Nieuwe pagina aangemaakt met '<!-- Hieronder wordt een transclude page aangeroepen --> {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.12(EN)|1|ComfortScale-v1.2(2023EN)}} <!-- Tot hier de transclude page --> ==General information<!--hdGeneralInformation-->== Name<!--hdName-->: '''nl.zorg.ComfortScale''' link=ComfortScore-v1.2(2023NL)<BR> Version<!--hdVersion-->: '''1.2''' <br> HCIM Status<!--hdStatus-->:Final<br> Release<!--hdPublication-->: '''2023''' <br> Rel...'
The Comfort Behaviour scale/ComfortNeo scale is an assessment tool, that is used to assess the pain behaviour of neonates (newborn).
The Comfort Behaviour scale has 7 observation points that need to be addressed. For each observation a value is assigned from a 5-point scale, the final score indicates whether the observed child suffers pain and 'how much'. The score is combined with an NRS score that is completed by the nurses on basis of clinical experience.
Purpose
> A pain observation instrument is a tool in determining the intensity of pain and can be useful in order to determine the effectiveness of pain treatment interventions (pharmacological or non-pharmacological). For new born it is nevertheless difficult to differentiate between pain or distress/anxiety. This is relevant in determining the treatment. The score on a pain measurement instrument remains a snapshot in time.
Evidence Base
For determining the degree of pain in children with difficulty expressing themselves there are diverse pain observation instruments available:
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
Root concept of the ComfortScale information model. This root concept contains all data elements of the ComfortScale information model.
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
Voorbeeld file fout: Kan het opgegeven bestand niet vinden. : C:\Users\zanen_nict1\OneDrive - Nictiz\ZIBs\Werkversie\9.10 Werkversies 2023-1\VZIBS_Examples_2023\nl.zorg.ComfortScore-v1.2(NL)_Voorbeeld.docx
Instructions
In the ComfortNeo scale the item crying is replaced by respiratory reaction.
In the Comfort scale the item respiratory reaction is replaced by crying.
Technical specifications in HL7v3 CDA and HL7 FHIR
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:
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
ComfortScale
TotalScore
or as spreadsheet 