archetype (adl_version=1.4; uid=800383fa-4560-47d7-9720-3d6e45273f4e)
	openEHR-EHR-OBSERVATION.ecog.v1

concept
	[at0000]	-- ECOG performance status
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Eva-Maria Rieß">
				["organisation"] = <"Universitätsmedizin Göttingen">
				["email"] = <"eva-maria.riess@med.uni-goettingen.de">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"John Tore Valand">
				["organisation"] = <"Helse Bergen HF">
			>
		>
		["fr"] = <
			language = <[ISO_639-1::fr]>
			author = <
				["name"] = <"Bassem Khouzam, Vanessa Pereira">
				["organisation"] = <"Medtronic, Better - Pathfinder">
				["email"] = <"bassem.khouzam@medtronic.com, vanessapereira@protonmail.com">
			>
		>
	>
description
	original_author = <
		["name"] = <"Christian Ghan">
		["organisation"] = <"The Chris O'Brien Lifehouse at RPA">
		["email"] = <"christian.ghan@lifehouserpa.org.au">
		["date"] = <"2012-12-07">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"Zur Dokumentation der funktionellen Leistungsfähigkeit von diagnostizierten Krebspatienten.">
			use = <"Zur Darstellung der funktionellen Leistungsfähigkeit von Krebspatienten um:
- zu bewerten wie die Erkrankung des Patienten voranschreitet;
- zu bewerten wie die Erkrankung die Fähigkeiten des täglichen Lebens beeinflusst; und
- um eine angemessene Behandlung und Prognose festzulegen.

Der \"ECOG Performance Status\" ist öffentliches Eigentum und daher öffentlich nutzbar. Für mehr Informationen kontaktieren sie die Eastern Cooperative Oncology Group, Robert Comis M.D., Group Chair - http://www.ecog.org/general/perf_stat.html.">
			keywords = <"Performance", "Status", "Onkologie", "WHO", "Zubrod", "Weltgesundheitsorganisation", "Zubrod-Skala">
			misuse = <"">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere funksjonsstatus hos en pasient med kreft.">
			use = <"Brukes for å registrere funksjonsstatus hos en pasient med kreft for å:
- vurdere hvordan pasientens sykdom utvikler seg.
- vurdere hvordan sykdommen påvirker pasientens evne til å fungere i dagliglivet.
- vurdere passende behandling og prognose.

Erklæring om opphavsrett: ECOG performance status er ikke beheftet med opphavsrett og derfor tilgjengelig for offentlig bruk. 
For mer informasjon kontakt: The Eastern Cooperative Oncology Group, Robert Comis M.D., Group Chair - http://www.ecog.org/general/perf_stat.html.">
			keywords = <"prestasjon", "prestasjonsevne", "status", "onkologi", "zubrod", "performance status", "World Health Organization">
			misuse = <"">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the measurement of the functional performance status of a patient with a diagnosis of cancer.">
			use = <"Used to record the measurement of the functional performance status of a patient with a diagnosis of cancer, to:
- assess how a patient's disease is progressing;
- assess how the disease affects the daily living abilities of the patient; and 
- determine appropriate treatment and prognosis. 

The ECOG performance status is in the public domain therefore available for public use. For more information, contact the Eastern Cooperative Oncology Group, Robert Comis M.D., Group Chair - http://www.ecog.org/general/perf_stat.html.">
			keywords = <"performance", "status", "oncology", "who", "zubrod", "World Health Organization">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["fr"] = <
			language = <[ISO_639-1::fr]>
			purpose = <"*To record the measurement of the functional performance status of a patient with a diagnosis of cancer.(en)">
			use = <"*Used to record the measurement of the functional performance status of a patient with a diagnosis of cancer, to:
- assess how a patient's disease is progressing;
- assess how the disease affects the daily living abilities of the patient; and 
- determine appropriate treatment and prognosis. 

