Archetype : openEHR-EHR-OBSERVATION.soas_re

OpenEHR Master CKM Mirror

Name

The Staff Observation Aggression Scale – Revised Emergency (SOAS-RE)

Description

An instrument for monitoring the frequency, nature, and severity of aggressive incidents.

Keywords

verbal physical attacking violent behaviour

Purpose

To record the frequency, nature, and severity of aggressive incidents.

Use

Use to record the frequency, nature, and severity of aggressive incidents.

While openEHR archetypes are all freely available under an open license, the specific content of this Staff Observation Aggression Scale – Revised – Emergency primary care archetype is copyright protected. Any use of this archetype within implementations must be in compliance with the terms established by the copyright owners. Copyright statement: ©Henk Nijman, Tom Palmstierna1999 –Not to be copied without express written permission by one of the author or Frenzs B.V. Copyright information: https://www.frenzs.org/soas-r/.

References

Morken, T., Baste, V., Johnsen, G.E. et al. The Staff Observation Aggression Scale – Revised (SOAS-R) – adjustment and validation for emergency primary health care. BMC Health Serv Res 18, 335 (2018). https://doi.org/10.1186/s12913-018-3157-z

Palmstierna, T. and Wistedt, B. (1987), Staff observation aggression scale, SOAS: Presentation and evaluation. Acta Psychiatrica Scandinavica, 76: 657-663. https://doi.org/10.1111/j.1600-0447.1987.tb02936.x

Nijman, H.L., Muris, P., Merckelbach, H.L., Palmstierna, T., Wistedt, B., Vos, A., van Rixtel, A. and Allertz, W. (1999), The staff observation aggression scale–revised (SOAS‐R). Aggr. Behav., 25: 197-209. https://doi.org/10.1002/(SICI)1098-2337(1999)25:3<197::AID-AB4>3.0.CO;2-C

Nijman, H.L.I., Palmstierna, T., Almvik, R. and Stolker, J.J. (2005), Fifteen years of research with the Staff Observation Aggression Scale: a review. Acta Psychiatrica Scandinavica, 111: 12-21. https://doi.org/10.1111/j.1600-0447.2004.00417.x

Archetype Id

openEHR-EHR-OBSERVATION.soas_re.v0

Licencing

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/.

Original Author

Marit Alice Venheim
Helse Vest IKT AS

Date Originally Authored

2021-04-14

Language	Details
Norwegian Bokmal	Marit Alice Venheim Helse Vest IKT

Name	Card	Type	Description
When was the incident?	0..1	DV_DATE_TIME	Date (dd/mm 20yy), Time
Where was the incident?	0..*	DV_CODED_TEXT	Constraint for DV_CODED_TEXT At the clinic Over the phone At home visit Other
Other place of incident	0..1	DV_TEXT	Related to the 'Other' option from the 'Where was the incident' element.
Staff member exposed to incident	0..1	CLUSTER	CLUSTER
Age	0..1	DV_COUNT	Constraint for DV_COUNT min: >= 0; max: <= 120
Occupation	0..1	DV_TEXT
Sex	0..1	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Female Male
Were you alone in the situation?	0..*	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Yes No
Aggressor	0..1	CLUSTER	CLUSTER
Who	0..*	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Patient Next-of-kin Other
Other aggressor	0..1	DV_TEXT	Related to the 'Other' option from the 'Who' element.
Sex	0..1	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Female Male
Does the aggressor have a known mental illness?	0..1	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Yes No Unknown
Was the aggressor under influence of drugs or alcohol?	0..1	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Yes No Unknown
Provocation of aggresive behaviour	1..1	CLUSTER	CLUSTER
No understandable provocation	0..1	DV_BOOLEAN	Constraint for DV_BOOLEAN Alowed Values: true
Provoked by	0..*	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Person had to wait The person was denied something The person disagreed about assessment/advice Involuntary assessment of health condition Other, describe
Description	0..1	DV_TEXT	Description related to the 'Other, describe:' option from the 'Provoked by' element.
Means used by the aggressor	1..1	CLUSTER	CLUSTER
Verbal aggression	0..1	DV_BOOLEAN	Constraint for DV_BOOLEAN Alowed Values: true
Threat	0..1	DV_BOOLEAN	Constraint for DV_BOOLEAN Alowed Values: true
Ordinary objects	0..1	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Room contents/ objects.
Parts of the body	0..1	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Hand Foot Other, describe
Descritpion	0..1	DV_TEXT	Description related to the 'Other, describe:' option from the 'Parts of the body' element.
Dangerous objects or methods	0..1	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Attempt of strangulation. Used/had weapon. Used/had pointed weapon. Other dangerous objects incl. syringe.
Target of aggression	1..1	CLUSTER	CLUSTER
None	0..1	DV_BOOLEAN	Constraint for DV_BOOLEAN Alowed Values: true
Target	0..*	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Furniture/objects Physician Nurse Ambulance personnel Security guard Police Other patients Other persons, describe
Description	0..1	DV_TEXT	Description related to the 'Other persons, describe:' option from the 'Target' element.
Consequence(s) for victim(s)	1..1	CLUSTER	CLUSTER
None	0..1	DV_BOOLEAN	Constraint for DV_BOOLEAN Alowed Values: true
Objects	0..1	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Damaged
Person	0..*	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Psychological/ emotional stress Felt threatened Pain Visible injury Need for treatment by a physician Needed to be taken off duty Other, describe:
Description	0..1	DV_TEXT	Description related to the 'Other, describe:' option from the 'Person' element.
Measure(s) to stop aggression	0..1	CLUSTER	CLUSTER
None	0..1	DV_BOOLEAN	Constraint for DV_BOOLEAN Alowed Values: true
Measure(s)	0..*	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Talked to person Took the person aside Withdrew from situation /ended cal Complied with the person’s wish Asked the person to leave the site Forced the person to leave Held the person by force Medication Other, describe:
Description	0..1	DV_TEXT	Description related to the 'Other, describe:' option from the 'Measure(s)' element.
Persons involved in measure(s) to stop aggression	0..1	CLUSTER	CLUSTER
Persons involved	0..*	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Physician Nurse Ambulance personnel Security guard Police Other patients Next-of-kin Others, describe
Description	0..1	DV_TEXT	Description related to the 'Other, describe:' option from the 'Persons involved' element.
Visual Analogue Scale (VAS)	0..1	DV_ORDINAL	An evaluation scale. Comment Use the scale to evaluate the aggressive incident. Constraint for DV_ORDINAL 0 : Not severe at all 1 : 1 2 : 2 3 : 3 4 : 4 5 : 5 6 : 6 7 : 7 8 : 8 9 : 9 10 : Extremely severe

