ARCHETYPE Health Assessment Questionnaire (openEHR-EHR-OBSERVATION.haq.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.haq.v0
ConceptHealth Assessment Questionnaire
DescriptionThe Health Assessment Questionnaire for arthritis.
UseTo 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.
PurposeFor 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.
ReferencesHealth 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
AuthorsAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2016-11-02
Other Details LanguageAuthor 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
KeywordsHAQ, Health Assessment, Questionnaire, Arthritis
Lifecyclein_development
UIDba10ffb8-09bb-4702-8738-a2cec4bffdfa
Language useden
Citeable Identifier1246.145.2769
Revision Number0.0.1-alpha
protocol
ExtensionExtension: 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 factorsConfounding factors: Record any issues or factors that may impact on the assessment.
data
Dressing and groomingDressing and grooming: Assessment of subject's ability to perform functions related to dressing and grooming.
DressDress: Assessment of subject's ability to dress, including tying shoelaces and doing buttons.
  • Without any difficulty [The subject is able to dress without any difficulty.]
  • With some difficulty [The subject is able to dress with some difficulty.]
  • With much difficulty [The subject is able to dress with much difficulty.]
  • Unable to do [The subject is unable to dress.]
ShampooShampoo: Assessment of the subject's ability to shampoo his or her hair.
  • Without any difficulty [The subject is able to shampoo his or her hair without any difficulty.]
  • With some difficulty [The subject is able to shampoo his or her hair with some difficulty.]
  • With much difficulty [The subject is able to shampoo his or her hair with much difficulty.]
  • Unable to do [The subject is unable to shampoo his or her hair.]
ArisingArising: Assessment of the subject's ability to stand up from low chair or floor or get in and out of bed.
Stand upStand up: Assessment of subject's ability to stand up from low chair or floor.
  • Without any difficulty [The subject is able to stand up from low chair or floor without any difficulty.]
  • With some difficulty [The subject is able to stand up from low chair or floor with some difficulty.]
  • With much difficulty [The subject is able to stand up from low chair or floor with much difficulty.]
  • Unable to do [The subject is unable to stand up from low chair or floor.]
Get in and out of bedGet in and out of bed: Assessment of the subject's ability to get in and out of bed.
  • Without any difficulty [The subject is able to get in and out of bed without any difficulty.]
  • With some difficulty [The subject is able to get in and out of bed with some difficulty.]
  • With much difficulty [The subject is able to get in and out of bed with much difficulty.]
  • Unable to do [The subject is unable to get in and out of bed .]
EatingEating: Assessment of the subject's ability to perform functions related to eating.
Cut meatCut meat: Assessment of the subject's ability to cut his or her own meat.
  • Without any difficulty [The subject is able to cut his or her own meat without any difficulty.]
  • With some difficulty [The subject is able to cut his or her own meat with some difficulty.]
  • With much difficulty [The subject is able to cut his or her own meat with much difficulty.]
  • Unable to do [The subject is unable to cut his or her own meat.]
Lift up cup or glass to mouthLift up cup or glass to mouth: Assessment of the subject's ability to lift a full cup or glass to mouth.
  • Without any difficulty [The subject is able to lift a cup or glass to mouth without any difficulty.]
  • With some difficulty [The subject is able to lift a cup or glass to mouth with some difficulty.]
  • With much difficulty [The subject is able to lift a cup or glass to mouth with much difficulty.]
  • Unable to do [The subject is unable to lift a cup or glass to mouth.]
Open new carton of milkOpen new carton of milk: Assessment of the subject's ability to open a new carton of milk.
  • Without any difficulty [The subject is able to open a new carton of milk without any difficulty.]
  • WIth some difficulty [The subject is able to open a new carton of milk with some difficulty.]
  • With much difficulty [The subject is able to open a new carton of milk with much difficulty.]
  • Unable to do [The subject is unable to open a new carton of milk.]
WalkingWalking: Assessment of the subject's ability to perform functions related to walking.
Walk outdoors on flat groundWalk outdoors on flat ground: Assessment of the subject's ability to walk outdoors on flat ground.
  • Without any difficulty [The subject is able to walk outdoors on flat ground without any difficulty.]
  • With some difficulty [The subject is able to walk outdoors on flat ground with some difficulty.]
  • With much difficulty [The subject is able to walk outdoors on flat ground with much difficulty.]
  • Unable to do [The subject is unable to walk outdoors on flat ground.]
Climb up five stepsClimb up five steps: Assessment of the subject's ability to climb up five steps.
  • Without any difficulty [The subject is able to climb up five steps without any difficulty.]
  • With some difficulty [The subject is able to climb up five steps with some difficulty.]
  • With much difficulty [The subject is able to climb up five steps with much difficulty.]
  • Unable to do [The subject is unable to climb up five steps.]
HygieneHygiene: Assessment of the subject's ability to perform functions related to hygiene.
Wash and dry entire bodyWash and dry entire body: Assessment of the subject's ability to wash and dry entire body.
  • Without any difficulty [The subject is able to wash and dry his or her entire body without any difficulty.]
  • With some difficulty [The subject is able to wash and dry his or her entire body with some difficulty.]
  • With much difficulty [The subject is able to wash and dry his or her entire body with much difficulty.]
  • Unable to do [The subject is unable to wash and dry his or her entire body.]
Take a bathTake a bath: Assessment of the subject's ability to take a tub bath including getting in and out of the tub).
  • Without any difficulty [The subject is able to take a tub bath without any difficulty.]
