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
OtherDetails 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 Identifier1051.32.541
Revision Number0.0.1-alpha
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  • 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.]
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  • 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.]
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  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0029]/items[at0036], code=at0036, itemType=ELEMENT, level=5, text=Get in and out of bed, description=Assessment of the subject's ability to get in and out of bed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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 .]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0042], code=at0042, itemType=CLUSTER, level=4, text=Eating, description=Assessment of the subject's ability to perform functions related to eating., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0042]/items[at0043], code=at0043, itemType=ELEMENT, level=5, text=Cut meat, description=Assessment of the subject's ability to cut his or her own meat., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0042]/items[at0049], code=at0049, itemType=ELEMENT, level=5, text=Lift up cup or glass to mouth, description=Assessment of the subject's ability to lift a full cup or glass to mouth., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0042]/items[at0055], code=at0055, itemType=ELEMENT, level=5, text=Open new carton of milk, description=Assessment of the subject's ability to open a new carton of milk., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0061], code=at0061, itemType=CLUSTER, level=4, text=Walking, description=Assessment of the subject's ability to perform functions related to walking., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0061]/items[at0062], code=at0062, itemType=ELEMENT, level=5, text=Walk outdoors on flat ground, description=Assessment of the subject's ability to walk outdoors on flat ground., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0061]/items[at0068], code=at0068, itemType=ELEMENT, level=5, text=Climb up five steps, description=Assessment of the subject's ability to climb up five steps., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0087], code=at0087, itemType=CLUSTER, level=4, text=Hygiene, description=Assessment of the subject's ability to perform functions related to hygiene., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0087]/items[at0088], code=at0088, itemType=ELEMENT, level=5, text=Wash and dry entire body, description=Assessment of the subject's ability to wash and dry entire body., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0087]/items[at0094], code=at0094, itemType=ELEMENT, level=5, text=Take a bath, description=Assessment of the subject's ability to take a tub bath including getting in and out of the tub)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0087]/items[at0097], code=at0097, itemType=ELEMENT, level=5, text=Get on and off toilet, description=Assessment of the subject's ability to get on and off the toilet or potty chair., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
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  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0118]/items[at0125], code=at0125, itemType=ELEMENT, level=5, text=Bend down to pick up, description=Assessment of the subject's ability to bend down to pick up clothing or a piece of paper from the floor., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
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  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0143]/items[at0156], code=at0156, itemType=ELEMENT, level=5, text=Open jars, description=Assessment of subject's ability to open jars that have been previously opened., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0143]/items[at0162], code=at0162, itemType=ELEMENT, level=5, text=Turn taps on and off, description=Assessment of subject's ability to turn taps on and off., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
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  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0174]/items[at0177], code=at0177, itemType=ELEMENT, level=5, text=Get in and out of car, description=Assessment of the subject's ability to get in and out of a car., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0174]/items[at0193], code=at0193, itemType=ELEMENT, level=5, text=Do household chores, description=Assessment of the subject's ability to do household chores (e.g. wash dishes, take out trash, vacuuming, yardwork, make bed, clean room)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0205], code=at0205, itemType=ELEMENT, level=4, text=Devices used, description=Statement about the aids or devices usually used by the subject for hygiene, reach, grip and activities., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=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
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  • 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.]
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All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]