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FLACCpijnScore-v1.1(2020NL) - Bewerkingsoverzicht
2026-04-29T10:40:02Z
Bewerkingsoverzicht voor deze pagina op de wiki
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https://zibs.test-nictiz.nl/index.php?title=FLACCpijnScore-v1.1(2020NL)&diff=21587&oldid=prev
Update bot op 29 sep 2020 om 20:14
2020-09-29T20:14:03Z
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Oudere versie</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Versie van 29 sep 2020 22:14</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l140">Regel 140:</td>
<td colspan="2" class="diff-lineno">Regel 140:</td></tr>
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<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>|<span title = "Codesystem: SNOMED CT (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=49091000146109 49091000146109] <del style="font-weight: bold; text-decoration: none;">FLACC </del>score</span></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>|<span title = "Codesystem: SNOMED CT<ins style="font-weight: bold; text-decoration: none;">; FLACC score </ins>(observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=49091000146109 49091000146109] <ins style="font-weight: bold; text-decoration: none;">'faces, legs, activity, cry and consolability'-</ins>score</span></div></td></tr>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|</div></td></tr>
<tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l477">Regel 477:</td>
<td colspan="2" class="diff-lineno">Regel 477:</td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Om informatie op basis van zorginformatiebouwstenen uit te wisselen zijn aanvullende, meer technische specificaties nodig.<BR>Niet iedere omgeving kan met dezelfde technische specificaties overweg. Om deze reden zijn er meerdere typen technische specificaties:<!--ftReferenceIntro--></div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Om informatie op basis van zorginformatiebouwstenen uit te wisselen zijn aanvullende, meer technische specificaties nodig.<BR>Niet iedere omgeving kan met dezelfde technische specificaties overweg. Om deze reden zijn er meerdere typen technische specificaties:<!--ftReferenceIntro--></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><ul></div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><ul></div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><li>HL7® versie 3 CDA compatibele specificaties, beschikbaar via de Nictiz ART-DECOR® omgeving<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2020bbr-?id=2.16.840.1.113883.2.4.3.11.60.<del style="font-weight: bold; text-decoration: none;">10</del>.4.2.12.13&effectiveDate=2020-09-01T00:00:00&language=nl-NL&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><li>HL7® versie 3 CDA compatibele specificaties, beschikbaar via de Nictiz ART-DECOR® omgeving<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2020bbr-?id=2.16.840.1.113883.2.4.3.11.60.<ins style="font-weight: bold; text-decoration: none;">121</ins>.4.2.12.13&effectiveDate=2020-09-01T00:00:00&language=nl-NL&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><li>HL7® FHIR® compatibele specificaties, beschikbaar via de Nictiz-omgeving op de Simplifier FHIR Registry<!--ftSimplifierReference--> {{SimplefierLinks|2020}}</li></div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><li>HL7® FHIR® compatibele specificaties, beschikbaar via de Nictiz-omgeving op de Simplifier FHIR Registry<!--ftSimplifierReference--> {{SimplefierLinks|2020}}</li></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div></ul></div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div></ul></div></td></tr>
<tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l486">Regel 486:</td>
