archetype (adl_version=1.4; uid=39b62cd8-fcd4-4d0d-ad74-fa52fed27410)
	openEHR-EHR-OBSERVATION.atria_stroke_risk.v0

concept
	[at0000]	-- ATRIA stroke risk score
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["sv"] = <
			language = <[ISO_639-1::sv]>
			author = <
				["name"] = <"Dennis Forslund">
				["organisation"] = <"Cambio Healthcare Systems">
			>
		>
	>
description
	original_author = <
		["name"] = <"Eneimi Allwell-Brown">
		["organisation"] = <"Cambio Healthcare Systems">
		["email"] = <"models@cambiocds.com">
		["date"] = <"2016-11-30">
	>
	details = <
		["sv"] = <
			language = <[ISO_639-1::sv]>
			purpose = <"Att registrera poäng genererad i enlighet med ATRIA stroke risk score. Instrumentet baseras på åtta faktorer; tidigare stroke, ålder, kön, komorbiditet, proteinuri och eGFR < 45ml/min (alt terminal njursvikt). Instrumentet är validerat, och används för uppskattning av strokerisk och som riktlinje för optimal behandling med antikoagulantia hos patienter med förmaksflimmer. ">
			use = <"Registrera poäng genererad i enlighet med ATRIA stroke risk score, samt enskilda poäng för varje inkluderad faktor;
 - förekomst av diabetes mellitus, hjärtsvikt, hypertoni, proteinuri (U-albumin ≥30 mg/dl eller U-albumin:kreatinin-kvot ≥30 mg/g), eGFR < 45ml/min (eller terminal njursvikt) = 1 poäng vardera, och 0p om ej föreliggande;
 - kvinnligt kön = 1 poäng, och 0p om manligt; 
 - ålder <65 år (utan tidigare stroke = 0p, med tidigare stroke = 8p), 65-74 år (utan tidigare stroke = 3p, med tidigare stroke = 7p), 75-84 år (utan tidigare stroke = 5p, med tidigare stroke = 7 p), ≥85 år (utan tidigare stroke = 6p, med tidigare stroke = 9p).

Råvärden genereras med hjälp av separata arketyper för respektive faktor. Själva utvärderingen i enlighet med ATRIA stroke risk score återfinns även den i en separat arketyp - openEHR-EHR-EVALUATION.atria_stroke_risk.v1.
">
			keywords = <"förmaksflimmer", "stroke", "ATRIA">
			misuse = <"Endast avsedd för patienter med diagnosticerat förmaksflimmer.">
			copyright = <"© Cambio Healthcare Systems, openEHR Foundation">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the results for each component parameter and their total sum for the ATRIA stroke risk score.">
			use = <"Use to record the results for each component parameter and their total sum for the ATRIA stroke risk score.">
			keywords = <"atrial fibrillation", "stroke risk", "thromboembolism risk">
			misuse = <"Do not use if the patient does not have atrial fibrillation.">
			copyright = <"© Cambio Healthcare Systems, openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Heather Leslie, Atomica Informatics, Australia", ...>
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"Singer DE, Chang Y, Borowsky LH, Fang MC, Pomernacki NK, Udaltsova N, Reynolds K, Go AS. A new risk scheme to predict ischemic stroke and other thromboembolism in atrial fibrillation: the ATRIA study stroke risk score. Journal of the American Heart Association. 2013 Jun 18;2(3):e000250.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"DF585DAD0F22EA48A82FF3021D9D57F4">
		["build_uid"] = <"3f09b7ad-374b-4342-940d-ae20bdd41450">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- ATRIA stroke risk score
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..1} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0004] occurrences matches {0..1} matches {    -- History of stroke
										value matches {
											0|[local::at0032],
											1|[local::at0033]
										}
									}
									ELEMENT[at0005] occurrences matches {0..1} matches {    -- Age
										value matches {
											0|[local::at0013],
											3|[local::at0014],
											5|[local::at0015],
											6|[local::at0016],
											7|[local::at0017],
											8|[local::at0018],
											9|[local::at0019]
										}
									}
									ELEMENT[at0006] occurrences matches {0..1} matches {    -- Sex
										value matches {
											0|[local::at0020],
											1|[local::at0021]
										}
									}
									ELEMENT[at0007] occurrences matches {0..1} matches {    -- History of diabetes mellitus
										value matches {
											0|[local::at0030],
											1|[local::at0031]
										}
									}
									ELEMENT[at0008] occurrences matches {0..1} matches {    -- History of congestive heart failure
										value matches {
											0|[local::at0028],
											1|[local::at0029]
										}
									}
									ELEMENT[at0009] occurrences matches {0..1} matches {    -- History of hypertension