The ECOG performance status is in the public domain therefore available for public use. For more information, contact the Eastern Cooperative Oncology Group, Robert Comis M.D., Group Chair - http://www.ecog.org/general/perf_stat.html.(en)">
			keywords = <"performance", "statut", "oncologie", "WHO", "Zubrod", "World Health Organization">
			misuse = <"">
		>
	>
	lifecycle_state = <"published">
	other_contributors = <"Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (openEHR Editor)", "Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)", "SB Bhattacharyya, Sudisa Consultancy Services, India", "Bjørn Christensen, Helse Bergen HF, Norway", "Kristin Eik, Kreftregisteret, Norway", "Mikkel Gaup Grønmo, FSE, Helse Nord, Norway", "Heather Grain, Llewelyn Grain Informatics, Australia", "Hilde Hollås, DIPS AS, Norway", "Alfred Honore, Haukeland, Norway", "Evelyn Hovenga, EJSH Consulting, Australia", "Thomas Kilvær, Universitetssykehuset Nord Norge, Norway", "Siri Laronningen, Kreftregisteret, Norway", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Cailin Lowry, Lifehouse, Australia", "Hildegard McNicoll, freshEHR Clinical Informatics Ltd., United Kingdom", "Ian McNicoll, freshEHR Clinical Informatics, United Kingdom", "Lars Morgan Karlsen, Nordlandssykehuset Bodø, Norway", "Andrej Orel, Marand d.o.o., Slovenia", "Rune Pedersen, Universitetssykehuset i Nord Norge, Norway", "Omar Peña-Curiel, TECSalud, Mexico", "Line Silsand, Universitetssykehuset i Nord-Norge, Norway", "Laila Storesund, Haraldsplass diakonale sykehus, Norway", "Nyree Taylor, Ocean Informatics, Australia", "John Tore Valand, Helse Bergen, Norway (openEHR Editor)">
	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"] = <"Oken, M.M., Creech, R.H., Tormey, D.C., Horton, J., Davis, T.E., McFadden, E.T., Carbone, P.P.: Toxicity And Response Criteria Of The Eastern Cooperative Oncology Group. Am J Clin Oncol 5:649-655, 1982.

Cowap, Jane, Janet R. Hardy, and Roger A'Hern. \"Outcome of malignant spinal cord compression at a cancer center: implications for palliative care services.\" Journal of pain and symptom management 19.4 (2000): 257-264.

http://www.ecog.org/general/perf_stat.html

The Norwegian translation is based on: Helsedirektoratet (2016). Nasjonalt handlingsprogram med retningslinjer for diagnostikk, behandling og oppfølging av lungekreft, mesoteliom og thymom. IS-2487. Oslo: Helsedirektoratet. Hentet fra: www.helsebiblioteket.no/retningslinjer/lungekreft/diagnostikk-og-utredning/funksjonsstatus-performance-stadium-%28PS%29">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"F3C2B1F9F81F5E7127FCD92A4F27502A">
		["build_uid"] = <"2360fb60-c024-43cf-a657-0788eb525ed9">
		["revision"] = <"1.0.2">
	>

