ARCHETYPE Barthel Index (openEHR-EHR-OBSERVATION.barthel.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.barthel.v1
ConceptBarthel Index
DescriptionBarthel index of dependency in activities of daily living.
UseFor scoring people's independence - often in a nursing home. Note: The Maryland State Medical Society holds the copyright for the Barthel Index. It may be used freely for non-commercial purposes with the following citation: Mahoney FI, Barthel D. “Functional evaluation: the Barthel Index.” Maryland State Med Journal 1965;14:56-61. Used with permission. Permission is required to modify the Barthel Index or to use it for commercial purposes.
MisuseNot to be used to record individual features.
PurposeTo record a score of dependency on help to undertake important activities of daily living. The total score is the sum of the ordinal scores for each attribute.
ReferencesMahoney FI, Barthel D. Functional evaluation: the Barthel Index. Maryland State Med Journal 1965;14:56-61.
Copyrightcopyright (c) 2010 openEHR Foundation
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 22/03/2006
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 22/03/2006
OtherDetails Language Independent{references=Mahoney FI, Barthel D. Functional evaluation: the Barthel Index. Maryland State Med Journal 1965;14:56-61., MD5-CAM-1.0.1=5D131961862468DC5837B7CB7D527865}
Keywordsscore, index, activities, daily living, dependency
LifecycleInitial
Language useden
Citeable Identifier1013.1.128
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Barthel index of dependency in activities of daily living., archetypeConceptComment=null, otherContributors=, originalLanguage=nl, translators=Russian: Igor Lizunov, i.lizunov@infinnity.ru
English: ????
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={source=[], provider=[], ism_transition=[], other_participations=[], activities=[], protocol=[], content=[], state=[], description=[], identities=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Continence of bowels, description=Over the previous week, occasional accident is once per week., 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: Incontinent (or requires enemas) [Incontinent of faeces or requires enemas.]
1: Occasional accident [Less than or equal to once per week.]
2: Continent [Continent of faeces.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Bladder control, description=Assessment of urinary control over the previous week, occasional accident <= 1 time per week., 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: Incontinent (or unable to manage catheter) [Incontinent of urine or catheterised.]
1: Occasional accident [Less than or equal to once per week.]
2: Continent (manages catheter alone) [Continent includes self management of catheter.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Personal care/hygeine, description=Ability over the previous 24-48 hours to attend to personal hygiene such as brushing teeth, shaving and washing., 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: Needs help [Needs help with personal care.]
1: Independent [Able to brush teeth, hair, wash face, shave.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0030], code=at0030, itemType=ELEMENT, level=4, text=Toilet use, description=Ability to use toilet over the previous 48 hours., 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: Dependent [*]
1: Needs some help but can do some tasks alone [*]
2: Independent (on & off, dressing, wiping) [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0026], code=at0026, itemType=ELEMENT, level=4, text=Eating, description=Ability to eat food., 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: Unable to eat unassisted [Requires manual feeding.]
1: Needs help [Requires help cutting, spreading butter or requires modified diet - able to eat alone.]
2: Independent [Able to eat alone.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Transfer, description=Ability to get up from a bed or chair., 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: Unable [No sitting balance, a lifting device is used.]
1: Major help [A strong trained person or 2 people required, patient can sit straight.]
2: Minor help [A person is required for supervision or some help.]
3: Independent [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0017], code=at0017, itemType=ELEMENT, level=4, text=Mobility, description=Ability to get about the house or institution., 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: Immobile or < 50 meters [Person can get less than 50 metres in wheelchair.]
1: Wheel chair independent [Person can negotiate corners and cover distances of greater than 50 meters.]
2: Walks with help [Person walks with assistance of one (untrained person) with physical or verbal assistance.]
3: Independent [Person can use any aid (not wheelchair) around the house or ward.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Dressing/undressing, description=Ability to choose clothes, put them on and fasten them., 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: Dependent [Requires assistance choosing and putting on clothes.]
1: Needs help but can do about half unaided [Needs help only with buttons, zippers but can put on clothes unaided.]
