able to open jars that have been previously opened with some difficulty.] With much difficulty [The subject is able to open jars that have been previously opened with much difficulty.] Unable to do [The subject is unable to open jars that have been previously opened.]
Turn taps on and off	0..1	DV_CODED_TEXT	Assessment of subject's ability to turn taps on and off. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to turn taps on and off without any difficulty.] With some difficulty [The subject is able to turn taps on and off with some difficulty.] With much difficulty [The subject is able to turn taps on and off with much difficulty.] Unable to do [The subject is unable to turn taps on and off.]
Activities	0..1	CLUSTER	Assessment of the subject's ability to perform general activities. CLUSTER
Run errands and shop	0..1	DV_CODED_TEXT	Assessment of the subject's ability to run errands and shop. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to run errands and shop without any difficulty.] With some difficulty [The subject is able to run errands and shop with some difficulty.] With much difficulty [The subject is able to run errands and shop with much difficulty.] Unable to do [The subject is unable to run errands and shop.]
Get in and out of car	0..1	DV_CODED_TEXT	Assessment of the subject's ability to get in and out of a car. Constraint for DV_CODED_TEXT Without any difficulty [The subject is able to get in and out of car without any difficulty.] With some difficulty [The subject is able to get in and out of car with some difficulty.] With much difficulty [The subject is able to get in and out of car with much difficulty.] Unable to do [The subject is unable to get in and out of car.]
Do household chores	0..1	DV_CODED_TEXT	Assessment of the subject'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 subject is able to do household chores without any difficulty.] With some difficulty [The subject is able to do household chores with some difficulty.] With much difficulty [The subject is able to do household chores with much difficulty.] Unable to do [The subject is unable to do household chores.]
Devices used	0..*	CHOICE OF DV_CODED_TEXT DV_TEXT	Statement about the aids or devices usually used by the subject for hygiene, reach, grip and activities. Constraint for DV_CODED_TEXT Canes [The subject usually uses canes.] Walker [The subject usually uses a walker.] Crutches [The subject usually uses crutches.] Wheelchair or scooter [The subject usualy uses a wheelchair or scooter.] Raised toilet seat [The subject usually uses a raised toilet seat.] Bath seat [The subject usually uses a bath seat.] Jar opener [The subject usually uses a jar opener for jars that have been previously opened.] Special or built-up utensils [The subject usually uses special or built-up utensils.] Special or built-up chair [The subject usually uses a special or built-up chair.] Bath rail [The subject usually uses a bath rail.] Long-handled appliances for reach [The subject usually uses long-handled appliances for reach.]
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 subject from another person because of the subject's illness. Constraint for DV_CODED_TEXT Errands and chores [The subject usually needs help from another person for errands and chores because of his or her illness.] Reach [The subject usually needs help from another person for reaching because of his or her illness.] Gripping and opening things [The subject usually needs help from another person for gripping and opening things because of his or her illness.] Dressing and grooming [The subject usually needs help from another person for dressing and grooming because of his or her illness.] Eating [The subject usually needs help from another person for eating because of his or her illness.] Walking [The subject usually needs help from another person for walking because of his or her illness.] Rising [The subject usually needs help from another person for rising because of his or her illness.] Hygiene [The subject usually needs help from another person for hygiene because of his or her illness.]
Pain score	0..1	DV_QUANTITY	Rating of how much pain the subject 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
Comment	0..1	DV_TEXT	Narrative description of overall assessment by the subject.

