FLACCpainScale-v1.2.1(2024EN): verschil tussen versies

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Regel 7: Regel 7:
HCIM Status<!--hdStatus-->:Final<br>
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2024''' <br>
Release<!--hdPublication-->: '''2024''' <br>
Release status<!--hdPublicationStatus-->: Prepublished<br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 15-04-2024
Release date<!--hdPublicationDate-->: 23-04-2025
<!-- Aanroep Errata transclude page -->
<!-- Aanroep Errata transclude page -->
{{ErrataEN<!--hdErrata-->|2024|{{PAGENAME}}}}
{{ErrataEN<!--hdErrata-->|2024|{{PAGENAME}}}}
Regel 50: Regel 50:
|style="width:250px; "|DCM::Name||nl.zorg.FLACCpijnScore
|style="width:250px; "|DCM::Name||nl.zorg.FLACCpijnScore
|-  
|-  
|style="width:250px; "|DCM::PublicationDate||15-04-2024
|style="width:250px; "|DCM::PublicationDate||23-04-2025
|-  
|-  
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|style="width:250px; "|DCM::PublicationStatus||Published
|-  
|-  
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens &amp; Kerngroep Registratie aan de Bron
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-  
|-  
|style="width:250px; "|DCM::RevisionDate||04-09-2023
|style="width:250px; "|DCM::RevisionDate||04-09-2023
Regel 82: Regel 82:
|-
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1622 | ZIB-1622 ]]
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1622 | ZIB-1622 ]]
|Root concept van FLACCpijnScore is niet correct
|Geen informatie
|}
|}


Regel 89: Regel 89:
|-
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1999 | ZIB-1999 ]]
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1999 | ZIB-1999 ]]
|Textuele verbeteringingen in definitie van concepten FLACC
|Geen informatie
|}
|}
</div>
</div>
Regel 157: Regel 157:
{|
{|
|-
|-
|<span title = "Codesystem: SNOMED CT; &#39;faces, legs, activity, cry and consolability&#39;-score (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=49091000146109 49091000146109] FLACC score</span>
|<span title = "Codesystem: SNOMED CT; 'faces, legs, activity, cry and consolability'-score (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=49091000146109 49091000146109] FLACC score</span>
|}
|}
|
|
Regel 313: Regel 313:
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.3
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.3
|Binding<!--vsBindingTag-->: Required
|Binding<!--vsBindingTag-->: Required
|Status<!--vsStatusTag-->: Active
|}
|}
{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
Regel 342: Regel 343:
|2.16.840.1.113883.2.4.3.11.60.40.4.21.3
|2.16.840.1.113883.2.4.3.11.60.40.4.21.3
|Overstrekt zich, trekt een holle rug of ligt ineengekrompen,is verstijfd of maakt schokkende bewegingen
|Overstrekt zich, trekt een holle rug of ligt ineengekrompen,is verstijfd of maakt schokkende bewegingen
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed<!--vsExcludeOTH-->
|}
|}
=== ConsolabilityCodelist===
=== ConsolabilityCodelist===
Regel 348: Regel 353:
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.5
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.5
|Binding<!--vsBindingTag-->: Required
|Binding<!--vsBindingTag-->: Required
|Status<!--vsStatusTag-->: Active
|}
|}
{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
Regel 377: Regel 383:
|2.16.840.1.113883.2.4.3.11.60.40.4.21.5
|2.16.840.1.113883.2.4.3.11.60.40.4.21.5
|Is moeilijk te troosten of op te beuren
|Is moeilijk te troosten of op te beuren
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed<!--vsExcludeOTH-->
|}
|}
=== CryCodelist===
=== CryCodelist===
Regel 383: Regel 393:
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.4
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.4
|Binding<!--vsBindingTag-->: Required
|Binding<!--vsBindingTag-->: Required
|Status<!--vsStatusTag-->: Active
|}
|}
{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
Regel 412: Regel 423:
|2.16.840.1.113883.2.4.3.11.60.40.4.21.4
|2.16.840.1.113883.2.4.3.11.60.40.4.21.4
|Huilt voortdurend, schreeuwt of jammert, klaagt veelvuldig
|Huilt voortdurend, schreeuwt of jammert, klaagt veelvuldig
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed<!--vsExcludeOTH-->
|}
|}
=== FaceCodelist===
=== FaceCodelist===
Regel 418: Regel 433:
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.1
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.1
|Binding<!--vsBindingTag-->: Required
|Binding<!--vsBindingTag-->: Required
|Status<!--vsStatusTag-->: Active
|}
|}
{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
Regel 439: Regel 455:
|FLACC_Gezicht
|FLACC_Gezicht
|2.16.840.1.113883.2.4.3.11.60.40.4.21.1
|2.16.840.1.113883.2.4.3.11.60.40.4.21.1
|Fronst af en toe of trekt een grimas, is teruggetrokken, onge&#239;nteresseerd
|Fronst af en toe of trekt een grimas, is teruggetrokken, ongeïnteresseerd
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Fronst regelmatig tot voortdurend">Frequent to constant frown</span>
|<span title = "Fronst regelmatig tot voortdurend">Frequent to constant frown</span>
Regel 447: Regel 463:
|2.16.840.1.113883.2.4.3.11.60.40.4.21.1
|2.16.840.1.113883.2.4.3.11.60.40.4.21.1
|Fronst regelmatig tot voortdurend, klemt de kaken op elkaar, heeft een trillende kin
|Fronst regelmatig tot voortdurend, klemt de kaken op elkaar, heeft een trillende kin
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed<!--vsExcludeOTH-->
|}
|}
=== LegsCodelist===
=== LegsCodelist===
Regel 453: Regel 473:
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.2
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.2
|Binding<!--vsBindingTag-->: Required
|Binding<!--vsBindingTag-->: Required
|Status<!--vsStatusTag-->: Active
|}
|}
{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
Regel 482: Regel 503:
|2.16.840.1.113883.2.4.3.11.60.40.4.21.2
|2.16.840.1.113883.2.4.3.11.60.40.4.21.2
|Schopt of heeft opgetrokken benen
|Schopt of heeft opgetrokken benen
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed<!--vsExcludeOTH-->
|}
|}


