ARCHETYPE Activities of daily living (ADL) summary (openEHR-EHR-EVALUATION.adl_summary.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.adl_summary.v0
ConceptActivities of daily living (ADL) summary
DescriptionSummary information about an individual's ability to perform basic or instrumental activities of daily living (ADL).
UseUse to record summary information about an individual's ability to perform basic or instrumental activities of daily living (ADL). This archetype has primarily been designed to capture a summary of an individual's functional abilities in performing activities of daily living, particularly in community or long-term care settings, where stable or gradually changing levels of functioning are observed. For example, recording an ADL assessment during a clinical consultation; as part of a persistent care plan; or to provide a summary statement within a level of care assessment, admission note or discharge report. The 'Specific activity' cluster allows the recording of an assessment for each relevant activity of daily living. This includes, but is not limited to, basic ADLs like mobility, eating, drinking, personal hygiene and dressing/undressing, and instrumental ADLs such as house cleaning, cooking, grocery shopping, managing finances, administering own medications including injections, and performing own healthcare procedures such as stoma care.
MisuseNot to be used to record the results of formal instruments, scores, scales or PROMs assessing capability for activities of daily living, such as the Barthel Index. For these purposes, use a specific archetype for each instrument, score, scale or PROM, such as OBSERVATION.modified_barthel_index. Not to be used to record detailed structured assessments about each activity, such as the timing of transfer movements. Use other appropriate archetypes for these purposes.
PurposeTo record summary information about an individual's ability to perform basic or instrumental activities of daily living (ADL).
References
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-10-26
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-10-26
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, current_contact=Heather Leslie, Atomica Informatics, Australia, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=1461BF6BBEE5F208019E69A4707F1D57, build_uid=2b11e309-1d80-4e12-bb3a-aeef1eeb6814, revision=0.0.1-alpha}
Keywordsactivities of daily living, basic activities, instrumental activities, functional status, self-care, BADL, IADL, independence, assistance, support, personal care, personal hygiene
Lifecyclein_development
UID864f191f-052d-47e1-a3b8-89eaafd1cec0
Language useden
Citeable Identifier1013.1.5017
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Summary information about an individual's ability to perform basic or instrumental activities of daily living (ADL). , archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=
  • Norwegian Bokmål: Silje Ljosland Bakke, Helse Vest IKT AS, silje.ljosland.bakke@helse-vest-ikt.no

    • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], contacts=[], state=[], capabilities=[], relationships=[], context=[], description=[], ism_transition=[], identities=[], target=[], credentials=[], other_participations=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Overall ADL status, description=Categorisation of the individual's ability to perform all activities of daily living., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Fully independent [The individual is able to perform all activities of daily living without human support or assistive devices.]
      • Independent with device [The individual is able to perform all activities of daily living with the use of assistive devices but without human support.]
      • Partially dependent [The individual is able to perform some activities of daily living but needs partial human support. Assistive devices may be used.]
      • Fully dependent [The individual is unable to perform most or all activities of daily living and needs full human support. Assistive devices may be used.]
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0029], code=at0029, itemType=ELEMENT, level=2, text=Overall description, description=Narrative description about the individual's ability to perform all activities of daily living., 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], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023], code=at0023, itemType=CLUSTER, level=2, text=Specific activity, description=A specific activity of daily living., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Activity name, description=The name of the specific activity of daily living., comment=For example: walking, feeding, toileting, managing medications, shopping or housecleaning. Coding of the 'Activity name' with an external terminology is recommended, if available., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Activity category, description=The category of the specific activity., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Basic activity [The identified activity is a basic activity of daily living (BADL). For example: walking, feeding or toileting.]
      • Instrumental activity [The identified activity is an instrumental activity of daily living (IADL). For example: managing medications, shopping or housecleaning.]
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Clinical description, description=Narrative description about the individual's ability to perform the specific activity., comment=For example: "Moves around in a wheelchair, can walk a couple of steps only.", uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Capability, description=Categorisation of the individual's ability to perform the specific activity., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Fully independent [The individual is able to perform the activity without human support or assistive devices.]
      • Independent with assistive device [The individual is able to perform the activity with the use of assistive devices but without human support.]
      • Partially dependent [The individual is able to perform some of the activity but needs partial human support. Assistive devices may be used.]
      • Fully dependent [The individual is unable to perform most or all of the activity and needs full human support. Assistive devices may be used.]
      • Not applicable [The activity does not apply to the individual.]
      • Unknown [It is unknown to which degree the individual is able to perform the activity.]
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0018], code=at0018, itemType=ELEMENT, level=3, text=Limitation, description=A limitation of the individual in carrying out the specific activity., comment=For example: for the activity of eating, the limitations are 'Difficulty holding a glass of water' or 'Difficulty cutting up food'. Coding of the 'Limitation' with an external terminology is recommended, if available., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0034], code=at0034, itemType=ELEMENT, level=3, text=Support requirement, description=A human support task required to carry out the specific activity., comment=For example: for the activity of eating, support requirements can be 'preparing thickened liquids' or 'cutting up food'. Coding of 'Support requirement' with an external terminology is recommended, if available., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Support description, description=Description about any human support required to carry out the specific activity., comment=For example: "Requires assistance from another person to transfer from bed to chair" or "Needs supervision when walking outdoors"., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0035], code=at0035, itemType=ELEMENT, level=3, text=Assistive device requirement, description=An assistive device required to carry out the specific activity., comment=For example: for the activity of eating, assistive device requirements can be 'liquid thickening agent' or 'easy grip cutlery'. Coding of 'Assistive device requirement' with an external terminology is recommended, if available., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Assistive device description, description=Description about any assistive devices required to carry out the specific activity., 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], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0013], code=at0013, itemType=SLOT, level=3, text=Assistive device details, description=Structured details about assistive devices used to carry out the specific activity., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0014], code=at0014, itemType=SLOT, level=3, text=Additional details, description=Additional structured details about the specific activity., comment=null, 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=/data[at0003]/items[at0023]/items[at0036], code=at0036, itemType=ELEMENT, level=3, text=Date assessed, description=The date/time when the specific activity was assessed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0023]/items[at0015], code=at0015, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the specific activity not captured in other fields., 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], ResourceSimplifiedHierarchyItem [path=/data[at0003]/items[at0030], code=at0030, itemType=SLOT, level=2, text=Additional details, description=Additional structured details about the ADL summary., comment=null, 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=/data[at0003]/items[at0031], code=at0031, itemType=ELEMENT, level=2, text=Overall comment, description=Additional narrative about the ADL summary not captured in other fields., 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]], content=[], source=[], events=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0016]/items[at0032], code=at0032, itemType=ELEMENT, level=2, text=Last updated, description=The date/time this ADL summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0016]/items[at0017], code=at0017, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., 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]], details=[], activities=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0003], code=at0003, 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], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0016], code=at0016, 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]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0016]/items[at0032], code=at0032, itemType=ELEMENT, level=2, text=Last updated, description=The date/time this ADL summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0016]/items[at0017], code=at0017, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., 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]