# PROMs / Score Panel Hierarchy Modeling

**Category:** [Ask IEB](https://discourse.openehr.org/c/ask-ieb/37)
**Created:** 2024-03-07 15:02 UTC
**Views:** 322
**Replies:** 2
**URL:** https://discourse.openehr.org/t/proms-score-panel-hierarchy-modeling/5008

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## Post #1 by @jannisp

Hello everyone!

I am in the process of creating an archetype for the **Seattle Angina Questionnaire-7** (SAQ-7) (the full questionnaire can be viewed [here](https://www.ahajournals.org/doi/pdf/10.1161/CIRCOUTCOMES.114.000967) on page 644). You can see an overview of the panel hierarchy of the questionnaire on the LOINC [website](https://loinc.org/88479-1).

During the modeling process I was wondering about how to model the structure of the questionnaire including the panel hierarchy with superordinate and subordinate questions.

![promstructure|690x312](upload://lcWlALePYe4on5Uyjq1gA8toBcy.png)


**Option 1**
Should I use a CLUSTER for question 1 to represent the superordinate question and slot the subordinate questions 1a.-c. as ordinals?

I doubt that this is the intended use of a CLUSTER but have seen this approach in several score/questionnaire archetypes of which none have been published yet. When querying for this Cluster with AQL you get the values of each ordinal as a response which is quite nice.

**Option 2**
Alternatively, the questionnaire could be modeled with ordinals only, but then the parent question might have to be repeated in the descriptions of question 1a-1c:
This seems to be more inline with the modeling guidelines. 


But let's say I want to render this questionnaire directly from an .opt-template using the description fields that include the full-text questions. Then the second approach would render the superordinate question 1 for each of the 3 first questions.

I hope I could get my question across in a understandable way :yum: and I am looking forward to hearing your input!

Best,
Jannis

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## Post #2 by @siljelb

Hi Jannis!

I'd model this as a combination of your two options, by using a cluster to group questions 1 a, b and c, to avoid unnecessary repetition, but leave 2, 3, 4 and 5 on the root level. This is in line with how [GOSE](https://ckm.openehr.org/ckm/archetypes/1013.1.6671) and [YGTSS-R](https://ckm.openehr.org/ckm/archetypes/1013.1.5066) have been modelled.

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## Post #3 by @jannisp

Dear Silje

Thank you very much for your answer and the examples provided.
I am happy to see that clusters can be used in such cases!

Best,
Jannis

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**Canonical:** https://discourse.openehr.org/t/proms-score-panel-hierarchy-modeling/5008
**Original content:** https://discourse.openehr.org/t/proms-score-panel-hierarchy-modeling/5008