Modellbiblioteket openEHR Fork
Name
Disease Activity Score-28 (DAS28)
Description
Assessment tool used as a measure of disease activity in rheumatoid arthritis (RA), using ESR result.
Comment
28 joints are examined in this assessment.
Keywords
DAS28 rheumatoid arthritis disease activity
Purpose
To record the individual DAS28 parameters and total score.
Use
Use to record the individual DAS28 parameters and total score as an assessment of disease activity in rheumatoid arthritis.
Misuse
Not to be used to record the DAS28 score using the CRP result. Use OBSERVATION.das28-CRP for this purpose.
References
http://www.nras.org.uk/the-das28-score
Archetype Id
openEHR-EHR-OBSERVATION.das28.v0
Copyright
© openEHR Foundation, Clinical Models UK
Licencing
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/.
Original Author
Hildegard Franke
freshEHR Clinical Informatics Ltd.
Date Originally Authored
To record the individual DAS28 parameters and total score.
Language Details
Slovenian, Slovene
Blaz Osterman, Vanessa Pereira
Better
Name Card Type Description
Tender joint count
0..1 DV_COUNT The total number of tender joints observed.
Constraint for DV_COUNT
min: >= 0; max: <= 28
Swollen joint count
0..1 DV_COUNT The total number of swollen joints observed.
Constraint for DV_COUNT
min: >= 0; max: <= 28
ESR result
0..1 DV_QUANTITY Erythrocyte sedimentation rate test result.
DV_QUANTITY
Global health
0..1 DV_QUANTITY Visual analogue scale assessment of overall health and disease activity.
DV_QUANTITY
DAS28 score
0..1 DV_QUANTITY Total DAS 28 score.
DV_QUANTITY
DAS28(3) score
0..1 DV_QUANTITY DAS 28 score using only 3 variables, when the Global health parameter is not available.
DV_QUANTITY
Name Card Type Description
Extension
0..* Slot (Cluster) 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.
Slot
Slot
archetype (adl_version=1.4; uid=0a67fcae-271f-4c24-9fdd-45b5718bb5b3)
	openEHR-EHR-OBSERVATION.das28.v0

concept
	[at0000]	-- Disease Activity Score-28 (DAS28)
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["sl"] = <
			language = <[ISO_639-1::sl]>
			author = <
				["name"] = <"Blaz Osterman, Vanessa Pereira">
				["organisation"] = <"Better">
				["email"] = <"vanessapereira@protonmail.com">
			>
		>
	>
description
	original_author = <
		["name"] = <"Hildegard Franke">
		["organisation"] = <"freshEHR Clinical Informatics Ltd.">
		["email"] = <"hildi@freshehr.com">
		["date"] = <"2016-11-18">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the individual DAS28 parameters and total score.">
			use = <"Use to record the individual DAS28 parameters and total score as an assessment of disease activity in rheumatoid arthritis.">
			keywords = <"DAS28", "rheumatoid arthritis", "disease activity">
			misuse = <"Not to be used to record the DAS28 score using the CRP result. Use OBSERVATION.das28-CRP for this purpose.">
			copyright = <"© openEHR Foundation, Clinical Models UK">
		>
		["sl"] = <
			language = <[ISO_639-1::sl]>
			purpose = <"*To record the individual DAS28 parameters and total score.(en)">
			use = <"*Use to record the individual DAS28 parameters and total score as an assessment of disease activity in rheumatoid arthritis.(en)">
			keywords = <"DAS28", "Revmatoidni artritis", "Aktivnost bolezni">
			misuse = <"*Not to be used to record the DAS28 score using the CRP result. Use OBSERVATION.das28-CRP for this purpose.(en)">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Mark Greenhalgh, Operon Limited, UK", "Ian McNicoll, freshEHR Clinical Informatics, UK", "Nadim Anani, Sweden">
	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"] = <"http://www.nras.org.uk/the-das28-score">
		["current_contact"] = <"Hildegard Franke, freshEHR Clinical Informatics Ltd.<hildi@freshehr.com>">
		["original_namespace"] = <"uk.org.clinicalmodels">
		["original_publisher"] = <"UK Clinical Models">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"4EAE21C6A8B75B31CD7FD85B20859076">
		["build_uid"] = <"05139682-bae5-49b2-b350-46413d203c7d">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Disease Activity Score-28 (DAS28)
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				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[at0004] occurrences matches {0..1} matches {    -- Tender joint count
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..28|}
											}
										}
									}
									ELEMENT[at0005] occurrences matches {0..1} matches {    -- Swollen joint count
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..28|}
											}
										}
									}
