archetype (adl_version=1.4; uid=70bea29e-5b8a-4a58-9cc5-a20562df3b00)
	openEHR-EHR-OBSERVATION.mskhq.v1

concept
	[at0000]	-- Musculoskeletal Health Questionnaire (MSK-HQ)
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Kanthan Theivendran">
		["organisation"] = <"KLT Medical Ltd">
		["email"] = <"kanthan79@gmail.com">
		["date"] = <"2023-04-24">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the self-reported Musculoskeletal Health Questionnaire (MSK-HQ).">
			use = <"Use to record the self-reported Musculoskeletal Health Questionnaire (MSK-HQ).

MSK-HQ can be used to measure self reported pain and function in musculoskeletal conditions, such as arthritis or back pain.">
			keywords = <"Patient Reported Outcomes Measure, MSK-HQ,  musculoskeletal, questionnaire, arthritis, shoulder, hip, knee, joint, back, neck, muscle, PROM, aches, pains, stiffness", ...>
			misuse = <"">
			copyright = <"© Apperta Foundation">
		>
	>
	lifecycle_state = <"published">
	other_contributors = <"Roanna Burgess, Sandwell and West Birmingham Hospitals NHS Trust, United Kingdom", "Jamila Chihab, UCL, United Kingdom", "Anji Kingman, Northumbria Healthcare NHS Foundation Trust, United Kingdom", "Heidi Koikkalainen, Edinburgh Napier University, United Kingdom (Apperta UK Editor)", "Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (Apperta UK Editor)", "Kanthan Theivendran, KLT Medical, United Kingdom (Apperta UK Editor)">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"Apperta UK">
		["references"] = <"Hill JC, Kang S, Benedetto E, Myers H, Blackburn S, Smith S, Dunn KM, Hay E, Rees J, Beard D, Glyn-Jones S, Barker K, Ellis B, Fitzpatrick R, Price A. Development and initial cohort validation of the Arthritis Research UK Musculoskeletal Health Questionnaire (MSK-HQ) for use across musculoskeletal care pathways. BMJ Open. 2016 Aug 5;6(8):e012331.">
		["original_namespace"] = <"uk.org.clinicalmodels">
		["original_publisher"] = <"Apperta UK">
		["custodian_namespace"] = <"uk.org.clinicalmodels">
		["MD5-CAM-1.0.1"] = <"B1600B046FFD4A203C8DAAF722A48B14">
		["build_uid"] = <"0cdf4cdc-09d8-4242-a119-e7c2336818d2">
		["ip_acknowledgements"] = <"While openEHR archetypes are all freely available under an open license, the specific content of this MSK-HQ archetype can be only be used under the terms of Oxford University Innovation Licence agreement which can be found at: https://process.innovation.ox.ac.uk/ 

Any use of this archetype within implementations must be in compliance with the terms established by Oxford University Innovation. The terms of the License can be found at: https://process.innovation.ox.ac.uk/clinical/p/versus-arthritis-musculoskeletal-health-questionnaire-(msk-hq)/msk-hq-questionnaire/1.

