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Name
ICHOM LPC EPIC-26 Questionnaire
Description
Questionnaire and score designed to measure quality of life issues in patients with prostrate cancer.
Keywords
EPIC EPIC-26 prostate cancer index questionnaire score
Purpose
Designed to capture questionnaire and score information for the EPIC-26 (Expanded Prostate Cancer Index Composite) measuring quality of life issues in patients with prostrate cancer.
Use
For use in care settings where patients with prostate cancer are managed. The archetype is intended to capture patient responses to the EPIC-26 questions and record the overall score.
References
EPIC-26 The Expanded Prostate Cancer Index Composite Short Form, cited 05-Aug-2016 https://medicine.umich.edu/sites/default/files/content/downloads/EPIC%20Short%20Form_0.pdf
Archetype Id
openEHR-EHR-OBSERVATION.ichom_lpc_epic_26.v0
Copyright
© Clinical Models UK
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.
Original Author
Hildegard Franke
freshEHR Clinical Informatics Ltd.
Date Originally Authored
2016-08-05
Name Card Type Description
1 Urine leakage
0..1 DV_ORDINAL Patient reported statement about frequency of urine leakage in past 4 weeks.
Comment
Orinal questionnaire question: Over the past 4 weeks, how often have you leaked urine?
Constraint for DV_ORDINAL
  • 1 : More than once a day
  • 2 : About once a day
  • 3 : More than once a week
  • 4 : About once a week
  • 5 : Rarely or never
2 Urinary control
0..1 DV_ORDINAL Patient reported statement about urinary control in past 4 weeks.
Comment
Orinal questionnaire question: Which of the following best describes your urinary control during the last 4 weeks?
Constraint for DV_ORDINAL
  • 1 : No urinary control whatsoever
  • 2 : Frequent dribbling
  • 3 : Occasional dribbling
  • 4 : Total control
3 Pads or adult diapers
0..1 DV_ORDINAL Patient reported statement about number of pads or adult diapers used per day to control leakage in past 4 weeks.
Comment
Original questionnaire question: How many pads or adult diapers per day did you usually use to control leakage during the last 4 weeks?
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : 1 pad per day
  • 2 : 2 pads per day
  • 3 : 3 or more pads per day
4a Dripping or leaking urine
0..1 DV_ORDINAL Patient reported statement on how big a problem dripping or leaking urine has been over past 4 weeks.
Comment
Original questionnaire question: How big a problem, if any, has each of the following been for you during the last 4 weeks? a. Dripping or leaking urine.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
4b Pain or burning on urination
0..1 DV_ORDINAL Patient reported statement on how big a problem pain or burning on urination has been over past 4 weeks.
Comment
Original questionnaire question: How big a problem, if any, has each of the following been for you during the last 4 weeks? b. Pain or burning on urination.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
4c Bleeding with urination
0..1 DV_ORDINAL Patient reported statement on how big a problem bleeding with urination has been over past 4 weeks.
Comment
Original questionnaire question: How big a problem, if any, has each of the following been for you during the last 4 weeks? c. Bleeding with urination.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
4d Weak urine stream or incomplete emptying
0..1 DV_ORDINAL Patient reported statement on how big a problem weak urine stream or incomplete emptying has been over past 4 weeks.
Comment
Original questionnaire question: How big a problem, if any, has each of the following been for you during the last 4 weeks? d. Weak urine stream or incomplete emptying.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
4e Need to urinate frequently during day
0..1 DV_ORDINAL Patient reported statement on how big a problem the need to urinate frequently during the day has been over past 4 weeks.
Comment
Original questionnaire question: How big a problem, if any, has each of the following been for you during the last 4 weeks? e. Need to urinate frequently during the day.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
5 Overall urinary function
0..1 DV_ORDINAL Patient reported statement of how big a problem urinary function has been overall in past 4 weeks.
Comment
Original questionnaire question: Overall, how big a problem has your urinary function been for you during the last 4 weeks?
Constraint for DV_ORDINAL
  • 1 : No problem
  • 2 : Very small problem
  • 3 : Small problem
  • 4 : Moderate problem
  • 5 : Big problem
6a Urgency to have bowel movement
0..1 DV_ORDINAL Patient reported statement on how big a problem urgency to have bowel movement has been.
Comment
Original questionnaire question: How big a problem, if any, has each of the following been for you? a Urgency to have bowel movement.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
6b Increased frequency of bowel movements
0..1 DV_ORDINAL Patient reported statement on how big a problem increased frequency of bowel movements has been.
Comment
Original questionnaire questions: How big a problem, if any, has each of the following been for you? b. Increased frequency of bowel movements.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
6c Losing control of stools
0..1 DV_ORDINAL Patient reported statement on how big a problem losing control of stools has been.
Comment
Original questionnaire questions: How big a problem, if any, has each of the following been for you? c. Losing control of stools.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
6d Bloody stools
0..1 DV_ORDINAL Patient reported statement on how big a problem bloody stools have been.
Comment
Orginal questionnaire question: How big a problem, if any, has each of the following been for you? d. Bloody stools.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
6e Abdominal/pelvic/rectal pain
0..1 DV_ORDINAL Patient reported statement of how big a problem abdominal/pelvic/rectal pain has been.
Comment
Orginal questionnaire question: How big a problem, if any, has each of the following been for you? e. Abdominal/pelvic/rectal pain.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
7 Overall bowel habits
0..1 DV_ORDINAL Patient reported statement on how big a problem overall bowel habits has been over past 4 weeks.
Comment
Original questionnaire question: Overall, how big a problem have your bowel habits been for you during the last 4 weeks?