									ELEMENT[at0006] occurrences matches {0..1} matches {    -- ESR result
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::338]>
												list = <
													["1"] = <
														units = <"mm/h">
														magnitude = <|0.0..300.0|>
														precision = <|0|>
													>
												>
											>
										}
									}
									ELEMENT[at0007] occurrences matches {0..1} matches {    -- Global health
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::380]>
												list = <
													["1"] = <
														units = <"1">
														magnitude = <|0.0..100.0|>
														precision = <|0|>
													>
												>
											>
										}
									}
									ELEMENT[at0008] occurrences matches {0..1} matches {    -- DAS28 score
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::380]>
												list = <
													["1"] = <
														units = <"1">
														magnitude = <|0.0..10.0|>
														precision = <|2|>
													>
												>
											>
										}
									}
									ELEMENT[at0015] occurrences matches {0..1} matches {    -- DAS28(3) score
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::380]>
												list = <
													["1"] = <
														units = <"1">
														magnitude = <|0.0..10.0|>
														precision = <|2|>
													>
												>
											>
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0009] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0010] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}



ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Disease Activity Score-28 (DAS28)">
					description = <"Assessment tool used as a measure of disease activity in rheumatoid arthritis (RA), using ESR result.">
					comment = <"28 joints are examined in this assessment.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Point in time">
					description = <"Default, unspecified point in time event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Tender joint count">
					description = <"The total number of tender joints observed.">
				>
				["at0005"] = <
					text = <"Swollen joint count">
					description = <"The total number of swollen joints observed.">
				>
				["at0006"] = <
					text = <"ESR result">
					description = <"Erythrocyte sedimentation rate test result.">
				>
				["at0007"] = <
					text = <"Global health">
					description = <"Visual analogue scale assessment of overall health and disease activity.">
				>
				["at0008"] = <
					text = <"DAS28 score">
					description = <"Total DAS 28 score.">
				>
				["at0009"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0010"] = <
					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.">
				>
				["at0015"] = <
					text = <"DAS28(3) score">
					description = <"DAS 28 score using only 3 variables, when the Global health parameter is not available.">
				>
			>
		>
		["sl"] = <
			items = <
				["at0000"] = <
					text = <"DAS 28 Revmatološka ocena">
					description = <"DAS28 je merilo aktivnosti bolezni pri revmatoidnem artritisu (RA).">
					comment = <"DAS pomeni „disease activity score“, številka 28 pa se nanaša na 28 sklepov, ki so bili pregledani v tej oceni.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Točen čas">
					description = <"Določen datum in / ali čas, ki sta lahko izrecno določena v predlogi ali med izvajanjem.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Občutljivi sklepi">
					description = <"Število občutljivih sklepov.">
				>
				["at0005"] = <
					text = <"Otečeni sklepi">
					description = <"Število otečenih sklepov.">
				>
				["at0006"] = <
					text = <"ESR rezultat">
					description = <"Hitrost sedimentacije eritrocitov.">
				>
				["at0007"] = <
					text = <"Bolnikovo globalno zdravje">
					description = <"Vizualna analogna skala za oceno bolnikovegova globalnega zdravja.">
				>
				["at0008"] = <
					text = <"DAS28 skupna ocena">
					description = <"Skupna ocena DAS28.
">
				>
				["at0009"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0010"] = <
					text = <"Razširitev">
					description = <"Dodatne informacije, potrebne za zajem lokalnega konteksta ali za uskladitev z drugimi referenčnimi modeli / formalizmi.">
					comment = <"Na primer: lokalne zahteve po informacijah; ali dodatni metapodatki za uskladitev s FHIR.">
				>
				["at0015"] = <
					text = <"*DAS28(3) score(en)">
					description = <"*DAS 28 score using only 3 variables, when the Global health parameter is not available.(en)">
				>
			>
		>
	>