This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org.">
		["revision"] = <"1.0.0">
	>

definition
	OBSERVATION[at0000] matches {    -- Musculoskeletal Health Questionnaire (MSK-HQ)
		data matches {
			HISTORY[at0001] matches {    -- History
				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[at0005] occurrences matches {0..1} matches {    -- 1. Pain/stiffness day
										value matches {
											4|[local::at0006],
											3|[local::at0007],
											2|[local::at0008],
											1|[local::at0009],
											0|[local::at0010]
										}
									}
									ELEMENT[at0011] occurrences matches {0..1} matches {    -- 2. Pain/stiffness night
										value matches {
											4|[local::at0012],
											3|[local::at0013],
											2|[local::at0014],
											1|[local::at0015],
											0|[local::at0016]
										}
									}
									ELEMENT[at0017] occurrences matches {0..1} matches {    -- 3. Walking
										value matches {
											4|[local::at0018],
											3|[local::at0019],
											2|[local::at0020],
											1|[local::at0021],
											0|[local::at0022]
										}
									}
									ELEMENT[at0023] occurrences matches {0..1} matches {    -- 4. Washing/Dressing
										value matches {
											4|[local::at0024],
											3|[local::at0025],
											2|[local::at0026],
											1|[local::at0027],
											0|[local::at0028]
										}
									}
									ELEMENT[at0029] occurrences matches {0..1} matches {    -- 5. Physical activity
										value matches {
											4|[local::at0030],
											3|[local::at0031],
											2|[local::at0032],
											1|[local::at0033],
											0|[local::at0034]
										}
									}
									ELEMENT[at0035] occurrences matches {0..1} matches {    -- 6. Work/daily routine
										value matches {
											4|[local::at0036],
											3|[local::at0037],
											2|[local::at0038],
											1|[local::at0039],
											0|[local::at0040]
										}
									}
									ELEMENT[at0041] occurrences matches {0..1} matches {    -- 7. Social/hobbies
										value matches {
											4|[local::at0042],
											3|[local::at0043],
											2|[local::at0044],
											1|[local::at0045],
											0|[local::at0046]
										}
									}
									ELEMENT[at0047] occurrences matches {0..1} matches {    -- 8. Needing help
										value matches {
											4|[local::at0048],
											3|[local::at0049],
											2|[local::at0050],
											1|[local::at0051],
											0|[local::at0052]
										}
									}
									ELEMENT[at0053] occurrences matches {0..1} matches {    -- 9. Sleep
										value matches {
											4|[local::at0054],
											3|[local::at0055],
											2|[local::at0056],
											1|[local::at0057],
											0|[local::at0058]
										}
									}
									ELEMENT[at0059] occurrences matches {0..1} matches {    -- 10. Fatigue/low energy
										value matches {
											4|[local::at0060],
											3|[local::at0061],
											2|[local::at0062],
											1|[local::at0063],
											0|[local::at0064]
										}
									}
									ELEMENT[at0065] occurrences matches {0..1} matches {    -- 11. Emotional wellbeing
										value matches {
											4|[local::at0066],
											3|[local::at0067],
											2|[local::at0068],
											1|[local::at0069],
											0|[local::at0070]
										}
									}
									ELEMENT[at0071] occurrences matches {0..1} matches {    -- 12. Understanding condition
										value matches {
											4|[local::at0072],
											3|[local::at0073],
											2|[local::at0074],
											1|[local::at0075],
											0|[local::at0076]
										}
									}
									ELEMENT[at0077] occurrences matches {0..1} matches {    -- 13. Manage symptoms
										value matches {
											4|[local::at0078],
											3|[local::at0079],
											2|[local::at0080],
											1|[local::at0081],
											0|[local::at0082]
										}
									}
									ELEMENT[at0083] occurrences matches {0..1} matches {    -- 14. Impact
										value matches {
											4|[local::at0084],
											3|[local::at0085],
											2|[local::at0086],
											1|[local::at0087],
											0|[local::at0088]
										}
									}
									ELEMENT[at0092] occurrences matches {0..1} matches {    -- Total score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..56|}
											}
										}
									}