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=ba10ffb8-09bb-4702-8738-a2cec4bffdfa)
	openEHR-EHR-OBSERVATION.haq.v0

concept
	[at0000]	-- 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"] = <"2016-11-02">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"For the recording of details of the Health Assessment Questionnaire used to assess how a subject's arthritis affects his or her ability to function in daily life.">
			use = <"To record the details of the Health Assessment Questionnaire used in Rare Diseases management settings to assess how a subject's arthritis affects his or her ability to function in daily life.">
			keywords = <"HAQ", "Health Assessment", "Questionnaire", "Arthritis">
			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"] = <"Health Assessment Questionnaire  cited 03-Nov-2016 https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&cad=rja&uact=8&ved=0ahUKEwjtqvS70ozQAhXlCcAKHb7cBE0QFghHMAM&url=http%3A%2F%2Fwww2.gov.bc.ca%2Fassets%2Fgov%2Fhealth%2Fforms%2F5383fil.pdf&usg=AFQjCNFj2qNv5TNwHHL2R__lOQ4urvaX0g&sig2=hqc8K_Mvhd-HaxR4DWi4MA&bvm=bv.137132246,d.d2s

Health Assessment Questionnaire Instructions  cited 03-Nov-2016 https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjtqvS70ozQAhXlCcAKHb7cBE0QFgg0MAA&url=https%3A%2F%2Fwww.niehs.nih.gov%2Fresearch%2Fresources%2Fassets%2Fdocs%2Fhaq_instructions_508.pdf&usg=AFQjCNGhSSKJSp4BDsa7KiYNi5QWnT7Tlw&sig2=PfcquJirKTB7M4-xhqwr0Q">
		["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"] = <"64A2531DA1AAA321CFB848D75BEF8882">
		["build_uid"] = <"4d3969c6-1852-495d-9068-612e901d0f80">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {	-- 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
														}
													}
												}
											}
											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
														}
													}
												}
											}
										}
									}
									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
														}
													}
												}
											}
											ELEMENT[at0036] occurrences matches {0..1} matches {	-- Get in and out of bed
												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
														}
													}
												}
											}
										}
									}
									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
														}
													}
												}
											}
											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
														}
													}
												}
											}
											ELEMENT[at0055] occurrences matches {0..1} matches {	-- Open new carton of milk
												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
														}
													}
												}
											}
										}
									}
									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
														}
													}
												}
											}
											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
														}
													}
												}
											}
										}
									}
									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
														}
													}
												}
											}
											ELEMENT[at0094] occurrences matches {0..1} matches {	-- Take a 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
														}
													}
												}
											}
											ELEMENT[at0097] occurrences matches {0..1} matches {	-- Get on and off toilet
												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
														}
													}
												}
											}
										}
									}
									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 5lb 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
														}
													}
												}
											}
											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
														}
													}
												}
											}
										}
									}
									CLUSTER[at0143] occurrences matches {0..1} matches {	-- Grip
										items cardinality matches {1..*; unordered} matches {
											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
														}
													}
												}
											}
											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
														}
													}
												}
											}
											ELEMENT[at0162] occurrences matches {0..1} matches {	-- Turn taps 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
														}
													}
												}
											}
										}
									}
									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
														}
													}
												}
											}
											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
														}
													}
												}
											}
											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
														}
													}
												}
											}
										}
									}
									ELEMENT[at0205] occurrences matches {0..*} matches {	-- Devices used
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0219, 	-- Canes
													at0220, 	-- Walker
													at0221, 	-- Crutches
													at0222, 	-- Wheelchair or scooter
													at0206, 	-- Raised toilet seat
