ComfortScale-v1.2(2023EN) - Bewerkingsoverzicht

Update bot op 31 okt 2023 om 18:59

2023-10-31T18:59:51Z

← Oudere versie		Versie van 31 okt 2023 20:59
Regel 54:		Regel 54:
	\|style="width:250px; "\|DCM::PublicationStatus\|\|Prepublished		\|style="width:250px; "\|DCM::PublicationStatus\|\|Prepublished
	\|-		\|-
	\|style="width:250px; "\|DCM::ReviewerList\|\|Projectgroep RadB Verpleegkundige Gegevens &~~amp;~~ Kerngroep Registratie aan de Bron		\|style="width:250px; "\|DCM::ReviewerList\|\|Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
	\|-		\|-
	\|style="width:250px; "\|DCM::RevisionDate\|\|03-09-2023		\|style="width:250px; "\|DCM::RevisionDate\|\|03-09-2023
Regel 731:		Regel 731:
	:--		:--
	==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==		==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~~>~~		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-->		Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
	<ul>		<ul>
	<li>~~HL7®~~ version 3 CDA compatible specifications, available through the Nictiz ART-~~DECOR®~~ environment<!--ftArtDecorReference--> {{ArtDecorLinks\|2023\|12.12}}</li>		<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks\|2023\|12.12}}</li>
	<li>~~HL7® FHIR®~~ compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks\|2023\|ComfortScore}}</li>		<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks\|2023\|ComfortScore}}</li>
	</ul>		</ul>
	==Downloads<!--ftDownloadTitle-->==		==Downloads<!--ftDownloadTitle-->==
Regel 747:		Regel 747:
	</ul>		</ul>
	Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>		Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
	This page is generated on 26/10/2023 16:19:16 with ZibExtraction v. 9.0.~~8682~~.~~20490~~<!--ftDate--> <BR>		This page is generated on 31/10/2023 19:30:04 with ZibExtraction v. 9.3.8704.31782<!--ftDate--> <BR>
	-----		-----
	<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2023(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2023(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2023(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2023(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Update bot op 26 okt 2023 om 14:30

2023-10-26T14:30:57Z

@@ Regel 8: / Regel 8: @@
 Release<!--hdPublication-->: '''2023''' <br>
 Release status<!--hdPublicationStatus-->: Prepublished<br>
-Release date<!--hdPublicationDate-->: 28-09-2023
+Release date<!--hdPublicationDate-->: 15-10-2023
 <!-- Aanroep Errata transclude page -->
 {{ErrataEN<!--hdErrata-->|2023|{{PAGENAME}}}}
@@ Regel 50: / Regel 50: @@
 |style="width:250px; "|DCM::Name||nl.zorg.ComfortScore
 |-
-|style="width:250px; "|DCM::PublicationDate||28-09-2023
+|style="width:250px; "|DCM::PublicationDate||15-10-2023
 |-
 |style="width:250px; "|DCM::PublicationStatus||Prepublished
@@ Regel 78: / Regel 78: @@
 |}
-Publicatieversie <u>1.2</u> (28-09-2023)
+Publicatieversie <u>1.2</u> (15-10-2023)
 {|
 |-
 |style="width:75px; "|[[ZIBIssues500_3#ZIB-1839 | ZIB-1839 ]]
-|Geen informatie
+|Foutieve totaalscore ComfortScore
 |}
 </div>
@@ Regel 305: / Regel 305: @@
 ''Only available in Dutch<!--noTranslation-->''
-Voorbeeld file fout: Kan het opgegeven bestand niet vinden. : C:\Users\zanen_nict1\OneDrive - Nictiz\ZIBs\Werkversie\9.10 Werkversies 2023-1\VZIBS_Examples_2023\nl.zorg.ComfortScore-v1.2(NL)_Voorbeeld.docx
+{|class="wikitable" width="564px" style= "font-size: 9.5pt;"
 ==Instructions==
 In the ComfortNeo scale the item crying is replaced by respiratory reaction.<BR>
@@ Regel 678: / Regel 740: @@
 This information model is also available as [[Media:nl.zorg.ComfortScale-v1.2(2023EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ComfortScale-v1.2(2023EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
 ==About this information<!--ftHeader2-->==
-The information in this wikipage is based on<!--ftInfoBase--> Pre-release 2023-1 <BR>
+The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2023-1 <BR>
 SNOMED CT and LOINC codes are based on:
 <ul>
@@ Regel 685: / Regel 747: @@
 </ul>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 13/10/2023 09:30:47 with ZibExtraction v. 9.0.8682.20490<!--ftDate--> <BR>
+This page is generated on 26/10/2023 16:19:16 with ZibExtraction v. 9.0.8682.20490<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2023(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2023(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.12(EN)|1|ComfortScale-v1.2(2023EN)}} ==General information== Name: '''nl.zorg.ComfortScale''' link=ComfortScore-v1.2(2023NL)
Version: '''1.2'''
HCIM Status:Final
Release: '''2023'''
Rel...'