									ELEMENT[at0094] occurrences matches {0..1} matches {    -- Physical activity levels
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0103,    -- None
													at0104,    -- 1 day
													at0105,    -- 2 days
													at0106,    -- 3 days
													at0107,    -- 4 days
													at0108,    -- 5 days
													at0109,    -- 6 days
													at0110]    -- 7 days
												}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0004] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0093] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Musculoskeletal Health Questionnaire (MSK-HQ)">
					description = <"The MSK-HQ is a short self-reported questionnaire that allows people with musculoskeletal conditions (such as arthritis or back pain) to report their symptoms and quality of life in a standardised way.">
				>
				["at0001"] = <
					text = <"History">
					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 @">
				>
				["at0005"] = <
					text = <"1. Pain/stiffness day">
					description = <"1. Pain/stiffness during the day
How severe was your usual joint or muscle pain and/or stiffness overall during the day in the last 2 weeks?">
				>
				["at0006"] = <
					text = <"Not at all">
					description = <"No pain/stiffness at all during the day.">
				>
				["at0007"] = <
					text = <"Slightly">
					description = <"Slight pain/stiffness during the day.">
				>
				["at0008"] = <
					text = <"Moderately">
					description = <"Moderate pain/stiffness during the day.">
				>
				["at0009"] = <
					text = <"Fairly severe">
					description = <"Fairly severe pain/stiffness during the day.">
				>
				["at0010"] = <
					text = <"Very severe">
					description = <"Very severe pain/stiffness during the day.">
				>
				["at0011"] = <
					text = <"2. Pain/stiffness night">
					description = <"2. Pain/stiffness during the night 
How severe was your usual joint or muscle pain and/or stiffness overall during the night in the last 2 weeks?">
				>
				["at0012"] = <
					text = <"Not at all">
					description = <"No pain/stiffness at all during the night.">
				>
				["at0013"] = <
					text = <"Slightly">
					description = <"Slight pain/stiffness during the night.">
				>
				["at0014"] = <
					text = <"Moderately">
					description = <"Moderate pain/stiffness during the night.">
				>
				["at0015"] = <
					text = <"Fairly severe">
					description = <"Fairly severe pain/stiffness during the night.">
				>
				["at0016"] = <
					text = <"Very Severe">
					description = <"Very severe pain/stiffness during the night.">
				>
				["at0017"] = <
					text = <"3. Walking">
					description = <"3. Walking
How much have your symptoms interfered with your ability to walk in the last 2 weeks?">
				>
				["at0018"] = <
					text = <"Not at all">
					description = <"Symptoms have not interfered with ability to walk at all in the last 2 weeks.">
				>
				["at0019"] = <
					text = <"Slightly">
					description = <"Symptoms have slightly interfered with ability to walk in the last 2 weeks.">
				>
				["at0020"] = <
					text = <"Moderately">
					description = <"Symptoms have moderately interfered with ability to walk in the last 2 weeks.">
				>
				["at0021"] = <
					text = <"Severely">
					description = <"Symptoms have severely interfered with ability to walk in the last 2 weeks.">
				>
				["at0022"] = <
					text = <"Unable to walk">
					description = <"Unable to walk in the last 2 weeks.">
				>
				["at0023"] = <
					text = <"4. Washing/Dressing">
					description = <"4. Washing/Dressing
How much have your symptoms interfered with your ability to wash or dress yourself in the last 2 weeks?">
				>
				["at0024"] = <
					text = <"Not at all">
					description = <"Symptoms have not interfered with ability to wash or dress in the last 2 weeks.">
				>
				["at0025"] = <
					text = <"Slightly">
					description = <"Symptoms have slightly interfered with ability to wash or dress in the last 2 weeks.">
				>
				["at0026"] = <
					text = <"Moderately">
					description = <"Symptoms have moderately interfered with ability to wash or dress in the last 2 weeks.">
				>
				["at0027"] = <
					text = <"Severely">
					description = <"Symptoms have severely interfered with ability to wash or dress in the last 2 weeks.">
				>
				["at0028"] = <
					text = <"Unable to wash or dress myself">
					description = <"Unable to wash or dress.">