													at0207, 	-- Bath seat
													at0208, 	-- Jar opener
													at0223, 	-- Special or built-up utensils
													at0224, 	-- Special or built-up chair
													at0209, 	-- Bath rail
													at0210]	-- Long-handled appliances for reach
												}
											}
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0212] occurrences matches {0..1} matches {	-- Needs help from other person
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0216, 	-- Errands and chores
													at0214, 	-- Reach
													at0215, 	-- Gripping and opening things
													at0225, 	-- Dressing and grooming
													at0226, 	-- Eating
													at0227, 	-- Walking
													at0228, 	-- Rising
													at0213]	-- Hygiene
												}
											}
										}
									}
									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[at0233] occurrences matches {0..1} matches {	-- Comment
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
						state matches {
							ITEM_TREE[at0229] matches {	-- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0230] occurrences matches {0..*} matches {	-- Confounding factors
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0231] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0232] occurrences matches {0..*} matches {	-- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Health Assessment Questionnaire">
					description = <"The 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 subject's ability to dress, including tying shoelaces and doing buttons.">
				>
				["at0005"] = <
					text = <"Shampoo">
					description = <"Assessment of the subject's ability to shampoo his or her hair.">
				>
				["at0008"] = <
					text = <"Dressing and grooming">
					description = <"Assessment of subject's ability to perform functions related to dressing and grooming.">
				>
				["at0009"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to dress without any difficulty.">
				>
				["at0010"] = <
					text = <"With some difficulty">
					description = <"The subject is able to dress with some difficulty.">
				>
				["at0011"] = <
					text = <"With much difficulty">
					description = <"The subject is able to dress with much difficulty.">
				>
				["at0012"] = <
					text = <"Unable to do">
					description = <"The subject is unable to dress.">
				>
				["at0014"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to shampoo his or her hair without any difficulty.">
				>
				["at0015"] = <
					text = <"With some difficulty">
					description = <"The subject is able to shampoo his or her hair with some difficulty.">
				>
				["at0016"] = <
					text = <"With much difficulty">
					description = <"The subject is able to shampoo his or her hair with much difficulty.">
				>
				["at0017"] = <
					text = <"Unable to do">
					description = <"The subject is unable to shampoo his or her hair.">
				>
				["at0029"] = <
					text = <"Arising">
					description = <"Assessment of the subject's ability to stand up from low chair or floor or get in and out of bed.">
				>
				["at0030"] = <
					text = <"Stand up">
					description = <"Assessment of subject's ability to stand up from low chair or floor.">
				>
				["at0031"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to stand up from low chair or floor without any difficulty.">
				>
				["at0032"] = <
					text = <"With some difficulty">
					description = <"The subject is able to stand up from low chair or floor with some difficulty.">
				>
				["at0033"] = <
					text = <"With much difficulty">
					description = <"The subject is able to stand up from low chair or floor with much difficulty.">
				>
				["at0034"] = <
					text = <"Unable to do">
					description = <"The subject is unable to stand up from low chair or floor.">
				>
				["at0036"] = <
					text = <"Get in and out of bed">
					description = <"Assessment of the subject's ability to get in and out of bed.">
				>
				["at0037"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to get in and out of bed without any difficulty.">
				>
				["at0038"] = <
					text = <"With some difficulty">
					description = <"The subject is able to get in and out of bed with some difficulty.">
				>
				["at0039"] = <
					text = <"With much difficulty">
					description = <"The subject is able to get in and out of bed with much difficulty.">
				>
				["at0040"] = <
					text = <"Unable to do">
					description = <"The subject is unable to get in and out of bed .">
				>
				["at0042"] = <
					text = <"Eating">
					description = <"Assessment of the subject's ability to perform functions related to eating.">
				>
				["at0043"] = <
					text = <"Cut meat">
					description = <"Assessment of the subject's ability to cut his or her own meat.">
				>
				["at0044"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to cut his or her own meat without any difficulty.">
				>
				["at0045"] = <
					text = <"With some difficulty">
					description = <"The subject is able to cut his or her own meat with some difficulty.">
				>
				["at0046"] = <
					text = <"With much difficulty">