definition
	OBSERVATION[at0000] matches {	-- ECOG performance status
		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 {1..*; unordered} matches {
									ELEMENT[at0004] matches {	-- ECOG performance status
										value matches {
											0|[local::at0005], 	-- Asymptomatic
											1|[local::at0006], 	-- Symptomatic, fully ambulatory
											2|[local::at0007], 	-- Symptomatic, in bed <50% of the day
											3|[local::at0008], 	-- Symptomatic, in bed >50% of the day (but not bedridden)
											4|[local::at0009], 	-- Bedridden
											5|[local::at0010]  	-- Dead
										}
									}
									ELEMENT[at0013] occurrences matches {0..1} matches {	-- Comment
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0011] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0012] occurrences matches {0..*} matches {	-- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"ECOG performance status">
					description = <"A scale used by clinicians to assess the functional performance status of a patient with a diagnosis of cancer. Also known as the WHO performance status or Zubrod performance status.">
				>
				["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 = <"ECOG performance status">
					description = <"The functional performance status of a patient with a diagnosis of cancer.">
				>
				["at0005"] = <
					text = <"Asymptomatic">
					description = <"Fully active, able to carry on all pre-disease performance without restriction.">
				>
				["at0006"] = <
					text = <"Symptomatic, fully ambulatory">
					description = <"Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work.">
				>
				["at0007"] = <
					text = <"Symptomatic, in bed <50% of the day">
					description = <"Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours.">
				>
				["at0008"] = <
					text = <"Symptomatic, in bed >50% of the day (but not bedridden)">
					description = <"Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours.">
				>
				["at0009"] = <
					text = <"Bedridden">
					description = <"Completely disabled; cannot carry on any selfcare; totally confined to bed or chair.">
				>
				["at0010"] = <
					text = <"Dead">
					description = <"Patient has died.">
				>
				["at0011"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0012"] = <
					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.">
				>
				["at0013"] = <
					text = <"Comment">
					description = <"Additional narrative about the overall ECOG performance status not captured in other fields.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"ECOG funksjonsstatus">
					description = <"En skala benyttet av klinikere for å vurdere funksjonsstatus hos en pasient med kreft. Også kjent som WHO performance status eller Zubrod perfomance status.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Uspesifisert hendelse">
					description = <"Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i en template eller i en applikasjon.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"ECOG funksjonsstatus">
					description = <"Funksjonsstatus hos en pasient med kreft.">
				>
				["at0005"] = <
					text = <"Asymptomatisk">
					description = <"I stand til å utføre enhver normal aktivitet uten begrensning.">
				>
				["at0006"] = <
					text = <"Symptomatisk, fullt oppegående">
					description = <"Ikke i stand til fysisk krevende aktivitet, men oppegående og i stand til å utføre lett arbeid.">
				>
				["at0007"] = <
					text = <"Symptomatisk, sengeliggende <50 % av våken tid">
					description = <"Oppegående og i stand til all egenpleie, men ikke i stand til noe arbeid; oppe og i bevegelse mer enn 50% av våken tid.">
				>
				["at0008"] = <
					text = <"Symptomatisk, sengeliggende > 50 % av våken tid">
					description = <"Bare i stand til begrenset egenpleie, bundet til seng eller stol > 50 % av våken tid.">
				>
				["at0009"] = <
					text = <"Helt sengeliggende">
					description = <"Helt hjelpetrengende; klarer ikke noen egenpleie; helt bundet til seng eller stol.">
				>
				["at0010"] = <
					text = <"Død">
					description = <"Pasienten er død.">
				>
				["at0011"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0012"] = <
					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 eller CIMI.">
				>
				["at0013"] = <
					text = <"Kommentar">
					description = <"Ytterligere kommentar til ECOG funksjonsstatus som ikke er fanget opp i andre felt.">
				>
			>
		>
		["de"] = <
			items = <
				["at0000"] = <
					text = <"ECOG Performance Status">
					description = <"Eine Skala die von klinischem Personal verwendet wird, um die funktionelle Leistungsfähigkeit von diagnostizierten Krebspatienten zu bewerten. Auch bekannt als WHO- oder Zubrod-Skala.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Beliebiges Ereignis">
