| ARCHETYPE ID | openEHR-EHR-OBSERVATION.haq.v0 |
| Concept | Health Assessment Questionnaire |
| Description | The Health Assessment Questionnaire for arthritis. |
| Use | To record the details of the Health Assessment Questionnaire used in Rare Diseases management settings to assess how a subject's arthritis affects his or her ability to function in daily life. |
| Purpose | For the recording of details of the Health Assessment Questionnaire used to assess how a subject's arthritis affects his or her ability to function in daily life. |
| References | Health Assessment Questionnaire cited 03-Nov-2016 https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&cad=rja&uact=8&ved=0ahUKEwjtqvS70ozQAhXlCcAKHb7cBE0QFghHMAM&url=http%3A%2F%2Fwww2.gov.bc.ca%2Fassets%2Fgov%2Fhealth%2Fforms%2F5383fil.pdf&usg=AFQjCNFj2qNv5TNwHHL2R__lOQ4urvaX0g&sig2=hqc8K_Mvhd-HaxR4DWi4MA&bvm=bv.137132246,d.d2s
Health Assessment Questionnaire Instructions cited 03-Nov-2016 https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjtqvS70ozQAhXlCcAKHb7cBE0QFgg0MAA&url=https%3A%2F%2Fwww.niehs.nih.gov%2Fresearch%2Fresources%2Fassets%2Fdocs%2Fhaq_instructions_508.pdf&usg=AFQjCNGhSSKJSp4BDsa7KiYNi5QWnT7Tlw&sig2=PfcquJirKTB7M4-xhqwr0Q |
| Copyright | © Clinical Models UK |
| Authors | Author name: Hildegard Franke Organisation: freshEHR Clinical Informatics Ltd. Email: hildi@freshehr.com Date originally authored: 2016-11-02
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| Other Details Language | Author name: Hildegard Franke Organisation: freshEHR Clinical Informatics Ltd. Email: hildi@freshehr.com Date originally authored: 2016-11-02
|
| Other Details (Language Independent) | - 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: UK Clinical Models
- References: Health Assessment Questionnaire cited 03-Nov-2016 https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&cad=rja&uact=8&ved=0ahUKEwjtqvS70ozQAhXlCcAKHb7cBE0QFghHMAM&url=http%3A%2F%2Fwww2.gov.bc.ca%2Fassets%2Fgov%2Fhealth%2Fforms%2F5383fil.pdf&usg=AFQjCNFj2qNv5TNwHHL2R__lOQ4urvaX0g&sig2=hqc8K_Mvhd-HaxR4DWi4MA&bvm=bv.137132246,d.d2s
Health Assessment Questionnaire Instructions cited 03-Nov-2016 https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjtqvS70ozQAhXlCcAKHb7cBE0QFgg0MAA&url=https%3A%2F%2Fwww.niehs.nih.gov%2Fresearch%2Fresources%2Fassets%2Fdocs%2Fhaq_instructions_508.pdf&usg=AFQjCNGhSSKJSp4BDsa7KiYNi5QWnT7Tlw&sig2=PfcquJirKTB7M4-xhqwr0Q
- Current Contact: Hildegard Franke, freshEHR Clinical Informatics Ltd.
- Original Namespace: uk.org.clinicalmodels
- Original Publisher: UK Clinical Models
- Custodian Namespace: uk.org.clinicalmodels
- MD5-CAM-1.0.1: 64A2531DA1AAA321CFB848D75BEF8882
- Build Uid: 4d3969c6-1852-495d-9068-612e901d0f80
- Revision: 0.0.1-alpha
|
| Keywords | HAQ, Health Assessment, Questionnaire, Arthritis |
| Lifecycle | in_development |
| UID | ba10ffb8-09bb-4702-8738-a2cec4bffdfa |
| Language used | en |
| Citeable Identifier | 1246.145.2769 |
| Revision Number | 0.0.1-alpha |
| protocol | |
| Extension | Extension: Additional information required to capture local context or to align with other reference models/formalisms. e.g. Local hospital departmental infomation or additional metadata to align with HL7 or CDISC equivalents. Include: All not explicitly excluded archetypes |
| state | |
| Confounding factors | Confounding factors: Record any issues or factors that may impact on the assessment. |
| data | |
| Dressing and grooming | Dressing and grooming: Assessment of subject's ability to perform functions related to dressing and grooming. |
| Dress | Dress: Assessment of subject's ability to dress, including tying shoelaces and doing buttons.
