ComfortScale-v1.0(2017EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
||
(6 tussenliggende versies door dezelfde gebruiker niet weergegeven) | |||
Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.zorg.ComfortScale''' [[Bestand:NL.png|link=ComfortScore-v1.0(2017NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.12(EN)|1|ComfortScale-v1.0(2017EN)}} | ||
Version: '''1.0''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Name<!--hdName-->: '''nl.zorg.ComfortScale''' [[Bestand:NL.png|link=ComfortScore-v1.0(2017NL)]]<BR> | |||
Release status: | Version<!--hdVersion-->: '''1.0''' <br> | ||
HCIM Status<!--hdStatus-->:Final<br> | |||
Release<!--hdPublication-->: '''2017''' <br> | |||
Release status<!--hdPublicationStatus-->: Published<br> | |||
Release date<!--hdPublicationDate-->: 31-12-2017 | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | ||
==Metadata== | ==Metadata== | ||
Regel 44: | Regel 47: | ||
|style="width:250px; "|DCM::Name||nl.zorg.ComfortScore | |style="width:250px; "|DCM::Name||nl.zorg.ComfortScore | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationDate|| | |style="width:250px; "|DCM::PublicationDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationStatus|| | |style="width:250px; "|DCM::PublicationStatus||Published | ||
|- | |- | ||
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron | |style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron | ||
|- | |- | ||
|style="width:250px; "|DCM::RevisionDate|| | |style="width:250px; "|DCM::RevisionDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::Superseeds|| | |style="width:250px; "|DCM::Superseeds|| | ||
Regel 61: | Regel 64: | ||
==Revision History== | ==Revision History== | ||
<div class="mw-collapsible mw-collapsed"> | <div class="mw-collapsible mw-collapsed"> | ||
''Only available in Dutch'' | ''Only available in Dutch<!--noTranslation-->'' | ||
<u>Publicatieversie 1.0</u> (04-09-2017). | <u>Publicatieversie 1.0</u> (04-09-2017). | ||
Regel 77: | Regel 80: | ||
<ul> | <ul> | ||
<li>CPB</li> | <li>CPB</li> | ||
<li>Comfort behaviour scale/ Comfortneo scale</li> | <li>Comfort behaviour scale/ Comfortneo scale</li> | ||
<li>Flacc</li> | <li>Flacc</li> | ||
</ul> | </ul> | ||
Regel 91: | Regel 90: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:ComfortScale-v1.0Model(2017EN).png | center | |||
rect 621 89 740 159 [[#11394]] | |||
rect 621 487 789 537 [[#BodyMovementCodelist]] | |||
rect 246 188 366 258 [[#11406]] | |||
rect 246 288 366 358 [[#11407]] | |||
rect 430 57 548 159 [[#11401]] | |||
rect 429 487 549 537 [[#CryingCodelist]] | |||
rect 247 89 366 159 [[#11399]] | |||
rect 429 225 549 305 [[#11402]] | |||
rect 246 389 366 459 [[#11408]] | |||
rect 429 390 549 460 [[#11409]] | |||
rect 621 389 741 459 [[#11410]] | |||
rect 621 289 741 359 [[#11411]] | |||
rect 621 189 741 259 [[#11412]] | |||
rect 79 199 195 249 [[#AlertnessCodelist]] | |||
rect 39 299 194 349 [[#Calmness_AgitationCodelist]] | |||
rect 196 487 366 537 [[#RespiratoryResponseCodelist]] | |||
rect 786 199 929 249 [[#BodyMuscleToneCodelist]] | |||
rect 786 299 940 349 [[#FacialToneCodelist]] | |||
desc none | |||
</imagemap> | |||
<BR> | <BR> | ||
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | {| 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="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="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="vertical-align:top; background-color: #E3E3E3; " | ||
|style = "text-align:center" |[[Bestand: block.png| 20px]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
||NL-CM:12.12.1 | ||NL-CM:12.12.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: ComfortScore">[[Bestand: arrowdown.png | 10px]]ComfortScale</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=11402 Title="NL: ComfortScore">[[Bestand: arrowdown.png | 10px | link=]]ComfortScale</span> | ||
| | | | ||
|Rootconcept of the ComfortScale information model. This root concept contains all data elements of the ComfortScale information model. | |Rootconcept of the ComfortScale information model. This root concept contains all data elements of the ComfortScale information model. | ||
Regel 105: | Regel 124: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: INT.png| 16px]] | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] | ||