					description = <"Standardwert, ein undefinierter/s Zeitpunkt oder Intervallereignis, das explizit im Template oder zur Laufzeit der Anwendung definiert werden kann. 
">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"ECOG Performance Status">
					description = <"Der funktionelle Leistungsstatus von diagnostizierten Krebspatienten.">
				>
				["at0005"] = <
					text = <"Asymptomatisch">
					description = <"Uneingeschränkt aktiv und in der Lage alle Aktivitäten, wie vor der Erkrankung, ohne Einschränkungen weiterzuführen.">
				>
				["at0006"] = <
					text = <"Symptomatisch, vollkommen gehfähig">
					description = <"Bei körperlicher Anstrengung eingeschränkt, aber gehfähig und in der Lage leichte oder im Sitzen durchgeführte Arbeiten auszuführen, wie z.B. leichte Hausarbeit, Büroarbeit.">
				>
				["at0007"] = <
					text = <"Symptomatisch, tagsüber <50% im Bett">
					description = <"Gehfähig und zur Selbstversorgung in der Lage, aber nicht arbeitsfähig. Aufstehen ist mehr als 50% der Wachzeit möglich.">
				>
				["at0008"] = <
					text = <"Symptomatisch, >50% der Zeit im Bett (aber nicht bettlägerig)">
					description = <"Zu eingeschränkter Selbstversorgung in der Lage. Während der Wachzeit 50% der Zeit oder länger an Bett oder Stuhl gebunden.">
				>
				["at0009"] = <
					text = <"Bettlägerig">
					description = <"Vollständig pflegebedürftig; Nicht zur Selbstversorgung in der Lage. Vollkommen an Bett oder Stuhl gebunden.">
				>
				["at0010"] = <
					text = <"Tot">
					description = <"Der Patient ist verstorben.">
				>
				["at0011"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0012"] = <
					text = <"Erweiterung">
					description = <"Zusätzliche Informationen zur Erfassung lokaler Inhalte oder Anpassung an andere Referenzmodelle/Formalismen.">
					comment = <"Zum Beispiel: Lokaler Informationsbedarf oder zusätzliche Metadaten zur Anpassung an FHIR-Ressourcen oder CIMI-Modelle.">
				>
				["at0013"] = <
					text = <"Kommentar">
					description = <"Weitere Schilderungen zum allgemeinen ECOG Performance Staus, die nicht durch andere Felder abgedeckt werden.">
				>
			>
		>
		["fr"] = <
			items = <
				["at0000"] = <
					text = <"État des performances de l'ECOG">
					description = <"Échelle utilisée par les cliniciens pour évaluer l'état des performances fonctionnelles d'un patient diagnostiqué comme ayant un cancer. Également connue sous le nom de statut de performance de WHO ou de statut de performance de Zubrod.">
				>
				["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 = <"État des performances de l'ECOG">
					description = <"L'état de performance fonctionnelle d'un patient diagnostiqué comme ayant un cancer.">
				>
				["at0005"] = <
					text = <"Asymptomatique">
					description = <"Entièrement actif, capable de maintenir toutes ses performances avant la maladie sans restriction.">
				>
				["at0006"] = <
					text = <"Symptomatique, entièrement ambulatoire">
					description = <"Limité dans ses activités physiques pénibles mais ambulatoire et capable d'effectuer des travaux de nature légère ou sédentaire, par exemple des travaux légers à la maison ou au bureau.">
				>
				["at0007"] = <
					text = <"Symptomatique, au lit <50% de la journée">
					description = <"Ambulatoire et capable de prendre soin de soi-même, mais incapable d'effectuer des activités professionnelles, et ce pendant plus de 50 % des heures de veille.">
				>
				["at0008"] = <
					text = <"Symptomatique, au lit >50% de la journée (mais pas alité)">
					description = <"Capable de prendre soin de soi de manière limitée seulement ; confiné au lit ou à une chaise pendant plus de 50 % des heures de veille.">
				>
				["at0009"] = <
					text = <"Bedridden">
					description = <"Complètement handicapé ; ne peut pas prendre soin de lui-même ; totalement alité ou confiné à une chaise.">
				>
				["at0010"] = <
					text = <"Mort">
					description = <"Le patient est décédé.">
				>
				["at0011"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0012"] = <
					text = <"Extension">
					description = <"Informations supplémentaires requises pour saisir le contenu local ou pour s'aligner sur d'autres modèles/formalismes de référence.">
					comment = <"Par exemple : exigences locales en matière d'information ou métadonnées supplémentaires à aligner sur les équivalents FHIR ou CIMI.">
				>
				["at0013"] = <
					text = <"Commentaire">
					description = <"Informations supplémentaires sur l'état général des performances de l'ECOG qui ne sont pas saisies dans d'autres champs.">
				>
			>
		>
	>