Name	Card	Type	Description
Extension	0..*	Slot (Cluster)	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. Slot Slot

archetype (adl_version=1.4; uid=30ca2941-25f9-4939-a48a-aa0eb6ba9b78)
	openEHR-EHR-OBSERVATION.soas_re.v0

concept
	[at0000]	-- The Staff Observation Aggression Scale – Revised Emergency (SOAS-RE)
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Marit Alice Venheim">
				["organisation"] = <"Helse Vest IKT">
				["email"] = <"marit.alice.venheim@helse-vest-ikt.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Marit Alice Venheim">
		["organisation"] = <"Helse Vest IKT AS">
		["date"] = <"2021-04-14">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere hyppigheten, karakteren og alvorlighetsgraden av aggressive hendelser.">
			use = <"Brukes for å registrere hyppigheten, karakteren og alvorlighetsgraden av aggressive hendelser.

openEHR-arketyper er fritt tilgjengelige under en åpen lisens, men det spesifikke innholdet i denne Staff Observation Aggression Scale – Revised – Emergency primary care-arketypen er opphavsrettslig beskyttet. All bruk av denne arketypen i implementasjoner må gjøres i henhold til vilkår gitt av innehaverne av opphavsretten.
Erklæring om opphavsrett: ©Henk Nijman, Tom Palmstierna1999 –Not to be copied without express written permission by one of the author or Frenzs B.V.
Informasjon om opphavsretten: https://www.frenzs.org/soas-r/.">
			keywords = <"verbal, fysisk, angrep, voldelig, oppførsel", ...>
			misuse = <"">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the frequency, nature, and severity of aggressive incidents.">
			use = <"Use to record the frequency, nature, and severity of aggressive incidents.

While openEHR archetypes are all freely available under an open license, the specific content of this Staff Observation Aggression Scale – Revised – Emergency primary care archetype is copyright protected. Any use of this archetype within implementations must be in compliance with the terms established by the copyright owners. Copyright statement: ©Henk Nijman, Tom Palmstierna1999 –Not to be copied without express written permission by one of the author or Frenzs B.V. Copyright information: https://www.frenzs.org/soas-r/.">
			keywords = <"verbal, physical, attacking, violent, behaviour", ...>
			misuse = <"">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	other_details = <
		["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">
		["references"] = <"Morken, T., Baste, V., Johnsen, G.E. et al. The Staff Observation Aggression Scale – Revised (SOAS-R) – adjustment and validation for emergency primary health care. BMC Health Serv Res 18, 335 (2018). https://doi.org/10.1186/s12913-018-3157-z

Palmstierna, T. and Wistedt, B. (1987), Staff observation aggression scale, SOAS: Presentation and evaluation. Acta Psychiatrica Scandinavica, 76: 657-663. https://doi.org/10.1111/j.1600-0447.1987.tb02936.x

Nijman, H.L., Muris, P., Merckelbach, H.L., Palmstierna, T., Wistedt, B., Vos, A., van Rixtel, A. and Allertz, W. (1999), The staff observation aggression scale–revised (SOAS‐R). Aggr. Behav., 25: 197-209. https://doi.org/10.1002/(SICI)1098-2337(1999)25:3<197::AID-AB4>3.0.CO;2-C

