PainScore-v3.1(2018EN): verschil tussen versies

Huidige versie van 13 mrt 2019 om 01:52

Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.PainScore
Version: 3.1
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019

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Metadata

DCM::CoderList	Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate	29-11-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.12.9
DCM::KeywordList	pijn, pijnscore, vas, nrs, vitale parameters
DCM::LifecycleStatus	Final
DCM::ModelerList	Kerngroep Registratie aan de Bron
DCM::Name	nl.zorg.Pijnscore
DCM::PublicationDate	26-02-2019
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	31-12-2017
DCM::Superseeds	nl.zorg.Pijnscore-v3.0
DCM::Version	3.1
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013)

Publicatieversie 1.1 (01-07-2013)

Publicatieversie 1.2 (01-04-2015)

ZIB-114	Aanpassing GOG bouwsteen OverdrachtPijnScore; aanscherpen definities, toevoegen meetmethode, aanpassen naam rootconcept naar pijnscore, en concept pijnscore naar pijnscorewaarde.
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.
ZIB-308	Prefix Overdracht weggehaald bij de generieke bouwstenen

Incl. algemene wijzigingsverzoeken:

ZIB-94	Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154	Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200	Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201	Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309	EOI aangepast
ZIB-324	Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326	Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015

Publicatieversie 1.2.1 (22-05-2015)

ZIB-371

Concepten PijnMeetmethode en Toelichting uit nl.nfu.Pijnscore-v1.2 hebben hetzelfde ID.

Publicatieversie 3.0 (01-05-2016)

ZIB-453

Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-564	Aanpassing/harmonisatie Engelse conceptnamen
ZIB-524	Toevoegen Anatomische Locatie en PijnContext teneinde de bouwsteen Pijnbeleving te laten vervallen

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:

NRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 1 (no pain) to 10 (unbearable pain).
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.

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

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:12.9.1

PainScore

Root concept of the PainScore information model. This root concept contains all data elements of the PainScore information model.

NL-CM:12.9.2

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.

225908003 Pain score

NL-CM:12.9.3

PainScoreDateTime

1

The date and time at which the pain score was measured.

NL-CM:12.9.4

PainMeasuringMethod

1

The measuring method describes the method used to determine the pain score. The measurement involves a visualization of the pain scale.

PainMeasuringMethodCodelist

NL-CM:12.9.6

AnatomicalLocation

0..1

Anatomical location which is the focus of the procedure.

363698007 Finding site

PainAnatomicalLocationCodelist

NL-CM:12.9.7

Laterality

0..1

Laterality adds information about body side to the anatomic location, e.g. left

272741003 Laterality

PainLateralityCodelist

NL-CM:12.9.5

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.

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

Example Instances

Only available in Dutch

PijnscoreDatum Tijd	PijnscoreWaarde	PijnMeetmethode	AnatomischeLocatie	Lateraliteit	Toelichting
08-02-2013 6:43	7	VAS10	Enkel	Rechts	Bij bewegen

References

1. openEHR-EHR-OBSERVATION.symptom-pain.v1[Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 23 december 2014].

Valuesets

PainAnatomicalLocationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.9.2	Binding: Extensible

Conceptname	Codesystem name	Codesystem OID
SNOMED CT: <442083009\|Anatomical or acquired body structure\|	SNOMED CT	2.16.840.1.113883.6.96

PainLateralityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.9.3	Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Left	7771000	SNOMED CT	2.16.840.1.113883.6.96	Links
Right	24028007	SNOMED CT	2.16.840.1.113883.6.96	Rechts
Right and left	51440002	SNOMED CT	2.16.840.1.113883.6.96	Rechts en links

PainMeasuringMethodCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.9.1	Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
NRS	NRS	PijnMeetmethode	2.16.840.1.113883.2.4.3.11.60.40.4.9.1	NRS
VAS10	VAS10	PijnMeetmethode	2.16.840.1.113883.2.4.3.11.60.40.4.9.1	VAS10
VAS100	VAS100	PijnMeetmethode	2.16.840.1.113883.2.4.3.11.60.40.4.9.1	VAS100

This information model in other releases

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 Prerelease 2018-2
SNOMED CT and LOINC codes are based on:

SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
LOINC version 2.64

Conditions for use are located on the mainpage
This page is generated on 12/03/2019 17:31:02 with ZibExtraction v. 3.0.7010.25883