				>
				["at0029"] = <
					text = <"5. Physical activity">
					description = <"5. Physical activity levels
How much has it been a problem for you to do physical activities (e.g. going for a walk or jogging) to the level you want because of your joint or muscle symptoms in the last 2 weeks?">
				>
				["at0030"] = <
					text = <"Not at all">
					description = <"No problem with physical activity due to symptoms.">
				>
				["at0031"] = <
					text = <"Slightly">
					description = <"Slight problem with physical activity due to symptoms.">
				>
				["at0032"] = <
					text = <"Moderately">
					description = <"Moderate problem with physical activity due to symptoms.">
				>
				["at0033"] = <
					text = <"Very much">
					description = <"Very much a problem with physical activity due to symptoms.">
				>
				["at0034"] = <
					text = <"Unable to do physical activities">
					description = <"Unable to do physical activities due to symptoms.">
				>
				["at0035"] = <
					text = <"6. Work/daily routine">
					description = <"6. Work/daily routine
How much have your joint or muscle symptoms interfered with your work or daily routine in the last 2 weeks (including work & jobs around the house)?">
				>
				["at0036"] = <
					text = <"Not at all">
					description = <"Symptoms have not interfered with work or daily routine in the last 2 weeks (including work & jobs around the house).">
				>
				["at0037"] = <
					text = <"Slightly">
					description = <"Symptoms have slightly interfered with work or daily routine in the last 2 weeks (including work & jobs around the house).">
				>
				["at0038"] = <
					text = <"Moderately">
					description = <"Symptoms have moderately interfered with work or daily routine in the last 2 weeks (including work & jobs around the house).">
				>
				["at0039"] = <
					text = <"Severely">
					description = <"Symptoms have severely interfered with work or daily routine in the last 2 weeks (including work & jobs around the house).">
				>
				["at0040"] = <
					text = <"Extremely">
					description = <"Symptoms have extremely interfered with work or daily routine in the last 2 weeks (including work & jobs around the house).">
				>
				["at0041"] = <
					text = <"7. Social/hobbies">
					description = <"7. Social activities and hobbies
How much have your joint or muscle symptoms interfered with your social activities and hobbies in the last 2 weeks?">
				>
				["at0042"] = <
					text = <"Not at all">
					description = <"Symptoms have not interfered with social activities and hobbies in the last 2 weeks.">
				>
				["at0043"] = <
					text = <"Slightly">
					description = <"Symptoms have slightly interfered with social activities and hobbies in the last 2 weeks.">
				>
				["at0044"] = <
					text = <"Moderately">
					description = <"Symptoms have moderately interfered with social activities and hobbies in the last 2 weeks.">
				>
				["at0045"] = <
					text = <"Severely">
					description = <"Symptoms have severely interfered with social activities and hobbies in the last 2 weeks.">
				>
				["at0046"] = <
					text = <"Extremely">
					description = <"Symptoms have extremely interfered with social activities and hobbies in the last 2 weeks.">
				>
				["at0047"] = <
					text = <"8. Needing help">
					description = <"8. Needing help
How often have you needed help from others (including family, friends or carers) because of your joint or muscle symptoms in the last 2 weeks?">
				>
				["at0048"] = <
					text = <"Not at all">
					description = <"Not needed help from others (including family, friends or carers) because of symptoms in the last 2 weeks.">
				>
				["at0049"] = <
					text = <"Rarely">
					description = <"Rarely needed help from others (including family, friends or carers) because of symptoms in the last 2 weeks.">
				>
				["at0050"] = <
					text = <"Sometimes">
					description = <"Sometimes needed help from others (including family, friends or carers) because of symptoms in the last 2 weeks.">
				>
				["at0051"] = <
					text = <"Frequently">
					description = <"Frequently needed help from others (including family, friends or carers) because of symptoms in the last 2 weeks.">
				>
				["at0052"] = <
					text = <"All the time">
					description = <"Needed help all the time from others (including family, friends or carers) because of symptoms in the last 2 weeks.">
				>
				["at0053"] = <