Nijman, H.L.I., Palmstierna, T., Almvik, R. and Stolker, J.J. (2005), Fifteen years of research with the Staff Observation Aggression Scale: a review. Acta Psychiatrica Scandinavica, 111: 12-21. https://doi.org/10.1111/j.1600-0447.2004.00417.x">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"F1B57BC1AEA3CC8C29D09762277EFB44">
		["build_uid"] = <"6cc3a861-82dd-40c4-bbd9-bcf918b0428a">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- The Staff Observation Aggression Scale – Revised Emergency (SOAS-RE)
		data matches {
			HISTORY[at0001] matches {    -- History
				events cardinality matches {0..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0132] occurrences matches {0..1} matches {    -- When was the incident?
										value matches {
											DV_DATE_TIME matches {
												value matches {yyyy-mm-ddTHH:MM:SS}
											}
										}
									}
									ELEMENT[at0099] occurrences matches {0..*} matches {    -- Where was the incident?
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0100,    -- At the clinic
													at0101,    -- Over the phone
													at0102,    -- At home visit
													at0103]    -- Other
												}
											}
										}
									}
									ELEMENT[at0104] occurrences matches {0..1} matches {    -- Other place of incident
										value matches {
											DV_TEXT matches {*}
										}
									}
									CLUSTER[at0106] occurrences matches {0..1} matches {    -- Staff member exposed to incident
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0130] occurrences matches {0..1} matches {    -- Age
												value matches {
													DV_COUNT matches {
														magnitude matches {|0..120|}
													}
												}
											}
											ELEMENT[at0107] occurrences matches {0..1} matches {    -- Occupation
												value matches {
													DV_TEXT matches {*}
												}
											}
											ELEMENT[at0108] occurrences matches {0..1} matches {    -- Sex
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0109,    -- Female
															at0110]    -- Male
														}
													}
												}
											}
											ELEMENT[at0111] occurrences matches {0..*} matches {    -- Were you alone in the situation?
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0112,    -- Yes
															at0113]    -- No
														}
													}
												}
											}
										}
									}
									CLUSTER[at0114] occurrences matches {0..1} matches {    -- Aggressor
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0115] occurrences matches {0..*} matches {    -- Who
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0116,    -- Patient
															at0117,    -- Next-of-kin
															at0118]    -- Other
														}
													}
												}
											}
											ELEMENT[at0133] occurrences matches {0..1} matches {    -- Other aggressor
												value matches {
													DV_TEXT matches {*}
												}
											}
											ELEMENT[at0119] occurrences matches {0..1} matches {    -- Sex
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0120,    -- Female
															at0121]    -- Male
														}
													}
												}
											}
											ELEMENT[at0122] occurrences matches {0..1} matches {    -- Does the aggressor have a known mental illness?
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0124,    -- Yes
															at0125,    -- No
															at0126]    -- Unknown
														}
													}
												}
											}
											ELEMENT[at0123] occurrences matches {0..1} matches {    -- Was the aggressor under influence of drugs or alcohol?
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0127,    -- Yes
															at0128,    -- No
															at0129]    -- Unknown
														}
													}
												}
											}
										}
									}
									CLUSTER[at0007] matches {    -- Provocation of aggresive behaviour
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0020] occurrences matches {0..1} matches {    -- No understandable provocation
												value matches {
													DV_BOOLEAN matches {
														value matches {true}
													}
												}
											}
											ELEMENT[at0014] occurrences matches {0..*} matches {    -- Provoked by
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0015,    -- Person had to wait
															at0016,    -- The person was denied something
															at0017,    -- The person disagreed about assessment/advice
															at0018,    -- Involuntary assessment of health condition
															at0030]    -- Other, describe
														}
													}
												}
											}
											ELEMENT[at0019] occurrences matches {0..1} matches {    -- Description
												value matches {
													DV_TEXT matches {*}
												}
											}
										}
									}
									CLUSTER[at0008] matches {    -- Means used by the aggressor
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0059] occurrences matches {0..1} matches {    -- Verbal aggression
												value matches {
													DV_BOOLEAN matches {
														value matches {true}
													}
												}
											}
											ELEMENT[at0060] occurrences matches {0..1} matches {    -- Threat
												value matches {
													DV_BOOLEAN matches {
														value matches {true}
													}
												}
											}
