archetype (adl_version=1.4; uid=93a3fb17-0a77-4d4c-b97c-7e49f9c54dfc)
	openEHR-EHR-OBSERVATION.chadsvas_score.v0

concept
	[at0000]	-- CHA₂DS₂-VASc score
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["sv"] = <
			language = <[ISO_639-1::sv]>
			author = <
				["name"] = <"Konstantinos Kalliamvakos">
				["organisation"] = <"Cambio Healthcare Systems">
				["email"] = <"Konstantinos.Kalliamvakos@cambio.se">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Hallvard Lærum">
				["organisation"] = <"Oslo Universitetssykehus HF">
				["email"] = <"hallar@ous-hf.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Rong Chen">
		["organisation"] = <"Cambio Healthcare Systems">
		["email"] = <"rong.chen@cambio.se">
		["date"] = <"2013-03-08">
	>
	details = <
		["sv"] = <
			language = <[ISO_639-1::sv]>
			purpose = <"*To record individual CHA2DS2-VASc score parameters and total score. (en)">
			use = <"*Use to record individual CHA2DS2-VASc score parameters and total score as part of stroke risk stratification in patients with atrial fibrillation. (en)">
			keywords = <"*CHA2DS2-VASc (en)", "*atrial fibrillation (en)", "*stroke (en)", "*diabetes (en)", "*hypertension (en)", "*congestive heart failure (en)", "*CHF (en)", "*vascular disease (en)", "*age (en)", "*gender (en)">
			misuse = <"*(en)">
			copyright = <"© Nasjonal IKT HF, openEHR Foundation, Cambio Healthcare Systems">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"*To record individual CHA2DS2-VASc score parameters and total score. (en)">
			use = <"*Use to record individual CHA2DS2-VASc score parameters and total score as part of stroke risk stratification in patients with atrial fibrillation. (en)">
			keywords = <"*CHA2DS2-VASc (en)", "*atrial fibrillation (en)", "*stroke (en)", "*diabetes (en)", "*hypertension (en)", "*congestive heart failure (en)", "*CHF (en)", "*vascular disease (en)", "*age (en)", "*gender (en)">
			misuse = <"">
			copyright = <"© Nasjonal IKT HF, openEHR Foundation, Cambio Healthcare Systems">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record individual CHA₂DS₂-VASc score parameters and total score.">
			use = <"Use to record individual CHA₂DS₂-VASc score parameters and total score as part of stroke risk stratification in patients with atrial fibrillation.">
			keywords = <"atrial fibrillation", "stroke", "diabetes", "hypertension", "congestive heart failure", "CHF", "vascular disease", "age", "gender">
			misuse = <"">
			copyright = <"© Nasjonal IKT HF, openEHR Foundation, Cambio Healthcare Systems">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Dr Carlos Valladares", "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"] = <"CHA2DS2VASc-score, Utkast arketype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [sitert: 2020-10-01]. Hentet fra: https://arketyper.no/ckm/archetypes/1078.36.760.

European Heart Rhythm Association; European Association for Cardio-Thoracic Surgery, Camm AJ, Kirchhof P, Lip GY, Schotten U, Savelieva I, Ernst S, Van Gelder IC, Al-Attar N, Hindricks G, Prendergast B, Heidbuchel H, Alfieri O, Angelini A, Atar D, Colonna P, De Caterina R, De Sutter J, Goette A, Gorenek B, Heldal M, Hohloser SH, Kolh P, Le Heuzey JY, Ponikowski P, Rutten FH. Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J. 2010 Oct;31(19):2369-429. doi: 10.1093/eurheartj/ehq278. Epub 2010 Aug 29. Erratum in: Eur Heart J. 2011 May;32(9):1172. PMID: 20802247.

