ARCHETYPE Spastic Paraplegia Rating Scale (SPRS) (openEHR-EHR-OBSERVATION.sprs.v0)

Name: Spastic Paraplegia Rating Scale (SPRS)
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.sprs.v0
Concept	Spastic Paraplegia Rating Scale (SPRS)
Description	13-item Spastic Paraplegia Rating Scale (SPRS) to measure disease severity in spastic paraplegia.
Use	To be used to record the individual items and the total score of the Spastic Paraplegia Rating Scale to rate functional impairment occurring in pure forms of spastic paraplegia. The clinical Spastic Paraplegia Rating Scale (SPRS) measures disease severity and progression.
Purpose	For the recording of details of the Spastic Paraplegia Rating Scale to measure disease severity in spastic paraplegia.
References	The Spastic Paraplegia Rating Scale (SPRS) Data Supplement cited 15-Nov-2016 http://www.neurology.org/content/67/3/430/suppl/DC1 Rating Scale devised for HSP cited 15-Nov-2016 http://www.hspersunite.org.au/rating-scale-devised-for-hsp/
Copyright	© Clinical Models UK
Authors	Author name: Hildegard Franke Organisation: freshEHR Clinical Informatics Ltd. Email: hildi@freshehr.com Date originally authored: 2016-11-14
Other Details Language	Author name: Hildegard Franke Organisation: freshEHR Clinical Informatics Ltd. Email: hildi@freshehr.com Date originally authored: 2016-11-14
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=The Spastic Paraplegia Rating Scale (SPRS) Data Supplement cited 15-Nov-2016 http://www.neurology.org/content/67/3/430/suppl/DC1 Rating Scale devised for HSP cited 15-Nov-2016 http://www.hspersunite.org.au/rating-scale-devised-for-hsp/, 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=A9677FDB074CECBC141B1F01209AA3B2, build_uid=5a61358e-fbf7-4f8a-8b52-69479b034031, revision=0.0.1-alpha}
Keywords	SPRS, spastic, paraplegia, rating scale
Lifecycle	in_development
UID	a5559514-e8ca-491f-a2a4-651f22f69327
Language used	en
Citeable Identifier	1013.1.3332
Revision Number	0.0.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=13-item Spastic Paraplegia Rating Scale (SPRS) to measure disease severity in spastic paraplegia., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={source=[], identities=[], contacts=[], ism_transition=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0108]/items[at0109], code=at0109, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local context or to align with other reference models/formalisms., comment=e.g. Local hospital departmental infomation or additional metadata to align with HL7 or CDISC 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], ResourceSimplifiedHierarchyItem [path=/protocol[at0108]/items[at0111], code=at0111, itemType=ELEMENT, level=2, text=Assessment method, description=The method used to for the spastic paraplegia rating scale., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], description=[], 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]], details=[], context=[], target=[], capabilities=[], items=[], other_participations=[], content=[], state=[], activities=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=1. Walking distance without pause, description=Assessment of the subject's walking distance without pause., comment=Due to history, walking aids are allowed., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0005::Normal, unlimited [The subject's walking distance is normal and unlimited.] 1: at0006::Abnormal exhaustion [The subject experiences abnormal exhaustion due to spasticity after more than 500 metres.] 2: at0007::Less than 500 metres [The subject's walking distance is less than 500 metres.] 3: at0008::Less than 10 metres [The subject's walking distance is less than 10 metres.] 4: at0009::Unable to walk [The subject is unable to walk.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=2. Gait quality, description=Assessment of the subject's gait quality., comment=The subject is asked to walk as fast as possible a 10 meter distance including one turn., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0011::Normal [The subject's gait quality is normal.] 1: at0012::Mild stiffness [The subject experiences mild stiffness with running still possible.] 2: at0013::Clearly spastic gait [The subject exhibits clearly spastic gait which is interfering with running.] 3: at0014::Spastic gait requiring use of canes or walker [The subject requires the use of canes or a walker due to spastic gait.] 4: at0015::Unable to walk [The subject is unable to walk for a 10 meter distance even with maximal support.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=3. Maximum gait speed, description=Assessment of the subject's maximum gait speed., comment=Time for a 10 meter distance including one turn, taken by stop watch., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0017::Normal [The subject's maximum gait speed is normal.] 1: at0018::Slighly reduced [The subject's maximum gait speed is slightly reduced (more than or equal 5 seconds for 10 metres).] 2: at0019::Moderately reduced [The subject's maximum gait speed is moderately reduced (more than or equal 10 seconds for 10 metres).] 3: at0020::Severely reduced [The subject's maximum gait speed is severely reduced (more than or equal 20 seconds for 10 metres).] 4: at0021::Unable [The subject is unable to walk 10 metres or the time taken is more than or equal 40 seconds.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=4. Climbing stairs, description=Assessment of the subject's ability to climb stairs., comment=5 steps upstairs - turn - 5 steps downstairs., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0023::Normal [The subject is able to climb stairs in a normal manner and needs no support of the banister.] 