archetype (adl_version=1.4; uid=e829956d-b6f5-45c7-9236-5461231f55da)
	openEHR-EHR-OBSERVATION.cpax.v1

concept
	[at0000]	-- Chelsea Critical Care Physical Assessment (CPAx) tool
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Charlotte Marie Schanke, Stein Arne Rimehaug, Silje Ljosland Bakke">
				["organisation"] = <"Sunnaas Hospital, Helse Vest IKT AS">
				["email"] = <"Charlotte.Marie.Schanke@sunnaas.no, sterim@sunnaas.no, silje.ljosland.bakke@helse-vest-ikt.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Silje Ljosland Bakke">
		["organisation"] = <"Helse Vest IKT AS">
		["email"] = <"silje.ljosland.bakke@helse-vest-ikt.no">
		["date"] = <"2023-04-14">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere resultatene for hver enkel delfunksjon og deres totale sumskår for Chelsea Critical Care Physical Assessment Tool (CPAx).">
			use = <"Brukes for å registrere resultatene for hver enkel delfunksjon og deres totale sumskår for Chelsea Critical Care Physical Assessment Tool (CPAx).">
			misuse = <"">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the results for each component parameter for the Chelsea Critical Care Physical Assessment Tool (CPAx).">
			use = <"Use to record the results for each component parameter for the Chelsea Critical Care Physical Assessment Tool (CPAx).">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"published">
	other_contributors = <"Vebjørn Arntzen, Oslo University Hospital, varntzen@ous-hf.no", ...>
	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"] = <"Corner EJ, Wood H, Englebretsen C, Thomas A, Grant RL, Nikoletou D, Soni N. The Chelsea critical care physical assessment tool (CPAx): validation of an innovative new tool to measure physical morbidity in the general adult critical care population; an observational proof-of-concept pilot study. Physiotherapy. 2013 Mar;99(1):33-41. doi: 10.1016/j.physio.2012.01.003. Epub 2012 Mar 30. PubMed PMID: 23219649.

Norwegian Version of the Chelsea Critical Care Physical Assessment Tool (CPAx-NOR): Translation, Face Validity, Cross-Cultural Adaptation and Inter-Rater Reliability - PubMed (nih.gov). https://pubmed.ncbi.nlm.nih.gov/37568435/">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"C4FD37293618CD1876B8BEB9B27BCA30">
		["build_uid"] = <"ebf538e3-dc93-4772-b1d4-53d3b1d26e8e">
		["revision"] = <"1.0.0">
	>

definition
	OBSERVATION[at0000] matches {    -- Chelsea Critical Care Physical Assessment (CPAx) tool
		data matches {
			HISTORY[at0001] matches {    -- History
				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 {    -- Respiratory function
										value matches {
											0|[local::at0005],
											1|[local::at0006],
											2|[local::at0007],
											3|[local::at0008],
											4|[local::at0009],
											5|[local::at0010]
										}
									}
									ELEMENT[at0012] occurrences matches {0..1} matches {    -- Cough
										value matches {
											0|[local::at0021],
											1|[local::at0022],
											2|[local::at0023],
											3|[local::at0024],
											4|[local::at0025],
											5|[local::at0026]
										}
									}
									ELEMENT[at0014] occurrences matches {0..1} matches {    -- Moving within the bed (e.g. rolling)
										value matches {
											0|[local::at0027],
											1|[local::at0028],
											2|[local::at0029],
											3|[local::at0030],
											4|[local::at0031],
											5|[local::at0032]
										}
									}
									ELEMENT[at0015] occurrences matches {0..1} matches {    -- Supine to sitting on the edge of the bed
										value matches {
											0|[local::at0033],
											1|[local::at0034],
											2|[local::at0035],
											3|[local::at0036],
											4|[local::at0037],
											5|[local::at0038]
										}
									}
									ELEMENT[at0016] occurrences matches {0..1} matches {    -- Dynamic sitting (i.e. when sitting on the edge of the bed/unsupported sitting)
										value matches {
											0|[local::at0039],
											1|[local::at0040],
											2|[local::at0041],
											3|[local::at0042],
											4|[local::at0043],
											5|[local::at0044]
										}
									}
									ELEMENT[at0017] occurrences matches {0..1} matches {    -- Standing balance
										value matches {
											0|[local::at0045],
											1|[local::at0046],
											2|[local::at0047],
											3|[local::at0048],
											4|[local::at0049],
											5|[local::at0050]
										}
									}
									ELEMENT[at0018] occurrences matches {0..1} matches {    -- Sit to stand (starting position: ≤90º hip flexion)