					description = <"The subject is able to cut his or her own meat with much difficulty.">
				>
				["at0047"] = <
					text = <"Unable to do">
					description = <"The subject is unable to cut his or her own meat.">
				>
				["at0049"] = <
					text = <"Lift up cup or glass to mouth">
					description = <"Assessment of the subject's ability to lift a full cup or glass to mouth.">
				>
				["at0050"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to lift a cup or glass to mouth without any difficulty.">
				>
				["at0051"] = <
					text = <"With some difficulty">
					description = <"The subject is able to lift a cup or glass to mouth with some difficulty.">
				>
				["at0052"] = <
					text = <"With much difficulty">
					description = <"The subject is able to lift a cup or glass to mouth with much difficulty.">
				>
				["at0053"] = <
					text = <"Unable to do">
					description = <"The subject is unable to lift a cup or glass to mouth.">
				>
				["at0055"] = <
					text = <"Open new carton of milk">
					description = <"Assessment of the subject's ability to open a new carton of milk.">
				>
				["at0056"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to open a new carton of milk without any difficulty.">
				>
				["at0057"] = <
					text = <"WIth some difficulty">
					description = <"The subject is able to open a new carton of milk with some difficulty.">
				>
				["at0058"] = <
					text = <"With much difficulty">
					description = <"The subject is able to open a new carton of milk with much difficulty.">
				>
				["at0059"] = <
					text = <"Unable to do">
					description = <"The subject is unable to open a new carton of milk.">
				>
				["at0061"] = <
					text = <"Walking">
					description = <"Assessment of the subject's ability to perform functions related to walking.">
				>
				["at0062"] = <
					text = <"Walk outdoors on flat ground">
					description = <"Assessment of the subject's ability to walk outdoors on flat ground.">
				>
				["at0063"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to walk outdoors on flat ground without any difficulty.">
				>
				["at0064"] = <
					text = <"With some difficulty">
					description = <"The subject is able to walk outdoors on flat ground with some difficulty.">
				>
				["at0065"] = <
					text = <"With much difficulty">
					description = <"The subject is able to walk outdoors on flat ground with much difficulty.">
				>
				["at0066"] = <
					text = <"Unable to do">
					description = <"The subject is unable to walk outdoors on flat ground.">
				>
				["at0068"] = <
					text = <"Climb up five steps">
					description = <"Assessment of the subject's ability to climb up five steps.">
				>
				["at0069"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to climb up five steps without any difficulty.">
				>
				["at0070"] = <
					text = <"With some difficulty">
					description = <"The subject is able to climb up five steps with some difficulty.">
				>
				["at0071"] = <
					text = <"With much difficulty">
					description = <"The subject is able to climb up five steps with much difficulty.">
				>
				["at0072"] = <
					text = <"Unable to do">
					description = <"The subject is unable to climb up five steps.">
				>
				["at0087"] = <
					text = <"Hygiene">
					description = <"Assessment of the subject's ability to perform functions related to hygiene.">
				>
				["at0088"] = <
					text = <"Wash and dry entire body">
					description = <"Assessment of the subject's ability to wash and dry entire body.">
				>
				["at0089"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to wash and dry his or her entire body without any difficulty.">
				>
				["at0090"] = <
					text = <"With some difficulty">
					description = <"The subject is able to wash and dry his or her entire body with some difficulty.">
				>
				["at0091"] = <
					text = <"With much difficulty">
					description = <"The subject is able to wash and dry his or her entire body with much difficulty.">
				>
				["at0092"] = <
					text = <"Unable to do">
					description = <"The subject is unable to wash and dry his or her entire body.">
				>
				["at0094"] = <
					text = <"Take a bath">
					description = <"Assessment of the subject's ability to take a tub bath including getting in and out of the tub).">
				>
				["at0095"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to take a tub bath without any difficulty.">
				>
				["at0096"] = <
					text = <"With some difficulty">
					description = <"The subject is able to take a tub bath with some difficulty.">
				>
				["at0097"] = <
					text = <"Get on and off toilet">
					description = <"Assessment of the subject's ability to get on and off the toilet or potty chair.">
				>
				["at0098"] = <
					text = <"With much difficulty">
					description = <"The subject is able to take a tub bath with much difficulty.">
				>
				["at0099"] = <
					text = <"Unable to do">
					description = <"The subject is unable to take a tub bath.">
				>
				["at0102"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to get on and off toilet or potty chair without any difficulty.">