<td colspan="2" class="diff-lineno">Regel 486:</td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>SNOMED CT en LOINC codes zijn gebaseeerd op:</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>SNOMED CT en LOINC codes zijn gebaseeerd op:</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><ul></div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><ul></div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><li>SNOMED Clinical Terms version: <del style="font-weight: bold; text-decoration: none;">20200309 </del>[R] (<del style="font-weight: bold; text-decoration: none;">March </del>2020 <del style="font-weight: bold; text-decoration: none;">Interim </del>Release)</li></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><li>SNOMED Clinical Terms version: <ins style="font-weight: bold; text-decoration: none;">20200731 </ins>[R] (<ins style="font-weight: bold; text-decoration: none;">July </ins>2020 Release)</li></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><li>LOINC version 2.67</li></div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><li>LOINC version 2.67</li></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div></ul></div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div></ul></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>De voorwaarden van gebruik staan op de beginpagina<!--ftConditions--> [[Bestand:list2.png|link=ZIB_Hoofdpagina<!--wikiMainpage-->]]<BR></div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>De voorwaarden van gebruik staan op de beginpagina<!--ftConditions--> [[Bestand:list2.png|link=ZIB_Hoofdpagina<!--wikiMainpage-->]]<BR></div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Deze pagina is gegenereerd op <del style="font-weight: bold; text-decoration: none;">03</del>/09/2020 <del style="font-weight: bold; text-decoration: none;">12</del>:<del style="font-weight: bold; text-decoration: none;">13</del>:<del style="font-weight: bold; text-decoration: none;">43 </del>met ZibExtraction v. 4.0.<del style="font-weight: bold; text-decoration: none;">7551</del>.<del style="font-weight: bold; text-decoration: none;">21411</del><!--ftDate--> <BR></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Deze pagina is gegenereerd op <ins style="font-weight: bold; text-decoration: none;">29</ins>/09/2020 <ins style="font-weight: bold; text-decoration: none;">20</ins>:<ins style="font-weight: bold; text-decoration: none;">36</ins>:<ins style="font-weight: bold; text-decoration: none;">35 </ins>met ZibExtraction v. 4.0.<ins style="font-weight: bold; text-decoration: none;">7577</ins>.<ins style="font-weight: bold; text-decoration: none;">31095</ins><!--ftDate--> <BR></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>-----</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>-----</div></td></tr>
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<!-- Tot hier de transclude page --><br />
==Algemeen<!--hdGeneralInformation-->==<br />
Naam<!--hdName-->: '''nl.zorg.FLACCpijnScore''' [[Bestand:EN.png|link=FLACCpainScale-v1.1(2020EN)]]<BR><br />
Versie<!--hdVersion-->: '''1.1''' <br><br />
ZIB Status<!--hdStatus-->:Final<br><br />
Publicatie<!--hdPublication-->: '''2020''' <br><br />
Publicatie status<!--hdPublicationStatus-->: Published<br><br />
Publicatie datum<!--hdPublicationDate-->: 01-09-2020<br />
-----<br />
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= ZIB_Publicatie<!--wikiReleasePage-->_2020(NL)]] [[ZIB_Publicatie<!--wikiReleasePage-->_2020(NL) |Terug naar ZIB overzicht<!--hdBackToMainPage--> ]]</div><br />
<br />
==Metadata==<br />
{| class="wikitable" style="font-size:90%; width: 750px"<br />
|- <br />
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Address||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Name||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Telecom||*<br />
|- <br />
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::CreationDate||1-8-2016<br />
|- <br />
|style="width:250px; "|DCM::DeprecatedDate||<br />
|- <br />
|style="width:250px; "|DCM::DescriptionLanguage||nl<br />
|- <br />
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|style="width:250px; "|DCM::EndorsingAuthority.Name||zorg<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||<br />
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|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.12.13<br />
|- <br />
|style="width:250px; "|DCM::KeywordList||Pijnscore, assessment, FLACC<br />
|- <br />
|style="width:250px; "|DCM::LifecycleStatus||Final<br />
|- <br />
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::Name||nl.zorg.FLACCpijnScore<br />
|- <br />
|style="width:250px; "|DCM::PublicationDate||01-09-2020<br />
|- <br />
