archetype (adl_version=1.4; uid=9a49d23a-f16c-4f8e-adc8-49e3d0ccda82)
	openEHR-EHR-OBSERVATION.abbey_pain_scale.v0

concept
	[at0000]	-- Abbey pain scale
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["sv"] = <
			language = <[ISO_639-1::sv]>
			author = <
				["name"] = <"Dennis Forslund, Viktor Bäckman, Åsa Skagerhult">
				["organisation"] = <"Cambio Healthcare Systems, Linköpings Universitet, Region Östergötland">
				["email"] = <"vikba308@student.liu.se, asa.skagerhult@regionostergotland.se">
			>
		>
	>
description
	original_author = <
		["name"] = <"Syeeda S Farruque">
		["organisation"] = <"Cambio Healthcare Systems">
		["email"] = <"models@cambiocds.com">
		["date"] = <"2017-03-07">
	>
	details = <
		["sv"] = <
			language = <[ISO_639-1::sv]>
			purpose = <"Att bedöma och dokumentera allvarlighetsgraden av upplevd smärta hos individer med nedsatta kognitiva funktioner och andra som har svårt att beskriva sin smärta i tal.">
			use = <"Används för att bedöma och dokumentera allvarlighetsgraden av upplevd smärta hos individer med nedsatta kognitiva funktioner och andra som har svårt att beskriva sin smärta i tal.">
			keywords = <"demens", "abbey pain scale", "smärtskattning", "smärtskattningsskala", "geriatrik", "palliativ">
			misuse = <"">
			copyright = <"© Cambio Healthcare Systems, openEHR Foundation">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To assess and record the severity of pain in cognitively impaired and non-verbal individuals.">
			use = <"Use to assess and record the severity of pain in cognitively impaired and non-verbal individuals.">
			keywords = <"dementia", ...>
			misuse = <"">
			copyright = <"© Cambio Healthcare Systems, openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Heather Leslie, Atomica Informatics, Australia", ...>
	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"] = <"Abbey J, Piller N, De Bellis A, Esterman A, Parker D, Giles L, Lowcay B. The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia. Int J Palliat Nurs. 2004 Jan;10(1):6-13. PubMed PMID: 14966439.

Liu JY, Briggs M, Closs SJ. The psychometric qualities of four observational pain tools (OPTs) for the assessment of pain in elderly people with osteoarthritic pain. J Pain Symptom Manage. 2010 Oct;40(4):582-98. doi: 10.1016/j.jpainsymman.2010.02.022. Epub 2010 Aug 8. PubMed PMID: 20692806.">
		["current_contact"] = <"Heather Leslie, Atomica Informatics<heather.leslie@atomicainformatics.com>">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"B1E09466131ED871F3E2EA0C9C0EFF82">
		["build_uid"] = <"4b83c511-3165-401b-8ee1-fea5469dc06d">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Abbey pain scale
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0004] occurrences matches {0..1} matches {    -- Vocalization
										value matches {
											0|[local::at0010],
											1|[local::at0011],
											2|[local::at0012],
											3|[local::at0013]
										}
									}
									ELEMENT[at0005] occurrences matches {0..1} matches {    -- Facial expression
										value matches {
											0|[local::at0010],
											1|[local::at0011],
											2|[local::at0012],
											3|[local::at0013]
										}
									}
									ELEMENT[at0006] occurrences matches {0..1} matches {    -- Change in body language
										value matches {
											0|[local::at0010],
											1|[local::at0011],
											2|[local::at0012],
											3|[local::at0013]
										}
									}
									ELEMENT[at0007] occurrences matches {0..1} matches {    -- Behavioural change
										value matches {
											0|[local::at0010],
											1|[local::at0011],
											2|[local::at0012],
											3|[local::at0013]
										}
									}
									ELEMENT[at0008] occurrences matches {0..1} matches {    -- Physiological change
										value matches {
											0|[local::at0010],
											1|[local::at0011],
											2|[local::at0012],
											3|[local::at0013]
										}
									}
									ELEMENT[at0009] occurrences matches {0..1} matches {    -- Physical changes
										value matches {
											0|[local::at0010],
											1|[local::at0011],
											2|[local::at0012],
											3|[local::at0013]
										}
									}
									ELEMENT[at0014] occurrences matches {0..1} matches {    -- Total pain score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..15|}
											}
										}
									}
									ELEMENT[at0015] occurrences matches {0..1} matches {    -- Pain score category
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0016,    -- No pain
													at0017,    -- Mild pain
													at0018,    -- Moderate pain
													at0019]    -- Severe pain
												}
											}
										}
									}
									ELEMENT[at0020] occurrences matches {0..1} matches {    -- Type of pain
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0021,    -- Chronic
													at0022,    -- Acute
													at0023]    -- Acute on chronic
												}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0024] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0025] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Abbey pain scale">
					description = <"Rapid tool to assess the severity of pain in cognitively impaired and non-verbal individuals.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Vocalization">
					description = <"">
					comment = <"For example: whimpering; groaning; crying.">
				>
				["at0005"] = <
					text = <"Facial expression">
					description = <"">
					comment = <"For example: looking tense; frowning; grimacing; looking frightened.">
				>
				["at0006"] = <