											ELEMENT[at0022] occurrences matches {0..1} matches {    -- Ordinary objects
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::at0026]    -- Room contents/ objects.
														}
													}
												}
											}
											ELEMENT[at0023] occurrences matches {0..1} matches {    -- Parts of the body
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0027,    -- Hand
															at0028,    -- Foot
															at0029]    -- Other, describe
														}
													}
												}
											}
											ELEMENT[at0058] occurrences matches {0..1} matches {    -- Descritpion
												value matches {
													DV_TEXT matches {*}
												}
											}
											ELEMENT[at0031] occurrences matches {0..1} matches {    -- Dangerous objects or methods
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0032,    -- Attempt of strangulation.
															at0033,    -- Used/had weapon.
															at0034,    -- Used/had pointed weapon.
															at0035]    -- Other dangerous objects incl. syringe.
														}
													}
												}
											}
										}
									}
									CLUSTER[at0010] matches {    -- Target of aggression
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0061] occurrences matches {0..1} matches {    -- None
												value matches {
													DV_BOOLEAN matches {
														value matches {true}
													}
												}
											}
											ELEMENT[at0036] occurrences matches {0..*} matches {    -- Target
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0038,    -- Furniture/objects
															at0039,    -- Physician
															at0040,    -- Nurse
															at0041,    -- Ambulance personnel
															at0042,    -- Security guard
															at0043,    -- Police
															at0044,    -- Other patients
															at0045]    -- Other persons, describe
														}
													}
												}
											}
											ELEMENT[at0062] occurrences matches {0..1} matches {    -- Description
												value matches {
													DV_TEXT matches {*}
												}
											}
										}
									}
									CLUSTER[at0011] matches {    -- Consequence(s) for victim(s)
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0046] occurrences matches {0..1} matches {    -- None
												value matches {
													DV_BOOLEAN matches {
														value matches {true}
													}
												}
											}
											ELEMENT[at0047] occurrences matches {0..1} matches {    -- Objects
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::at0049]    -- Damaged
														}
													}
												}
											}
											ELEMENT[at0048] occurrences matches {0..*} matches {    -- Person
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0050,    -- Psychological/ emotional stress
															at0051,    -- Felt threatened
															at0052,    -- Pain
															at0053,    -- Visible injury
															at0054,    -- Need for treatment by a physician
															at0055,    -- Needed to be taken off duty
															at0056]    -- Other, describe:
														}
													}
												}
											}
											ELEMENT[at0063] occurrences matches {0..1} matches {    -- Description
												value matches {
													DV_TEXT matches {*}
												}
											}
										}
									}
									CLUSTER[at0012] occurrences matches {0..1} matches {    -- Measure(s) to stop aggression
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0064] occurrences matches {0..1} matches {    -- None
												value matches {
													DV_BOOLEAN matches {
														value matches {true}
													}
												}
											}
											ELEMENT[at0065] occurrences matches {0..*} matches {    -- Measure(s)
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0066,    -- Talked to person
															at0067,    -- Took the person aside
															at0068,    -- Withdrew from situation /ended cal
															at0069,    -- Complied with the person’s wish
															at0070,    -- Asked the person to leave the site
															at0071,    -- Forced the person to leave
															at0072,    -- Held the person by force
															at0073,    -- Medication
															at0074]    -- Other, describe:
														}
													}
												}
											}
											ELEMENT[at0075] occurrences matches {0..1} matches {    -- Description
												value matches {
													DV_TEXT matches {*}
												}
											}
										}
									}
									CLUSTER[at0013] occurrences matches {0..1} matches {    -- Persons involved in measure(s) to stop aggression
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0076] occurrences matches {0..*} matches {    -- Persons involved
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0077,    -- Physician
															at0078,    -- Nurse
															at0079,    -- Ambulance personnel
															at0080,    -- Security guard
															at0081,    -- Police
															at0082,    -- Other patients
															at0083,    -- Next-of-kin
															at0084]    -- Others, describe
														}
													}
												}
											}
											ELEMENT[at0085] occurrences matches {0..1} matches {    -- Description
												value matches {
													DV_TEXT matches {*}
												}
											}
										}
									}
									ELEMENT[at0086] occurrences matches {0..1} matches {    -- Visual Analogue Scale (VAS)