|style="width:250px; "|DCM::PublicationStatus||Published<br />
|- <br />
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron<br />
|- <br />
|style="width:250px; "|DCM::RevisionDate||09-01-2020<br />
|- <br />
|style="width:250px; "|DCM::Supersedes||nl.zorg.FLACCpijnScore-v1.0<br />
|- <br />
|style="width:250px; "|DCM::Version||1.1<br />
|- <br />
|style="width:250px; "|HCIM::PublicationLanguage||NL<br />
|}<br />
<br />
==Revision History==<br />
<div class="mw-collapsible mw-collapsed"><br />
'' <!--noTranslation-->''<br />
<br />
<u>Publicatieversie 1.0</u> (04-09-2017)<br />
<br />
Publicatieversie <u>1.1</u> (31-01-2020)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-926 | ZIB-926 ]]<br />
|DefinitionCodes zib nl.FLACCPijnscore<br />
|}<br />
</div><br />
<br />
==Concept==<br />
De FLACC (Faces, Legs, Activity, Cry and Consolability) is een pijnobservatie instrument, welke wordt gebruikt om grond van het gedrag de mate van pijn vast te stellen bij van kinderen van 0-7 jaar.<BR><br />
De FLACC telt vijf observatie punten waarop gelet moet worden. De eindscore geeft aan of het geobserveerde kind pijn lijdt en de mate waarin. De score wordt vaak gecombineerd met een NRS-score die door de verpleegkundigen wordt ingevuld op basis van de klinische blik.<BR><br />
<br />
==Purpose==<br />
Een pijnobservatie instrument is een hulpmiddel bij het bepalen van de pijnintensiteit en tevens nuttig om de effectiviteit van de pijnbestrijding (farmacologisch of non-farmacologisch) te bepalen. Bij jonge kinderen is het desondanks moeilijk om onderscheid te maken tussen pijn of onrust/angst. Dit onderscheid is relevant bij het bepalen van de behandeling. De score van een pijnobservatie instrument blijft een momentopname.<br />
<br />
==Evidence Base==<br />
Voor de definitie is gebruik gemaakt van Richtlijn Pijnmeting en Behandeling van pijn bij kinderen, NVK, 2007<BR><br />
Voor het vaststellen van de mate van pijn bij kinderen zijn verschillende pijn observatieschalen beschikbaar<BR><br />
<ul><br />
<li>CPG</li><br />
<li>Comfort Gedrag Schaal/ Comfortneo schaal</li><br />
<li>FLACC</li><br />
</ul><br />
<br />
==Patient Population==<br />
De FLACC assessment score is geschikt voor kinderen van 0-7 jaar<br />
<br />
==Information Model==<br />
<BR><br />
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rect 567 439 687 489 [[#HuilenCodelijst]]<br />
rect 201 76 320 146 [[#11448]]<br />
rect 384 211 504 291 [[#11450]]<br />
desc none<br />
</imagemap><br />
<BR><br />
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" <br />
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "<br />
|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definitie<!--imDefinition-->||style="width:200px;"|DefinitieCode<!--imDefinitionCode-->||style="width:200px;"|Verwijzing<!--imReference--><br />
|-style="vertical-align:top; background-color: #E3E3E3; "<br />
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]<br />
||NL-CM:12.13.1<br />
|colspan ="6" style ="padding-left: 0px"|<span Id=11450 Title="EN: FLACCpainScore">[[Bestand: arrowdown.png | 10px | link=]]FLACCpijnScore</span><br />
|<br />
|Rootconcept van de bouwsteen FLACCpijnScore. Dit rootconcept bevat alle gegevenselementen van de bouwsteen FLACCpijnScore.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; FLACC pain scale (assessment scale)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=108291000146105 108291000146105] FLACC-pijnmeetinstrument</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]<br />
||NL-CM:12.13.2<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=11444 Title="EN: TotalScore">[[Bestand: arrowright.png | 10px | link=]]TotaalScore</span><br />
|0..1<br />
|De totaalscore is de optelsom van de deelscores. Het bereik van de totaalscore is 0 tot 10.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=49091000146109 49091000146109] FLACC score</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]<br />
||NL-CM:12.13.3<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=11457 Title="EN: Face">[[Bestand: arrowright.png | 10px | link=]]Gezicht</span><br />
|0..1<br />