- at0009::Without any difficulty [The subject is able to dress without any difficulty.]
- at0010::With some difficulty [The subject is able to dress with some difficulty.]
- at0011::With much difficulty [The subject is able to dress with much difficulty.]
- at0012::Unable to do [The subject is unable to dress.]
|
| Shampoo | Shampoo: Assessment of the subject's ability to shampoo his or her hair.
- at0014::Without any difficulty [The subject is able to shampoo his or her hair without any difficulty.]
- at0015::With some difficulty [The subject is able to shampoo his or her hair with some difficulty.]
- at0016::With much difficulty [The subject is able to shampoo his or her hair with much difficulty.]
- at0017::Unable to do [The subject is unable to shampoo his or her hair.]
|
| Arising | Arising: Assessment of the subject's ability to stand up from low chair or floor or get in and out of bed. |
| Stand up | Stand up: Assessment of subject's ability to stand up from low chair or floor.
- at0031::Without any difficulty [The subject is able to stand up from low chair or floor without any difficulty.]
- at0032::With some difficulty [The subject is able to stand up from low chair or floor with some difficulty.]
- at0033::With much difficulty [The subject is able to stand up from low chair or floor with much difficulty.]
- at0034::Unable to do [The subject is unable to stand up from low chair or floor.]
|
| Get in and out of bed | Get in and out of bed: Assessment of the subject's ability to get in and out of bed.
- at0037::Without any difficulty [The subject is able to get in and out of bed without any difficulty.]
- at0038::With some difficulty [The subject is able to get in and out of bed with some difficulty.]
- at0039::With much difficulty [The subject is able to get in and out of bed with much difficulty.]
- at0040::Unable to do [The subject is unable to get in and out of bed .]
|
| Eating | Eating: Assessment of the subject's ability to perform functions related to eating. |
| Cut meat | Cut meat: Assessment of the subject's ability to cut his or her own meat.
- at0044::Without any difficulty [The subject is able to cut his or her own meat without any difficulty.]
- at0045::With some difficulty [The subject is able to cut his or her own meat with some difficulty.]
- at0046::With much difficulty [The subject is able to cut his or her own meat with much difficulty.]
- at0047::Unable to do [The subject is unable to cut his or her own meat.]
|
| Lift up cup or glass to mouth | Lift up cup or glass to mouth: Assessment of the subject's ability to lift a full cup or glass to mouth.
- at0050::Without any difficulty [The subject is able to lift a cup or glass to mouth without any difficulty.]
- at0051::With some difficulty [The subject is able to lift a cup or glass to mouth with some difficulty.]
- at0052::With much difficulty [The subject is able to lift a cup or glass to mouth with much difficulty.]
- at0053::Unable to do [The subject is unable to lift a cup or glass to mouth.]
|
| Open new carton of milk | Open new carton of milk: Assessment of the subject's ability to open a new carton of milk.
- at0056::Without any difficulty [The subject is able to open a new carton of milk without any difficulty.]
- at0057::WIth some difficulty [The subject is able to open a new carton of milk with some difficulty.]
- at0058::With much difficulty [The subject is able to open a new carton of milk with much difficulty.]
- at0059::Unable to do [The subject is unable to open a new carton of milk.]
|
| Walking | Walking: Assessment of the subject's ability to perform functions related to walking. |
| Walk outdoors on flat ground | Walk outdoors on flat ground: Assessment of the subject's ability to walk outdoors on flat ground.
- at0063::Without any difficulty [The subject is able to walk outdoors on flat ground without any difficulty.]
- at0064::With some difficulty [The subject is able to walk outdoors on flat ground with some difficulty.]
- at0065::With much difficulty [The subject is able to walk outdoors on flat ground with much difficulty.]
- at0066::Unable to do [The subject is unable to walk outdoors on flat ground.]
|
| Climb up five steps | Climb up five steps: Assessment of the subject's ability to climb up five steps.