2023-10-13T07:37:17Z

Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.12(EN)|1|ComfortScale-v1.2(2023EN)}}  ==General information== Name: '''nl.zorg.ComfortScale''' link=ComfortScore-v1.2(2023NL) Version: '''1.2''' HCIM Status:Final Release: '''2023''' Rel...'

Nieuwe pagina

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.12(EN)|1|ComfortScale-v1.2(2023EN)}}

==General information==
Name: '''nl.zorg.ComfortScale''' [[Bestand:NL.png|link=ComfortScore-v1.2(2023NL)]] 
Version: '''1.2''' 
HCIM Status:Final 
Release: '''2023''' 
Release status: Prepublished 
Release date: 28-09-2023

{{ErrataEN|2023|{{PAGENAME}}}}

-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2023(EN)]] [[HCIM_Release_2023(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::CreationDate||1-8-2016
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||zorg
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.12.12
|-
|style="width:250px; "|DCM::KeywordList||Pijnscore, assessment, comfort, comfortneo
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.zorg.ComfortScore
|-
|style="width:250px; "|DCM::PublicationDate||28-09-2023
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||03-09-2023
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.ComfortScore-v1.1
|-
|style="width:250px; "|DCM::Version||1.2
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

Publicatieversie 1.0 (04-09-2017)

Publicatieversie 1.1 (31-01-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-925 | ZIB-925 ]]
|DefinitionCodes zib nl.ComfortScore
|}

Publicatieversie 1.2 (28-09-2023)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1839 | ZIB-1839 ]]
|Geen informatie
|}
</div>

==Concept==
The Comfort Behaviour scale/ComfortNeo scale is an assessment tool, that is used to assess the pain behaviour of neonates (newborn). 
The Comfort Behaviour scale has 7 observation points that need to be addressed. For each observation a value is assigned from a 5-point scale, the final score indicates whether the observed child suffers pain and 'how much'. The score is combined with an NRS score that is completed by the nurses on basis of clinical experience.

==Purpose==
> A pain observation instrument is a tool in determining the intensity of pain and can be useful in order to determine the effectiveness of pain treatment interventions (pharmacological or non-pharmacological). For new born it is nevertheless difficult to differentiate between pain or distress/anxiety. This is relevant in determining the treatment. The score on a pain measurement instrument remains a snapshot in time.

==Evidence Base==
For determining the degree of pain in children with difficulty expressing themselves there are diverse pain observation instruments available: 
<ul>
<li>CPB</li>
<li>Comfort Behaviour scale/ComfortNeo scale</li>
<li>FLACC</li>
</ul>

==Patient Population==
The COMFORT assessment scale is validated for young children up to the age of 4. 
The COMFORT and COMFORTneo assessment score is validated for preterm neonates

==Information Model==
 
<imagemap> Bestand:ComfortScale-v1.2Model(2023EN).png | center
rect 782 301 936 351 [[#FacialToneCodelist]]
rect 782 201 925 251 [[#BodyMuscleToneCodelist]]
rect 192 489 362 539 [[#RespiratoryResponseCodelist]]
rect 35 301 190 351 [[#Calmness_AgitationCodelist]]
rect 75 201 191 251 [[#AlertnessCodelist]]
rect 617 191 737 261 [[#3059]]
rect 617 291 737 361 [[#3061]]
rect 617 391 737 461 [[#3057]]
rect 425 392 545 462 [[#3076]]
rect 242 391 362 461 [[#3074]]
rect 242 290 362 360 [[#3065]]
rect 242 190 362 260 [[#3073]]
rect 617 91 736 161 [[#3063]]
rect 617 489 785 539 [[#BodyMovementCodelist]]
rect 426 59 544 161 [[#3060]]
rect 425 489 545 539 [[#CryingCodelist]]
rect 243 91 362 161 [[#3064]]
rect 425 227 545 307 [[#3066]]
desc none
</imagemap>
 