1: at0024::Mild impairment [The subject's ability to climb stairs is mildly impaired, and the subject needs intermittent support of the banister.] 2: at0025::Moderate impairment [The subject's ability to climb stairs is moderately impaired, and the subject needs permanent support of the banister.] 3: at0026::Severe impairment [The subject's ability to climb stairs is severely impaired, and the subject needs support of another person or additional walking aid to perform task.] 4: at0027::Unable [The subject is unable to climb stairs.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=5. Speed of stair climbing, description=Assessment of the subject's speed of stair climbing., comment=Time for 5 steps upstairs - turn - 5 steps downstairs, taken by stop-watch., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0029::Normal [The subject is able to climb stairs at a normal speed.] 1: at0030::Slightly reduced [The subject is able to climb stairs at a slightly reduced speed (more than or equal 5 seconds to climb 5 steps upstairs, turn and 5 steps downstairs).] 2: at0031::Moderately reduced [The subject is able to climb stairs at a moderately reduced speed (more than or equal 10 seconds to climb 5 steps upstairs, turn and 5 steps downstairs).] 3: at0032::Severely reduced [The subject is able to climb stairs at a severely reduced speed (more than or equal 20 seconds to climb 5 steps upstairs, turn and 5 steps downstairs).] 4: at0033::Unable [The subject is unable to climb stairs.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=6. Arising from chair, description=Assessment of subject's ability to arise from straight-back wood or metal chair with arms folded across chest., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0035::Normal [The subject is able to arise from a chair in a normal manner.] 1: at0036::Slow or more than one attempt [The subject is able to arise from a chair slowly or may need more than one attempt.] 2: at0037::Pushes up from arms of chair [The subject has to push self up from arms of chair.] 3: at0038::Tends to fall back but able to get up [The subject tends to fall back and may have to try more than one time but is able to get up without help.] 4: at0039::Unable to arise [The subject is unable to arise from a chair without help.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0040], code=at0040, itemType=ELEMENT, level=4, text=7. Spasticity - hip adductor muscles, description=Assessment of the hip adductor muscle spasticity (Modified Ashford scale)., comment=Score more severely affected side., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0041::No increase in muscle tone [The subject does not exhibit any increase in muscle tone.] 1: at0042::Slight increase in muscle tone [The subject exhibits a slight increase in muscle tone, manifested by a catch and release.] 2: at0043::More marked increase in muscle tone [The subject exhibits a more marked increase in muscle tone through most of the range of motion.] 3: at0044::Considerable increase in muscle tone [The subject exhibits considerable increase in muscle tone, making passive movement difficult.] 4: at0045::Limb stiff in adduction [The subject exhibits limb stiffness in adduction.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0046], code=at0046, itemType=ELEMENT, level=4, text=8. Spasticity - knee flexion, description=Assessment of the knee flexion spasticity (Modified Ashford scale)., comment=Score more severely affected side., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0047::No increase in muscle tone [The subject does not exhibit any increase in muscle tone.] 1: at0048::Slight increase in muscle tone [The subject exhibits a slight increase in muscle tone, manifested by a catch and release.] 2: at0049::More marked increase in muscle tone [The subject exhibits a more marked increase in muscle tone through most of the range of motion.] 3: at0050::Considerable increase in muscle tone [The subject exhibits considerable increase in muscle tone, making passive movement difficult.] 4: at0051::Limb stiff in flexion or extension [The subject exhibits limb stiffness in flexion or extension.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0052], code=at0052, itemType=ELEMENT, level=4, text=9. Weakness - hip abduction, description=Assessment of weakness in hip abduction (Medical Research Council 1976)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0053::No weakness [The subject exhibits no weakness in hip abduction.] 1: at0054::Mild weakness (4/5) [The subject exhibits mild weakness (4/5) in hip abduction.] 2: at0055::Moderate weakness (3/5) [The subject exhibits moderate weakness (3/5) in hip abduction.] 3: at0056::Severe weakness (2/5) [The subject exhibits severe weakness (1-2/5) in hip abduction.] 4: at0057::Plegia (0/5) [The subject exhibits plegia (0/5) in hip abduction.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0058], code=at0058, itemType=ELEMENT, level=4, text=10. Weakness - foot dorsiflexion, description=Assessment of weakness in foot dorsiflexion (Medical Research Council 1976)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0059::No weakness [The subject exhibits no weakness in foot dorsiflexion.] 1: at0060::Mild weakness (4/5) [The subject exhibits mild weakness (4/5) in foot dorsiflexion.] 2: at0061::Moderate weakness (3/5) [The subject exhibits moderate weakness (3/5) in foot dorsiflexion.] 