										value matches {
											0|[local::at0026],
											1|[local::at0027]
										}
									}
									ELEMENT[at0010] occurrences matches {0..1} matches {    -- Proteinuria
										value matches {
											0|[local::at0024],
											1|[local::at0025]
										}
									}
									ELEMENT[at0011] occurrences matches {0..1} matches {    -- eGFR
										value matches {
											0|[local::at0022],
											1|[local::at0023]
										}
									}
									ELEMENT[at0012] occurrences matches {0..1} matches {    -- Total score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..15|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0034] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0035] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"ATRIA stroke risk score">
					description = <"An assessment tool used to determine the risk of stroke in patients with atrial fibrillation.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"*">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"History of stroke">
					description = <"Does the individual have a history of cerebrovascular accident/stroke?">
				>
				["at0005"] = <
					text = <"Age">
					description = <"What is the age and has the individual ever had a prior stroke?">
				>
				["at0006"] = <
					text = <"Sex">
					description = <"Is the individual male or female?">
				>
				["at0007"] = <
					text = <"History of diabetes mellitus">
					description = <"Does the individual have a history of diabetes mellitus?">
				>
				["at0008"] = <
					text = <"History of congestive heart failure">
					description = <"Does the individual have a history of congestive heart failure?">
				>
				["at0009"] = <
					text = <"History of hypertension">
					description = <"Does the individual have a history of hypertension?">
				>
				["at0010"] = <
					text = <"Proteinuria">
					description = <"Does the individual have proteinuria?">
				>
				["at0011"] = <
					text = <"eGFR">
					description = <"The estimated glomerular filtration rate (based on MDRD equation) or presence of end-stage renal disease (ESRD).">
				>
				["at0012"] = <
					text = <"Total score">
					description = <"Sum of points assigned for each of the component parameters.">
				>
				["at0013"] = <
					text = <"Age <65 years with no history of stroke.">
					description = <"*">
				>
				["at0014"] = <
					text = <"Age 65-74 years with no history of stroke.">
					description = <"*">
				>
				["at0015"] = <
					text = <"Age 75-84 years with no history of stroke.">
					description = <"*">
				>
				["at0016"] = <
					text = <"Age ≥85 years with no history of stroke.">
					description = <"*">
				>
				["at0017"] = <
					text = <"Age 65-84 years with a history of stroke.">
					description = <"*">
				>
				["at0018"] = <
					text = <"Age <65 years with a history of stroke.">
					description = <"*">
				>
				["at0019"] = <
					text = <"Age ≥85 years with a history of stroke.">
					description = <"*">
				>
				["at0020"] = <
					text = <"Male">
					description = <"Individual is male.">
				>
				["at0021"] = <
					text = <"Female">
					description = <"Individual is female.">
				>
				["at0022"] = <
					text = <"eGFR ≥45">
					description = <"Estimated GFR equal or greater than 45 ml/min/1.73m2">
				>
				["at0023"] = <
					text = <"eGFR <45">
					description = <"Estimated GFR less than 45 ml/min/1.73m2 or presence of end-stage renal disease (ESRD)">
				>
				["at0024"] = <
					text = <"No">
					description = <"Proteinuria absent.">
				>
				["at0025"] = <
					text = <"Yes">
					description = <"Proteinuria present.">
				>
				["at0026"] = <
					text = <"No">
					description = <"No history of hypertension.">
				>
				["at0027"] = <
					text = <"Yes">
					description = <"Positive history of hypertension.">
				>
				["at0028"] = <
					text = <"No">
					description = <"No history of congestive heart failure.">
				>
				["at0029"] = <
					text = <"Yes">
					description = <"Positive history of congestive heart failure.">
				>
				["at0030"] = <
					text = <"No">
					description = <"No history of diabetes mellitus.">
				>
				["at0031"] = <
					text = <"Yes">
					description = <"Positive history of diabetes mellitus.">
				>
				["at0032"] = <
					text = <"No">
					description = <"No history of stroke.">
				>
				["at0033"] = <
					text = <"Yes">
					description = <"Has a history of stroke.">
				>
				["at0034"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0035"] = <