										value matches {
											0|[local::at0051],
											1|[local::at0052],
											2|[local::at0053],
											3|[local::at0054],
											4|[local::at0055],
											5|[local::at0056]
										}
									}
									ELEMENT[at0019] occurrences matches {0..1} matches {    -- Transferring from bed to chair
										value matches {
											0|[local::at0057],
											1|[local::at0058],
											2|[local::at0059],
											3|[local::at0060],
											4|[local::at0061],
											5|[local::at0062]
										}
									}
									ELEMENT[at0020] occurrences matches {0..1} matches {    -- Stepping
										value matches {
											0|[local::at0063],
											1|[local::at0064],
											2|[local::at0065],
											3|[local::at0066],
											4|[local::at0067],
											5|[local::at0068]
										}
									}
									ELEMENT[at0013] occurrences matches {0..1} matches {    -- Grip strength (predicted mean for age and gender on the strongest hand)
										value matches {
											0|[local::at0069],
											1|[local::at0070],
											2|[local::at0071],
											3|[local::at0072],
											4|[local::at0073],
											5|[local::at0074]
										}
									}
									ELEMENT[at0076] occurrences matches {0..1} matches {    -- Total score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..50|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0077] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0078] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Chelsea Critical Care Physical Assessment (CPAx) tool">
					description = <"A scoring system to measure physical morbidity in critical care.">
				>
				["at0001"] = <
					text = <"History">
					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 = <"Respiratory function">
					description = <"">
				>
				["at0005"] = <
					text = <"Complete ventilator dependence. Mandatory breaths only. May be fully sedated/ paralysed">
					description = <"">
				>
				["at0006"] = <
					text = <"Ventilator dependence. Mandatory breaths with some spontaneous effort">
					description = <"">
				>
				["at0007"] = <
					text = <"Spontaneously breathing with continuous invasive or non-invasive ventilatory support">
					description = <"">
				>
				["at0008"] = <
					text = <"Spontaneously breathing with intermittent invasive or non-invasive ventilatory supportor continuous high flow oxygen (>15 L)">
					description = <"">
				>
				["at0009"] = <
					text = <"Receiving standardoxygen therapy (<15L)">
					description = <"">
				>
				["at0010"] = <
					text = <"Self-ventilating with no oxygen therapy">
					description = <"">
				>
				["at0012"] = <
					text = <"Cough">
					description = <"">
				>
				["at0013"] = <
					text = <"Grip strength (predicted mean for age and gender on the strongest hand)">
					description = <"">
				>
				["at0014"] = <
					text = <"Moving within the bed (e.g. rolling)">
					description = <"">
				>
				["at0015"] = <
					text = <"Supine to sitting on the edge of the bed">
					description = <"">
				>
				["at0016"] = <
					text = <"Dynamic sitting (i.e. when sitting on the edge of the bed/unsupported sitting)">
					description = <"">
				>
				["at0017"] = <
					text = <"Standing balance">
					description = <"">
				>
				["at0018"] = <
					text = <"Sit to stand (starting position: ≤90º hip flexion)">
					description = <"">
				>
				["at0019"] = <
					text = <"Transferring from bed to chair">
					description = <"">
				>
				["at0020"] = <
					text = <"Stepping">
					description = <"">
				>
				["at0021"] = <
					text = <"Absent cough, may be fully sedated or paralysed">
					description = <"">
				>
				["at0022"] = <
					text = <"Cough stimulated on deep suctioning only">
					description = <"">
				>
				["at0023"] = <
					text = <"Weak ineffective voluntary cough, unable to clear independently (e.g. requires deep suction)">
					description = <"">
				>
				["at0024"] = <
					text = <"Weak, partially effective voluntary cough, sometimes able to clear secretions (e.g. requires Yankauer suctioning)">
					description = <"">
				>
				["at0025"] = <
					text = <"Effective cough, clearing secretions with airways clearance techniques">
					description = <"">
				>
				["at0026"] = <
					text = <"Consistent effective voluntary cough, clearing secretions independently">
					description = <"">
				>
				["at0027"] = <
					text = <"Unable, maybe fully sedated/ paralysed">
					description = <"">
				>
				["at0028"] = <
					text = <"Initiates movement. Requires assistance of two or more people (maximal)">