Regel 494: Regel 519:
:--
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
==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.&lt;BR&gt;
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-->
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<ul>
<li>HL7&#174; version 3 CDA compatible specifications, available through the Nictiz ART-DECOR&#174; environment<!--ftArtDecorReference--> {{ArtDecorLinks|2024|12.13}}</li>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2024|12.13}}</li>
<li>HL7&#174; FHIR&#174; compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2024|FLACCpijnScore}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2024|FLACCpijnScore}}</li>
</ul>
</ul>
==Downloads<!--ftDownloadTitle-->==
==Downloads<!--ftDownloadTitle-->==
This information model is also available as [[Media:nl.zorg.FLACCpainScale-v1.2.1(2024EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FLACCpainScale-v1.2.1(2024EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
This information model is also available as [[Media:nl.zorg.FLACCpainScale-v1.2.1(2024EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FLACCpainScale-v1.2.1(2024EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
==About this information<!--ftHeader2-->==
==About this information<!--ftHeader2-->==
The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2024-1 <BR>
The information in this wikipage is based on<!--ftInfoBase--> Release 2024 <BR>
SNOMED CT and LOINC codes are based on:
SNOMED CT and LOINC codes are based on:
<ul>
<ul>
<li>SNOMED Clinical Terms versie: 20240331 [R] (maart 2024-editie)</li>
<li>SNOMED Clinical Terms versie: 20250331 [R] (maart 2025-editie)</li>
<li>LOINC version 2.77</li>
<li>LOINC version 2.77</li>
</ul>
</ul>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 25/04/2024 12:22:04 with ZibExtraction v. 9.3.8880.19756<!--ftDate--> <BR>
This page is generated on 18/04/2025 17:46:09 with ZibExtraction v. 9.4.9209.40417<!--ftDate--> <BR>
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2024(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2024(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2024(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2024(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Versie van 18 apr 2025 17:24



General information

Name: nl.zorg.FLACCpainScale
Version: 1.2.1
HCIM Status:Final
Release: 2024
Release status: Published
Release date: 23-04-2025

Back to HCIM list

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 2.16.840.1.113883.2.4.3.11.60.40.3.12.13
DCM::KeywordList Pijnscore, assessment, FLACC
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.FLACCpijnScore
DCM::PublicationDate 23-04-2025
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 04-09-2023
DCM::Supersedes nl.zorg.FLACCpijnScore-v1.2
DCM::Version 1.2.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017)

Publicatieversie 1.1 (31-01-2020)

ZIB-926 DefinitionCodes zib nl.FLACCPijnscore

Publicatieversie 1.2 (10-06-2022)

ZIB-1622 Geen informatie

Publicatieversie 1.2.1 (15-10-2023)

ZIB-1999 Geen informatie

Concept

The FLACC (Faces, Legs, Activity, Cry and Consolability) is a pain assessment tool, that is used to assess pain in children aged 0-7 years old by observing their behaviour.
The FLACC has five subscales that need to be addressed. The final score indicates whether the observed child suffers pain and 'how much'. The score is often combined with an NRS-score that is completed by the nurses on basis of clinical experience.