||NL-CM:12.12.2 | ||NL-CM:12.12.2 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: TotaalScore">[[Bestand: arrowright.png | 10px]]TotalScore</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11401 Title="NL: TotaalScore">[[Bestand: arrowright.png | 10px | link=]]TotalScore</span> | ||
|0..1 | |0..1 | ||
|The total score is the sum of all the individual scores. The total score has a range from 0 - 35. | |The total score is the sum of all the individual scores. The total score has a range from 0 - 35. | ||
Regel 114: | Regel 133: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CO.png| 16px]] | |style = "text-align:center" |[[Bestand: CO.png| 16px | link=]] | ||
||NL-CM:12.12.3 | ||NL-CM:12.12.3 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Alertheid">[[Bestand: arrowright.png | 10px]]Alertness</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11406 Title="NL: Alertheid">[[Bestand: arrowright.png | 10px | link=]]Alertness</span> | ||
|0..1 | |0..1 | ||
|Observation of: Alertness | |Observation of: Alertness | ||
Regel 124: | Regel 143: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#AlertnessCodelist|AlertnessCodelist]] | |[[Bestand: List2.png | link=#AlertnessCodelist]]||[[#AlertnessCodelist|AlertnessCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CO.png| 16px]] | |style = "text-align:center" |[[Bestand: CO.png| 16px | link=]] | ||
||NL-CM:12.12.4 | ||NL-CM:12.12.4 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Kalmte_Agitatie">[[Bestand: arrowright.png | 10px]]Calmness_Agitation</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11407 Title="NL: Kalmte_Agitatie">[[Bestand: arrowright.png | 10px | link=]]Calmness_Agitation</span> | ||
|0..1 | |0..1 | ||
| Observation: Calmness/ agitation | | Observation: Calmness/ agitation | ||
Regel 137: | Regel 156: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#Calmness_AgitationCodelist|Calmness_AgitationCodelist]] | |[[Bestand: List2.png | link=#Calmness_AgitationCodelist]]||[[#Calmness_AgitationCodelist|Calmness_AgitationCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CO.png| 16px]] | |style = "text-align:center" |[[Bestand: CO.png| 16px | link=]] | ||
||NL-CM:12.12.5 | ||NL-CM:12.12.5 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Ademhalingsreactie">[[Bestand: arrowright.png | 10px]]RespiratoryResponse</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11408 Title="NL: Ademhalingsreactie">[[Bestand: arrowright.png | 10px | link=]]RespiratoryResponse</span> | ||
|0..1 | |0..1 | ||
|Observation Respiratory response (only in mechanically ventilated children) | |Observation Respiratory response (only in mechanically ventilated children) | ||
Regel 150: | Regel 169: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#RespiratoryResponseCodelist|RespiratoryResponseCodelist]] | |[[Bestand: List2.png | link=#RespiratoryResponseCodelist]]||[[#RespiratoryResponseCodelist|RespiratoryResponseCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CO.png| 16px]] | |style = "text-align:center" |[[Bestand: CO.png| 16px | link=]] | ||
||NL-CM:12.12.6 | ||NL-CM:12.12.6 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Huilen">[[Bestand: arrowright.png | 10px]]Crying</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11409 Title="NL: Huilen">[[Bestand: arrowright.png | 10px | link=]]Crying</span> | ||
|0..1 | |0..1 | ||
|Observation Crying (only in spontaneously breathing children) | |Observation Crying (only in spontaneously breathing children) | ||
Regel 163: | Regel 182: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#CryingCodelist|CryingCodelist]] | |[[Bestand: List2.png | link=#CryingCodelist]]||[[#CryingCodelist|CryingCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CO.png| 16px]] | |style = "text-align:center" |[[Bestand: CO.png| 16px | link=]] | ||
||NL-CM:12.12.8 | ||NL-CM:12.12.8 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Lichaamsbeweging">[[Bestand: arrowright.png | 10px]]BodyMovement</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11410 Title="NL: Lichaamsbeweging">[[Bestand: arrowright.png | 10px | link=]]BodyMovement</span> | ||
|0..1 | |0..1 | ||
|Observation Physical movement | |Observation Physical movement | ||