  • With some difficulty [The subject is able to take a tub bath with some difficulty.]
  • With much difficulty [The subject is able to take a tub bath with much difficulty.]
  • Unable to do [The subject is unable to take a tub bath.]
Get on and off toiletGet on and off toilet: Assessment of the subject's ability to get on and off the toilet or potty chair.
  • Without any difficulty [The subject is able to get on and off toilet or potty chair without any difficulty.]
  • With some difficulty [The subject is able to get on and off toilet or potty chair with some difficulty.]
  • With much difficulty [The subject is able to get on and off toilet or potty chair with much difficulty.]
  • Unable to do [The subject is unable to get on and off toilet or potty chair.]
ReachReach: Assessment of the subject's ability to perform functions related to reaching.
Reach and get down 5lb objectReach 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.
  • Without any difficulty [The subject is able to reach and get down a 5lb object from just above his/her head without any difficulty.]
  • With some difficulty [The subject is able to reach and get down a 5lb object from just above his/her head with some difficulty.]
  • With much difficulty [The subject is able to reach and get down a 5lb object from just above his/her head with much difficulty.]
  • 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 upBend 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.
  • 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.]
  • 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.]
  • 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.]
  • Unable to do [The subject is unable to bend down to pick up clothing or a piece of paper from the floor.]
GripGrip: Assessment of the subject's ability to perform functions relating to gripping or handling.
Open car doorsOpen car doors: Assessment of the subject's ability to open car doors.
  • Without any difficulty [The subject is able to open car doors without any difficulty.]
  • With some difficulty [The subject is able to open car doors with some difficulty.]
  • With much difficulty [The subject is able to open car doors with much difficulty.]
  • Unable to do [The subject is unable to open car doors.]
Open jarsOpen jars: Assessment of subject's ability to open jars that have been previously opened.
  • Without any difficulty [The subject is able to open jars that have been previously opened without any difficulty.]
  • With some difficulty [The subject is able to open jars that have been previously opened with some difficulty.]
  • With much difficulty [The subject is able to open jars that have been previously opened with much difficulty.]
  • Unable to do [The subject is unable to open jars that have been previously opened.]
Turn taps on and offTurn taps on and off: Assessment of subject's ability to turn taps on and off.
  • Without any difficulty [The subject is able to turn taps on and off without any difficulty.]
  • With some difficulty [The subject is able to turn taps on and off with some difficulty.]
  • With much difficulty [The subject is able to turn taps on and off with much difficulty.]
  • Unable to do [The subject is unable to turn taps on and off.]
ActivitiesActivities: Assessment of the subject's ability to perform general activities.
Run errands and shopRun errands and shop: Assessment of the subject's ability to run errands and shop.
  • Without any difficulty [The subject is able to run errands and shop without any difficulty.]
  • With some difficulty [The subject is able to run errands and shop with some difficulty.]
  • With much difficulty [The subject is able to run errands and shop with much difficulty.]
  • Unable to do [The subject is unable to run errands and shop.]
Get in and out of carGet in and out of car: Assessment of the subject's ability to get in and out of a car.
  • Without any difficulty [The subject is able to get in and out of car without any difficulty.]
  • With some difficulty [The subject is able to get in and out of car with some difficulty.]
  • With much difficulty [The subject is able to get in and out of car with much difficulty.]
  • Unable to do [The subject is unable to get in and out of car.]
Do household choresDo 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).
  • Without any difficulty [The subject is able to do household chores without any difficulty.]
  • With some difficulty [The subject is able to do household chores with some difficulty.]
  • With much difficulty [The subject is able to do household chores with much difficulty.]
  • Unable to do [The subject is unable to do household chores.]
Devices usedDevices used: Statement about the aids or devices usually used by the subject for hygiene, reach, grip and activities.
Choice of:
  •  Coded Text
    • Canes [The subject usually uses canes.]
    • Walker [The subject usually uses a walker.]
    • Crutches [The subject usually uses crutches.]
    • Wheelchair or scooter [The subject usualy uses a wheelchair or scooter.]
    • Raised toilet seat [The subject usually uses a raised toilet seat.]
    • Bath seat [The subject usually uses a bath seat.]
    • Jar opener [The subject usually uses a jar opener for jars that have been previously opened.]
    • Special or built-up utensils [The subject usually uses special or built-up utensils.]
    • Special or built-up chair [The subject usually uses a special or built-up chair.]
    • Bath rail [The subject usually uses a bath rail.]
    • Long-handled appliances for reach [The subject usually uses long-handled appliances for reach.]
  •  Text
Needs help from other personNeeds 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.
  • Errands and chores [The subject usually needs help from another person for errands and chores because of his or her illness.]
  • Reach [The subject usually needs help from another person for reaching because of his or her illness.]
  • Gripping and opening things [The subject usually needs help from another person for gripping and opening things because of his or her illness.]
  • Dressing and grooming [The subject usually needs help from another person for dressing and grooming because of his or her illness.]
  • Eating [The subject usually needs help from another person for eating because of his or her illness.]
  • Walking [The subject usually needs help from another person for walking because of his or her illness.]
  • Rising [The subject usually needs help from another person for rising because of his or her illness.]
  • Hygiene [The subject usually needs help from another person for hygiene because of his or her illness.]
Pain scorePain 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
CommentComment: Narrative description of overall assessment by the subject.
events
Point in timePoint in time: A specific date and/or time which may be explicitly defined in a template or at run-time.
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