				>
				["at0103"] = <
					text = <"With some difficulty">
					description = <"The subject is able to get on and off toilet or potty chair with some difficulty.">
				>
				["at0104"] = <
					text = <"With much difficulty">
					description = <"The subject is able to get on and off toilet or potty chair with much difficulty.">
				>
				["at0105"] = <
					text = <"Unable to do">
					description = <"The subject is unable to get on and off toilet or potty chair.">
				>
				["at0118"] = <
					text = <"Reach">
					description = <"Assessment of the subject's ability to perform functions related to reaching.">
				>
				["at0119"] = <
					text = <"Reach and get down 5lb object">
					description = <"Assessment of the subject's ability to reach and get down a 5lb object from just above his/her head.">
				>
				["at0120"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to reach and get down a 5lb object from just above his/her head without any difficulty.">
				>
				["at0121"] = <
					text = <"With some difficulty">
					description = <"The subject is able to reach and get down a 5lb object from just above his/her head with some difficulty.">
				>
				["at0122"] = <
					text = <"With much difficulty">
					description = <"The subject is able to reach and get down a 5lb object from just above his/her head with much difficulty.">
				>
				["at0123"] = <
					text = <"Unable to do">
					description = <"The subject is unable to reach and get down a 5lb object from just above his/her head.">
				>
				["at0125"] = <
					text = <"Bend down to pick up">
					description = <"Assessment of the subject's ability to bend down to pick up clothing or a piece of paper from the floor.">
				>
				["at0126"] = <
					text = <"Without any difficulty">
					description = <"The subject 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 subject 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 subject 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 subject is unable to bend down to pick up clothing or a piece of paper from the floor.">
				>
				["at0143"] = <
					text = <"Grip">
					description = <"Assessment of the subject's ability to perform functions relating to gripping or handling.">
				>
				["at0150"] = <
					text = <"Open car doors">
					description = <"Assessment of the subject's ability to open car doors.">
				>
				["at0151"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to open car doors without any difficulty.">
				>
				["at0152"] = <
					text = <"With some difficulty">
					description = <"The subject is able to open car doors with some difficulty.">
				>
				["at0153"] = <
					text = <"With much difficulty">
					description = <"The subject is able to open car doors with much difficulty.">
				>
				["at0154"] = <
					text = <"Unable to do">
					description = <"The subject is unable to open car doors.">
				>
				["at0156"] = <
					text = <"Open jars">
					description = <"Assessment of subject's ability to open jars that have been previously opened.">
				>
				["at0157"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to open jars that have been previously opened without any difficulty.">
				>
				["at0158"] = <
					text = <"With some difficulty">
					description = <"The subject is able to open jars that have been previously opened with some difficulty.">
				>
				["at0159"] = <
					text = <"With much difficulty">
					description = <"The subject is able to open jars that have been previously opened with much difficulty.">
				>
				["at0160"] = <
					text = <"Unable to do">
					description = <"The subject is unable to open jars that have been previously opened.">
				>
				["at0162"] = <
					text = <"Turn taps on and off">
					description = <"Assessment of subject's ability to turn taps on and off.">
				>
				["at0163"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to turn taps on and off without any difficulty.">
				>
				["at0164"] = <
					text = <"With some difficulty">
					description = <"The subject is able to turn taps on and off with some difficulty.">
				>
				["at0165"] = <
					text = <"With much difficulty">
					description = <"The subject is able to turn taps on and off with much difficulty.">
				>
				["at0166"] = <
					text = <"Unable to do">
					description = <"The subject is unable to turn taps on and off.">
				>
				["at0174"] = <
					text = <"Activities">
					description = <"Assessment of the subject's ability to perform general activities.">
				>
				["at0175"] = <
					text = <"Run errands and shop">
					description = <"Assessment of the subject's ability to run errands and shop.">
				>
				["at0176"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to run errands and shop without any difficulty.">
				>
				["at0177"] = <
					text = <"Get in and out of car">
					description = <"Assessment of the subject's ability to get in and out of a car.">
				>
				["at0178"] = <
					text = <"With some difficulty">
					description = <"The subject is able to run errands and shop with some difficulty.">
				>
				["at0179"] = <
					text = <"With much difficulty">