Regel 176: | Regel 195: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#BodyMovementCodelist|BodyMovementCodelist]] | |[[Bestand: List2.png | link=#BodyMovementCodelist]]||[[#BodyMovementCodelist|BodyMovementCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CO.png| 16px]] | |style = "text-align:center" |[[Bestand: CO.png| 16px | link=]] | ||
||NL-CM:12.12.9 | ||NL-CM:12.12.9 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Gezichtsspanning">[[Bestand: arrowright.png | 10px]]FacialTone</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11411 Title="NL: Gezichtsspanning">[[Bestand: arrowright.png | 10px | link=]]FacialTone</span> | ||
|0..1 | |0..1 | ||
|Observation Facial tension | |Observation Facial tension | ||
Regel 189: | Regel 208: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#FacialToneCodelist|FacialToneCodelist]] | |[[Bestand: List2.png | link=#FacialToneCodelist]]||[[#FacialToneCodelist|FacialToneCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CO.png| 16px]] | |style = "text-align:center" |[[Bestand: CO.png| 16px | link=]] | ||
||NL-CM:12.12.10 | ||NL-CM:12.12.10 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Spierspanning">[[Bestand: arrowright.png | 10px]]BodyMuscleTone</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11412 Title="NL: Spierspanning">[[Bestand: arrowright.png | 10px | link=]]BodyMuscleTone</span> | ||
|0..1 | |0..1 | ||
|Observation Muscle tone | |Observation Muscle tone | ||
Regel 202: | Regel 221: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#BodyMuscleToneCodelist|BodyMuscleToneCodelist]] | |[[Bestand: List2.png | link=#BodyMuscleToneCodelist]]||[[#BodyMuscleToneCodelist|BodyMuscleToneCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: TS.png| 16px]] | |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]] | ||
||NL-CM:12.12.11 | ||NL-CM:12.12.11 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: ScoreDatumTijd">[[Bestand: arrowright.png | 10px]]ScoreDateTime</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11394 Title="NL: ScoreDatumTijd">[[Bestand: arrowright.png | 10px | link=]]ScoreDateTime</span> | ||
|1 | |1 | ||
|The date and time at which the Comfort Behaviour scale/ComfortNeo scale was determined. | |The date and time at which the Comfort Behaviour scale/ComfortNeo scale was determined. | ||
Regel 214: | Regel 233: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: ST.png| 16px]] | |style = "text-align:center" |[[Bestand: ST.png| 16px | link=]] | ||
||NL-CM:12.12.12 | ||NL-CM:12.12.12 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11399 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span> | ||
|0..1 | |0..1 | ||
|A comment on the circumstances during the measurement. | |A comment on the circumstances during the measurement. | ||
Regel 223: | Regel 242: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span> | ||
|} | |} | ||
| | | | ||
|} | |} | ||
Columns Concept and DefinitionCode: hover over the values for more information<BR> | Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR> | ||
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]] | For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]] | ||
==Example Instances== | ==Example Instances== | ||
''Only available in Dutch'' | ''Only available in Dutch<!--noTranslation-->'' | ||
{|class="wikitable" width="564px" style= "font-size: 9.5pt;" | {|class="wikitable" width="564px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #1F497D; width: 100%; color | |colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Comfort</b></font><font color=#FFFFFF><b>Score</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|ScoreDatumTijd | | style="width: 44%; "|ScoreDatumTijd | ||
Regel 241: | Regel 260: | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Alertheid | | style="width: 44%; "|Alertheid | ||
| style="width: 56% | | style="width: 56%; "|4 (wakker en alert) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Kalmte_Agitatie | | style="width: 44%; "|Kalmte_Agitatie | ||
| style="width: 56% | | style="width: 56%; "|2 (licht angstig) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Huilen | | style="width: 44%; "|Huilen | ||
| style="width: 56% | | style="width: 56%; "|2 (af en toe snikken of kreunen) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Lichaamsbeweging | | style="width: 44%; "|Lichaamsbeweging | ||