{| 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||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:12.12.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]ComfortScale
|
|Root concept of the ComfortScale information model. This root concept contains all data elements of the ComfortScale information model.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=108301000146109 108301000146109] COMFORT scale
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.12.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]TotalScore
|0..1
|The total score is the sum of all the individual scores. The total score has a range from 0 - 30.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=48961000146108 48961000146108] COMFORT behavior scale score
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.12.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Alertness
|0..1
|Observation Alertness
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 12012003] ComfortScale Alertness
|}
|
{|
|-
|[[Bestand: List2.png | link=#AlertnessCodelist]]||[[#AlertnessCodelist|AlertnessCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.12.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Calmness_Agitation
|0..1
| Observation Calmness/Agitation
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 12012004] ComfortScale Calmness_Agitation
|}
|
{|
|-
|[[Bestand: List2.png | link=#Calmness_AgitationCodelist]]||[[#Calmness_AgitationCodelist|Calmness_AgitationCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.12.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]RespiratoryResponse
|0..1
|Observation Respiratory response (only in mechanically ventilated children)
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 12012005] ComfortScale RespiratoryResponse
|}
|
{|
|-
|[[Bestand: List2.png | link=#RespiratoryResponseCodelist]]||[[#RespiratoryResponseCodelist|RespiratoryResponseCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.12.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Crying
|0..1
|Observation Crying (only in spontaneously breathing children)
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 12012006] ComfortScale Crying
|}
|
{|
|-
|[[Bestand: List2.png | link=#CryingCodelist]]||[[#CryingCodelist|CryingCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.12.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]BodyMovement
|0..1
|Observation Physical movement
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 12012008] ComfortScale BodyMovement
|}
|
{|
|-
|[[Bestand: List2.png | link=#BodyMovementCodelist]]||[[#BodyMovementCodelist|BodyMovementCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.12.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]FacialTone
|0..1
|Observation Facial tension
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 12012009] ComfortScale FacialTone
|}
|
{|
|-
|[[Bestand: List2.png | link=#FacialToneCodelist]]||[[#FacialToneCodelist|FacialToneCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.12.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]BodyMuscleTone
|0..1
|Observation Muscle tone
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 12012010] ComfortScale BodyMuscleTone
|}
|
{|
|-
|[[Bestand: List2.png | link=#BodyMuscleToneCodelist]]||[[#BodyMuscleToneCodelist|BodyMuscleToneCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:12.12.11
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ScoreDateTime
|1
|The date and time at which the Comfort Behaviour scale/ComfortNeo scale was determined.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:12.12.12
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Comment
|0..1
|A comment on the circumstances during the measurement.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

Voorbeeld file fout: Kan het opgegeven bestand niet vinden. : C:\Users\zanen_nict1\OneDrive - Nictiz\ZIBs\Werkversie\9.10 Werkversies 2023-1\VZIBS_Examples_2023\nl.zorg.ComfortScore-v1.2(NL)_Voorbeeld.docx
==Instructions==
In the ComfortNeo scale the item crying is replaced by respiratory reaction. 
In the Comfort scale the item respiratory reaction is replaced by crying.

==References==
1. Comfort assessment [Online] Beschikbaar op:http://www.comfortassessment.nl/ [Geraadpleegd: 2 augustus 2016]
2. Richtlijn Pijnmeting en Behandeling van pijn bij kinderen, NVK, 2007 [Online] Beschikbaar op:https://www.nvk.nl/Kwaliteit/Richtlijnenoverzicht/Details/tabid/1558/articleType/ArticleView/articleId/760/Pijn-meting-en-behandeling-van.aspx [Geraadpleegd: 21 december 2016]

