Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.9(EN)|1|PainScore-v4.1(2026-1EN)}} ==General information== Name: '''nl.zorg.PainScore''' link=Pijnscore-v4.1(2026-1NL)
Version: '''4.1'''
HCIM Status:Final
Release: '''2026-1'''
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.9(EN)|1|PainScore-v4.1(2026-1EN)}}

==General information==
Name: '''nl.zorg.PainScore''' [[Bestand:NL.png|link=Pijnscore-v4.1(2026-1NL)]] 
Version: '''4.1''' 
HCIM Status:Final 
Release: '''2026-1''' 
Release status: Prepublished 
Release date: 17-04-2026

{{ErrataEN|2026-1|{{PAGENAME}}}}

-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</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||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|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||17-04-2026
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||07-09-2023
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.Pijnscore-v4.0
|-
|style="width:250px; "|DCM::Version||4.1
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

Publicatieversie 1.0 (15-02-2013)

Publicatieversie 1.1 (01-07-2013)

Publicatieversie 1.2 (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
|}

Publicatieversie 1.2.1 (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.
|}

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

Publicatieversie 3.1 (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
|}

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

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

Publicatieversie 4.1 (15-10-2023)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1952 | ZIB-1952 ]]
|Example instance Pijnscore-v4.0(2022NL) verwijderen locatie en lateraliteit
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1952 | ZIB-1952 ]]
|Example instance Pijnscore-v4.0(2022NL) verwijderen locatie en lateraliteit
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2012 | ZIB-2012 ]]
|Instructie toevoegen over relatie pijnscore tot zib Pijnkenmerken
|}
</div>

==Concept==
The pain score is a general measurement for pain experience, not a description of specific, localized pain. 
 
The following are used as an easily reproducible measurement for pain experience: 
<ol>
<li>NRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 0 (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>
 
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==
 
<imagemap> Bestand:PainScore-v4.1Model(2026-1EN).png | center
rect 397 405 551 455 [[#PainMeasuringMethodCodelist]]
rect 412 272 536 342 [[#1866]]
rect 69 336 194 406 [[#1868]]
rect 246 107 362 222 [[#1865]]
rect 69 215 194 285 [[#1863]]
rect 253 272 355 342 [[#1867]]
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:12.9.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]PainScore
|
|Root concept of the PainScore information model. This root concept contains all data elements of the PainScore information model.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=425401001 425401001] Pain intensity rating scale
|}
|
|-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"|[[Bestand: arrowright.png | 10px | link=]]PainScoreValue
|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.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=225908003 225908003] Pain score
|}
|
|-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"|[[Bestand: arrowright.png | 10px | link=]]PainScoreDateTime
|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"|[[Bestand: arrowright.png | 10px | link=]]PainMeasuringMethod
|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"|[[Bestand: arrowright.png | 10px | link=]]Comment
|0..1
|Comment on the pain score measurement, including comments on for example the circumstances and/or disruptive factors that may influence the result.
|
{|
|-
|[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''

{|class="wikitable" width="440px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 33%; "|PijnscoreDatum Tijd
| style="background-color: #1F497D; width: 20%; "|PijnscoreWaarde
| style="background-color: #1F497D; width: 21%; "|PijnMeetmethode
| style="background-color: #1F497D; width: 26%; "|Toelichting
|-style=vertical-align:top;
| style="width: 33%; "|08-02-2013 6:43
| style="width: 20%; "|7
| style="width: 21%; "|VAS10
| style="width: 26%; "|Bij bewegen
|}

==Instructions==
PainScore can be used from HCIM 2020 as a building block within the zib PainCharacteristics. In this, details about pain are recorded. If other characteristics of the pain are recorded in addition to PainScore, the PainCharacteristics HCIM should be used. Among other things, the AnatomicalLocation concept previously included in PainScore is now found in PainCharacteristics.

==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: 2.16.840.1.113883.2.4.3.11.60.40.2.12.9.1
|Binding: Required
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|NRS
|[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; "
|VAS10
|[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; "
|VAS100
|[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
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="5"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="5"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.9(EN)|2|2026-1}}

==Information model references==
====This information model refers to====
:--
====This information model is used in====
*[[PainCharacteristics-v2.1(2026-1EN)|PainCharacteristics-v2.1]]
==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|2026-1|12.9}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2026-1|Pijnscore}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.PainScore-v4.1(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.PainScore-v4.1(2026-1EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on prerelease 2026-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20260331 [R] (maart 2026-editie)</li>
<li>LOINC version 2.81</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 18/04/2026 18:14:02 with ZibExtraction v. 10.0.9604.31200 
-----
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PainScore-v4.1(2026-1EN) - Bewerkingsoverzicht

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.9(EN)|1|PainScore-v4.1(2026-1EN)}} ==General information== Name: '''nl.zorg.PainScore''' link=Pijnscore-v4.1(2026-1NL) Version: '''4.1''' HCIM Status:Final Release: '''2026-1''' Release…'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.9(EN)|1|PainScore-v4.1(2026-1EN)}} ==General information== Name: '''nl.zorg.PainScore''' link=Pijnscore-v4.1(2026-1NL)
Version: '''4.1'''
HCIM Status:Final
Release: '''2026-1'''
Release…'