					text = <"9. Sleep">
					description = <"9. Sleep
How often have you had trouble with either falling asleep or staying asleep because of your joint or muscle symptoms in the last 2 weeks?">
				>
				["at0054"] = <
					text = <"Not at all">
					description = <"Not troubled with either falling asleep or staying asleep because of joint or muscle symptoms in the last 2 weeks.">
				>
				["at0055"] = <
					text = <"Rarely">
					description = <"Rarely troubled with either falling asleep or staying asleep because of joint or muscle symptoms in the last 2 weeks.">
				>
				["at0056"] = <
					text = <"Sometimes">
					description = <"Sometimes troubled with either falling asleep or staying asleep because of joint or muscle symptoms in the last 2 weeks.">
				>
				["at0057"] = <
					text = <"Frequently">
					description = <"Frequently troubled with either falling asleep or staying asleep because of joint or muscle symptoms in the last 2 weeks.">
				>
				["at0058"] = <
					text = <"Every night">
					description = <"Every night troubled with either falling asleep or staying asleep because of joint or muscle symptoms in the last 2 weeks.">
				>
				["at0059"] = <
					text = <"10. Fatigue/low energy">
					description = <"10. Fatigue or low energy
How much fatigue or low energy have you felt in the last 2 weeks?">
				>
				["at0060"] = <
					text = <"Not at all">
					description = <"No fatigue or low energy felt in the last 2 weeks.">
				>
				["at0061"] = <
					text = <"Slight">
					description = <"Slight fatigue or low energy felt in the last 2 weeks.">
				>
				["at0062"] = <
					text = <"Moderate">
					description = <"Moderate fatigue or low energy felt in the last 2 weeks.">
				>
				["at0063"] = <
					text = <"Severe">
					description = <"Severe fatigue or low energy felt in the last 2 weeks.">
				>
				["at0064"] = <
					text = <"Extreme">
					description = <"Extreme fatigue or low energy felt in the last 2 weeks.">
				>
				["at0065"] = <
					text = <"11. Emotional wellbeing">
					description = <"11. Emotional well-being
How much have you felt anxious or low in your mood because of your joint or muscle symptoms in the last 2 weeks?">
				>
				["at0066"] = <
					text = <"Not at all">
					description = <"Not felt anxious or low in mood because of joint or muscle symptoms in the last 2 weeks.">
				>
				["at0067"] = <
					text = <"Slightly">
					description = <"Felt slightly anxious or low in mood because of joint or muscle symptoms in the last 2 weeks.">
				>
				["at0068"] = <
					text = <"Moderately">
					description = <"Felt moderately anxious or low in mood because of joint or muscle symptoms in the last 2 weeks.">
				>
				["at0069"] = <
					text = <"Severely">
					description = <"Felt severely anxious or low in mood because of joint or muscle symptoms in the last 2 weeks.">
				>
				["at0070"] = <
					text = <"Extremely">
					description = <"Felt extremely anxious or low in mood because of joint or muscle symptoms in the last 2 weeks.">
				>
				["at0071"] = <
					text = <"12. Understanding condition">
					description = <"12. Understanding of your condition and any current treatment
Thinking about your joint or muscle symptoms, how well do you feel you understand your condition and any current treatment (including your diagnosis and medication)?">
				>
				["at0072"] = <
					text = <"Completely">
					description = <"Completely understand condition and any current treatment (including diagnosis and medication).">
				>
				["at0073"] = <
					text = <"Very well">
					description = <"Understand condition and any current treatment (including diagnosis and medication) very well.">
				>
				["at0074"] = <
					text = <"Moderately">
					description = <"Moderately understand condition and any current treatment (including diagnosis and medication).">
				>
				["at0075"] = <
					text = <"Slightly">
					description = <"Slightly understand condition and any current treatment (including diagnosis and medication).">
				>
				["at0076"] = <
					text = <"Not at all">
					description = <"Do not understand condition and any current treatment (including diagnosis and medication).">
				>
				["at0077"] = <
					text = <"13. Manage symptoms">
					description = <"13. Confidence in being able to manage your symptoms
How confident have you felt in being able to manage your joint or muscle symptoms by yourself in the last 2 weeks (e.g. medication, changing lifestyle)?">