										value matches {
											0|[local::at0087],
											1|[local::at0089],
											2|[local::at0090],
											3|[local::at0091],
											4|[local::at0092],
											5|[local::at0093],
											6|[local::at0094],
											7|[local::at0095],
											8|[local::at0096],
											9|[local::at0097],
											10|[local::at0098]
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0004] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0134] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"The Staff Observation Aggression Scale – Revised Emergency (SOAS-RE)">
					description = <"An instrument for monitoring the frequency, nature, and severity of aggressive incidents.">
				>
				["at0001"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0007"] = <
					text = <"Provocation of aggresive behaviour">
					description = <"">
				>
				["at0008"] = <
					text = <"Means used by the aggressor">
					description = <"">
				>
				["at0010"] = <
					text = <"Target of aggression">
					description = <"">
				>
				["at0011"] = <
					text = <"Consequence(s) for victim(s)">
					description = <"">
				>
				["at0012"] = <
					text = <"Measure(s) to stop aggression">
					description = <"">
				>
				["at0013"] = <
					text = <"Persons involved in measure(s) to stop aggression">
					description = <"">
				>
				["at0014"] = <
					text = <"Provoked by">
					description = <"">
				>
				["at0015"] = <
					text = <"Person had to wait">
					description = <"">
				>
				["at0016"] = <
					text = <"The person was denied something">
					description = <"">
				>
				["at0017"] = <
					text = <"The person disagreed about assessment/advice">
					description = <"">
				>
				["at0018"] = <
					text = <"Involuntary assessment of health condition">
					description = <"">
				>
				["at0019"] = <
					text = <"Description">
					description = <"Description related to the 'Other, describe:' option from the 'Provoked by' element.">
				>
				["at0020"] = <
					text = <"No understandable provocation">
					description = <"">
				>
				["at0022"] = <
					text = <"Ordinary objects">
					description = <"">
				>
				["at0023"] = <
					text = <"Parts of the body">
					description = <"">
				>
				["at0026"] = <
					text = <"Room contents/ objects.">
					description = <"">
				>
				["at0027"] = <
					text = <"Hand">
					description = <"">
				>
				["at0028"] = <
					text = <"Foot">
					description = <"">
				>
				["at0029"] = <
					text = <"Other, describe">
					description = <"">
				>
				["at0030"] = <
					text = <"Other, describe">
					description = <"">
				>
				["at0031"] = <
					text = <"Dangerous objects or methods">
					description = <"">
				>
				["at0032"] = <
					text = <"Attempt of strangulation.">
					description = <"">
				>
				["at0033"] = <
					text = <"Used/had weapon.">
					description = <"">
				>
				["at0034"] = <
					text = <"Used/had pointed weapon.">
					description = <"">
				>
				["at0035"] = <
					text = <"Other dangerous objects incl. syringe.">
					description = <"">
				>
				["at0036"] = <
					text = <"Target">
					description = <"">
				>
				["at0038"] = <
					text = <"Furniture/objects">
					description = <"">
				>
				["at0039"] = <
					text = <"Physician">
					description = <"">
				>
				["at0040"] = <
					text = <"Nurse">
					description = <"">
				>
				["at0041"] = <
					text = <"Ambulance personnel">
					description = <"">
				>
				["at0042"] = <
					text = <"Security guard">
					description = <"">
				>
				["at0043"] = <
					text = <"Police">
					description = <"">
				>
				["at0044"] = <
					text = <"Other patients">
					description = <"">
				>
				["at0045"] = <
					text = <"Other persons, describe">
					description = <"">
				>
				["at0046"] = <
					text = <"None">
					description = <"">
				>
				["at0047"] = <
					text = <"Objects">
					description = <"">
				>
				["at0048"] = <
					text = <"Person">
					description = <"">
				>
				["at0049"] = <
					text = <"Damaged">
					description = <"">
				>
				["at0050"] = <
					text = <"Psychological/ emotional stress">
					description = <"">
				>
				["at0051"] = <
					text = <"Felt threatened">
					description = <"">
				>
				["at0052"] = <
					text = <"Pain">
					description = <"">
				>
				["at0053"] = <
					text = <"Visible injury">
					description = <"">
				>
				["at0054"] = <
					text = <"Need for treatment by a physician">
					description = <"">
				>
				["at0055"] = <
					text = <"Needed to be taken off duty">
					description = <"">
				>
				["at0056"] = <
					text = <"Other, describe:">
					description = <"">
				>
				["at0058"] = <
					text = <"Descritpion">
					description = <"Description related to the 'Other, describe:' option from the 'Parts of the body' element.">
				>
				["at0059"] = <
					text = <"Verbal aggression">
					description = <"">
				>
				["at0060"] = <
					text = <"Threat">
					description = <"">
				>
				["at0061"] = <
					text = <"None">
					description = <"">
				>
				["at0062"] = <
					text = <"Description">
					description = <"Description related to the 'Other persons, describe:' option from the 'Target' element.">
				>
				["at0063"] = <
					text = <"Description">
					description = <"Description related to the 'Other, describe:' option from the 'Person' element.">
				>
				["at0064"] = <
					text = <"None">