					description = <"">
				>
				["at0029"] = <
					text = <"Initiates movement. Requires assistance of at least one person (moderate)">
					description = <"">
				>
				["at0030"] = <
					text = <"Initiates movement. Requires assistance of one person (minimal)">
					description = <"">
				>
				["at0031"] = <
					text = <"Independent in ≥3 seconds">
					description = <"">
				>
				["at0032"] = <
					text = <"Independent in <3 seconds">
					description = <"">
				>
				["at0033"] = <
					text = <"Unable/unstable">
					description = <"">
				>
				["at0034"] = <
					text = <"Initiates movement. Requires assistance of two or more people (maximal)">
					description = <"">
				>
				["at0035"] = <
					text = <"Initiates movement. Requires assistance of at least one person (moderate)">
					description = <"">
				>
				["at0036"] = <
					text = <"Initiates movement. Requires assistance of one person (minimal)">
					description = <"">
				>
				["at0037"] = <
					text = <"Independent in ≥3 seconds">
					description = <"">
				>
				["at0038"] = <
					text = <"Independent in <3 seconds">
					description = <"">
				>
				["at0039"] = <
					text = <"Unable/unstable">
					description = <"">
				>
				["at0040"] = <
					text = <"Requires assistance of two or more people (maximal)">
					description = <"">
				>
				["at0041"] = <
					text = <"Requires assistance of at least one person (moderate)">
					description = <"">
				>
				["at0042"] = <
					text = <"Requires assistance of one person (minimal)">
					description = <"">
				>
				["at0043"] = <
					text = <"Independent with some dynamic sitting balance (i.e. able to alter trunk position within base of support)">
					description = <"">
				>
				["at0044"] = <
					text = <"Independent with full dynamic sitting balance (i.e. able to reach out of base of support)">
					description = <"">
				>
				["at0045"] = <
					text = <"Unable/unstable/bedbound">
					description = <"">
				>
				["at0046"] = <
					text = <"Tilt table or similar">
					description = <"">
				>
				["at0047"] = <
					text = <"Standing hoist or similar">
					description = <"">
				>
				["at0048"] = <
					text = <"Dependent on frame, crutches or similar">
					description = <"">
				>
				["at0049"] = <
					text = <"Independent without aids">
					description = <"">
				>
				["at0050"] = <
					text = <"Independent without aids and full dynamic standing balance (i.e. able to reach out of base of support)">
					description = <"">
				>
				["at0051"] = <
					text = <"Unable/unstable">
					description = <"">
				>
				["at0052"] = <
					text = <"Sit to stand with maximal assistance (standing hoist or similar)">
					description = <"">
				>
				["at0053"] = <
					text = <"Sit to stand with moderate assistance (e.g. one or two people)">
					description = <"">
				>
				["at0054"] = <
					text = <"Sit to stand with minimal assistance (e.g. one person)">
					description = <"">
				>
				["at0055"] = <
					text = <"Sit to stand independently pushing through arms of the chair">
					description = <"">
				>
				["at0056"] = <
					text = <"Sit to stand independently without upper limb involvement">
					description = <"">
				>
				["at0057"] = <
					text = <"Unable/unstable">
					description = <"">
				>
				["at0058"] = <
					text = <"Full hoist">
					description = <"">
				>
				["at0059"] = <
					text = <"Standing hoist or similar">
					description = <"">
				>
				["at0060"] = <
					text = <"Pivot transfer (no stepping) with mobility aid or physical assistance">
					description = <"">
				>
				["at0061"] = <
					text = <"Stand and step transfer with mobility aid or physical assistance">
					description = <"">
				>
				["at0062"] = <
					text = <"Independent transfer without equipment">
					description = <"">
				>
				["at0063"] = <
					text = <"Unable/unstable">
					description = <"">
				>
				["at0064"] = <
					text = <"Using a standing hoist or similar">
					description = <"">
				>
				["at0065"] = <
					text = <"Using mobility aids and assistance of at least one person (moderate)">
					description = <"">
				>
				["at0066"] = <
					text = <"Using mobility aid and assistance of one person (minimal)">
					description = <"">
				>
				["at0067"] = <
					text = <"Using mobility aid or assistance of one person (minimal)">
					description = <"">
				>
				["at0068"] = <
					text = <"Independent without aid">
					description = <"">
				>
				["at0069"] = <
					text = <"Unable to assess">
					description = <"">