Lip GY, Nieuwlaat R, Pisters R, Lane DA, Crijns HJ. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation. Chest. 2010 Feb;137(2):263-72. doi: 10.1378/chest.09-1584. Epub 2009 Sep 17. PMID: 19762550.">
		["current_contact"] = <"Rong Chen, Cambio Healthcare Systems, rong.chen@cambio.se">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"519079D2C702FB19C74492F9D0E874C9">
		["build_uid"] = <"6af7df80-05c8-4b35-9064-a0a929b0e40f">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- CHA₂DS₂-VASc score
		data matches {
			HISTORY[at0002] matches {    -- history
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0003] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0001] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0026] occurrences matches {0..1} matches {    -- Congestive Heart Failure
										value matches {
											0|[local::at0027],
											1|[local::at0028]
										}
									}
									ELEMENT[at0029] occurrences matches {0..1} matches {    -- Hypertension
										value matches {
											0|[local::at0027],
											1|[local::at0028]
										}
									}
									ELEMENT[at0032] occurrences matches {0..1} matches {    -- Diabetes
										value matches {
											0|[local::at0027],
											1|[local::at0028]
										}
									}
									ELEMENT[at0035] occurrences matches {0..1} matches {    -- Age
										value matches {
											0|[local::at0036],
											1|[local::at0037],
											2|[local::at0038]
										}
									}
									ELEMENT[at0039] occurrences matches {0..1} matches {    -- Previous stroke
										value matches {
											0|[local::at0027],
											2|[local::at0028]
										}
									}
									ELEMENT[at0046] occurrences matches {0..1} matches {    -- Vascular disease
										value matches {
											0|[local::at0027],
											1|[local::at0028]
										}
									}
									ELEMENT[at0042] occurrences matches {0..1} matches {    -- Gender
										value matches {
											0|[local::at0043],
											1|[local::at0044]
										}
									}
									ELEMENT[at0099] occurrences matches {0..1} matches {    -- Total score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..9|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0100] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0101] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"CHA₂DS₂-VASc score">
					description = <"Risk stratification for stroke based on the CHA₂DS₂-VASc score defined by the European Society of Cardiology (ESC) guidelines for management of atrial fibrillation.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"">
				>
				["at0002"] = <
					text = <"history">
					description = <"">
				>
				["at0003"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0026"] = <
					text = <"Congestive Heart Failure">
					description = <"">
				>
				["at0027"] = <
					text = <"Absent">
					description = <"">
				>
				["at0028"] = <
					text = <"Present">
					description = <"">
				>
				["at0029"] = <
					text = <"Hypertension">
					description = <"">
				>
				["at0032"] = <
					text = <"Diabetes">
					description = <"">
				>
				["at0035"] = <
					text = <"Age">
					description = <"">
				>
				["at0036"] = <
					text = <"Under 65">
					description = <"">
				>
				["at0037"] = <
					text = <"Between 65-74">
					description = <"">
				>
				["at0038"] = <
					text = <"Above or equals to 75">
					description = <"">
				>
				["at0039"] = <
					text = <"Previous stroke">
					description = <"">
				>
				["at0042"] = <
					text = <"Gender">
					description = <"">
				>
				["at0043"] = <
					text = <"Male">
					description = <"">
				>
				["at0044"] = <
					text = <"Female">
					description = <"">
				>
				["at0046"] = <
					text = <"Vascular disease">
					description = <"">
				>
				["at0099"] = <
					text = <"Total score">
					description = <"The total sum of each component parameter for the CHA₂DS₂-VASc score.">
				>
				["at0100"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0101"] = <
					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.">
				>
			>
		>
		["sv"] = <
			items = <
				["at0000"] = <
					text = <"*CHA2DS2-VASc score (en)">