					description = <"">
				>
				["at0065"] = <
					text = <"Measure(s)">
					description = <"">
				>
				["at0066"] = <
					text = <"Talked to person">
					description = <"">
				>
				["at0067"] = <
					text = <"Took the person aside">
					description = <"">
				>
				["at0068"] = <
					text = <"Withdrew from situation /ended cal">
					description = <"">
				>
				["at0069"] = <
					text = <"Complied with the person’s wish">
					description = <"">
				>
				["at0070"] = <
					text = <"Asked the person to leave the site">
					description = <"">
				>
				["at0071"] = <
					text = <"Forced the person to leave">
					description = <"">
				>
				["at0072"] = <
					text = <"Held the person by force">
					description = <"">
				>
				["at0073"] = <
					text = <"Medication">
					description = <"">
				>
				["at0074"] = <
					text = <"Other, describe:">
					description = <"">
				>
				["at0075"] = <
					text = <"Description">
					description = <"Description related to the 'Other, describe:' option from the 'Measure(s)' element.">
				>
				["at0076"] = <
					text = <"Persons involved">
					description = <"">
				>
				["at0077"] = <
					text = <"Physician">
					description = <"">
				>
				["at0078"] = <
					text = <"Nurse">
					description = <"">
				>
				["at0079"] = <
					text = <"Ambulance personnel">
					description = <"">
				>
				["at0080"] = <
					text = <"Security guard">
					description = <"">
				>
				["at0081"] = <
					text = <"Police">
					description = <"">
				>
				["at0082"] = <
					text = <"Other patients">
					description = <"">
				>
				["at0083"] = <
					text = <"Next-of-kin">
					description = <"">
				>
				["at0084"] = <
					text = <"Others, describe">
					description = <"">
				>
				["at0085"] = <
					text = <"Description">
					description = <"Description related to the 'Other, describe:' option from the 'Persons involved' element.">
				>
				["at0086"] = <
					text = <"Visual Analogue Scale (VAS)">
					description = <"An evaluation scale.">
					comment = <"Use the scale to evaluate the aggressive incident.">
				>
				["at0087"] = <
					text = <"Not severe at all">
					description = <"">
				>
				["at0089"] = <
					text = <"1">
					description = <"">
				>
				["at0090"] = <
					text = <"2">
					description = <"">
				>
				["at0091"] = <
					text = <"3">
					description = <"">
				>
				["at0092"] = <
					text = <"4">
					description = <"">
				>
				["at0093"] = <
					text = <"5">
					description = <"">
				>
				["at0094"] = <
					text = <"6">
					description = <"">
				>
				["at0095"] = <
					text = <"7">
					description = <"">
				>
				["at0096"] = <
					text = <"8">
					description = <"">
				>
				["at0097"] = <
					text = <"9">
					description = <"">
				>
				["at0098"] = <
					text = <"Extremely severe">
					description = <"">
				>
				["at0099"] = <
					text = <"Where was the incident?">
					description = <"">
				>
				["at0100"] = <
					text = <"At the clinic">
					description = <"">
				>
				["at0101"] = <
					text = <"Over the phone">
					description = <"">
				>
				["at0102"] = <
					text = <"At home visit">
					description = <"">
				>
				["at0103"] = <
					text = <"Other">
					description = <"">
				>
				["at0104"] = <
					text = <"Other place of incident">
					description = <"Related to the 'Other' option from the 'Where was the incident' element.">
				>
				["at0106"] = <
					text = <"Staff member exposed to incident">
					description = <"">
				>
				["at0107"] = <
					text = <"Occupation">
					description = <"">
				>
				["at0108"] = <
					text = <"Sex">
					description = <"">
				>
				["at0109"] = <
					text = <"Female">
					description = <"">
				>
				["at0110"] = <
					text = <"Male">
					description = <"">
				>
				["at0111"] = <
					text = <"Were you alone in the situation?">
					description = <"">
				>
				["at0112"] = <
					text = <"Yes">
					description = <"">
				>
				["at0113"] = <
					text = <"No">
					description = <"">
				>
				["at0114"] = <
					text = <"Aggressor">
					description = <"">
				>
				["at0115"] = <
					text = <"Who">
					description = <"">
				>
				["at0116"] = <
					text = <"Patient">
					description = <"">
				>
				["at0117"] = <
					text = <"Next-of-kin">
					description = <"">
				>
				["at0118"] = <
					text = <"Other">
					description = <"">
				>
				["at0119"] = <
					text = <"Sex">
					description = <"">
				>
				["at0120"] = <
					text = <"Female">
					description = <"">
				>
				["at0121"] = <
					text = <"Male">
					description = <"">
				>
				["at0122"] = <
					text = <"Does the aggressor have a known mental illness?">
					description = <"">
				>
				["at0123"] = <
					text = <"Was the aggressor under influence of drugs or alcohol?">
					description = <"">
				>
				["at0124"] = <
					text = <"Yes">
					description = <"">
				>
				["at0125"] = <
					text = <"No">
					description = <"">
				>
				["at0126"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0127"] = <
					text = <"Yes">
					description = <"">
				>
				["at0128"] = <
					text = <"No">
					description = <"">
				>
				["at0129"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0130"] = <
					text = <"Age">
					description = <"">
				>
				["at0132"] = <
					text = <"When was the incident?">
					description = <"Date (dd/mm 20yy), Time">
				>
				["at0133"] = <