|Observatie Gezicht;<br />De mate waarin het kind een gespannen gezicht heeft, de aanwezigheid van grimas, gespannen kaken.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: ScoreObservaties>12013003 FLACCpijnScore Gezicht</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#GezichtCodelijst]]||[[#GezichtCodelijst|GezichtCodelijst]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]<br />
||NL-CM:12.13.4<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=11449 Title="EN: Legs">[[Bestand: arrowright.png | 10px | link=]]Benen</span><br />
|0..1<br />
|Observatie benen: mate waarin het kind gespannen houding en onrustige benen heeft.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: ScoreObservaties>12013004 FLACCpijnScore Benen</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#BenenCodelijst]]||[[#BenenCodelijst|BenenCodelijst]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]<br />
||NL-CM:12.13.5<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=11458 Title="EN: Activity">[[Bestand: arrowright.png | 10px | link=]]Activiteit</span><br />
|0..1<br />
|Observatie activiteit: mate waarin het kind onrustig en beweeglijk is.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: ScoreObservaties>12013005 FLACCpijnScore Activiteit</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#ActiviteitCodelijst]]||[[#ActiviteitCodelijst|ActiviteitCodelijst]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]<br />
||NL-CM:12.13.6<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=11460 Title="EN: Cry">[[Bestand: arrowright.png | 10px | link=]]Huilen</span><br />
|0..1<br />
|Observatie Huilen: de mate waarin het kind huilt, jammert of schreeuwt/klaagt.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: ScoreObservaties>12013006 FLACCpijnScore Huilen</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#HuilenCodelijst]]||[[#HuilenCodelijst|HuilenCodelijst]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]<br />
||NL-CM:12.13.9<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=11445 Title="EN: Consolability">[[Bestand: arrowright.png | 10px | link=]]Troostbaar</span><br />
|0..1<br />
|Observatie Troostbaar: de mate waarin het kind kan worden getroost<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: ScoreObservaties>12013009 FLACCpijnScore Troostbaar</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#TroostbaarCodelijst]]||[[#TroostbaarCodelijst|TroostbaarCodelijst]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]<br />
||NL-CM:12.13.11<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=11447 Title="EN: ScoreDateTime">[[Bestand: arrowright.png | 10px | link=]]ScoreDatumTijd</span><br />
|1<br />
|De datum en het tijdstip waarop de FLACC score bepaald is.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]<br />
||NL-CM:12.13.12<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=11448 Title="EN: Comment">[[Bestand: arrowright.png | 10px | link=]]Toelichting</span><br />
|0..1<br />
|Een toelichting op de meting of omstandigheden tijdens de meting.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span><br />
|}<br />
|<br />
|}<br />
Kolommen Concept en DefinitieCode: houdt de muis boven de waarde voor meer informatie<!--imHover--><BR><br />
Voor uitleg over de gebruikte symbolen, zie de legenda pagina<!--imLegend--> [[Bestand:list2.png|link=Legenda<!--wikiLegend-->]]<br />
<br />
==Example Instances==<br />
{|class="wikitable" width="564px" style= "font-size: 9.5pt;"<br />
|-style=vertical-align:top;<br />
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>FLACCpijnScore</b></font><br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|ScoreDatumTijd<br />
| style="width: 56%; "|21-12-2016 12:05<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Gezicht<br />
| style="width: 56%; "|1 (Fronst af en toe of trekt een grimas, is teruggetrokken, ongeïnteresseerd)<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Benen<br />
| style="width: 56%; "|2 (Schopt of heeft opgetrokken benen)<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Activiteit<br />
| style="width: 56%; "|1 (Kronkelt, wringt zich in bochten, verandert steeds van houding, is gespannen)<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Huilen<br />
| style="width: 56%; "|0 (Huilt niet (wakker of slapend))<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Troostbaar<br />