- at0069::Without any difficulty [The subject is able to climb up five steps without any difficulty.]
- at0070::With some difficulty [The subject is able to climb up five steps with some difficulty.]
- at0071::With much difficulty [The subject is able to climb up five steps with much difficulty.]
- at0072::Unable to do [The subject is unable to climb up five steps.]
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| Hygiene | Hygiene: Assessment of the subject's ability to perform functions related to hygiene. |
| Wash and dry entire body | Wash and dry entire body: Assessment of the subject's ability to wash and dry entire body.
- at0089::Without any difficulty [The subject is able to wash and dry his or her entire body without any difficulty.]
- at0090::With some difficulty [The subject is able to wash and dry his or her entire body with some difficulty.]
- at0091::With much difficulty [The subject is able to wash and dry his or her entire body with much difficulty.]
- at0092::Unable to do [The subject is unable to wash and dry his or her entire body.]
|
| Take a bath | Take a bath: Assessment of the subject's ability to take a tub bath including getting in and out of the tub).
- at0095::Without any difficulty [The subject is able to take a tub bath without any difficulty.]
- at0096::With some difficulty [The subject is able to take a tub bath with some difficulty.]
- at0098::With much difficulty [The subject is able to take a tub bath with much difficulty.]
- at0099::Unable to do [The subject is unable to take a tub bath.]
|
| Get on and off toilet | Get on and off toilet: Assessment of the subject's ability to get on and off the toilet or potty chair.
- at0102::Without any difficulty [The subject is able to get on and off toilet or potty chair without any difficulty.]
- at0103::With some difficulty [The subject is able to get on and off toilet or potty chair with some difficulty.]
- at0104::With much difficulty [The subject is able to get on and off toilet or potty chair with much difficulty.]
- at0105::Unable to do [The subject is unable to get on and off toilet or potty chair.]
|
| Reach | Reach: Assessment of the subject's ability to perform functions related to reaching. |
| Reach and get down 5lb object | Reach and get down 5lb object: Assessment of the subject's ability to reach and get down a 5lb object from just above his/her head.
- at0120::Without any difficulty [The subject is able to reach and get down a 5lb object from just above his/her head without any difficulty.]
- at0121::With some difficulty [The subject is able to reach and get down a 5lb object from just above his/her head with some difficulty.]
- at0122::With much difficulty [The subject is able to reach and get down a 5lb object from just above his/her head with much difficulty.]
- at0123::Unable to do [The subject is unable to reach and get down a 5lb object from just above his/her head.]
|
| Bend down to pick up | Bend down to pick up: Assessment of the subject's ability to bend down to pick up clothing or a piece of paper from the floor.
- at0126::Without any difficulty [The subject is able to bend down to pick up clothing or a piece of paper from the floor without any difficulty.]
- at0127::With some difficulty [The subject is able to bend down to pick up clothing or a piece of paper from the floor with some difficulty.]
- at0128::With much difficulty [The subject is able to bend down to pick up clothing or a piece of paper from the floor with much difficulty.]
- at0129::Unable to do [The subject is unable to bend down to pick up clothing or a piece of paper from the floor.]
|
| Grip | Grip: Assessment of the subject's ability to perform functions relating to gripping or handling. |
| Open car doors | Open car doors: Assessment of the subject's ability to open car doors.
- at0151::Without any difficulty [The subject is able to open car doors without any difficulty.]
- at0152::With some difficulty [The subject is able to open car doors with some difficulty.]
- at0153::With much difficulty [The subject is able to open car doors with much difficulty.]
- at0154::Unable to do [The subject is unable to open car doors.]
|
| Open jars | Open jars: Assessment of subject's ability to open jars that have been previously opened.
- at0157::Without any difficulty [The subject is able to open jars that have been previously opened without any difficulty.]
- at0158::With some difficulty [The subject is able to open jars that have been previously opened with some difficulty.]
- at0159::With much difficulty [The subject is able to open jars that have been previously opened with much difficulty.]
- at0160::Unable to do [The subject is unable to open jars that have been previously opened.]
|
| Turn taps on and off | Turn taps on and off: Assessment of subject's ability to turn taps on and off.