| style="width: 56% | | style="width: 56%; "|2 (incidentele beweging) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Gezichtsspanning | | style="width: 44%; "|Gezichtsspanning | ||
| style="width: 56% | | style="width: 56%; "|2 (normale spanning van het gelaat) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Spierspanning | | style="width: 44%; "|Spierspanning | ||
| style="width: 56% | | style="width: 56%; "|2 (verminderde spierspanning) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Totaalscore | | style="width: 44%; "|Totaalscore | ||
Regel 262: | Regel 281: | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Toelichting | | style="width: 44%; "|Toelichting | ||
| style="width: 56% | | style="width: 56%; "|Controle na verhogen pijnmedicatie. | ||
|} | |} | ||
{|class="wikitable" width="564px" style= "font-size: 9.5pt;" | {|class="wikitable" width="564px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #1F497D; width: 100%; color | |colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>ComfortNeoScore</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|ScoreDatumTijd | | style="width: 44%; "|ScoreDatumTijd | ||
Regel 272: | Regel 291: | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Alertheid | | style="width: 44%; "|Alertheid | ||
| style="width: 56% | | style="width: 56%; "|4 (wakker en alert) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Kalmte_Agitatie | | style="width: 44%; "|Kalmte_Agitatie | ||
| style="width: 56% | | style="width: 56%; "|2 (licht angstig) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Ademhalingsreactie | | style="width: 44%; "|Ademhalingsreactie | ||
| style="width: 56% | | style="width: 56%; "|3 (af en toe hoesten of verzet tegen de ventilator) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Lichaamsbeweging | | style="width: 44%; "|Lichaamsbeweging | ||
| style="width: 56% | | style="width: 56%; "|2 (incidentele beweging) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Gezichtsspanning | | style="width: 44%; "|Gezichtsspanning | ||
| style="width: 56% | | style="width: 56%; "|2 (normale spanning van het gelaat) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Spierspanning | | style="width: 44%; "|Spierspanning | ||
| style="width: 56% | | style="width: 56%; "|2 (verminderde spierspanning) | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Totaalscore | | style="width: 44%; "|Totaalscore | ||
Regel 293: | Regel 312: | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 44%; "|Toelichting | | style="width: 44%; "|Toelichting | ||
| style="width: 56% | | style="width: 56%; "|Controle na verhogen pijnmedicatie. | ||
|} | |} | ||
Regel 308: | Regel 327: | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.1 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.1 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Conceptvalue | |Conceptvalue<!--vsConceptValue--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Deeply asleep | |Deeply asleep | ||
Regel 353: | Regel 373: | ||
|Wakker en hyper-alert (overdreven reactie op veranderingen) | |Wakker en hyper-alert (overdreven reactie op veranderingen) | ||
|} | |} | ||
=== BodyMovementCodelist=== | === BodyMovementCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.5 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.5 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Conceptvalue | |Conceptvalue<!--vsConceptValue--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|No movement | |No movement | ||
Regel 402: | Regel 422: | ||
|Heftige bewegingen ook met romp en hoofd | |Heftige bewegingen ook met romp en hoofd | ||
|} | |} | ||
=== BodyMuscleToneCodelist=== | === BodyMuscleToneCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.7 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.7 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Conceptvalue | |Conceptvalue<!--vsConceptValue--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Muscles fully relaxed | |Muscles fully relaxed | ||
Regel 451: | Regel 471: | ||
|Extreme spierstijfheid en buiging van vingers en tenen | |Extreme spierstijfheid en buiging van vingers en tenen | ||
|} | |} | ||