Constraint for DV_ORDINAL
  • 1 : No problem
  • 2 : Very small problem
  • 3 : Small problem
  • 4 : Moderate problem
  • 5 : Big problem
8a Ability to have erection
0..1 DV_ORDINAL Patient reported statement on ability to have an erection during past 4 weeks.
Comment
Original questionnaire question: How would you rate each of the following during the last 4 weeks? a. Ability to have an erection.
Constraint for DV_ORDINAL
  • 1 : Very poor to none
  • 2 : Poor
  • 3 : Fair
  • 4 : Good
  • 5 : Very good
8b Ability to reach orgasm
0..1 DV_ORDINAL Patient reported statement on ability to reach orgasm.
Comment
Original questionnaire question: How would you rate each of the following during the last 4 weeks? b. Ability to reach orgasm (climax).
Constraint for DV_ORDINAL
  • 1 : Very poor to none
  • 2 : Poor
  • 3 : Fair
  • 4 : Good
  • 5 : Very good
9 Quality of erections
0..1 DV_ORDINAL Patient reported statement on quality of erections over past 4 weeks.
Comment
Original questionnaire question: How would you describe the usual QUALITY of your erections during the last 4 weeks?
Constraint for DV_ORDINAL
  • 1 : None at all
  • 2 : Not firm enough for any sexual activity
  • 3 : Firm enough for masturbation and foreplay only
  • 4 : Firm enough for intercourse
10 Frequency of erections
0..1 DV_ORDINAL Patient reported statement on frequency of erections over past 4 weeks.
Comment
Original questionnaire question: How would you describe the FREQUENCY of your erections during the last 4 weeks?
Constraint for DV_ORDINAL
  • 1 : Never when wanted
  • 2 : Less than half the time
  • 3 : About half the time
  • 4 : More than half the time
  • 5 : Whenever wanted
11 Overall sexual ability
0..1 DV_ORDINAL Patient reported statement on their ability to function sexually over past 4 weeks.
Comment
Original questionnaire question: Overall, how would you rate your ability to function sexually during the last 4 weeks?
Constraint for DV_ORDINAL
  • 1 : Very poor
  • 2 : Poor
  • 3 : Fair
  • 4 : Good
  • 5 : Very good
12 Sexual function problem
0..1 DV_ORDINAL Patient reported statement on how big a problem sexual function or lack of sexual function has been over past 4 weeks.
Comment
Original questionnaire question: Overall, how big a problem has your sexual function or lack of sexual function been for you during the last 4 weeks?
Constraint for DV_ORDINAL
  • 1 : No problem
  • 2 : Very small problem
  • 3 : Small problem
  • 4 : Moderate problem
  • 5 : Big problem
13a Hot flushes
0..1 DV_ORDINAL Patient reported statement on how big a problem hot flushes have been in past 4 weeks.
Comment
Original questionnaire question: How big a problem during the last 4 weeks, if any, has each of the following been for you? a. Hot flushes.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
13b Breast tenderness/enlargement
0..1 DV_ORDINAL Patient reported statement on how big a problem breast tenderness/enlargement has been in past 4 weeks.
Comment
Original questionnaire question: How big a problem during the last 4 weeks, if any, has each of the following been for you? b. Breast tenderness/enlargement.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
13c Feeling depressed
0..1 DV_ORDINAL Patient reported statement on how big a problem feeling depressed has been in past 4 weeks.
Comment
Original questionnaire question: How big a problem during the last 4 weeks, if any, has each of the following been for you? c. Feeling depressed.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
13d Lack of energy
0..1 DV_ORDINAL Patient reported statement on how big a problem lack of energy has been in past 4 weeks.
Comment
Original questionnaire question: How big a problem during the last 4 weeks, if any, has each of the following been for you? d. Lack of energy.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
13e Change in body weight
0..1 DV_ORDINAL Patient reported statement on how big a problem change in body weight has been in past 4 weeks.
Comment
Original questionnaire question: How big a problem during the last 4 weeks, if any, has each of the following been for you? e. Change in body weight.
Constraint for DV_ORDINAL
  • 0 : No problem
  • 1 : Very small problem
  • 2 : Small problem
  • 3 : Moderate problem
  • 4 : Big problem
Overall score
0..1 DV_COUNT Overall score, sum of all individual scores.
Constraint for DV_COUNT
min: >= 1; max: <= 111
Name Card Type Description
Extension
0..* Slot (Cluster) Additional information required to capture local content or to align with other reference models/formalisms.
Comment
For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.
