ARCHETYPE ICIQ-UI Short Form (openEHR-EHR-OBSERVATION.iciq_ui_short.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.iciq_ui_short.v0
ConceptICIQ-UI Short Form
DescriptionInternational Consultation on Incontinence (ICIQ) Urinary Incontinence (UI) Short Form.
UseUse to record ICIQ-UI Short form answers to questions and total score.
PurposeIntended to capture the result of the short form of the ICIQ (International Consultation on Incontinence Questionnaire), also referred to as ICIQ-UI Short Form. The form is used to obtain a brief yet comprehensive summary of the level, impact and perceived cause of symptoms of incontinence.
ReferencesInternational Consultation on Incontinence Modular Questionnaire http://www.iciq.net/index.html
Copyright© Clinical Models UK
AuthorsAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2016-05-30
Other Details LanguageAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2016-05-30
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=International Consultation on Incontinence Modular Questionnaire http://www.iciq.net/index.html, 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=57A40A521B6DA98E55E8F07BFA8DE34B, build_uid=1f811f48-1849-4ff3-9943-b8ef1a9a1b4f, revision=0.0.1-alpha}
Keywordsincontinence, ICIQ, score, urine, leakage, leak, questionnaire
Lifecyclein_development
UID83a0625f-b654-42e4-a779-797b6281d726
Language useden
Citeable Identifier1013.1.3325
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=International Consultation on Incontinence (ICIQ) Urinary Incontinence (UI) Short Form., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[], identities=[], capabilities=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0029]/items[at0030], code=at0030, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=e.g. Local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null]], content=[], source=[], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=2, text=Point in time, description=A specific date and/or time which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null]], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Frequency, description=Frequency of urine leakage over past 4 weeks., comment=Prompt: On average over the past 4 weeks, how often do you leak urine?, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Never [Over the past 4 weeks I have never leaked urine.]
1: About once a week or less often [Over the past 4 weeks I have leaked urine about once a week or less often on average.]
2: Two or three times a week [Over the past 4 weeks I have leaked urine two or three times a week on average.]
3: About once a day [Over the past 4 weeks I have leaked urine about once a day on average.]
4: Several times a day [Over the past 4 weeks I have leaked urine several times a day on average.]
5: All the time [Over the past 4 weeks I have leaked urine all the time.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Quantity, description=Perceived quantity of urine leakage., comment=Prompt: We would like to know how much urine you think leaks. How much urine do you usually leak (whether you wear protection or not)?, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: None [Over the past 4 weeks I have not leaked any urine.]
2: A small amount [Over the past 4 weeks I have leaked a small amount of urine on average.]
4: A moderate amount [Over the past 4 weeks I have leaked a moderate amount of urine on average.]
6: A large amount [Over the past 4 weeks I have leaked a large amount of urine on average.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Interference with daily life, description=Perceived interference of urine leakage with daily life on a scale of 0 - 10., comment=Prompt: Overall, how much does leaking urine interfere with your everyday life? Please record a number between 0 (not at all) and 10 (a great deal), uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0017], code=at0017, itemType=ELEMENT, level=4, text=ICIQ Score, description=Sum of scores for frequency, quantity and interference., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=21

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=When does urine leak?, description=Occasions when urine leakage occurs., comment=Prompt: When does urine leak? (Please tick all that apply to you)., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Never [Urine never leaks.]
  • Before getting to toilet [Urine leaks before you can get to the toilet.]
  • Cough or sneeze [Urine leaks when you cough or sneeze.]
  • Asleep [Urine leaks when you are asleep.]
  • Physically active/exercising [Urine leaks when you are physically active or exercising.]
  • Finished urinating and are dressed [Urine leaks when you have finished urinating and are dressed.]
  • No obvious reason [Urine leaks for no obvious reason.]
  • All the time [Urine leaks all the time.]
, extendedValues=null]], contacts=[], ism_transition=[], details=[], relationships=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0027]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Confounding factors, description=Description of any incidental factors that may have contributed to the score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], target=[], other_participations=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0029], code=at0029, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0027], code=at0027, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0029]/items[at0030], code=at0030, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=e.g. Local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]