=== Calmness_AgitationCodelist=== | === Calmness_AgitationCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.2 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.2 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Conceptvalue | |Conceptvalue<!--vsConceptValue--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Calm | |Calm | ||
Regel 500: | Regel 520: | ||
|Paniekerig (ernstige onrust met verlies van beheersing) | |Paniekerig (ernstige onrust met verlies van beheersing) | ||
|} | |} | ||
=== CryingCodelist=== | === CryingCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.4 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.4 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Conceptvalue | |Conceptvalue<!--vsConceptValue--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Quiet breathing | |Quiet breathing | ||
Regel 547: | Regel 567: | ||
|CN_Huilen | |CN_Huilen | ||
|2.16.840.1.113883.2.4.3.11.60.40.4.20.4 | |2.16.840.1.113883.2.4.3.11.60.40.4.20.4 | ||
| | |Schreeuwen of krijsen | ||
|} | |} | ||
=== FacialToneCodelist=== | === FacialToneCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.6 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.6 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Conceptvalue | |Conceptvalue<!--vsConceptValue--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Facial muscles totally relaxed | |Facial muscles totally relaxed | ||
Regel 598: | Regel 618: | ||
|Gezichtsspieren verwrongen en in een grimas | |Gezichtsspieren verwrongen en in een grimas | ||
|} | |} | ||
=== RespiratoryResponseCodelist=== | === RespiratoryResponseCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.3 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.3 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Conceptvalue | |Conceptvalue<!--vsConceptValue--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|No spontaneous respiration | |No spontaneous respiration | ||
Regel 648: | Regel 668: | ||
|} | |} | ||
==This information model in other releases<!--ftOtherReleases-->== | |||
== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.12(EN)|2|2017}} | |||
This information model is also available as [[Media:nl.zorg.ComfortScale-v1.0( | <!-- Tot hier de transclude page --> | ||
==About this information== | ==Information model references<!--ftReferences-->== | ||
The information in this wikipage is based on | ====This information model refers to<!--ftRefersTo-->==== | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | :-- | ||
This page is generated on 21/ | ====This information model is used in<!--ftReferredBy-->==== | ||
:-- | |||
==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--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.12.12&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> | |||
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2017}}</li> | |||
</ul> | |||
==Downloads<!--ftDownloadTitle-->== | |||
This information model is also available as [[Media:nl.zorg.ComfortScale-v1.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ComfortScale-v1.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | |||
==About this information<!--ftHeader2-->== | |||
The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR> | |||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | |||
This page is generated on 21/12/2018 14:46:54 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR> | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
Huidige versie van 24 dec 2018 om 12:03
General information
Name: nl.zorg.ComfortScale
Version: 1.0
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017
Metadata
DCM::CoderList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::ContactInformation.Address | * |
DCM::ContactInformation.Name | * |
DCM::ContactInformation.Telecom | * |
DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::CreationDate | 1-8-2016 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | zorg |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.12.12 |
DCM::KeywordList | Pijnscore, assessment, comfort, comfortneo |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::Name | nl.zorg.ComfortScore |
DCM::PublicationDate | 31-12-2017 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 31-12-2017 |
DCM::Superseeds | |
DCM::Version | 1.0 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (04-09-2017).