					description = <"The subject is able to run errands and shop with much difficulty.">
				>
				["at0180"] = <
					text = <"Unable to do">
					description = <"The subject is unable to run errands and shop.">
				>
				["at0182"] = <
					text = <"Without any difficulty">
					description = <"The subject is able to get in and out of car without any difficulty.">
				>
				["at0183"] = <
					text = <"With some difficulty">
					description = <"The subject is able to get in and out of car with some difficulty.">
				>
				["at0184"] = <
					text = <"With much difficulty">
					description = <"The subject is able to get in and out of car with much difficulty.">
				>
				["at0185"] = <
					text = <"Unable to do">
					description = <"The subject is unable to get in and out of car.">
				>
				["at0193"] = <
					text = <"Do household chores">
					description = <"Assessment of the subject'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 subject is able to do household chores without any difficulty.">
				>
				["at0195"] = <
					text = <"With some difficulty">
					description = <"The subject is able to do household chores with some difficulty.">
				>
				["at0196"] = <
					text = <"With much difficulty">
					description = <"The subject is able to do household chores with much difficulty.">
				>
				["at0197"] = <
					text = <"Unable to do">
					description = <"The subject is unable to do household chores.">
				>
				["at0205"] = <
					text = <"Devices used">
					description = <"Statement about the aids or devices usually used by the subject for hygiene, reach, grip and activities.">
				>
				["at0206"] = <
					text = <"Raised toilet seat">
					description = <"The subject usually uses a raised toilet seat.">
				>
				["at0207"] = <
					text = <"Bath seat">
					description = <"The subject usually uses a bath seat.">
				>
				["at0208"] = <
					text = <"Jar opener">
					description = <"The subject usually uses a jar opener for jars that have been previously opened.">
				>
				["at0209"] = <
					text = <"Bath rail">
					description = <"The subject usually uses a bath rail.">
				>
				["at0210"] = <
					text = <"Long-handled appliances for reach">
					description = <"The subject usually uses long-handled appliances for reach.">
				>
				["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 subject from another person because of the subject's illness.">
				>
				["at0213"] = <
					text = <"Hygiene">
					description = <"The subject usually needs help from another person for hygiene because of his or her illness.">
				>
				["at0214"] = <
					text = <"Reach">
					description = <"The subject usually needs help from another person for reaching because of his or her illness.">
				>
				["at0215"] = <
					text = <"Gripping and opening things">
					description = <"The subject usually needs help from another person for gripping and opening things because of his or her illness.">
				>
				["at0216"] = <
					text = <"Errands and chores">
					description = <"The subject 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  subject has had because of his/her illness in the past week on a scale of 0 (no pain) to 100 (very severe pain).">
				>
				["at0219"] = <
					text = <"Canes">
					description = <"The subject usually uses canes.">
				>
				["at0220"] = <
					text = <"Walker">
					description = <"The subject usually uses a walker.">
				>
				["at0221"] = <
					text = <"Crutches">
					description = <"The subject usually uses crutches.">
				>
				["at0222"] = <
					text = <"Wheelchair or scooter">
					description = <"The subject usualy uses a wheelchair or scooter.">
				>
				["at0223"] = <
					text = <"Special or built-up utensils">
					description = <"The subject usually uses special or built-up utensils.">
				>
				["at0224"] = <
					text = <"Special or built-up chair">
					description = <"The subject usually uses a special or built-up chair.">
				>
				["at0225"] = <
					text = <"Dressing and grooming">
					description = <"The subject usually needs help from another person for dressing and grooming because of his or her illness.">
				>
				["at0226"] = <
					text = <"Eating">
					description = <"The subject usually needs help from another person for eating because of his or her illness.">
				>
				["at0227"] = <
					text = <"Walking">
					description = <"The subject usually needs help from another person for walking because of his or her illness.">
				>
				["at0228"] = <
					text = <"Rising">
					description = <"The subject usually needs help from another person for rising because of his or her illness.">
				>
				["at0229"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0230"] = <
					text = <"Confounding factors">
					description = <"Record any issues or factors that may impact on the assessment.">
				>
				["at0231"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0232"] = <
					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.">
				>
				["at0233"] = <
					text = <"Comment">
					description = <"Narrative description of overall assessment by the subject.">
				>
			>
		>
	>