== Valuesets ==
=== AlertnessCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.1
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Deeply asleep
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Alert1]
|1
|CN_Alertheid
|2.16.840.1.113883.2.4.3.11.60.40.4.20.1
|Diep in slaap (ogen dicht, geen reactie op omgeving)
|-style="vertical-align:top; "
|Lightly asleep
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Alert2]
|2
|CN_Alertheid
|2.16.840.1.113883.2.4.3.11.60.40.4.20.1
|Licht in slaap (ogen grotendeels gesloten, af en toe reactie)
|-style="vertical-align:top; "
|Drowsy
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Alert3]
|3
|CN_Alertheid
|2.16.840.1.113883.2.4.3.11.60.40.4.20.1
|Slaperig (kind sluit vaak zijn ogen, reageert minder op omgeving)
|-style="vertical-align:top; "
|Awake and alert
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Alert4]
|4
|CN_Alertheid
|2.16.840.1.113883.2.4.3.11.60.40.4.20.1
|Wakker en alert (kind reageert op omgeving)
|-style="vertical-align:top; "
|Awake and hyperalert
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Alert5]
|5
|CN_Alertheid
|2.16.840.1.113883.2.4.3.11.60.40.4.20.1
|Wakker en hyper-alert (overdreven reactie op veranderingen)
|}
=== BodyMovementCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.5
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|No movement
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Mov1]
|1
|CN_Lichaamsbeweging
|2.16.840.1.113883.2.4.3.11.60.40.4.20.5
|Geen beweging
|-style="vertical-align:top; "
|Occasional, slight movements
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Mov2]
|2
|CN_Lichaamsbeweging
|2.16.840.1.113883.2.4.3.11.60.40.4.20.5
|Incidentele (3 of minder) kleine bewegingen
|-style="vertical-align:top; "
|Frequent, slight movements
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Mov3]
|3
|CN_Lichaamsbeweging
|2.16.840.1.113883.2.4.3.11.60.40.4.20.5
|Frequente (3 of meer) kleine bewegingen
|-style="vertical-align:top; "
|Vigorous movements limited to extremities
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Mov4]
|4
|CN_Lichaamsbeweging
|2.16.840.1.113883.2.4.3.11.60.40.4.20.5
|Heftige bewegingen met armen en benen
|-style="vertical-align:top; "
|Vigorous movements including torso and head
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Mov5]
|5
|CN_Lichaamsbeweging
|2.16.840.1.113883.2.4.3.11.60.40.4.20.5
|Heftige bewegingen ook met romp en hoofd
|}
=== BodyMuscleToneCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.7
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Muscles fully relaxed
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Musc1]
|1
|CN_Spierspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.7
|Spieren volledig ontspannen; geen spierspanning
|-style="vertical-align:top; "
|Reduced muscle tone
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Musc2]
|2
|CN_Spierspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.7
|Verminderde spierspanning; minder weerstand dan normaal
|-style="vertical-align:top; "
|Normal muscle tone
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Musc3]
|3
|CN_Spierspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.7
|Normale spierspanning
|-style="vertical-align:top; "
|Increased muscle tone
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Musc4]
|4
|CN_Spierspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.7
|Toegenomen spierspanning en buiging van vingers en tenen
|-style="vertical-align:top; "
|Extreme muscle rigidity
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Musc5]
|5
|CN_Spierspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.7
|Extreme spierstijfheid en buiging van vingers en tenen
|}
=== Calmness_AgitationCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.2
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Calm
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Calm1]
|1
|CN_Kalmte_Agitatie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.2
|Kalm (kind helder en rustig)
|-style="vertical-align:top; "
|Slightly anxious
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Calm2]
|2
|CN_Kalmte_Agitatie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.2
|Licht angstig (kind toont lichte onrust)
|-style="vertical-align:top; "
|Anxious
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Calm3]
|3
|CN_Kalmte_Agitatie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.2
|Angstig (kind lijkt onrustig, kan zich beheersen)
|-style="vertical-align:top; "
|Very anxious
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Calm4]
|4
|CN_Kalmte_Agitatie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.2
|Zeer angstig (kind lijkt zeer onrustig, kan zich nog net beheersen)
|-style="vertical-align:top; "
|Panicky
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Calm5]
|5
|CN_Kalmte_Agitatie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.2
|Paniekerig (ernstige onrust met verlies van beheersing)
|}
=== CryingCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.4
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Quiet breathing
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Cry1]