2: Independent [No help required when getting in and out of the bath or when washing.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0040], code=at0040, itemType=ELEMENT, level=4, text=Stairs, description=Ability to negotiate stairs., 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: Unable [Unable to use stairs.]
1: Needs help [Verbal, physical or other assistance.]
2: Independent [Can carry aid alone if required.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Bathing, description=Independent = without supervision or help when getting in and out of the bath and when washing., 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: Dependent [Needs assistance with baths or showers.]
1: Independent [No help required when getting in and out of the bath or when washing.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Total, description=Total score of the 10 elements of the Bartel index. A score of 0-9 indicates high dependency, 10-19 moderate dependency and 20 is independent., 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: <=20

, extendedValues=null]], credentials=[], target=[], capabilities=[], items=[], contacts=[], relationships=[], context=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003], code=at0003, itemType=EVENT, level=2, text=Any event, description=Any timing point, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], details=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0002]/events[at0003]/data[at0001], code=at0001, itemType=ITEM_LIST, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, ordered, dataType=ITEM_LIST, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=data, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Continence of bowels, description=Over the previous week, occasional accident is once per week., 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: Incontinent (or requires enemas) [Incontinent of faeces or requires enemas.]
1: Occasional accident [Less than or equal to once per week.]
2: Continent [Continent of faeces.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Bladder control, description=Assessment of urinary control over the previous week, occasional accident <= 1 time per week., 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: Incontinent (or unable to manage catheter) [Incontinent of urine or catheterised.]
1: Occasional accident [Less than or equal to once per week.]
2: Continent (manages catheter alone) [Continent includes self management of catheter.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Personal care/hygeine, description=Ability over the previous 24-48 hours to attend to personal hygiene such as brushing teeth, shaving and washing., 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: Needs help [Needs help with personal care.]
1: Independent [Able to brush teeth, hair, wash face, shave.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0030], code=at0030, itemType=ELEMENT, level=4, text=Toilet use, description=Ability to use toilet over the previous 48 hours., 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: Dependent [*]
1: Needs some help but can do some tasks alone [*]
2: Independent (on & off, dressing, wiping) [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0026], code=at0026, itemType=ELEMENT, level=4, text=Eating, description=Ability to eat food., 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: Unable to eat unassisted [Requires manual feeding.]
1: Needs help [Requires help cutting, spreading butter or requires modified diet - able to eat alone.]
2: Independent [Able to eat alone.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Transfer, description=Ability to get up from a bed or chair., 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: Unable [No sitting balance, a lifting device is used.]
1: Major help [A strong trained person or 2 people required, patient can sit straight.]
2: Minor help [A person is required for supervision or some help.]
3: Independent [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0017], code=at0017, itemType=ELEMENT, level=4, text=Mobility, description=Ability to get about the house or institution., 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: Immobile or < 50 meters [Person can get less than 50 metres in wheelchair.]
1: Wheel chair independent [Person can negotiate corners and cover distances of greater than 50 meters.]
2: Walks with help [Person walks with assistance of one (untrained person) with physical or verbal assistance.]
3: Independent [Person can use any aid (not wheelchair) around the house or ward.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Dressing/undressing, description=Ability to choose clothes, put them on and fasten them., 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: Dependent [Requires assistance choosing and putting on clothes.]
1: Needs help but can do about half unaided [Needs help only with buttons, zippers but can put on clothes unaided.]
2: Independent [No help required when getting in and out of the bath or when washing.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0040], code=at0040, itemType=ELEMENT, level=4, text=Stairs, description=Ability to negotiate stairs., 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: Unable [Unable to use stairs.]
1: Needs help [Verbal, physical or other assistance.]
2: Independent [Can carry aid alone if required.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Bathing, description=Independent = without supervision or help when getting in and out of the bath and when washing., 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: Dependent [Needs assistance with baths or showers.]
1: Independent [No help required when getting in and out of the bath or when washing.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Total, description=Total score of the 10 elements of the Bartel index. A score of 0-9 indicates high dependency, 10-19 moderate dependency and 20 is independent., 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: <=20

, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]