				>
				["at0070"] = <
					text = <"<20%">
					description = <"">
				>
				["at0071"] = <
					text = <"<40%">
					description = <"">
				>
				["at0072"] = <
					text = <"<60%">
					description = <"">
				>
				["at0073"] = <
					text = <"<80%">
					description = <"">
				>
				["at0074"] = <
					text = <"≥80%">
					description = <"">
				>
				["at0076"] = <
					text = <"Total score">
					description = <"The total sum of each component variable for the Chelsea Critical Care Physical Tool.">
				>
				["at0077"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0078"] = <
					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.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Chelsea Critical Care Physical Assessment Tool (CPAx)">
					description = <"Kartleggingsverktøy for fysisk og respiratorisk funksjon hos kritisk og alvorlig syke voksne.">
				>
				["at0001"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Uspesifisert hendelse">
					description = <"Standard uspesifisert tidspunkt- eller intervallhendelse som kan defineres mer eksplisitt i et templat eller i en applikasjon.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Respiratorisk funksjon">
					description = <"">
				>
				["at0005"] = <
					text = <"Fullstendig avhengig av respirator. Kontrollert modus. Kan være helt sedert/muskelrelaksert">
					description = <"">
				>
				["at0006"] = <
					text = <"Avhengig av respirator. Kontrollert modus med noen spontane pust">
					description = <"">
				>
				["at0007"] = <
					text = <"Puster selv med kontinuerlig invasiv eller non-invasiv ventilasjonsstøtte">
					description = <"">
				>
				["at0008"] = <
					text = <"Puster selv med intermitterende invasiv eller noninvasiv ventilasjonsstøtte ELLER «High-flow» oksygentilskudd (> 15 liter)">
					description = <"">
				>
				["at0009"] = <
					text = <"Får oksygentilskudd (< 15 liter)">
					description = <"">
				>
				["at0010"] = <
					text = <"Selvpustende uten oksygentilskudd">
					description = <"">
				>
				["at0012"] = <
					text = <"Hoste">
					description = <"">
				>
				["at0013"] = <
					text = <"Gripestyrke (predikert gjennomsnitt for alder og kjønn for den sterkeste hånden)">
					description = <"">
				>
				["at0014"] = <
					text = <"Forflytning i seng f.eks. snu seg">
					description = <"">
				>
				["at0015"] = <
					text = <"Liggende til sittende på sengekant">
					description = <"">
				>
				["at0016"] = <
					text = <"Sittebalanse (dvs. sitter på sengekanten/ sitter uten støtte)">
					description = <"">
				>
				["at0017"] = <
					text = <"Stående balanse">
					description = <"">
				>
				["at0018"] = <
					text = <"Sittende til stående (Utgangsstilling: ≤90 grader hoftefleksjon)">
					description = <"">
				>
				["at0019"] = <
					text = <"Forflytning fra seng til stol">
					description = <"">
				>
				["at0020"] = <
					text = <"Gange">
					description = <"">
				>
				["at0021"] = <
					text = <"Ingen hoste, kan være helt sedert/muskelrelaksert">
					description = <"">
				>
				["at0022"] = <
					text = <"Hoste stimuleres kun av dyp suging">
					description = <"">
				>
				["at0023"] = <
					text = <"Svak ineffektiv hoste, uten evne til sekretevakuering, f.eks. behov for dyp suging">
					description = <"">
				>
				["at0024"] = <
					text = <"Svak, delvis effektiv hoste, med sporadisk evne til sekretevakuering, f.eks. behov for sug i munn/svelg">
					description = <"">
				>
				["at0025"] = <
					text = <"Effektiv hoste, sekretevakuering ved hjelp av sekretmobiliserende teknikker">
					description = <"">
				>
				["at0026"] = <
					text = <"Effektiv hoste, fjerner sekret selvstendig">
					description = <"">
				>
				["at0027"] = <
					text = <"Kan ikke, kan være helt sedert/muskelrelaksert">
					description = <"">
				>
				["at0028"] = <
					text = <"Initierer bevegelsen. Må ha hjelp av ≥2 personer (maksimal)">
					description = <"">
				>
				["at0029"] = <
					text = <"Initierer bevegelsen. Må ha hjelp av ≥1 person (moderat)">
					description = <"">
				>
				["at0030"] = <
					text = <"Initierer bevegelsen. Må ha hjelp av 1 person (minimal)">
					description = <"">
				>
				["at0031"] = <
					text = <"Selvstendig på ≥3 sekunder">
					description = <"">
				>
				["at0032"] = <
					text = <"Selvstendig på <3 sekunder">
					description = <"">
				>
				["at0033"] = <
					text = <"Kan ikke/ustabil">
					description = <"">
				>
				["at0034"] = <
					text = <"Initierer bevegelsen. Må ha hjelp av ≥ 2 personer (maksimal)">
					description = <"">