Slot
Slot
 
archetype (adl_version=1.4; uid=f1d39778-dc98-43ae-b133-67199ad85047)
	openEHR-EHR-OBSERVATION.ichom_lpc_epic_26.v0

concept
	[at0000]	-- ICHOM LPC EPIC-26 Questionnaire
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Hildegard Franke">
		["organisation"] = <"freshEHR Clinical Informatics Ltd.">
		["email"] = <"hildi@freshehr.com">
		["date"] = <"2016-08-05">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"Designed to capture questionnaire and score information for the EPIC-26 (Expanded Prostate Cancer Index Composite) measuring quality of life issues in patients with prostrate cancer.">
			use = <"For use in care settings where patients with prostate cancer are managed. The archetype is intended to capture patient responses to the EPIC-26 questions and record the overall score.">
			keywords = <"EPIC", "EPIC-26", "prostate", "cancer", "index", "questionnaire", "score">
			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"] = <"EPIC-26  The Expanded Prostate Cancer Index Composite Short Form, cited 05-Aug-2016  https://medicine.umich.edu/sites/default/files/content/downloads/EPIC%20Short%20Form_0.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"] = <"8CA26ED3917C225463E04DCA2BA41BFC">
		["build_uid"] = <"542f9d96-44f6-4150-903b-cd3846108075">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {	-- ICHOM LPC EPIC-26 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 {
									ELEMENT[at0004] occurrences matches {0..1} matches {	-- 1 Urine leakage
										value matches {
											1|[local::at0005], 	-- More than once a day
											2|[local::at0006], 	-- About once a day
											3|[local::at0007], 	-- More than once a week
											4|[local::at0008], 	-- About once a week
											5|[local::at0009]  	-- Rarely or never
										}
									}
									ELEMENT[at0010] occurrences matches {0..1} matches {	-- 2 Urinary control
										value matches {
											1|[local::at0011], 	-- No urinary control whatsoever
											2|[local::at0012], 	-- Frequent dribbling
											3|[local::at0013], 	-- Occasional dribbling
											4|[local::at0014]  	-- Total control
										}
									}
									ELEMENT[at0015] occurrences matches {0..1} matches {	-- 3 Pads or adult diapers
										value matches {
											0|[local::at0016], 	-- None
											1|[local::at0017], 	-- 1 pad per day
											2|[local::at0018], 	-- 2 pads per day
											3|[local::at0019]  	-- 3 or more pads per day
										}
									}
									ELEMENT[at0020] occurrences matches {0..1} matches {	-- 4a Dripping or leaking urine
										value matches {
											0|[local::at0021], 	-- No problem
											1|[local::at0022], 	-- Very small problem
											2|[local::at0023], 	-- Small problem
											3|[local::at0024], 	-- Moderate problem
											4|[local::at0025]  	-- Big problem
										}
									}
									ELEMENT[at0026] occurrences matches {0..1} matches {	-- 4b Pain or burning on urination
										value matches {
											0|[local::at0027], 	-- No problem
											1|[local::at0028], 	-- Very small problem
											2|[local::at0029], 	-- Small problem
											3|[local::at0030], 	-- Moderate problem
											4|[local::at0031]  	-- Big problem
										}
									}
									ELEMENT[at0032] occurrences matches {0..1} matches {	-- 4c Bleeding with urination
										value matches {
											0|[local::at0033], 	-- No problem
											1|[local::at0034], 	-- Very small problem
											2|[local::at0035], 	-- Small problem
											3|[local::at0036], 	-- Moderate problem
											4|[local::at0037]  	-- Big problem
										}
									}
									ELEMENT[at0038] occurrences matches {0..1} matches {	-- 4d Weak urine stream or incomplete emptying
										value matches {
											0|[local::at0039], 	-- No problem
											1|[local::at0040], 	-- Very small problem
											2|[local::at0041], 	-- Small problem
											3|[local::at0042], 	-- Moderate problem
											4|[local::at0043]  	-- Big problem
										}
									}
									ELEMENT[at0044] occurrences matches {0..1} matches {	-- 4e Need to urinate frequently during day
										value matches {
											0|[local::at0045], 	-- No problem
											1|[local::at0046], 	-- Very small problem
											2|[local::at0047], 	-- Small problem
											3|[local::at0048], 	-- Moderate problem
											4|[local::at0049]  	-- Big problem
										}
									}
									ELEMENT[at0050] occurrences matches {0..1} matches {	-- 5 Overall urinary function
										value matches {
											1|[local::at0051], 	-- No problem
											2|[local::at0052], 	-- Very small problem
											3|[local::at0053], 	-- Small problem
											4|[local::at0054], 	-- Moderate problem
											5|[local::at0055]  	-- Big problem
										}
									}
									ELEMENT[at0056] occurrences matches {0..1} matches {	-- 6a Urgency to have bowel movement
										value matches {
											0|[local::at0057], 	-- No problem
											1|[local::at0058], 	-- Very small problem
											2|[local::at0059], 	-- Small problem
											3|[local::at0060], 	-- Moderate problem
											4|[local::at0061]  	-- Big problem
										}
									}
									ELEMENT[at0062] occurrences matches {0..1} matches {	-- 6b Increased frequency of bowel movements
										value matches {
											0|[local::at0063], 	-- No problem
											1|[local::at0064], 	-- Very small problem
											2|[local::at0065], 	-- Small problem
											3|[local::at0066], 	-- Moderate problem
											4|[local::at0067]  	-- Big problem
										}
									}
									ELEMENT[at0068] occurrences matches {0..1} matches {	-- 6c Losing control of stools
										value matches {
											0|[local::at0069], 	-- No problem
											1|[local::at0070], 	-- Very small problem
											2|[local::at0071], 	-- Small problem
											3|[local::at0072], 	-- Moderate problem
											4|[local::at0073]  	-- Big problem
										}
									}
									ELEMENT[at0074] occurrences matches {0..1} matches {	-- 6d Bloody stools
										value matches {
											0|[local::at0075], 	-- No problem
											1|[local::at0076], 	-- Very small problem
											2|[local::at0077], 	-- Small problem
											3|[local::at0078], 	-- Moderate problem