				>
				["at0078"] = <
					text = <"Extremely">
					description = <"Extremely confident in managing joint or muscle symptoms in the last 2 weeks (e.g. medication, changing lifestyle).">
				>
				["at0079"] = <
					text = <"Very">
					description = <"Very confident in managing joint or muscle symptoms in the last 2 weeks (e.g. medication, changing lifestyle).">
				>
				["at0080"] = <
					text = <"Moderately">
					description = <"Moderately confident in managing joint or muscle symptoms in the last 2 weeks (e.g. medication, changing lifestyle).">
				>
				["at0081"] = <
					text = <"Slightly">
					description = <"Slightly confident in managing joint or muscle symptoms in the last 2 weeks (e.g. medication, changing lifestyle).">
				>
				["at0082"] = <
					text = <"Not at all">
					description = <"Not confident in managing joint or muscle symptoms in the last 2 weeks (e.g. medication, changing lifestyle).">
				>
				["at0083"] = <
					text = <"14. Impact">
					description = <"14. Overall impact
How much have your joint or muscle symptoms bothered you overall in the last 2 weeks?">
				>
				["at0084"] = <
					text = <"Not at all">
					description = <"Not at all bothered by joint or muscle symptoms overall in the last 2 weeks.">
				>
				["at0085"] = <
					text = <"Slightly">
					description = <"Slightly bothered by joint or muscle symptoms overall in the last 2 weeks.">
				>
				["at0086"] = <
					text = <"Moderately">
					description = <"Moderately bothered by joint or muscle symptoms overall in the last 2 weeks.">
				>
				["at0087"] = <
					text = <"Very much">
					description = <"Very much bothered by joint or muscle symptoms overall in the last 2 weeks.">
				>
				["at0088"] = <
					text = <"Extremely">
					description = <"Extremely bothered by joint or muscle symptoms overall in the last 2 weeks.">
				>
				["at0092"] = <
					text = <"Total score">
					description = <"The MSK-HQ total score is the sum of items 1-14, using the response values provided.">
				>
				["at0093"] = <
					text = <"Extension">
					description = <"Additional information required to extend the model with local content or to align with other reference models or formalisms.">
					comment = <"For example: local information requirements; or additional metadata to align with FHIR.">
				>
				["at0094"] = <
					text = <"Physical activity levels">
					description = <"In the past week, on how many days have you done a total of 30 minutes or more of physical activity, which was enough to raise your heart rate? 

This may include sport, exercise and brisk walking or cycling for recreation or to get to and from places, but should not include housework or physical activity that is part of your job.">
				>
				["at0103"] = <
					text = <"None">
					description = <"None.">
				>
				["at0104"] = <
					text = <"1 day">
					description = <"1 day.">
				>
				["at0105"] = <
					text = <"2 days">
					description = <"2 days.">
				>
				["at0106"] = <
					text = <"3 days">
					description = <"3 days.">
				>
				["at0107"] = <
					text = <"4 days">
					description = <"4 days.">
				>
				["at0108"] = <
					text = <"5 days">
					description = <"5 days.">
				>
				["at0109"] = <
					text = <"6 days">
					description = <"6 days.">
				>
				["at0110"] = <
					text = <"7 days">
					description = <"7 days.">
				>
				["at0004"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0000"] = <[SNOMED-CT(1.36.4)::1036661000000104]>
				["at0005"] = <[SNOMED-CT(1.36.4)::1099711000000106]>
				["at0011"] = <[SNOMED-CT(1.36.4)::1099721000000100]>
				["at0017"] = <[SNOMED-CT(1.36.4)::1099731000000103]>
				["at0023"] = <[SNOMED-CT(1.36.4)::1099741000000107]>
				["at0029"] = <[SNOMED-CT(1.36.4)::1099751000000105]>
				["at0035"] = <[SNOMED-CT(1.36.4)::1099761000000108]>
				["at0041"] = <[SNOMED-CT(1.36.4)::1099771000000101]>
				["at0047"] = <[SNOMED-CT(1.36.4)::1099781000000104]>
				["at0053"] = <[SNOMED-CT(1.36.4)::1099791000000102]>
				["at0059"] = <[SNOMED-CT(1.36.4)::1099801000000103]>
				["at0065"] = <[SNOMED-CT(1.36.4)::1099811000000101]>
				["at0071"] = <[SNOMED-CT(1.36.4)::1099821000000107]>
				["at0077"] = <[SNOMED-CT(1.36.4)::1099831000000109]>
				["at0083"] = <[SNOMED-CT(1.36.4)::1099841000000100]>
				["at0094"] = <[SNOMED-CT(1.36.4)::1099851000000102]>
				["at0092"] = <[SNOMED-CT(1.36.4)::1036651000000102]>
			>
		>
	>