				>
				["at0035"] = <
					text = <"Initierer bevegelsen. Må ha hjelp av ≥1 person (moderat)">
					description = <"">
				>
				["at0036"] = <
					text = <"Initierer bevegelsen. Må ha hjelp av 1 person (minimal)">
					description = <"">
				>
				["at0037"] = <
					text = <"Selvstendig på ≥3 sekunder">
					description = <"">
				>
				["at0038"] = <
					text = <"Selvstendig på <3 sekunder">
					description = <"">
				>
				["at0039"] = <
					text = <"Kan ikke/ustabil">
					description = <"">
				>
				["at0040"] = <
					text = <"Må ha hjelp av ≥2 personer (maksimal)">
					description = <"">
				>
				["at0041"] = <
					text = <"Må ha hjelp av ≥1 person (moderat)">
					description = <"">
				>
				["at0042"] = <
					text = <"Må ha hjelp av 1 person (minimal)">
					description = <"">
				>
				["at0043"] = <
					text = <"Selvstendig med noe dynamisk sittebalanse, dvs. kan endre overkroppens stilling innenfor understøttelsesflaten">
					description = <"">
				>
				["at0044"] = <
					text = <"Selvstendig med full dynamisk sittebalanse, dvs. kan strekke seg ut over understøttelsesflaten.">
					description = <"">
				>
				["at0045"] = <
					text = <"Kan ikke/ustabil/sengeleie">
					description = <"">
				>
				["at0046"] = <
					text = <"Ståseng eller lignende">
					description = <"">
				>
				["at0047"] = <
					text = <"Ståheis eller lignende">
					description = <"">
				>
				["at0048"] = <
					text = <"Avhengig av prekestol, rullator, krykker eller lignende">
					description = <"">
				>
				["at0049"] = <
					text = <"Selvstendig uten hjelpemidler">
					description = <"">
				>
				["at0050"] = <
					text = <"Selvstendig uten hjelpemidler og full dynamisk stående balanse, dvs. kan strekke seg ut over understøttelsesflaten">
					description = <"">
				>
				["at0051"] = <
					text = <"Kan ikke/ustabil">
					description = <"">
				>
				["at0052"] = <
					text = <"Sittende til stående med maksimal hjelp, f.eks. ståheis eller lignende">
					description = <"">
				>
				["at0053"] = <
					text = <"Sittende til stående med moderat hjelp, f. eks. 1-2 personer">
					description = <"">
				>
				["at0054"] = <
					text = <"Sittende til stående med minimal hjelp, f. eks. 1 person">
					description = <"">
				>
				["at0055"] = <
					text = <"Selvstendig fra sittende til stående ved å skyve fra mot armlenene på stolen">
					description = <"">
				>
				["at0056"] = <
					text = <"Selvstendig fra sittende til stående uten armbruk">
					description = <"">
				>
				["at0057"] = <
					text = <"Kan ikke/ustabil">
					description = <"">
				>
				["at0058"] = <
					text = <"Heis">
					description = <"">
				>
				["at0059"] = <
					text = <"Ståheis eller lignende">
					description = <"">
				>
				["at0060"] = <
					text = <"Lav forflytning (ingen skritt) med forflytningshjelpemiddel eller fysisk hjelp">
					description = <"">
				>
				["at0061"] = <
					text = <"Stående forflytning med skritt med forflytningshjelpemiddel ELLER fysisk hjelp">
					description = <"">
				>
				["at0062"] = <
					text = <"Selvstendig forflytning uten utstyr">
					description = <"">
				>
				["at0063"] = <
					text = <"Kan ikke/ustabil">
					description = <"">
				>
				["at0064"] = <
					text = <"Bruker ståheis eller lignende">
					description = <"">
				>
				["at0065"] = <
					text = <"Bruker forflytningshjelpemidler OG hjelp av >1 person (moderat)">
					description = <"">
				>
				["at0066"] = <
					text = <"Bruker forflytningshjelpemidler OG hjelp av 1 person (minimal)">
					description = <"">
				>
				["at0067"] = <
					text = <"Bruker forflytningshjelpemiddel ELLER hjelp av 1 person (minimal)">
					description = <"">
				>
				["at0068"] = <
					text = <"Selvstendig uten hjelp">
					description = <"">
				>
				["at0069"] = <
					text = <"Kan ikke testes">
					description = <"">
				>
				["at0070"] = <
					text = <"<20%">
					description = <"">
				>
				["at0071"] = <
					text = <"<40%">
					description = <"">
				>
				["at0072"] = <
					text = <"<60%">
					description = <"">
				>
				["at0073"] = <
					text = <"<80%">
					description = <"">
				>
				["at0074"] = <
					text = <"≥80%">
					description = <"">
				>
				["at0076"] = <
					text = <"Sumskår">
					description = <"Summen av poeng for hver enkelt delfunksjon i Chelsea Critical Care Physical Assessment Tool.">
				>
				["at0077"] = <
					text = <"*Item tree (en)">
					description = <"@ internal @">
				>
				["at0078"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR.">
				>
			>
		>
	>