											4|[local::at0079]  	-- Big problem
										}
									}
									ELEMENT[at0080] occurrences matches {0..1} matches {	-- 6e Abdominal/pelvic/rectal pain
										value matches {
											0|[local::at0081], 	-- No problem
											1|[local::at0082], 	-- Very small problem
											2|[local::at0083], 	-- Small problem
											3|[local::at0084], 	-- Moderate problem
											4|[local::at0085]  	-- Big problem
										}
									}
									ELEMENT[at0086] occurrences matches {0..1} matches {	-- 7 Overall bowel habits
										value matches {
											1|[local::at0087], 	-- No problem
											2|[local::at0088], 	-- Very small problem
											3|[local::at0089], 	-- Small problem
											4|[local::at0090], 	-- Moderate problem
											5|[local::at0091]  	-- Big problem
										}
									}
									ELEMENT[at0092] occurrences matches {0..1} matches {	-- 8a Ability to have erection
										value matches {
											1|[local::at0093], 	-- Very poor to none
											2|[local::at0094], 	-- Poor
											3|[local::at0095], 	-- Fair
											4|[local::at0096], 	-- Good
											5|[local::at0097]  	-- Very good
										}
									}
									ELEMENT[at0098] occurrences matches {0..1} matches {	-- 8b Ability to reach orgasm
										value matches {
											1|[local::at0099], 	-- Very poor to none
											2|[local::at0100], 	-- Poor
											3|[local::at0101], 	-- Fair
											4|[local::at0102], 	-- Good
											5|[local::at0103]  	-- Very good
										}
									}
									ELEMENT[at0104] occurrences matches {0..1} matches {	-- 9 Quality of erections
										value matches {
											1|[local::at0105], 	-- None at all
											2|[local::at0106], 	-- Not firm enough for any sexual activity
											3|[local::at0107], 	-- Firm enough for masturbation and foreplay only
											4|[local::at0108]  	-- Firm enough for intercourse
										}
									}
									ELEMENT[at0109] occurrences matches {0..1} matches {	-- 10 Frequency of erections
										value matches {
											1|[local::at0110], 	-- Never when wanted
											2|[local::at0111], 	-- Less than half the time
											3|[local::at0112], 	-- About half the time
											4|[local::at0113], 	-- More than half the time
											5|[local::at0114]  	-- Whenever wanted
										}
									}
									ELEMENT[at0115] occurrences matches {0..1} matches {	-- 11 Overall sexual ability
										value matches {
											1|[local::at0116], 	-- Very poor
											2|[local::at0117], 	-- Poor
											3|[local::at0118], 	-- Fair
											4|[local::at0119], 	-- Good
											5|[local::at0120]  	-- Very good
										}
									}
									ELEMENT[at0121] occurrences matches {0..1} matches {	-- 12 Sexual function problem
										value matches {
											1|[local::at0122], 	-- No problem
											2|[local::at0123], 	-- Very small problem
											3|[local::at0124], 	-- Small problem
											4|[local::at0125], 	-- Moderate problem
											5|[local::at0126]  	-- Big problem
										}
									}
									ELEMENT[at0127] occurrences matches {0..1} matches {	-- 13a Hot flushes
										value matches {
											0|[local::at0132], 	-- No problem
											1|[local::at0133], 	-- Very small problem
											2|[local::at0134], 	-- Small problem
											3|[local::at0135], 	-- Moderate problem
											4|[local::at0136]  	-- Big problem
										}
									}
									ELEMENT[at0128] occurrences matches {0..1} matches {	-- 13b Breast tenderness/enlargement
										value matches {
											0|[local::at0137], 	-- No problem
											1|[local::at0138], 	-- Very small problem
											2|[local::at0139], 	-- Small problem
											3|[local::at0140], 	-- Moderate problem
											4|[local::at0141]  	-- Big problem
										}
									}
									ELEMENT[at0129] occurrences matches {0..1} matches {	-- 13c Feeling depressed
										value matches {
											0|[local::at0142], 	-- No problem
											1|[local::at0143], 	-- Very small problem
											2|[local::at0144], 	-- Small problem
											3|[local::at0145], 	-- Moderate problem
											4|[local::at0146]  	-- Big problem
										}
									}
									ELEMENT[at0130] occurrences matches {0..1} matches {	-- 13d Lack of energy
										value matches {
											0|[local::at0147], 	-- No problem
											1|[local::at0148], 	-- Very small problem
											2|[local::at0149], 	-- Small problem
											3|[local::at0150], 	-- Moderate problem
											4|[local::at0151]  	-- Big problem
										}
									}
									ELEMENT[at0131] occurrences matches {0..1} matches {	-- 13e Change in body weight
										value matches {
											0|[local::at0152], 	-- No problem
											1|[local::at0153], 	-- Very small problem
											2|[local::at0154], 	-- Small problem
											3|[local::at0155], 	-- Moderate problem
											4|[local::at0156]  	-- Big problem
										}
									}
									ELEMENT[at0157] occurrences matches {0..1} matches {	-- Overall score
										value matches {
											DV_COUNT matches {
												magnitude matches {|1..111|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0158] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0159] occurrences matches {0..*} matches {	-- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"ICHOM LPC EPIC-26 Questionnaire">
					description = <"Questionnaire and score designed to measure quality of life issues in patients with prostrate cancer.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Point in time">
					description = <"Specified point in time which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"1 Urine leakage">
					description = <"Patient reported statement about frequency of urine leakage in past 4 weeks.">
					comment = <"Orinal questionnaire question: Over the past 4 weeks, how often have you leaked urine?">
				>
				["at0005"] = <
					text = <"More than once a day">
					description = <"Patient is leaking urine more than once a day.">
				>
				["at0006"] = <
					text = <"About once a day">
					description = <"Patient is leaking urine about once a day.">
				>
				["at0007"] = <
					text = <"More than once a week">