					text = <"Other aggressor">
					description = <"Related to the 'Other' option from the 'Who' element.">
				>
				["at0134"] = <
					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.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"The Staff Observation Aggression Scale – Revised Emergency (SOAS-RE)">
					description = <"Et instrument for å overvåke hyppigheten, karakteren og alvorlighetsgraden av aggressive hendelser.">
				>
				["at0001"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Uspesifisert hendelse">
					description = <"Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i et templat eller i en applikasjon.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0007"] = <
					text = <"Utløsende faktor for aggressiv atferd">
					description = <"">
				>
				["at0008"] = <
					text = <"Hva brukte utøver">
					description = <"">
				>
				["at0010"] = <
					text = <"Mål for aggresjon">
					description = <"">
				>
				["at0011"] = <
					text = <"Umiddelbar konsekvens for offer">
					description = <"">
				>
				["at0012"] = <
					text = <"Umiddelbart tiltak for å stoppe aggresjon">
					description = <"">
				>
				["at0013"] = <
					text = <"Personer involvert i tiltak for å stoppe aggresjon">
					description = <"">
				>
				["at0014"] = <
					text = <"Utløst av">
					description = <"">
				>
				["at0015"] = <
					text = <"At personen må vente">
					description = <"">
				>
				["at0016"] = <
					text = <"At personen nektes noe">
					description = <"">
				>
				["at0017"] = <
					text = <"At personen er uenig i vurdering/råd">
					description = <"">
				>
				["at0018"] = <
					text = <"Ufrivillig vurdering av helsetilstand">
					description = <"">
				>
				["at0019"] = <
					text = <"Beskrivelse">
					description = <"Beskrivelse relatert til \"Annet, beskriv\" valget fra \"Utløst av\" elementet.">
				>
				["at0020"] = <
					text = <"Tilsynelatende ingen utløsende faktor">
					description = <"">
				>
				["at0022"] = <
					text = <"Gjenstander">
					description = <"">
				>
				["at0023"] = <
					text = <"Kroppsdel">
					description = <"">
				>
				["at0026"] = <
					text = <"Inventar/utstyr">
					description = <"">
				>
				["at0027"] = <
					text = <"Hånd">
					description = <"">
				>
				["at0028"] = <
					text = <"Fot">
					description = <"">
				>
				["at0029"] = <
					text = <"Annet, beskriv">
					description = <"">
				>
				["at0030"] = <
					text = <"Annet, beskriv">
					description = <"">
				>
				["at0031"] = <
					text = <"Farlige gjenstander/metoder">
					description = <"">
				>
				["at0032"] = <
					text = <"Kvelningsforsøk">
					description = <"">
				>
				["at0033"] = <
					text = <"Brukte/hadde våpen">
					description = <"">
				>
				["at0034"] = <
					text = <"Brukte/hadde stikkvåpen">
					description = <"">
				>
				["at0035"] = <
					text = <"Andre farlige gjenstander inkl. sprøyte">
					description = <"">
				>
				["at0036"] = <
					text = <"Mål">
					description = <"">
				>
				["at0038"] = <
					text = <"Ting / inventar / utstyr">
					description = <"">
				>
				["at0039"] = <
					text = <"Lege">
					description = <"">
				>
				["at0040"] = <
					text = <"Sykepleier">
					description = <"">
				>
				["at0041"] = <
					text = <"Ambulansepersonell">
					description = <"">
				>
				["at0042"] = <
					text = <"Sikkerhetsvakt">
					description = <"">
				>
				["at0043"] = <
					text = <"Politi">
					description = <"">
				>
				["at0044"] = <
					text = <"Andre pasienter">
					description = <"">
				>
				["at0045"] = <
					text = <"Andre personer, beskriv">
					description = <"">
				>
				["at0046"] = <
					text = <"Ingen">
					description = <"">
				>
				["at0047"] = <
					text = <"Gjenstander">
					description = <"">
				>
				["at0048"] = <
					text = <"Personer">
					description = <"">
				>
				["at0049"] = <
					text = <"Skadet">
					description = <"">
				>
				["at0050"] = <
					text = <"Psykologisk / emosjonelt stress">
					description = <"">
				>
				["at0051"] = <
					text = <"Opplevde sin egen sikkerhet truet">
					description = <"">
				>
				["at0052"] = <
					text = <"Smerte">
					description = <"">
				>
				["at0053"] = <
					text = <"Synlig skade">
					description = <"">
				>
				["at0054"] = <
					text = <"Behov for legebehandling">
					description = <"">
				>
				["at0055"] = <
					text = <"Behov for å bli tatt av vakt">
					description = <"">
				>
				["at0056"] = <
					text = <"Annet, beskriv">
					description = <"">
				>
				["at0058"] = <
					text = <"Beskrivelse">
					description = <"Beskrivelse relatert til \"Annet, beskriv\" valget fra \"Kroppsdel\" elementet.">
				>
				["at0059"] = <
					text = <"Verbal utskjelling">
					description = <"">
				>
				["at0060"] = <
					text = <"Trussel">
					description = <"">
				>
				["at0061"] = <
					text = <"Ingen">
					description = <"">
				>
				["at0062"] = <
					text = <"Beskrivelse">
					description = <"Beskrivelse relatert til \"Andre personer, beskriv\" valget fra \"Mål\" elementet.">
				>
				["at0063"] = <
					text = <"Beskrivelse">
					description = <"Beskrivelse relatert til \"Annet, beskriv\" valget fra \"Person\" elementet.">
				>
				["at0064"] = <
					text = <"Ingen">
					description = <"">
				>
				["at0065"] = <
					text = <"Tiltak">
					description = <"">
				>
				["at0066"] = <
					text = <"Snakket med personen">
