Brontekst bekijken van PainScore-v4.0(2022EN)

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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.9(EN)|1|PainScore-v4.0(2022EN)}}
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==General information<!--hdGeneralInformation-->==
Name<!--hdName-->: '''nl.zorg.PainScore''' [[Bestand:NL.png|link=Pijnscore-v4.0(2022NL)]]<BR>
Version<!--hdVersion-->: '''4.0''' <br>
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2022''' <br>
Release status<!--hdPublicationStatus-->: Prepublished<br>
Release date<!--hdPublicationDate-->: 10-06-2022
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{{ErrataEN<!--hdErrata-->|2022|{{PAGENAME}}}}
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2022(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2022(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|- 
|style="width:250px; "|DCM::CoderList||Kerngroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::ContactInformation.Address||*
|- 
|style="width:250px; "|DCM::ContactInformation.Name||*
|- 
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|- 
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::CreationDate||29-11-2012
|- 
|style="width:250px; "|DCM::DeprecatedDate||
|- 
|style="width:250px; "|DCM::DescriptionLanguage||nl
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Address||
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|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
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|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
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|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.12.9
|- 
|style="width:250px; "|DCM::KeywordList||pijn, pijnscore, vas, nrs, vitale parameters
|- 
|style="width:250px; "|DCM::LifecycleStatus||Final
|- 
|style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::Name||nl.zorg.Pijnscore
|- 
|style="width:250px; "|DCM::PublicationDate||10-06-2022
|- 
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|- 
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::RevisionDate||20-07-2020
|- 
|style="width:250px; "|DCM::Supersedes||nl.zorg.Pijnscore-v3.2
|- 
|style="width:250px; "|DCM::Version||4.0
|- 
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch<!--noTranslation-->''

<u>Publicatieversie 1.0</u> (15-02-2013)

<u>Publicatieversie 1.1</u> (01-07-2013)

<u>Publicatieversie 1.2</u> (01-04-2015)
{|
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-114 | ZIB-114 ]]
|Aanpassing GOG bouwsteen OverdrachtPijnScore; aanscherpen definities, toevoegen meetmethode, aanpassen naam rootconcept naar pijnscore, en concept pijnscore naar pijnscorewaarde.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-263 | ZIB-263 ]]
|Het concept Pijnscore bevat een constraint welke op een andere manier is toegevoegd als dat bij andere concepten het geval is, dit is gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-308 | ZIB-308 ]]
|Prefix Overdracht weggehaald bij de generieke bouwstenen
|}

Incl. algemene wijzigingsverzoeken: 
{|
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-94 | ZIB-94 ]]
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-154 | ZIB-154 ]]
|Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-200 | ZIB-200 ]]
|Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-201 | ZIB-201 ]]
|Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-309 | ZIB-309 ]]
|EOI aangepast
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-324 | ZIB-324 ]]
|Codelijsten Name en Description beginnen met een Hoofdletter
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-326 | ZIB-326 ]]
|Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
|}

<u>Publicatieversie 1.2.1</u> (22-05-2015)
{|
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-371 | ZIB-371 ]]
|Concepten PijnMeetmethode en Toelichting uit nl.nfu.Pijnscore-v1.2 hebben hetzelfde ID.
|}

<u>Publicatieversie 3.0</u> (01-05-2016)
{|
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|}

<u>Publicatieversie 3.1</u> (04-09-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-564 | ZIB-564 ]]
|Aanpassing/harmonisatie Engelse conceptnamen
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-524 | ZIB-524 ]]
|Toevoegen Anatomische Locatie en PijnContext teneinde de bouwsteen Pijnbeleving te laten vervallen
|}

<u>Publicatieversie 3.2</u> (31-01-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-927 | ZIB-927 ]]
|DefinitionCodes zib nl.Pijnscore
|}

Publicatieversie <u>4.0</u> (01-09-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-979 | ZIB-979 ]]
|Geen informatie
|}
</div>

==Concept==
The pain score is a general measurement for pain experience, not a description of specific, localized pain.<BR>
<BR>
The following are used as an easily reproducible measurement for pain experience:<BR>
<ol>
	<li>NRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 1 (no pain) to 10 (unbearable pain). </li>
	<li>VAS (Visual Analogue Score), in which the patient points to a bar with a line to indicate the pain they feel. The back of the bar has a scale from 0 (no pain) to 10 (unbearable pain) on it. </li>
</ol>
<BR>
The results of both scores have the same meaning, but the visual analogue method (VAS) is seen as more reliable than the NRS pain score.

==Purpose==
The purpose of the pain score is to quantify and objectify the patient’s subjective pain experience.

