archetype (adl_version=1.4; uid=ba41dbb3-a182-4401-8c5f-d265e836c754)
	openEHR-EHR-OBSERVATION.ccs_angina_status.v0

concept
	[at0000]	-- Angina symptom classification (CCS)
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Kim Werle">
				["organisation"] = <"Medizinische Hochschule Hannover">
			>
		>
	>
description
	original_author = <
		["name"] = <"Ian McNicoll">
		["organisation"] = <"Ocean Informatics, UK">
		["email"] = <"ian.mcnicoll@oceaninformatics.com">
		["date"] = <"2013-03-08">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"Zur Erfassung einer Klassifikation der Angina pectoris von Patienten auf Grundlage der angegebenen Brustschmerzen. Basierend auf dem Angina Status Score der Canadian Cardiovascular Society (CCS), erweitert um die Klasse 0, um Situationen zu erfassen, in denen Patienten keine Symptome haben.">
			use = <"Zur Erfassung einer Klassifikation der Angina pectoris des Patienten auf Grundlage der angegebenen Brustschmerzen, basierend auf dem CCS Angina Status Score.">
			keywords = <"Beschwerden", "Schmerzen", "Herz", "Angina">
			misuse = <"Die Klasse 0 ist im offiziellen Angina Status Score der Canadian Cardiovascular Society (CCS) nicht definiert.">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record a classification of patient angina on the basis of reported chest pain.  Based on Canadian Cardiovascular Society (CCS) Angina Status score, adjusted to add Class 0, to record situations where patients have no symptoms.">
			use = <"Use to record a classification of patient angina on the basis of reported chest pain based on the CCS Angina Status Score.">
			keywords = <"discomfort", "pain", "cardiac", "angina">
			misuse = <"Note that Class 0 is not defined in the formal Canadian Cardiovascular Society (CCS) Angina Status score.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"Canadian Cardiovascular Society grading of angina pectoris
Available from: http://www.ccs.ca/download/position_statements/Grading%20of%20Angina.pdf

CANADIAN CARDIOVASCULAR SOCIETY ANGINA GRADE 0 – A CLINICALLY USEFUL ADDITION
Available from: http://www.pulsus.com/ccc2003/abs/a853.htm">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"D102349271ADC9B1601A244B218F92E3">
		["build_uid"] = <"52a2e5d4-f437-4985-bfd6-8b9d01fed625">
		["ip_acknowledgements"] = <"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 http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org.">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {	-- Angina symptom classification (CCS)
		data matches {
			HISTORY[at0001] matches {	-- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {	-- Any event
						data matches {
							ITEM_TREE[at0003] matches {	-- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0004] occurrences matches {0..1} matches {	-- Angina classification
										value matches {
											0|[local::at0005], 	-- Class 0
											1|[local::at0006], 	-- Class I
											2|[local::at0007], 	-- Class II
											3|[local::at0008], 	-- Class III
											4|[local::at0009]  	-- Class IV
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0010] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0011] occurrences matches {0..*} matches {	-- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	terminologies_available = <"Snomed", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Angina symptom classification (CCS)">
					description = <"Angina symptom score based on Canadian Cardiovascular Society (CCS) Angina Status score.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Angina classification">
					description = <"Angina symptom score based on Canadian Cardiovascular Society (CCS) Angina Status classification.">
				>
				["at0005"] = <
					text = <"Class 0">
					description = <"Patient has no angina symptoms.">
				>
				["at0006"] = <
					text = <"Class I">
					description = <"Angina which does not limit ordinary physical activity.">
				>
				["at0007"] = <
					text = <"Class II">
					description = <"Slight limitation of ordinary activity.">
				>
				["at0008"] = <
					text = <"Class III">
					description = <"Marked limitation of ordinary physical activity.">
				>
				["at0009"] = <
					text = <"Class IV">
					description = <"Inability to perform any physical activity without discomfort.">
				>
				["at0010"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0011"] = <
					text = <"Extension">
					description = <"Additional information required to capture local context or to align with other reference models/formalisms.">
					comment = <"For example: Local hospital departmental infomation or additional metadata to align with FHIR or CIMI equivalents.">
				>
			>
		>
		["de"] = <
			items = <
				["at0000"] = <
					text = <"Klassifikation der Angina-Symptome (CCS)">
					description = <"Angina Symptom Score basierend auf dem Angina Status Score der Canadian Cardiovascular Society (CCS).">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"*Any event(en)">
					description = <"*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.(en)">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Angina Klassifikation">
					description = <"Angina Symptom Score auf Grundlage der Angina Status Klassifikation der Canadian Cardiovascular Society (CCS).">
				>
				["at0005"] = <
					text = <"Grad 0">
					description = <"Der Patient hat keine Anginasymptome.">
				>
				["at0006"] = <
					text = <"Grad I">
					description = <"Angina pectoris, die eine normale körperliche Aktivität nicht einschränkt.">
				>
				["at0007"] = <
					text = <"Grad II">
					description = <"Leichte Einschränkung der normalen Tätigkeit.">
				>
				["at0008"] = <
					text = <"Grad III">
					description = <"Deutliche Einschränkung der normalen körperlichen Aktivität.">
				>
				["at0009"] = <
					text = <"Grad IV">
					description = <"Unfähigkeit, eine körperliche Tätigkeit ohne Beschwerden auszuüben.">
				>
				["at0010"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0011"] = <
					text = <"Erweiterung">
					description = <"Zusätzliche Informationen sind erforderlich, um den lokalen Kontext zu erfassen oder mit anderen Referenzmodellen/Formalismen in Einklang zu bringen.">
					comment = <"Zum Beispiel: Lokale Krankenhausabteilungsinformationen oder zusätzliche Metadaten zur Angleichung an FHIR oder CIMI-Äquivalente.">
				>
			>
		>
	>
	term_bindings = <
		["Snomed"] = <
			items = <
				["at0000"] = <[Snomed::134438001]>
				["at0004"] = <[Snomed::134438001]>
				["at0006"] = <[Snomed::61490001]>
				["at0007"] = <[Snomed::41334000]>
				["at0008"] = <[Snomed::85284003]>
				["at0009"] = <[Snomed::89323001]>
			>
		>
	>