					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.">
				>
			>
		>
		["sv"] = <
			items = <
				["at0000"] = <
					text = <"ATRIA stroke risk score">
					description = <"ATRIA (anticoagulation and risk factors in atrial fibrillation) stroke risk score används för att uppskatta strokerisk hos patienter med förmaksflimmer. Instrumentet baseras på ett antal kända riskfaktorer: tidigare stroke, ålder, kön, komorbiditet, proteinuri och eGFR < 45ml/min (alt terminal njursvikt). Poängen uppgår till maximalt 15p. En poäng om 0-5 indikerar mindre än 1%, 6p 1->2% och >6p >2% risk för stroke. ">
				>
				["at0001"] = <
					text = <"*Event Series(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"*Any event(en)">
					description = <"**(en)">
				>
				["at0003"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0004"] = <
					text = <"Tidigare stroke">
					description = <"Har individen tidigare genomgått cerebrovaskulär sjukdom/stroke?">
				>
				["at0005"] = <
					text = <"Ålder">
					description = <"Patientens ålder sammanvägd med tidigare stroke.">
				>
				["at0006"] = <
					text = <"Kön">
					description = <"Patientens kön.">
				>
				["at0007"] = <
					text = <"Diabetes Mellitus">
					description = <"Är patienten diagnosticerad med diabetes mellitus?">
				>
				["at0008"] = <
					text = <"Hjärtsvikt">
					description = <"Är patienten diagnosticerad med hjärtsvikt/hjärtinsufficiens?">
				>
				["at0009"] = <
					text = <"Hypertoni">
					description = <"Är patienten diagnosticerad med hypertoni?">
				>
				["at0010"] = <
					text = <"Proteinuri">
					description = <"Förekomst av proteinuri.">
				>
				["at0011"] = <
					text = <"eGFR">
					description = <"Patientens uppskattade GFR alternativt terminal njursvikt.">
				>
				["at0012"] = <
					text = <"*Total score (en)">
					description = <"*Sum of points assigned for each of the component parameters. (en)">
				>
				["at0013"] = <
					text = <"Ålder <65 år utan tidigare stroke">
					description = <"*">
				>
				["at0014"] = <
					text = <"Ålder 65-74 år utan tidigare stroke">
					description = <"*">
				>
				["at0015"] = <
					text = <"Ålder 75-84 år utan tidigare stroke">
					description = <"*">
				>
				["at0016"] = <
					text = <"Ålder ≥85 år utan tidigare stroke">
					description = <"*">
				>
				["at0017"] = <
					text = <"Ålder 65-84 år med tidigare stroke">
					description = <"*">
				>
				["at0018"] = <
					text = <"Ålder <65 år med tidigare stroke">
					description = <"*">
				>
				["at0019"] = <
					text = <"Ålder ≥85 år med tidigare stroke">
					description = <"*">
				>
				["at0020"] = <
					text = <"Man">
					description = <"*Individual is male.(en)">
				>
				["at0021"] = <
					text = <"Kvinna">
					description = <"*Individual is female.(en)">
				>
				["at0022"] = <
					text = <"eGFR ≥45">
					description = <"*Estimated GFR equal or greater than 45 ml/min/1.73m2(en)">
				>
				["at0023"] = <
					text = <"eGFR <45">
					description = <"*Estimated GFR less than 45 ml/min/1.73m2 or presence of end-stage renal disease (ESRD)(en)">
				>
				["at0024"] = <
					text = <"Nej">
					description = <"*Proteinuria absent.(en)">
				>
				["at0025"] = <
					text = <"Ja">
					description = <"*Proteinuria present.(en)">
				>
				["at0026"] = <
					text = <"Nej">
					description = <"*No history of hypertension.(en)">
				>
				["at0027"] = <
					text = <"Ja">
					description = <"*Positive history of hypertension.(en)">
				>
				["at0028"] = <
					text = <"Nej">
					description = <"*No history of congestive heart failure.(en)">
				>
				["at0029"] = <
					text = <"Ja">
					description = <"*Positive history of congestive heart failure.(en)">
				>
				["at0030"] = <
					text = <"Nej">
					description = <"*No history of diabetes mellitus.(en)">
				>
				["at0031"] = <
					text = <"Ja">
					description = <"*Positive history of diabetes mellitus.(en)">
				>
				["at0032"] = <
					text = <"Nej">
					description = <"*No history of stroke.(en)">
				>
				["at0033"] = <
					text = <"Ja">
					description = <"*Has a history of stroke.(en)">
				>
				["at0034"] = <
					text = <"*Item tree (en)">
					description = <"@ internal @">
				>
				["at0035"] = <
					text = <"*Extension (en)">
					description = <"*Additional information required to capture local content or to align with other reference models/formalisms. (en)">
					comment = <"*For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents. (en)">
				>
			>
		>
	>