==Information Model==
<BR>
<imagemap> Bestand:PainScore-v4.0Model(2022EN).png | center 
rect 397 405 551 455 [[#PainMeasuringMethodCodelist]]
rect 412 272 536 342 [[#13758]]
rect 69 336 194 406 [[#13760]]
rect 246 107 362 222 [[#13756]]
rect 69 215 194 285 [[#13753]]
rect 253 272 355 342 [[#13759]]
desc none
</imagemap>
<BR>
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" 
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference-->
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:12.9.1
|colspan ="6" style ="padding-left: 0px"|<span Id=13759 Title="NL: PijnScore">[[Bestand: arrowdown.png | 10px | link=]]PainScore</span>
|
|Root concept of the PainScore information model. This root concept contains all data elements of the PainScore information model.
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Beoordelingsschaal voor intensiteit van pijn (assessment scale)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=425401001 425401001] Pain intensity rating scale</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.9.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=13756 Title="NL: PijnscoreWaarde">[[Bestand: arrowright.png | 10px | link=]]PainScoreValue</span>
|1
|The score is a general measurement of pain experience, not a description of specific, localized pain. 
 
Depending on the measuring method used, it indicates the level of pain experienced by the patient on a scale of 0 to 10: 0 = no pain and 10 = the worst pain imaginable. No descriptions are used for the intermediate values, so that the value is displayed as a number and not as a code.  
 
Sometimes a value range of 0-100 is used instead of 0-10. 
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Pijnscore (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=225908003 225908003] Pain score</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:12.9.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=13753 Title="NL: PijnscoreDatumTijd">[[Bestand: arrowright.png | 10px | link=]]PainScoreDateTime</span>
|1
|The date and time at which the pain score was measured.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:12.9.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=13758 Title="NL: PijnMeetmethode">[[Bestand: arrowright.png | 10px | link=]]PainMeasuringMethod</span>
|1
|The measuring method describes the method used to determine the pain score. The measurement involves a visualization of the pain scale. 
|
|
{|
|-
|[[Bestand: List2.png | link=#PainMeasuringMethodCodelist]]||[[#PainMeasuringMethodCodelist|PainMeasuringMethodCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:12.9.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=13760 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|0..1
|Comment on the pain score measurement, including comments on for example the circumstances and/or disruptive factors that may influence the result.
|
{|
|-
|<span title = "Codesystem: LOINC (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span>
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR>
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]

==Example Instances==
''Only available in Dutch<!--noTranslation-->''

{|class="wikitable" width="655px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 22%; "|<font color=#FFFFFF><b>PijnscoreDatum</b></font><font color=#FFFFFF><b> </b></font><font color=#FFFFFF><b>Tijd</b></font>
| style="background-color: #1F497D; width: 14%; "|<font color=#FFFFFF><b>PijnscoreWaarde</b></font>
| style="background-color: #1F497D; width: 14%; "|<font color=#FFFFFF><b>PijnMeetmethode</b></font>
| style="background-color: #1F497D; width: 17%; "|<font color=#FFFFFF><b>AnatomischeLocatie</b></font>
| style="background-color: #1F497D; width: 16%; "|<font color=#FFFFFF><b>Lateraliteit</b></font>
| style="background-color: #1F497D; width: 17%; "|<font color=#FFFFFF><b>Toelichting</b></font>
|-style=vertical-align:top;
| style="width: 22%; "|08-02-2013 6:43
| style="width: 14%; "|7
| style="width: 14%; "|VAS10
| style="width: 17%; "|Enkel
| style="width: 16%; "|Rechts
| style="width: 17%; "|Bij bewegen
|}

==References==
1. openEHR-EHR-OBSERVATION.symptom-pain.v1[Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 23 december 2014].

== Valuesets ==
=== PainMeasuringMethodCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.9.1
|Binding<!--vsBindingTag-->: Required
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname<!--vsConceptName-->
|Conceptcode<!--vsConceptCode-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|<span title = "NRS">NRS</span>
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten NRS]
|PijnMeetmethode
|2.16.840.1.113883.2.4.3.11.60.40.4.9.1
|NRS
|-style="vertical-align:top; "
|<span title = "VAS10">VAS10</span>
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten VAS10]
|PijnMeetmethode
|2.16.840.1.113883.2.4.3.11.60.40.4.9.1
|VAS10
|-style="vertical-align:top; "
|<span title = "VAS100">VAS100</span>
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten VAS100]
|PijnMeetmethode
|2.16.840.1.113883.2.4.3.11.60.40.4.9.1
|VAS100
|}

==This information model in other releases<!--ftOtherReleases-->==
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.9(EN)|2|2022}}
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==Information model references<!--ftReferences-->==
====This information model refers to<!--ftRefersTo-->====
:--
====This information model is used in<!--ftReferredBy-->====
*[[PainCharacteristics-v1.0(2022EN)|PainCharacteristics-v1.0]]
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2022|12.9}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2022}}</li>
</ul>
==Downloads<!--ftDownloadTitle-->==
This information model is also available as [[Media:nl.zorg.PainScore-v4.0(2022EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.PainScore-v4.0(2022EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
==About this information<!--ftHeader2-->==
The information in this wikipage is based on<!--ftInfoBase--> Pre-release 2022-1 <BR>
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms version: 20220131 [R] (January 2022 Release)</li>
<li>LOINC version 2.67</li>
</ul>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 10/06/2022 12:43:49 with ZibExtraction v. 8.0.8196.20371<!--ftDate--> <BR>
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2022(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2022(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>