Concept
The Comfort Behaviour scale /Comfortneo scale is an assessment tool, that is used to assess the pain behaviour of neonates (new born).
The Comfort Behaviour scale has 7 observation points that that need to be addressed. For each on observation is 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 divers pain observation instruments available
- CPB
- Comfort behaviour scale/ Comfortneo scale
- Flacc
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
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
NL-CM:12.12.1 | ComfortScale | Rootconcept of the ComfortScale information model. This root concept contains all data elements of the ComfortScale information model. | |||||||||||
NL-CM:12.12.2 | TotalScore | 0..1 | The total score is the sum of all the individual scores. The total score has a range from 0 - 35. | ||||||||||
NL-CM:12.12.3 | Alertness | 0..1 | Observation of: Alertness |
| |||||||||
NL-CM:12.12.4 | Calmness_Agitation | 0..1 | Observation: Calmness/ agitation |
| |||||||||
NL-CM:12.12.5 | RespiratoryResponse | 0..1 | Observation Respiratory response (only in mechanically ventilated children) |
| |||||||||
NL-CM:12.12.6 | Crying | 0..1 | Observation Crying (only in spontaneously breathing children) |
| |||||||||
NL-CM:12.12.8 | BodyMovement | 0..1 | Observation Physical movement |
| |||||||||
NL-CM:12.12.9 | FacialTone | 0..1 | Observation Facial tension |
| |||||||||
NL-CM:12.12.10 | BodyMuscleTone | 0..1 | Observation Muscle tone |
| |||||||||
NL-CM:12.12.11 | ScoreDateTime | 1 | The date and time at which the Comfort Behaviour scale/ComfortNeo scale was determined. | ||||||||||
NL-CM:12.12.12 | Comment | 0..1 | A comment on the circumstances during the measurement. |
|
Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page
Example Instances
Only available in Dutch
ComfortScore | |
ScoreDatumTijd | 21-12-2016 12:05 |
Alertheid | 4 (wakker en alert) |
Kalmte_Agitatie | 2 (licht angstig) |
Huilen | 2 (af en toe snikken of kreunen) |
Lichaamsbeweging | 2 (incidentele beweging) |
Gezichtsspanning | 2 (normale spanning van het gelaat) |
Spierspanning | 2 (verminderde spierspanning) |
Totaalscore | 14 |
Toelichting | Controle na verhogen pijnmedicatie. |
ComfortNeoScore | |
ScoreDatumTijd | 21-12-2016 12:05 |
Alertheid | 4 (wakker en alert) |
Kalmte_Agitatie | 2 (licht angstig) |
Ademhalingsreactie | 3 (af en toe hoesten of verzet tegen de ventilator) |
Lichaamsbeweging | 2 (incidentele beweging) |
Gezichtsspanning | 2 (normale spanning van het gelaat) |
Spierspanning | 2 (verminderde spierspanning) |
Totaalscore | 15 |
Toelichting | Controle na verhogen pijnmedicatie. |
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
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.1 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
Deeply asleep | 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) |
Lightly asleep | 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) |
Drowsy | 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) |
Awake and alert | 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) |
Awake and hyperalert | 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
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.5 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
No movement | Mov1 | 1 | CN_Lichaamsbeweging | 2.16.840.1.113883.2.4.3.11.60.40.4.20.5 | Geen beweging |
Occasional, slight movements | Mov2 | 2 | CN_Lichaamsbeweging | 2.16.840.1.113883.2.4.3.11.60.40.4.20.5 | Incidentele (3 of minder) kleine bewegingen |
Frequent, slight movements | Mov3 | 3 | CN_Lichaamsbeweging | 2.16.840.1.113883.2.4.3.11.60.40.4.20.5 | Frequente (3 of meer) kleine bewegingen |
Vigorous movements limited to extremities | Mov4 | 4 | CN_Lichaamsbeweging | 2.16.840.1.113883.2.4.3.11.60.40.4.20.5 | Heftige bewegingen met armen en benen |