- at0163::Without any difficulty [The subject is able to turn taps on and off without any difficulty.]
- at0164::With some difficulty [The subject is able to turn taps on and off with some difficulty.]
- at0165::With much difficulty [The subject is able to turn taps on and off with much difficulty.]
- at0166::Unable to do [The subject is unable to turn taps on and off.]
|
| Activities | Activities: Assessment of the subject's ability to perform general activities. |
| Run errands and shop | Run errands and shop: Assessment of the subject's ability to run errands and shop.
- at0176::Without any difficulty [The subject is able to run errands and shop without any difficulty.]
- at0178::With some difficulty [The subject is able to run errands and shop with some difficulty.]
- at0179::With much difficulty [The subject is able to run errands and shop with much difficulty.]
- at0180::Unable to do [The subject is unable to run errands and shop.]
|
| Get in and out of car | Get in and out of car: Assessment of the subject's ability to get in and out of a car.
- at0182::Without any difficulty [The subject is able to get in and out of car without any difficulty.]
- at0183::With some difficulty [The subject is able to get in and out of car with some difficulty.]
- at0184::With much difficulty [The subject is able to get in and out of car with much difficulty.]
- at0185::Unable to do [The subject is unable to get in and out of car.]
|
| Do household chores | Do household chores: Assessment of the subject's ability to do household chores (e.g. wash dishes, take out trash, vacuuming, yardwork, make bed, clean room).
- at0194::Without any difficulty [The subject is able to do household chores without any difficulty.]
- at0195::With some difficulty [The subject is able to do household chores with some difficulty.]
- at0196::With much difficulty [The subject is able to do household chores with much difficulty.]
- at0197::Unable to do [The subject is unable to do household chores.]
|
| Devices used | Devices used: Statement about the aids or devices usually used by the subject for hygiene, reach, grip and activities. Choice of:
Coded Text
- at0219::Canes [The subject usually uses canes.]
- at0220::Walker [The subject usually uses a walker.]
- at0221::Crutches [The subject usually uses crutches.]
- at0222::Wheelchair or scooter [The subject usualy uses a wheelchair or scooter.]
- at0206::Raised toilet seat [The subject usually uses a raised toilet seat.]
- at0207::Bath seat [The subject usually uses a bath seat.]
- at0208::Jar opener [The subject usually uses a jar opener for jars that have been previously opened.]
- at0223::Special or built-up utensils [The subject usually uses special or built-up utensils.]
- at0224::Special or built-up chair [The subject usually uses a special or built-up chair.]
- at0209::Bath rail [The subject usually uses a bath rail.]
- at0210::Long-handled appliances for reach [The subject usually uses long-handled appliances for reach.]
Text
|
| Needs help from other person | Needs help from other person: Statement of which activity categories (hygiene, reach, gripping and opening and errands and chores) usually require help for the subject from another person because of the subject's illness.
- at0216::Errands and chores [The subject usually needs help from another person for errands and chores because of his or her illness.]
- at0214::Reach [The subject usually needs help from another person for reaching because of his or her illness.]
- at0215::Gripping and opening things [The subject usually needs help from another person for gripping and opening things because of his or her illness.]
- at0225::Dressing and grooming [The subject usually needs help from another person for dressing and grooming because of his or her illness.]
- at0226::Eating [The subject usually needs help from another person for eating because of his or her illness.]
- at0227::Walking [The subject usually needs help from another person for walking because of his or her illness.]
- at0228::Rising [The subject usually needs help from another person for rising because of his or her illness.]
- at0213::Hygiene [The subject usually needs help from another person for hygiene because of his or her illness.]
|
| Pain score | Pain score: Rating of how much pain the subject has had because of his/her illness in the past week on a scale of 0 (no pain) to 100 (very severe pain). Property: Qualified real Units: 0.0..100.0 (UCUM: 1) |
| Comment | Comment: Narrative description of overall assessment by the subject. |
| events | |
| Point in time | Point in time: A specific date and/or time which may be explicitly defined in a template or at run-time. |
| Other contributors | |
| Translators | |