| style="width: 56%; "|2 (Is moeilijk te troosten of op te beuren)<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Totaalscore<br />
| style="width: 56%; "|6<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Toelichting<br />
| style="width: 56%; "|Controle voor toediening pijnmedicatie.<br />
|}<br />
<br />
==References==<br />
1. Stichting Kind&amp;Pijn [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.kind-pijn.org/</u></font> [Geraadpleegd: 2 augustus 2016]<br />
2. Richtlijn Pijnmeting en Behandeling van pijn bij kinderen, NVK, 2007 [Online] Beschikbaar op:<font color="#0000ff"><u>https://www.nvk.nl/Kwaliteit/Richtlijnenoverzicht/Details/tabid/1558/articleType/ArticleView/articleId/760/Pijn-meting-en-behandeling-van.aspx</u></font> [Geraadpleegd: 21 december 2016]<br />
<br />
== Valuesets ==<br />
=== ActiviteitCodelijst===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.3<br />
|Binding<!--vsBindingTag-->: Required<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptnaam<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Conceptwaarde<!--vsConceptValue--><br />
|Codestelselnaam<!--vsConceptSystemName-->||Codesysteem OID<!--vsConceptSystemOID--><br />
|Omschrijving<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|Lying quiet<br />
|Act0<br />
|0<br />
|FLACC_Activiteit<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.3<br />
|Ligt rustig, in een normale houding, maakt rustige bewegingen<br />
|-style="vertical-align:top; "<br />
|Squirming<br />
|Act1<br />
|1<br />
|FLACC_Activiteit<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.3<br />
|Kronkelt, wringt zich in bochten, verandert steeds van houding,is gespannen<br />
|-style="vertical-align:top; "<br />
|Arched<br />
|Act2<br />
|2<br />
|FLACC_Activiteit<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.3<br />
|Overstrekt zich, trekt een holle rug of ligt ineengekrompen,is verstijfd of maakt schokkende bewegingen<br />
|}<br />
=== BenenCodelijst===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.2<br />
|Binding<!--vsBindingTag-->: Required<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptnaam<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Conceptwaarde<!--vsConceptValue--><br />
|Codestelselnaam<!--vsConceptSystemName-->||Codesysteem OID<!--vsConceptSystemOID--><br />
|Omschrijving<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|Normal position<br />
|Legs0<br />
|0<br />
|FLACC_Legs<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.2<br />
|Normale houding en/of ontspannen<br />
|-style="vertical-align:top; "<br />
|Restless<br />
|Legs1<br />
|1<br />
|FLACC_Legs<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.2<br />
|Ongemakkelijk, onrustig, gespannen<br />
|-style="vertical-align:top; "<br />
|Kicking<br />
|Legs2<br />
|2<br />
|FLACC_Legs<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.2<br />
|Schopt of heeft opgetrokken benen<br />
|}<br />
=== GezichtCodelijst===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.1<br />
|Binding<!--vsBindingTag-->: Required<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptnaam<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Conceptwaarde<!--vsConceptValue--><br />
|Codestelselnaam<!--vsConceptSystemName-->||Codesysteem OID<!--vsConceptSystemOID--><br />
|Omschrijving<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|No particular expression<br />
|Face0<br />
|0<br />
|FLACC_Gezicht<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.1<br />
|Vertoont geen specifieke expressie of glimlach<br />
|-style="vertical-align:top; "<br />
|Occasional grimace<br />
|Face1<br />
|1<br />
|FLACC_Gezicht<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.1<br />
|Fronst af en toe of trekt een grimas, is teruggetrokken, ongeïnteresseerd<br />
|-style="vertical-align:top; "<br />
|Frequent to constant frown<br />
|Face2<br />
|2<br />
|FLACC_Gezicht<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.1<br />
|Fronst regelmatig tot voortdurend, klemt de kaken op elkaar, heeft een trillende kin<br />
|}<br />
=== HuilenCodelijst===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.4<br />