Back to HCIM list

@@ Regel 8: / Regel 8: @@
 Release<!--hdPublication-->: '''2018''' <br>
 Release status<!--hdPublicationStatus-->: Prepublished<br>
-Release date<!--hdPublicationDate-->: 01-10-2018
+Release date<!--hdPublicationDate-->: 26-02-2019
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
@@ Regel 47: / Regel 47: @@
 |style="width:250px; "|DCM::Name||nl.zorg.Pijnscore
 |-
-|style="width:250px; "|DCM::PublicationDate||01-10-2018
+|style="width:250px; "|DCM::PublicationDate||26-02-2019
 |-
 |style="width:250px; "|DCM::PublicationStatus||Prepublished
@@ Regel 149: / Regel 149: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:PainScore-v3.1Model(EN).png | center
+<imagemap> Bestand:PainScore-v3.1Model(2018EN).png | center
-rect 432 206 546 276 [[#13001]]
+rect 442 214 556 284 [[#13001]]
-rect 432 327 594 397 [[#12996]]
+rect 442 335 604 405 [[#12996]]
-rect 432 98 584 148 [[#PainLateralityCodelist]]
+rect 442 106 594 156 [[#PainLateralityCodelist]]
-rect 432 498 626 548 [[#PainAnatomicalLocationCodelist]]
+rect 442 506 636 556 [[#PainAnatomicalLocationCodelist]]
-rect 217 498 371 548 [[#PainMeasuringMethodCodelist]]
+rect 227 506 381 556 [[#PainMeasuringMethodCodelist]]
-rect 233 370 357 440 [[#13002]]
+rect 243 378 367 448 [[#13002]]
-rect 59 328 184 398 [[#13004]]
+rect 69 336 194 406 [[#13004]]
-rect 236 98 352 213 [[#13000]]
+rect 246 106 362 221 [[#13000]]
-rect 59 207 184 277 [[#12997]]
+rect 69 215 194 285 [[#12997]]
-rect 243 264 345 334 [[#13003]]
+rect 253 272 355 342 [[#13003]]
 desc none
 </imagemap>
@@ Regel 299: / Regel 299: @@
 |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 |-style="vertical-align:top; "
-|SNOMED CT: < [https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki><span title = "Anatomische of verworven lichaamsstructuur" >Anatomical or acquired body structure</span><noWiki>|</noWiki>
+|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki><span title = "Anatomische of verworven lichaamsstructuur">Anatomical or acquired body structure</span><noWiki>|</noWiki>
 |SNOMED CT
 |2.16.840.1.113883.6.96
@@ Regel 316: / Regel 316: @@
 |Description<!--vsDescription-->
 |-style="vertical-align:top; "
-|<span title = "Links" >Left</span>
+|<span title = "Links">Left</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]
 |SNOMED CT
@@ Regel 322: / Regel 322: @@
 |Links
 |-style="vertical-align:top; "
-|<span title = "Rechts" >Right</span>
+|<span title = "Rechts">Right</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]
 |SNOMED CT
@@ Regel 328: / Regel 328: @@
 |Rechts
 |-style="vertical-align:top; "
-|<span title = "Bilateraal" >Right and left</span>
+|<span title = "Bilateraal">Right and left</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002]
 |SNOMED CT
@@ Regel 373: / Regel 373: @@
 ====This information model refers to<!--ftRefersTo-->====
 :--
-====This inforation model is used in<!--ftReferredBy-->====
+====This information model is used in<!--ftReferredBy-->====
 :--
 ==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
@@ Regel 379: / Regel 379: @@
 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--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.12.9&effectiveDate=2018-10-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
+<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.12.9&effectiveDate=2019-02-26T00:00:00&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|2018}}</li>
 </ul>
@@ Regel 385: / Regel 385: @@
 This information model is also available as [[Media:nl.zorg.PainScore-v3.1(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.PainScore-v3.1(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
 ==About this information<!--ftHeader2-->==
-The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018 #1 <BR>
+The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018-2 <BR>
 SNOMED CT and LOINC codes are based on:
 <ul>
@@ Regel 392: / Regel 392: @@
 </ul>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 01/11/2018 17:37:20 with ZibExtraction v. 2.0.6879.31307<!--ftDate--> <BR>
+This page is generated on 12/03/2019 17:31:02 with ZibExtraction v. 3.0.7010.25883<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

PainScore-v3.1(2018EN): verschil tussen versies

Huidige versie van 13 mrt 2019 om 01:52

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Information Model

Example Instances

References