					description = <"">
				>
				["at0067"] = <
					text = <"Tok personen til side">
					description = <"">
				>
				["at0068"] = <
					text = <"Trakk seg ut av situasjonen / avsluttet telefonsamtale">
					description = <"">
				>
				["at0069"] = <
					text = <"Etterkom personens ønske">
					description = <"">
				>
				["at0070"] = <
					text = <"Ba personen om å gå fra legevakten">
					description = <"">
				>
				["at0071"] = <
					text = <"Fjernet personen med makt">
					description = <"">
				>
				["at0072"] = <
					text = <"Fastholding">
					description = <"">
				>
				["at0073"] = <
					text = <"Medisinering">
					description = <"">
				>
				["at0074"] = <
					text = <"Annet, beskriv">
					description = <"">
				>
				["at0075"] = <
					text = <"Beskrivelse">
					description = <"Beskrivelse relatert til \"Annet, beskriv\" valget fra \"Tiltak\" elementet.">
				>
				["at0076"] = <
					text = <"Personer involvert">
					description = <"">
				>
				["at0077"] = <
					text = <"Lege">
					description = <"">
				>
				["at0078"] = <
					text = <"Sykepleier">
					description = <"">
				>
				["at0079"] = <
					text = <"Ambulansepersonell">
					description = <"">
				>
				["at0080"] = <
					text = <"Sikkerhetsvakt">
					description = <"">
				>
				["at0081"] = <
					text = <"Politi">
					description = <"">
				>
				["at0082"] = <
					text = <"Andre pasienter">
					description = <"">
				>
				["at0083"] = <
					text = <"Pårørende">
					description = <"">
				>
				["at0084"] = <
					text = <"Andre, beskriv">
					description = <"">
				>
				["at0085"] = <
					text = <"Beskrivelse">
					description = <"Beskrivelse relatert til \"Andre, beskriv\" valget fra \"Personer involvert\" elementet.">
				>
				["at0086"] = <
					text = <"Visuell analog skala (VAS)">
					description = <"En evalueringsskala.">
					comment = <"Bruk skalaen til å evaluere den aggressive hendelsen.">
				>
				["at0087"] = <
					text = <"Ikke alvorlig">
					description = <"">
				>
				["at0089"] = <
					text = <"1">
					description = <"">
				>
				["at0090"] = <
					text = <"2">
					description = <"">
				>
				["at0091"] = <
					text = <"3">
					description = <"">
				>
				["at0092"] = <
					text = <"4">
					description = <"">
				>
				["at0093"] = <
					text = <"5">
					description = <"">
				>
				["at0094"] = <
					text = <"6">
					description = <"">
				>
				["at0095"] = <
					text = <"7">
					description = <"">
				>
				["at0096"] = <
					text = <"8">
					description = <"">
				>
				["at0097"] = <
					text = <"9">
					description = <"">
				>
				["at0098"] = <
					text = <"Svært alvorlig">
					description = <"">
				>
				["at0099"] = <
					text = <"Hvor skjedde hendelsen?">
					description = <"">
				>
				["at0100"] = <
					text = <"På legevakt">
					description = <"">
				>
				["at0101"] = <
					text = <"På telefon">
					description = <"">
				>
				["at0102"] = <
					text = <"På hjemmebesøk">
					description = <"">
				>
				["at0103"] = <
					text = <"Annet">
					description = <"">
				>
				["at0104"] = <
					text = <"Annen plass for hendelsen">
					description = <"Beskrivelse relatert til \"Annet\" valget fra \"Hvor skjedde hendelsen\" elementet.">
				>
				["at0106"] = <
					text = <"Person utsatt for hendelse">
					description = <"">
				>
				["at0107"] = <
					text = <"Yrke">
					description = <"">
				>
				["at0108"] = <
					text = <"Kjønn">
					description = <"">
				>
				["at0109"] = <
					text = <"Kvinne">
					description = <"">
				>
				["at0110"] = <
					text = <"Mann">
					description = <"">
				>
				["at0111"] = <
					text = <"Var du alene i situasjonen?">
					description = <"">
				>
				["at0112"] = <
					text = <"Ja">
					description = <"">
				>
				["at0113"] = <
					text = <"Nei">
					description = <"">
				>
				["at0114"] = <
					text = <"Utøver av aggressiv atferd">
					description = <"">
				>
				["at0115"] = <
					text = <"Hvem">
					description = <"">
				>
				["at0116"] = <
					text = <"Pasient">
					description = <"">
				>
				["at0117"] = <
					text = <"Pårørende">
					description = <"">
				>
				["at0118"] = <
					text = <"Annet">
					description = <"">
				>
				["at0119"] = <
					text = <"Kjønn">
					description = <"">
				>
				["at0120"] = <
					text = <"Kvinne">
					description = <"">
				>
				["at0121"] = <
					text = <"Mann">
					description = <"">
				>
				["at0122"] = <
					text = <"Har utøver en kjent psykisk lidelse?">
					description = <"">
				>
				["at0123"] = <
					text = <"Var utøver ruset?">
					description = <"">
				>
				["at0124"] = <
					text = <"Ja">
					description = <"">
				>
				["at0125"] = <
					text = <"Nei">
					description = <"">
				>
				["at0126"] = <
					text = <"Ukjent">
					description = <"">
				>
				["at0127"] = <
					text = <"Ja">
					description = <"">
				>
				["at0128"] = <
					text = <"Nei">
					description = <"">
				>
				["at0129"] = <
					text = <"Ukjent">
					description = <"">
				>
				["at0130"] = <
					text = <"Alder">
					description = <"">
				>
				["at0132"] = <
					text = <"Når skjedde hendelsen?">
					description = <"Dato (dd/mm 20yy), Klokken (tt:mm)">
				>
				["at0133"] = <
					text = <"Annen utøver">
					description = <"Relatert til \"Annet\" fra \"Hvem\" elementet.">
				>
				["at0134"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR.">
				>
			>
		>
	>