|Binding<!--vsBindingTag-->: Required<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptnaam<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Conceptwaarde<!--vsConceptValue--><br />
|Codestelselnaam<!--vsConceptSystemName-->||Codesysteem OID<!--vsConceptSystemOID--><br />
|Omschrijving<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|No cry<br />
|Cry0<br />
|0<br />
|FLACC_Huilen<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.4<br />
|Huilt niet (wakker of slapend)<br />
|-style="vertical-align:top; "<br />
|Moans<br />
|Cry1<br />
|1<br />
|FLACC_Huilen<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.4<br />
|Kreunt, kermt of jengelt; klaagt af en toe<br />
|-style="vertical-align:top; "<br />
|Crying constantly<br />
|Cry2<br />
|2<br />
|FLACC_Huilen<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.4<br />
|Huilt voortdurend, schreeuwt of jammert, klaagt veelvuldig<br />
|}<br />
=== TroostbaarCodelijst===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.5<br />
|Binding<!--vsBindingTag-->: Required<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptnaam<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Conceptwaarde<!--vsConceptValue--><br />
|Codestelselnaam<!--vsConceptSystemName-->||Codesysteem OID<!--vsConceptSystemOID--><br />
|Omschrijving<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|Content<br />
|Cons0<br />
|0<br />
|FLACC_Troostbaar<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.5<br />
|Is tevreden, ontspannen<br />
|-style="vertical-align:top; "<br />
|Consolable, distractable<br />
|Cons1<br />
|1<br />
|FLACC_Troostbaar<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.5<br />
|Is te troosten door af en toe aan te raken, te knuffelen of toe te spreken; laat zich afleiden<br />
|-style="vertical-align:top; "<br />
|Difficult to console<br />
|Cons2<br />
|2<br />
|FLACC_Troostbaar<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.21.5<br />
|Is moeilijk te troosten of op te beuren<br />
|}<br />
<br />
==Deze bouwsteen in overige publicaties<!--ftOtherReleases-->==<br />
<!-- Hieronder wordt een transclude page aangeroepen --><br />
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.13(NL)|2|2020}}<br />
<!-- Tot hier de transclude page --><br />
==Bouwsteen verwijzingen<!--ftReferences-->==<br />
====Deze bouwsteen verwijst naar<!--ftRefersTo-->====<br />
:--<br />
====Deze bouwsteen wordt gebruikt in<!--ftReferredBy-->====<br />
:--<br />
==Technische specificaties in HL7v3 CDA en HL7 FHIR<!--ftHeader-->==<br />
Om informatie op basis van zorginformatiebouwstenen uit te wisselen zijn aanvullende, meer technische specificaties nodig.<BR>Niet iedere omgeving kan met dezelfde technische specificaties overweg. Om deze reden zijn er meerdere typen technische specificaties:<!--ftReferenceIntro--><br />
<ul><br />
<li>HL7® versie 3 CDA compatibele specificaties, beschikbaar via de Nictiz ART-DECOR® omgeving<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2020bbr-?id=2.16.840.1.113883.2.4.3.11.60.10.4.2.12.13&effectiveDate=2020-09-01T00:00:00&language=nl-NL&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li><br />
<li>HL7® FHIR® compatibele specificaties, beschikbaar via de Nictiz-omgeving op de Simplifier FHIR Registry<!--ftSimplifierReference--> {{SimplefierLinks|2020}}</li><br />
</ul><br />
==Downloads<!--ftDownloadTitle-->==<br />
De bouwsteen is ook beschikbaar als [[Media:nl.zorg.FLACCpijnScore-v1.1(2020NL).pdf|pdf bestand]] [[File:PDF.png|link=]] of als [[Media:nl.zorg.FLACCpijnScore-v1.1(2020NL).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--><br />
==Over deze informatie<!--ftHeader2-->==<br />
De informatie in deze wiki pagina is gebaseerd op de<!--ftInfoBase--> Publicatie 2020 <BR><br />
SNOMED CT en LOINC codes zijn gebaseeerd op:<br />
<ul><br />
<li>SNOMED Clinical Terms version: 20200309 [R] (March 2020 Interim Release)</li><br />
<li>LOINC version 2.67</li><br />
</ul><br />
De voorwaarden van gebruik staan op de beginpagina<!--ftConditions--> [[Bestand:list2.png|link=ZIB_Hoofdpagina<!--wikiMainpage-->]]<BR><br />
Deze pagina is gegenereerd op 03/09/2020 12:13:43 met ZibExtraction v. 4.0.7551.21411<!--ftDate--> <BR><br />
-----<br />
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