archetype (adl_version=1.4; uid=dccca68d-54de-4fe9-9d7c-a3926c0584ab)
	openEHR-EHR-OBSERVATION.poem_score.v0

concept
	[at0000]	-- POEM score
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Dmitri Wall">
		["organisation"] = <"Irish Skin Foundation">
		["email"] = <"dmitri.wall@gmail.com">
		["date"] = <"2015-02-07">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"The Patient-Oriented Eczema Measure (POEM), is a simple measure, developed \"for research purposes, and to assist health care professionals such as general practitioners, dermatologists, pediatricians, and specialist nurses caring for patients in routine clinical practice\"(1). It is a tool that enables measurement of \"atopic eczema severity from the patients’ perspective\"(1,2).">
			use = <"">
			keywords = <"Atopic dermatitis", "Eczema", "PROM (patient-reported outcome measure)">
			misuse = <"Should not be utilised in children.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Ian McNicoll", ...>
	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"] = <"1. Charman CR, Venn AJ, Williams HC. The patient-oriented eczema measure: development and initial validation of a new tool for measuring atopic eczema severity from the patients’ perspective. Archives of dermatology 2004; 140: 1513-9.
2. Schram M, Spuls PI, Leeflang M et al. EASI,(objective) SCORAD and POEM for atopic eczema: responsiveness and minimal clinically important difference. Allergy 2012; 67: 99-106.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"870CEC9E5D90C84B1FE0601CA5589197">
		["build_uid"] = <"48626781-8bd2-4514-86e9-0281df2701d9">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {	-- Poem score
		data matches {
			HISTORY[at0001] matches {	-- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..1} matches {	-- Any event
						data matches {
							ITEM_TREE[at0003] matches {	-- Tree
								items cardinality matches {0..*; unordered} matches {
									CLUSTER[at0004] occurrences matches {0..*} matches {	-- Symptom score
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0013] occurrences matches {0..6} matches {	-- Symptom name
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0014, 	-- Itch
															at0015, 	-- Sleep loss
															at0016, 	-- Weeping
															at0017, 	-- Cracking
															at0018, 	-- Flaking
															at0019]	-- Dry or rough skin
														}
													}
												}
											}
											ELEMENT[at0005] occurrences matches {0..1} matches {	-- Frequency
												value matches {
													0|[local::at0006], 	-- 0 days
													1|[local::at0007], 	-- 1-2 days
													2|[local::at0008], 	-- 3-4 days
													3|[local::at0009], 	-- 5-6 days
													4|[local::at0010]  	-- Every day
												}
											}
										}
									}
									ELEMENT[at0020] occurrences matches {0..1} matches {	-- Total Poem score
										value matches {
											DV_COUNT matches {
												magnitude matches {|<=28|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"POEM score">
					description = <"POEM (Patient-Oriented Eczema Measure).">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Any event.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Symptom score">
					description = <"The symptom score.">
				>
				["at0005"] = <
					text = <"Frequency">
					description = <"Frequency of the symptom.">
				>
				["at0006"] = <
					text = <"0 days">
					description = <"The symptom was not experienced in the past week.">
				>
				["at0007"] = <
					text = <"1-2 days">
					description = <"The symptom was experienced on 1 or 2 days of the last week.">
				>
				["at0008"] = <
					text = <"3-4 days">
					description = <"The symptom was experienced on 3 or 4 days of the last week.">
				>
				["at0009"] = <
					text = <"5-6 days">
					description = <"The symptom was experienced on 5 or 6 days of the last week.">
				>
				["at0010"] = <
					text = <"Every day">
					description = <"The symptom was experienced every day of the past week.">
				>
				["at0013"] = <
					text = <"Symptom name">
					description = <"Symptom experienced by the patient in the past week.">
				>
				["at0014"] = <
					text = <"Itch">
					description = <"The patient experienced itch.">
				>
				["at0015"] = <
					text = <"Sleep loss">
					description = <"The patient experienced sleep loss.">
				>
				["at0016"] = <
					text = <"Weeping">
					description = <"The patient experienced weeping skin.">
				>
				["at0017"] = <
					text = <"Cracking">
					description = <"The patient experienced cracking of skin.">
				>
				["at0018"] = <
					text = <"Flaking">
					description = <"The patient experienced flaking skin.">
				>
				["at0019"] = <
					text = <"Dry or rough skin">
					description = <"The patient experienced dry or rough skin.">
				>
				["at0020"] = <
					text = <"Total Poem score">
					description = <"The total Poem score.">
					comment = <"The score is the sum of the frequencies with which all of the symptoms are experienced in the past week.">
				>
			>
		>
	>