					description = <"Patient is leaking urine more than once a week.">
				>
				["at0008"] = <
					text = <"About once a week">
					description = <"Patient is leaking urine about once a week.">
				>
				["at0009"] = <
					text = <"Rarely or never">
					description = <"Patient is leaking urine rarely or never.">
				>
				["at0010"] = <
					text = <"2 Urinary control">
					description = <"Patient reported statement about urinary control in past 4 weeks.">
					comment = <"Orinal questionnaire question: Which of the following best describes your urinary control during the last 4 weeks?">
				>
				["at0011"] = <
					text = <"No urinary control whatsoever">
					description = <"Patient has no urinary control whatsoever.">
				>
				["at0012"] = <
					text = <"Frequent dribbling">
					description = <"Patient experiences frequent dribbling.">
				>
				["at0013"] = <
					text = <"Occasional dribbling">
					description = <"Patient experiences occasional dribbling.">
				>
				["at0014"] = <
					text = <"Total control">
					description = <"Patient has total urinary control.">
				>
				["at0015"] = <
					text = <"3 Pads or adult diapers">
					description = <"Patient reported statement about number of pads or adult diapers used per day to control leakage in past 4 weeks.">
					comment = <"Original questionnaire question: How many pads or adult diapers per day did you usually use to control leakage during the last 4 weeks?">
				>
				["at0016"] = <
					text = <"None">
					description = <"Patient has not used any pads or adult diapers.">
				>
				["at0017"] = <
					text = <"1 pad per day">
					description = <"Patient has used one pad or adult diaper per day.">
				>
				["at0018"] = <
					text = <"2 pads per day">
					description = <"Patient has used two pads or adult diapers per day.">
				>
				["at0019"] = <
					text = <"3 or more pads per day">
					description = <"Patient has used three or more pads or adult diapers per day.">
				>
				["at0020"] = <
					text = <"4a Dripping or leaking urine">
					description = <"Patient reported statement on how big a problem dripping or leaking urine has been over past 4 weeks.">
					comment = <"Original questionnaire question: How big a problem, if any, has each of the following been for you during the last 4 weeks? a. Dripping or leaking urine.">
				>
				["at0021"] = <
					text = <"No problem">
					description = <"Dripping or leaking urine has not been a problem.">
				>
				["at0022"] = <
					text = <"Very small problem">
					description = <"Dripping or leaking urine has been a very small problem.">
				>
				["at0023"] = <
					text = <"Small problem">
					description = <"Dripping or leaking urine has been a small problem.">
				>
				["at0024"] = <
					text = <"Moderate problem">
					description = <"Dripping or leaking urine has been a moderate problem.">
				>
				["at0025"] = <
					text = <"Big problem">
					description = <"Dripping or leaking urine has been a big problem.">
				>
				["at0026"] = <
					text = <"4b Pain or burning on urination">
					description = <"Patient reported statement on how big a problem pain or burning on urination has been over past 4 weeks.">
					comment = <"Original questionnaire question: How big a problem, if any, has each of the following been for you during the last 4 weeks?  b. Pain or burning on urination.">
				>
				["at0027"] = <
					text = <"No problem">
					description = <"Pain or burning on urination has not been a problem.">
				>
				["at0028"] = <
					text = <"Very small problem">
					description = <"Pain or burning on urination has been a very small problem.">
				>
				["at0029"] = <
					text = <"Small problem">
					description = <"Pain or burning on urination has been a small problem.">
				>
				["at0030"] = <
					text = <"Moderate problem">
					description = <"Pain or burning on urination has been a moderate problem.">
				>
				["at0031"] = <
					text = <"Big problem">
					description = <"Pain or burning on urination has been a big problem.">
				>
				["at0032"] = <
					text = <"4c Bleeding with urination">
					description = <"Patient reported statement on how big a problem bleeding with urination has been over past 4 weeks.">
					comment = <"Original questionnaire question: How big a problem, if any, has each of the following been for you during the last 4 weeks? c. Bleeding with urination.">
				>
				["at0033"] = <
					text = <"No problem">
					description = <"Bleeding with urination has not been a problem.">
				>
				["at0034"] = <
					text = <"Very small problem">
					description = <"Bleeding with urination has been a very small problem.">
				>
				["at0035"] = <
					text = <"Small problem">
					description = <"Bleeding with urination has been a small problem.">
				>
				["at0036"] = <
					text = <"Moderate problem">
					description = <"Bleeding with urination has been a moderate problem.">
				>
				["at0037"] = <
					text = <"Big problem">
					description = <"Bleeding with urination has been a big problem.">
				>
				["at0038"] = <
					text = <"4d Weak urine stream or incomplete emptying">
					description = <"Patient reported statement on how big a problem weak urine stream or incomplete emptying has been over past 4 weeks.">
					comment = <"Original questionnaire question: How big a problem, if any, has each of the following been for you during the last 4 weeks? d. Weak urine stream or incomplete emptying.">
				>
				["at0039"] = <
					text = <"No problem">
					description = <"Weak stream of urine or incomplete emptying has not been a problem.">
				>
				["at0040"] = <
					text = <"Very small problem">
					description = <"Weak stream of urine or incomplete emptying has been a very small problem.">
				>
				["at0041"] = <
					text = <"Small problem">
					description = <"Weak stream of urine or incomplete emptying has been a small problem.">
				>
				["at0042"] = <
					text = <"Moderate problem">
					description = <"Weak stream of urine or incomplete emptying has been a moderate problem.">
				>
				["at0043"] = <
					text = <"Big problem">
					description = <"Weak stream of urine or incomplete emptying has been a big problem.">
				>
				["at0044"] = <
					text = <"4e Need to urinate frequently during day">