3: at0062::Severe weakness (2/5) [The subject exhibits severe weakness (1-2/5) in foot dorsiflexion.] 4: at0063::Plegia (0/5) [The subject exhibits plegia (0/5) in foot dorsiflexion.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0064], code=at0064, itemType=ELEMENT, level=4, text=11. Contractures of lower limbs, description=Assessment of the contractures of lower limbs, scored in supine position., comment=Hip extension: lumbar spine and thighs touch the underlay. Hip abduction: abduction up to an angle of >60° between the legs possible. Knee extension: thigh and calf touch the underlay. Ankle dorsal extension: > 10° possible. Ankle pronation: > 10° possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0065::No contractures [The subject does not exhibit any lower limb contractures.] 1: at0066::Mild [The subject exhibits mild contractures, with no fixed abonrmal position of one joint (unilaterally or bilaterally).] 2: at0067::Fixed one joint [The subject exhibits fixed contracture of one joint (unilaterally or bilaterally).] 3: at0068::Fixed two joints [The subject exhibits fixed contracture of two joints (unilaterally or bilaterally).] 4: at0069::Fixed more than two joints [The subject exhibits fixed contracture of more than two joints (unilaterally or bilaterally).] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0070], code=at0070, itemType=ELEMENT, level=4, text=12. Pain due to SP related symptoms, description=Assessment of pain due to spastic paraplegia related symptoms., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0071::None [The subject does not experience any pain due to spastic paraplegia related symptoms.] 1: at0072::Less than or equal 50 percent of day and low intensity [The subject experiences pain due to spastic paraplegia related symptoms for less than or equal 50 percent of the waking day and with an intensity of 0 to 3 on visual analogue scale.] 2: at0073::Less than or equal 50 percent of day and high intensity [The subject experiences pain due to spastic paraplegia related symptoms for less than or equal 50 percent of the waking day and with an intensity of 4 to 10 on visual analogue scale.] 3: at0074::More than 50 percent of day and low intensity [The subject experiences pain due to spastic paraplegia related symptoms for more than 50 percent of the waking day and with an intensity of 0 to 3 on visual analogue scale.] 4: at0075::More than 50 percent of day and high intensity [The subject experiences pain due to spastic paraplegia related symptoms for more than 50 percent of the waking day and with an intensity of 4 to 10 on visual analogue scale.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0076], code=at0076, itemType=ELEMENT, level=4, text=13. Bladder and bowel function, description=Assessment of bladder and bowel function., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: at0077::Normal [The subject experiences normal bladder and bowel function.] 1: at0078::Urgency [The subject experiences urinary or fecal urgency with difficulties to reach toilet in time.] 2: at0079::Rare and mild urge incontinence [The subject experiences rare and mild urge incontinence with no nappy required.] 3: at0080::Moderate urge incontinence [The subject experiences moderate urge incontinence and requires a nappy pr catheter when out of the house.] 4: at0081::Permanent catheter or nappy [The subject requires permanent catheterisation or a permanent nappy.] , extendedValues=null], ResourceSimplifiedHierarchyItem 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from mental retardation.] at0085::Dementia [The subject suffers from dementia.] at0086::Psychosis [The subject suffers from psychosis.] at0087::Epilepsy [The subject suffers from epilepsy.] at0088::Visual loss (c.c. less than 0.8) [The subject suffers from visual loss (c.c. less than 0.8).] at0089::Cataract [The subject suffers from cataract.] at0090::Gaze evoked nystagmus [The subject suffers from gaze evoked nystagmus.] at0091::Dysarthria [The subject suffers from dysarthria.] at0092::Dysphagia [The subject suffers from dysphagia.] at0093::Limb ataxia [The subject suffers from limb ataxia.] at0094::Gait ataxia [The subject suffers from gait ataxia.] at0095::Extrapyramidal motor signs [The subject suffers from extrapyramidal motor signs.] at0096::Muscle wasting (upper limbs) [The subject suffers from muscle wasting in upper limbs.] at0097::Muscle wasting (lower limbs) [The subject suffers from muscle wasting in lower limbs.] at0098::Loss of muscle stretch reflexes (upper limbs) [The subject suffers from loss of muscle stretch reflexes in upper limbs.] at0099::Loss of muscle stretch reflexes (lower limbs) [The subject suffers from loss of muscle stretch reflexes in lower limbs.] at0100::Impaired touch sense [The subject suffers from impaired touch sense.] at0101::Impaired pinprick sensation [The subject suffers from impaired pinprick sensation.] at0102::Impaired vibration sense [The subject suffers from impaired vibration sense.] at0103::Impaired joint position sense [The subject suffers from impaired joint position sense.] at0104::Impaired temperature discrimination [The subject suffers from impaired temperature discrimination.] at0105::Facial dysmorphism [The subject suffers from facial dysmorphism.] at0106::Skin abnormalities [The subject suffers from skin abnormalities.] at0107::Skeletal abnormalities [The subject suffers from skeletal abnormalities.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem 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