Vigorous movements including torso and head | 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
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.7 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
Muscles fully relaxed | Musc1 | 1 | CN_Spierspanning | 2.16.840.1.113883.2.4.3.11.60.40.4.20.7 | Spieren volledig ontspannen; geen spierspanning |
Reduced muscle tone | Musc2 | 2 | CN_Spierspanning | 2.16.840.1.113883.2.4.3.11.60.40.4.20.7 | Verminderde spierspanning; minder weerstand dan normaal |
Normal muscle tone | Musc3 | 3 | CN_Spierspanning | 2.16.840.1.113883.2.4.3.11.60.40.4.20.7 | Normale spierspanning |
Increased muscle tone | 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 |
Extreme muscle rigidity | 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
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.2 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
Calm | Calm1 | 1 | CN_Kalmte_Agitatie | 2.16.840.1.113883.2.4.3.11.60.40.4.20.2 | Kalm (kind helder en rustig) |
Slightly anxious | 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) |
Anxious | 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) |
Very anxious | 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) |
Panicky | 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
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.4 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
Quiet breathing | Cry1 | 1 | CN_Huilen | 2.16.840.1.113883.2.4.3.11.60.40.4.20.4 | Geen huilgeluiden |
Occasional sobbing or moaning | 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) |
Whining | Cry3 | 3 | CN_Huilen | 2.16.840.1.113883.2.4.3.11.60.40.4.20.4 | Jengelen of dreinen (monotoon geluid) |
Crying | Cry4 | 4 | CN_Huilen | 2.16.840.1.113883.2.4.3.11.60.40.4.20.4 | Huilen |
Screaming or shrieking | Cry5 | 5 | CN_Huilen | 2.16.840.1.113883.2.4.3.11.60.40.4.20.4 | Schreeuwen of krijsen |
FacialToneCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.6 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
Facial muscles totally relaxed | Face1 | 1 | CN_Gezichtsspanning | 2.16.840.1.113883.2.4.3.11.60.40.4.20.6 | Gezichtsspieren volkomen ontspannen |
Normal facial tone | Face2 | 2 | CN_Gezichtsspanning | 2.16.840.1.113883.2.4.3.11.60.40.4.20.6 | Normale spanning van het gezicht |
Tension evident in some facial muscles | 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) |
Tension evident throughout facial muscles | Face4 | 4 | CN_Gezichtsspanning | 2.16.840.1.113883.2.4.3.11.60.40.4.20.6 | Spanning duidelijk in alle gelaatsspieren (aanhoudend) |
Facial muscles contorted and grimacing | 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
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.3 | Binding: |
Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
No spontaneous respiration | Vent1 | 1 | CN_Ademhalingsreactie | 2.16.840.1.113883.2.4.3.11.60.40.4.20.3 | Geen spontane ademhaling |
Spontaneous respiration on ventilator | Vent2 | 2 | CN_Ademhalingsreactie | 2.16.840.1.113883.2.4.3.11.60.40.4.20.3 | Spontane ademhaling aan de beademing |
Unrest or resistance to ventilator | Vent3 | 3 | CN_Ademhalingsreactie | 2.16.840.1.113883.2.4.3.11.60.40.4.20.3 | Onrust of verzet tegen de beademing |
Actively breathes against ventilator or coughs regularly | 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 |
Fights ventilator | 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
- Prerelease 2018-2, (Version 1.0)
- Prerelease 2019-2, (Version 1.1)
- Release 2020, (Version 1.1)
- Prerelease 2021-2, (Version 1.1)
- Prerelease 2022-1, (Version 1.1)
- Prerelease 2023-1, (Version 1.2)
- Prerelease 2024-1, (Version 1.2)
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:
- HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Release 2017
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 14:46:54 with ZibExtraction v. 3.0.6929.24609