					description = <"Patient reported statement on how big a problem the need to urinate frequently during the day has been over past 4 weeks.">
					comment = <"Original questionnaire question: How big a problem, if any, has each of the following been for you during the last 4 weeks? e. Need to urinate frequently during the day.">
				>
				["at0045"] = <
					text = <"No problem">
					description = <"Need to urinate frequently during the day has not been a problem.">
				>
				["at0046"] = <
					text = <"Very small problem">
					description = <"Need to urinate frequently during the day has been a very small problem.">
				>
				["at0047"] = <
					text = <"Small problem">
					description = <"Need to urinate frequently during the day has been a small problem.">
				>
				["at0048"] = <
					text = <"Moderate problem">
					description = <"Need to urinate frequently during the day has been a moderate problem.">
				>
				["at0049"] = <
					text = <"Big problem">
					description = <"Need to urinate frequently during the day has been a big problem.">
				>
				["at0050"] = <
					text = <"5 Overall urinary function">
					description = <"Patient reported statement of how big a problem urinary function has been overall in past 4 weeks.">
					comment = <"Original questionnaire question: Overall, how big a problem has your urinary function been for you during the last 4 weeks?">
				>
				["at0051"] = <
					text = <"No problem">
					description = <"Overall urinary function has not been a problem.">
				>
				["at0052"] = <
					text = <"Very small problem">
					description = <"Overall urinary function has been a very small problem.">
				>
				["at0053"] = <
					text = <"Small problem">
					description = <"Overall urinary function has been a small problem.">
				>
				["at0054"] = <
					text = <"Moderate problem">
					description = <"Overall urinary function has been a moderate problem.">
				>
				["at0055"] = <
					text = <"Big problem">
					description = <"Overall urinary function has been a big problem.">
				>
				["at0056"] = <
					text = <"6a Urgency to have bowel movement">
					description = <"Patient reported statement on how big a problem urgency to have bowel movement has been.">
					comment = <"Original questionnaire question: How big a problem, if any, has each of the following been for you? a Urgency to have bowel movement.">
				>
				["at0057"] = <
					text = <"No problem">
					description = <"Urgency to have bowel movement has not been a problem.">
				>
				["at0058"] = <
					text = <"Very small problem">
					description = <"Urgency to have bowel movement has been a very small problem.">
				>
				["at0059"] = <
					text = <"Small problem">
					description = <"Urgency to have bowel movement has been a small problem.">
				>
				["at0060"] = <
					text = <"Moderate problem">
					description = <"Urgency to have bowel movement has been a moderate problem.">
				>
				["at0061"] = <
					text = <"Big problem">
					description = <"Urgency to have bowel movement has been a big problem.">
				>
				["at0062"] = <
					text = <"6b Increased frequency of bowel movements">
					description = <"Patient reported statement on how big a problem increased frequency of bowel movements has been.">
					comment = <"Original questionnaire questions: How big a problem, if any, has each of the following been for you? b. Increased frequency of bowel movements.">
				>
				["at0063"] = <
					text = <"No problem">
					description = <"Increased frequency of bowel movements has not been a problem.">
				>
				["at0064"] = <
					text = <"Very small problem">
					description = <"Increased frequency of bowel movements has been a very small problem.">
				>
				["at0065"] = <
					text = <"Small problem">
					description = <"Increased frequency of bowel movements has been a small problem.">
				>
				["at0066"] = <
					text = <"Moderate problem">
					description = <"Increased frequency of bowel movements has been a moderate problem.">
				>
				["at0067"] = <
					text = <"Big problem">
					description = <"Increased frequency of bowel movements has been a big problem.">
				>
				["at0068"] = <
					text = <"6c Losing control of stools">
					description = <"Patient reported statement on how big a problem losing control of stools has been.">
					comment = <"Original questionnaire questions: How big a problem, if any, has each of the following been for you? c. Losing control of stools.">
				>
				["at0069"] = <
					text = <"No problem">
					description = <"Losing control of stools has not been a problem.">
				>
				["at0070"] = <
					text = <"Very small problem">
					description = <"Losing control of stools has been a very small problem.">
				>
				["at0071"] = <
					text = <"Small problem">
					description = <"Losing control of stools has been a small problem.">
				>
				["at0072"] = <
					text = <"Moderate problem">
					description = <"Losing control of stools has been a moderate problem.">
				>
				["at0073"] = <
					text = <"Big problem">
					description = <"Losing control of stools has been a bigproblem.">
				>
				["at0074"] = <
					text = <"6d Bloody stools">
					description = <"Patient reported statement on how big a problem bloody stools have been.">
					comment = <"Orginal questionnaire question:  How big a problem, if any, has each of the following been for you? d. Bloody stools.">
				>
				["at0075"] = <
					text = <"No problem">
					description = <"Bloody stools have not been a problem.">
				>
				["at0076"] = <
					text = <"Very small problem">
					description = <"Bloody stools have been a very small problem.">
				>
				["at0077"] = <
					text = <"Small problem">
					description = <"Bloody stools have been a small problem.">
				>
				["at0078"] = <
					text = <"Moderate problem">
					description = <"Bloody stools have been a moderate problem.">
				>
				["at0079"] = <
					text = <"Big problem">
					description = <"Bloody stools have been a big problem.">
				>
				["at0080"] = <
					text = <"6e Abdominal/pelvic/rectal pain">
					description = <"Patient reported statement of how big a problem abdominal/pelvic/rectal pain has been.">
					comment = <"Orginal questionnaire question:  How big a problem, if any, has each of the following been for you? e. Abdominal/pelvic/rectal pain.">