					description = <"*Risk stratification for stroke based on the CHA2DS2-VASc score defined by the European Society of Cardiology (ESC) guidelines for management of atrial fibrillation. (en)">
				>
				["at0001"] = <
					text = <"Träd">
					description = <"@ intern @">
				>
				["at0002"] = <
					text = <"historik">
					description = <"@ intern @">
				>
				["at0003"] = <
					text = <"Alla händelser">
					description = <"Alla händelser">
				>
				["at0026"] = <
					text = <"Hjärtsvikt/VK-dysfunktion">
					description = <"**(en)">
				>
				["at0027"] = <
					text = <"Finns ej">
					description = <"**(en)">
				>
				["at0028"] = <
					text = <"Finns">
					description = <"**(en)">
				>
				["at0029"] = <
					text = <"Hypertoni">
					description = <"**(en)">
				>
				["at0032"] = <
					text = <"Diabetes">
					description = <"**(en)">
				>
				["at0035"] = <
					text = <"Ålder">
					description = <"**(en)">
				>
				["at0036"] = <
					text = <"Under 65">
					description = <"**(en)">
				>
				["at0037"] = <
					text = <"Mellan 65-74">
					description = <"**(en)">
				>
				["at0038"] = <
					text = <"Över eller lika med 75">
					description = <"**(en)">
				>
				["at0039"] = <
					text = <"Stroke/TIA">
					description = <"**(en)">
				>
				["at0042"] = <
					text = <"Kön">
					description = <"**(en)">
				>
				["at0043"] = <
					text = <"Manligt kön">
					description = <"**(en)">
				>
				["at0044"] = <
					text = <"Kvinnligt kön">
					description = <"**(en)">
				>
				["at0046"] = <
					text = <"Vaskulär sjukdom">
					description = <"Tidigare hjärtinfarkt, perifer vaskulär sjukdom, atherosclerosis">
				>
				["at0099"] = <
					text = <"Total poäng">
					description = <"*The total sum of each component parameter for the CHA2DS2-VASc score. (en)">
				>
				["at0100"] = <
					text = <"*Item tree (en)">
					description = <"@ internal @">
				>
				["at0101"] = <
					text = <"*Extension (en)">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"*CHA2DS2-VASc score (en)">
					description = <"*Risk stratification for stroke based on the CHA2DS2-VASc score defined by the European Society of Cardiology (ESC) guidelines for management of atrial fibrillation. (en)">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"*">
				>
				["at0002"] = <
					text = <"history">
					description = <"*">
				>
				["at0003"] = <
					text = <"Uspesfisert hendelse">
					description = <"Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i en template eller i en applikasjon.">
				>
				["at0026"] = <
					text = <"Hjertesvikt">
					description = <"Gjelder kun pasienter med atrieflimmer.">
				>
				["at0027"] = <
					text = <"Ikke tilstede">
					description = <"*">
				>
				["at0028"] = <
					text = <"Tilstede">
					description = <"*">
				>
				["at0029"] = <
					text = <"Hypertensjon">
					description = <"Gjelder kun pasienter med atrieflimmer.">
				>
				["at0032"] = <
					text = <"Diabetes">
					description = <"Gjelder kun pasienter med atrieflimmer.">
				>
				["at0035"] = <
					text = <"Alder">
					description = <"Gjelder kun pasienter med atrieflimmer.">
				>
				["at0036"] = <
					text = <"65 år eller yngre">
					description = <"*">
				>
				["at0037"] = <
					text = <"Mellom 65 og 74 år">
					description = <"*">
				>
				["at0038"] = <
					text = <"75 år eller eldre">
					description = <"*">
				>
				["at0039"] = <
					text = <"Tidligere tilfeller av hjerneslag">
					description = <"Gjelder kun pasienter med atrieflimmer.">
				>
				["at0042"] = <
					text = <"Kjønn">
					description = <"Gjelder kun pasienter med atrieflimmer.">
				>
				["at0043"] = <
					text = <"Mann">
					description = <"*">
				>
				["at0044"] = <
					text = <"Kvinne">
					description = <"*">
				>
				["at0046"] = <
					text = <"Vaskulær sykdom">
					description = <"Gjelder kun pasienter med atrieflimmer.">
				>
				["at0099"] = <
					text = <"Totalscore">
					description = <"*The total sum of each component parameter for the CHA2DS2-VASc score. (en)">
				>
				["at0100"] = <
					text = <"*Item tree (en)">
					description = <"@ internal @">
				>
				["at0101"] = <
					text = <"*Extension (en)">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
			>
		>
	>