|1
|CN_Huilen
|2.16.840.1.113883.2.4.3.11.60.40.4.20.4
|Geen huilgeluiden
|-style="vertical-align:top; "
|Occasional sobbing or moaning
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Cry2]
|2
|CN_Huilen
|2.16.840.1.113883.2.4.3.11.60.40.4.20.4
|Af en toe snikken of kreunen (nasnikken)
|-style="vertical-align:top; "
|Whining
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Cry3]
|3
|CN_Huilen
|2.16.840.1.113883.2.4.3.11.60.40.4.20.4
|Jengelen of dreinen (monotoon geluid)
|-style="vertical-align:top; "
|Crying
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Cry4]
|4
|CN_Huilen
|2.16.840.1.113883.2.4.3.11.60.40.4.20.4
|Huilen
|-style="vertical-align:top; "
|Screaming or shrieking
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Cry5]
|5
|CN_Huilen
|2.16.840.1.113883.2.4.3.11.60.40.4.20.4
|Schreeuwen of krijsen
|}
=== FacialToneCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.6
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Facial muscles totally relaxed
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Face1]
|1
|CN_Gezichtsspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.6
|Gezichtsspieren volkomen ontspannen
|-style="vertical-align:top; "
|Normal facial tone
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Face2]
|2
|CN_Gezichtsspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.6
|Normale spanning van het gezicht
|-style="vertical-align:top; "
|Tension evident in some facial muscles
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Face3]
|3
|CN_Gezichtsspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.6
|Spanning duidelijk in sommige gelaatsspieren (niet aanhoudend)
|-style="vertical-align:top; "
|Tension evident throughout facial muscles
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Face4]
|4
|CN_Gezichtsspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.6
|Spanning duidelijk in alle gelaatsspieren (aanhoudend)
|-style="vertical-align:top; "
|Facial muscles contorted and grimacing
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Face5]
|5
|CN_Gezichtsspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.6
|Gezichtsspieren verwrongen en in een grimas
|}
=== RespiratoryResponseCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.3
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|No spontaneous respiration
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Vent1]
|1
|CN_Ademhalingsreactie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.3
|Geen spontane ademhaling
|-style="vertical-align:top; "
|Spontaneous respiration on ventilator
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Vent2]
|2
|CN_Ademhalingsreactie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.3
|Spontane ademhaling aan de beademing
|-style="vertical-align:top; "
|Unrest or resistance to ventilator
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Vent3]
|3
|CN_Ademhalingsreactie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.3
|Onrust of verzet tegen de beademing
|-style="vertical-align:top; "
|Actively breathes against ventilator or coughs regularly
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Vent4]
|4
|CN_Ademhalingsreactie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.3
|Ademt actief tegen de beademing in of hoest regelmatig
|-style="vertical-align:top; "
|Fights ventilator
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Vent5]
|5
|CN_Ademhalingsreactie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.3
|Vecht tegen de beademing
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.12(EN)|2|2023}}

==Information model references==
====This information model refers to====
:--
====This information model is used in====
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR==
To exchange information based on health and care information models, additional, more technical specifications are required. 
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2023|12.12}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2023|ComfortScore}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.ComfortScale-v1.2(2023EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ComfortScale-v1.2(2023EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Pre-release 2023-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)</li>
<li>LOINC version 2.76</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 13/10/2023 09:30:47 with ZibExtraction v. 9.0.8682.20490 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2023(EN)]] [[HCIM_Release_2023(EN) |Back to HCIM list ]]</div>

ComfortScale-v1.2(2023EN) - Bewerkingsoverzicht

Update bot op 31 okt 2023 om 18:59

Update bot op 26 okt 2023 om 14:30

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.12(EN)|1|ComfortScale-v1.2(2023EN)}} ==General information== Name: '''nl.zorg.ComfortScale''' link=ComfortScore-v1.2(2023NL) Version: '''1.2''' HCIM Status:Final Release: '''2023''' Rel...'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.12(EN)|1|ComfortScale-v1.2(2023EN)}} ==General information== Name: '''nl.zorg.ComfortScale''' link=ComfortScore-v1.2(2023NL)
Version: '''1.2'''
HCIM Status:Final
Release: '''2023'''
Rel...'