				>
				["at0081"] = <
					text = <"No problem">
					description = <"Abdominal/pelvic/rectal pain has not been a problem.">
				>
				["at0082"] = <
					text = <"Very small problem">
					description = <"Abdominal/pelvic/rectal pain has been a very small problem.">
				>
				["at0083"] = <
					text = <"Small problem">
					description = <"Abdominal/pelvic/rectal pain has been a small problem.">
				>
				["at0084"] = <
					text = <"Moderate problem">
					description = <"Abdominal/pelvic/rectal pain has been a moderate problem.">
				>
				["at0085"] = <
					text = <"Big problem">
					description = <"Abdominal/pelvic/rectal pain has been a big problem.">
				>
				["at0086"] = <
					text = <"7 Overall bowel habits">
					description = <"Patient reported statement on how big a problem overall bowel habits has been over past 4 weeks.">
					comment = <"Original questionnaire question: Overall, how big a problem have your bowel habits been for you during the last 4 weeks?">
				>
				["at0087"] = <
					text = <"No problem">
					description = <"Overall bowel habits have not been a problem.">
				>
				["at0088"] = <
					text = <"Very small problem">
					description = <"Overall bowel habits have been a very small problem.">
				>
				["at0089"] = <
					text = <"Small problem">
					description = <"Overall bowel habits have been a small problem.">
				>
				["at0090"] = <
					text = <"Moderate problem">
					description = <"Overall bowel habits have been a moderate problem.">
				>
				["at0091"] = <
					text = <"Big problem">
					description = <"Overall bowel habits have been a big problem.">
				>
				["at0092"] = <
					text = <"8a Ability to have erection">
					description = <"Patient reported statement on ability to have an erection during past 4 weeks.">
					comment = <"Original questionnaire question: How would you rate each of the following during the last 4 weeks? a. Ability to have an erection.">
				>
				["at0093"] = <
					text = <"Very poor to none">
					description = <"Ability to have an erection has been very poor to none.">
				>
				["at0094"] = <
					text = <"Poor">
					description = <"Ability to have an erection has been poor.">
				>
				["at0095"] = <
					text = <"Fair">
					description = <"Ability to have an erection has been fair.">
				>
				["at0096"] = <
					text = <"Good">
					description = <"Ability to have an erection has been good.">
				>
				["at0097"] = <
					text = <"Very good">
					description = <"Ability to have an erection has been very good.">
				>
				["at0098"] = <
					text = <"8b Ability to reach orgasm">
					description = <"Patient reported statement on ability to reach orgasm.">
					comment = <"Original questionnaire question: How would you rate each of the following during the last 4 weeks? b. Ability to reach orgasm (climax).">
				>
				["at0099"] = <
					text = <"Very poor to none">
					description = <"Ability to reach orgasm has been very poor to none.">
				>
				["at0100"] = <
					text = <"Poor">
					description = <"Ability to reach orgasm has been poor.">
				>
				["at0101"] = <
					text = <"Fair">
					description = <"Ability to reach orgasm has been fair.">
				>
				["at0102"] = <
					text = <"Good">
					description = <"Ability to reach orgasm has been good.">
				>
				["at0103"] = <
					text = <"Very good">
					description = <"Ability to reach orgasm has been very good.">
				>
				["at0104"] = <
					text = <"9 Quality of erections">
					description = <"Patient reported statement on quality of erections over past 4 weeks.">
					comment = <"Original questionnaire question: How would you describe the usual QUALITY of your erections during the last 4 weeks?">
				>
				["at0105"] = <
					text = <"None at all">
					description = <"Patient has experienced no erections at all.">
				>
				["at0106"] = <
					text = <"Not firm enough for any sexual activity">
					description = <"Erections have not been firm enough for any sexual activity.">
				>
				["at0107"] = <
					text = <"Firm enough for masturbation and foreplay only">
					description = <"Erections have only been firm enough for masturbation and foreplay.">
				>
				["at0108"] = <
					text = <"Firm enough for intercourse">
					description = <"Erections have been firm enough for intercourse.">
				>
				["at0109"] = <
					text = <"10 Frequency of erections">
					description = <"Patient reported statement on frequency of erections over past 4 weeks.">
					comment = <"Original questionnaire question: How would you describe the FREQUENCY of your erections during the last 4 weeks?">
				>
				["at0110"] = <
					text = <"Never when wanted">
					description = <"Patient never experienced erection when they wanted one.">
				>
				["at0111"] = <
					text = <"Less than half the time">
					description = <"Patient had erections less than half the time they wanted one.">
				>
				["at0112"] = <
					text = <"About half the time">
					description = <"Patient had erections about half the time they wanted one.">
				>
				["at0113"] = <
					text = <"More than half the time">
					description = <"Patient had erections more than half the time they wanted one.">
				>
				["at0114"] = <
					text = <"Whenever wanted">
					description = <"Patient had erections whenever they wanted one.">
				>
				["at0115"] = <
					text = <"11 Overall sexual ability">
					description = <"Patient reported statement on their ability to function sexually over past 4 weeks.">
					comment = <"Original questionnaire question: Overall, how would you rate your ability to function sexually during the last 4 weeks?">
				>
				["at0116"] = <
					text = <"Very poor">
					description = <"Ability to function sexually has been very poor.">
				>
				["at0117"] = <
					text = <"Poor">
					description = <"Ability to function sexually has been poor.">
				>
				["at0118"] = <
					text = <"Fair">
					description = <"Ability to function sexually has been fair.">
				>
				["at0119"] = <
					text = <"Good">
					description = <"Ability to function sexually has been good.">
				>
				["at0120"] = <
					text = <"Very good">
					description = <"Ability to function sexually has been very good.">
				>
				["at0121"] = <