					text = <"Change in body language">
					description = <"">
					comment = <"For example: fidgeting; rocking; guarding part of body; withdrawn.">
				>
				["at0008"] = <
					text = <"Physiological change">
					description = <"">
					comment = <"For example: temperature, pulse or blood pressure outside normal limits; perspiring, flushing or pallor.">
				>
				["at0009"] = <
					text = <"Physical changes">
					description = <"">
					comment = <"For example: skin tears; pressure areas; arthritis; contractures; previous injuries.">
				>
				["at0010"] = <
					text = <"Absent">
					description = <"">
				>
				["at0011"] = <
					text = <"Mild">
					description = <"">
				>
				["at0012"] = <
					text = <"Moderate">
					description = <"">
				>
				["at0013"] = <
					text = <"Severe">
					description = <"">
				>
				["at0014"] = <
					text = <"Total pain score">
					description = <"The total sum of each component parameter for the Abbey pain scale.">
				>
				["at0024"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0025"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
					comment = <"For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.">
				>
				["at0007"] = <
					text = <"Behavioural change">
					description = <"">
					comment = <"For example: increased confusion; refusing to eat,; alteration in usual patterns.">
				>
				["at0015"] = <
					text = <"Pain score category">
					description = <"Category of pain, based on the total score.">
				>
				["at0016"] = <
					text = <"No pain">
					description = <"Total pain score 0-2.">
				>
				["at0017"] = <
					text = <"Mild pain">
					description = <"Total pain score 3-7.">
				>
				["at0018"] = <
					text = <"Moderate pain">
					description = <"Total pain score 8-13.">
				>
				["at0019"] = <
					text = <"Severe pain">
					description = <"Total pain score 14+.">
				>
				["at0020"] = <
					text = <"Type of pain">
					description = <"">
				>
				["at0021"] = <
					text = <"Chronic">
					description = <"">
				>
				["at0022"] = <
					text = <"Acute">
					description = <"">
				>
				["at0023"] = <
					text = <"Acute on chronic">
					description = <"">
				>
			>
		>
		["sv"] = <
			items = <
				["at0000"] = <
					text = <"Smärtskattningsskala enligt Abbey Pain Scale">
					description = <"Verktyg för att snabbt bedöma och dokumentera graden av upplevd smärta hos individer med nedsatta kognitiva funktioner och andra som har svårt att beskriva sin smärta i tal.">
				>
				["at0001"] = <
					text = <"*Event Series(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"Ospecificerad händelse">
					description = <"Ospecificerad standardhändelse vid en tidpunkt eller inom ett tidsintervall som explicit kan definieras i en mall eller genereras automatiskt av vissa IT-system.">
				>
				["at0003"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0004"] = <
					text = <"Röstuttryck eller ljud">
					description = <"">
					comment = <"Exempelvis gnyr, jämrar sig eller gråter.">
				>
				["at0005"] = <
					text = <"Ansiktsuttryck">
					description = <"">
					comment = <"Exempelvis spänd, rynkar näsan, grimaserar eller ser rädd ut.">
				>
				["at0006"] = <
					text = <"Förändrat kroppsspråk">
					description = <"">
					comment = <"Exempelvis rastlös, vaggar, skyddar en kroppsdel eller ihopkrupen.">
				>
				["at0008"] = <
					text = <"Fysiologisk förändring">
					description = <"">
					comment = <"Exempelvis förändrad kroppstemperatur, puls eller blodtryck, svettningar, rodnad eller blekhet i hyn.">
				>
				["at0009"] = <
					text = <"Kroppsliga förändringar">
					description = <"">
					comment = <"Exempelvis rivet skinn, tryckskador, kontrakturer eller andra skador.">
				>
				["at0010"] = <
					text = <"Inte alls">
					description = <"*">
				>
				["at0011"] = <
					text = <"Sällan">
					description = <"*">
				>
				["at0012"] = <
					text = <"Ibland">
					description = <"*">
				>
				["at0013"] = <
					text = <"Ofta">
					description = <"*">
				>
				["at0014"] = <
					text = <"Summa">
					description = <"*The total sum of each component parameter for the Abbey pain scale. (en)">
				>
				["at0024"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0025"] = <
					text = <"Tilläggsinformation">
					description = <"Plats för att infoga tilläggsinformation som krävs för lokala anpassningar eller anpassning till andra referensmodeller eller formella krav.">
					comment = <"Exempelvis lokala informationskrav eller metadata för anpassning till FHIR- eller CIMI-motsvarigheter.">
				>
				["at0007"] = <
					text = <"Förändrat beteende">
					description = <"">
					comment = <"Exempelvis ökad förvirring, matvägran, ökad eller minskad kroppsaktivitet.">
				>
				["at0015"] = <
					text = <"Grad av smärta">
					description = <"Grad av smärta, baserat på den totala poängen.">
				>
				["at0016"] = <
					text = <"Ingen smärta">
					description = <"Sammanlagd smärtpoäng 0-2.">
				>
				["at0017"] = <
					text = <"Mild smärta">
					description = <"Sammanlagd smärtpoäng 3-7.">
				>
				["at0018"] = <
					text = <"Måttlig smärta">
					description = <"Sammanlagd smärtpoäng 8-13.">
				>
				["at0019"] = <
					text = <"Svår smärta">
					description = <"Sammanlagd smärtpoäng 14 eller högre.">
				>
				["at0020"] = <
					text = <"Typ av smärta">
					description = <"">
				>
				["at0021"] = <
					text = <"Långvarig">
					description = <"">
				>
				["at0022"] = <
					text = <"Akut">
					description = <"">
				>
				["at0023"] = <
					text = <"Blandad">
					description = <"">
				>
			>
		>
	>