					text = <"12 Sexual function problem">
					description = <"Patient reported statement on how big a problem sexual function or lack of sexual function has been over past 4 weeks.">
					comment = <"Original questionnaire question: Overall, how big a problem has your sexual function or lack of sexual function been for you during the last 4 weeks?">
				>
				["at0122"] = <
					text = <"No problem">
					description = <"Sexual function or lack of sexual function has not been a problem.">
				>
				["at0123"] = <
					text = <"Very small problem">
					description = <"Sexual function or lack of sexual function has been a very small problem.">
				>
				["at0124"] = <
					text = <"Small problem">
					description = <"Sexual function or lack of sexual function has been a small problem.">
				>
				["at0125"] = <
					text = <"Moderate problem">
					description = <"Sexual function or lack of sexual function has been a moderate problem.">
				>
				["at0126"] = <
					text = <"Big problem">
					description = <"Sexual function or lack of sexual function has been a big problem.">
				>
				["at0127"] = <
					text = <"13a Hot flushes">
					description = <"Patient reported statement on how big a problem hot flushes have been in past 4 weeks.">
					comment = <"Original questionnaire question: How big a problem during the last 4 weeks, if any, has each of the following been for you? a. Hot flushes.">
				>
				["at0128"] = <
					text = <"13b Breast tenderness/enlargement">
					description = <"Patient reported statement on how big a problem breast tenderness/enlargement has been in past 4 weeks.">
					comment = <"Original questionnaire question: How big a problem during the last 4 weeks, if any, has each of the following been for you? b. Breast tenderness/enlargement.">
				>
				["at0129"] = <
					text = <"13c Feeling depressed">
					description = <"Patient reported statement on how big a problem feeling depressed has been in past 4 weeks.">
					comment = <"Original questionnaire question: How big a problem during the last 4 weeks, if any, has each of the following been for you? c. Feeling depressed.">
				>
				["at0130"] = <
					text = <"13d Lack of energy">
					description = <"Patient reported statement on how big a problem lack of energy has been in past 4 weeks.">
					comment = <"Original questionnaire question: How big a problem during the last 4 weeks, if any, has each of the following been for you? d. Lack of energy.">
				>
				["at0131"] = <
					text = <"13e Change in body weight">
					description = <"Patient reported statement on how big a problem change in body weight has been in past 4 weeks.">
					comment = <"Original questionnaire question: How big a problem during the last 4 weeks, if any, has each of the following been for you? e. Change in body weight.">
				>
				["at0132"] = <
					text = <"No problem">
					description = <"Hot flushes have not been a problem.">
				>
				["at0133"] = <
					text = <"Very small problem">
					description = <"Hot flushes have been a very small problem.">
				>
				["at0134"] = <
					text = <"Small problem">
					description = <"Hot flushes have been a small problem.">
				>
				["at0135"] = <
					text = <"Moderate problem">
					description = <"Hot flushes have been a moderate problem.">
				>
				["at0136"] = <
					text = <"Big problem">
					description = <"Hot flushes have been a big problem.">
				>
				["at0137"] = <
					text = <"No problem">
					description = <"Breast tenderness/enlargement has not been a problem.">
				>
				["at0138"] = <
					text = <"Very small problem">
					description = <"Breast tenderness/enlargement has been a very small problem.">
				>
				["at0139"] = <
					text = <"Small problem">
					description = <"Breast tenderness/enlargement has been a small problem.">
				>
				["at0140"] = <
					text = <"Moderate problem">
					description = <"Breast tenderness/enlargement has been a moderate problem.">
				>
				["at0141"] = <
					text = <"Big problem">
					description = <"Breast tenderness/enlargement has been a big problem.">
				>
				["at0142"] = <
					text = <"No problem">
					description = <"Feeling depressed has not been a problem.">
				>
				["at0143"] = <
					text = <"Very small problem">
					description = <"Feeling depressed has been a very small problem.">
				>
				["at0144"] = <
					text = <"Small problem">
					description = <"Feeling depressed has been a small problem.">
				>
				["at0145"] = <
					text = <"Moderate problem">
					description = <"Feeling depressed has been a moderate problem.">
				>
				["at0146"] = <
					text = <"Big problem">
					description = <"Feeling depressed has been a big problem.">
				>
				["at0147"] = <
					text = <"No problem">
					description = <"Lack of energy has not been a problem.">
				>
				["at0148"] = <
					text = <"Very small problem">
					description = <"Lack of energy has been a very small problem.">
				>
				["at0149"] = <
					text = <"Small problem">
					description = <"Lack of energy has been a small problem.">
				>
				["at0150"] = <
					text = <"Moderate problem">
					description = <"Lack of energy has been a moderate problem.">
				>
				["at0151"] = <
					text = <"Big problem">
					description = <"Lack of energy has been a big problem.">
				>
				["at0152"] = <
					text = <"No problem">
					description = <"Change in body weight has not been a problem.">
				>
				["at0153"] = <
					text = <"Very small problem">
					description = <"Change in body weight has been a very small problem.">
				>
				["at0154"] = <
					text = <"Small problem">
					description = <"Change in body weight has been a small problem.">
				>
				["at0155"] = <
					text = <"Moderate problem">
					description = <"Change in body weight has been a moderate problem.">
				>
				["at0156"] = <
					text = <"Big problem">
					description = <"Change in body weight has been a big problem.">
				>
				["at0157"] = <
					text = <"Overall score">
					description = <"Overall score, sum of all individual scores.">
				>
				["at0158"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0159"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
					comment = <"For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.">
				>
			>
		>
	>