Purpose

A pain assessment 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 young children, it is nevertheless difficult to differentiate between pain or distress/anxiety. This difference is relevant in determining the treatment. The score on a pain assessment instrument remains a snapshot in time.

Evidence Base

For assessing the degree of pain in children with difficulty expressing themselves a number of pain observation instruments exist:

  • CPB
  • Comfort Behaviour Scale/ Comfortneo Scale
  • FLACC

Patient Population

The FLACC pain scale is used to assess pain in children between the ages of 0 and 7 years.

Information Model


#ConsolabilityCodelist#ActivityCodelist#LegsCodelist#FaceCodelist#3217#3214#3218#3206#3205#3204#3207#CryCodelist#3215#3210


Type Id Concept Card. Definition DefinitionCode Reference
NL-CM:12.13.1 FLACCpainScale Root concept of the FLACCpainScale information model.This root concept contains all data elements of the FLACCpainScale information model.

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

108291000146105 FLACC pain scale
NL-CM:12.13.2 TotalScore 0..1 The total score is the sum of all the individual scores. The total score has a range from 0 - 10.
49091000146109 FLACC score
NL-CM:12.13.3 Face 0..1 Observation face: the extent to which the child’s expression on the face is tensed, grimace, tension of jaws.
12013003 FLACCpainScale Face
FaceCodelist
NL-CM:12.13.4 Legs 0..1 Observation legs: the extent to which the child is restless (body and legs).
12013004 FLACCpainScale Legs
LegsCodelist
NL-CM:12.13.5 Activity 0..1 Observation activity: the extent to which the child is restless and has tense muscles.
12013005 FLACCpainScale Activity
ActivityCodelist
NL-CM:12.13.6 Cry 0..1 Observation crying: the extent to which the child is crying, whimpers or laments.
12013006 FLACCpainScale Cry
CryCodelist
NL-CM:12.13.9 Consolability 0..1 Observation consolability: the extent to which the child is consolable.
12013009 FLACCpainScale Consolability
ConsolabilityCodelist
NL-CM:12.13.11 ScoreDateTime 1 The date and time at which the FLACC score was determined.
NL-CM:12.13.12 Comment 0..1 A comment on the circumstances during the measurement.
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

FLACCpijnScore
ScoreDatumTijd 21-12-2016 12:05
Gezicht 1 (Fronst af en toe of trekt een grimas, is teruggetrokken, ongeïnteresseerd)
Benen 2 (Schopt of heeft opgetrokken benen)
Activiteit 1 (Kronkelt, wringt zich in bochten, verandert steeds van houding, is gespannen)
Huilen 0 (Huilt niet (wakker of slapend))
Troostbaar 2 (Is moeilijk te troosten of op te beuren)
Totaalscore 6
Toelichting Controle voor toediening pijnmedicatie.

References

1. Stichting Kind&Pijn [Online] Beschikbaar op:http://www.kind-pijn.org/ [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

ActivityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.3 Binding: Required Status: Active
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Lying quiet Act0 0 FLACC_Activiteit 2.16.840.1.113883.2.4.3.11.60.40.4.21.3 Ligt rustig, in een normale houding, maakt rustige bewegingen
Squirming Act1 1 FLACC_Activiteit 2.16.840.1.113883.2.4.3.11.60.40.4.21.3 Kronkelt, wringt zich in bochten, verandert steeds van houding,is gespannen
Arched Act2 2 FLACC_Activiteit 2.16.840.1.113883.2.4.3.11.60.40.4.21.3 Overstrekt zich, trekt een holle rug of ligt ineengekrompen,is verstijfd of maakt schokkende bewegingen
Other values are not allowed

ConsolabilityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.5 Binding: Required Status: Active
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Content Cons0 0 FLACC_Troostbaar 2.16.840.1.113883.2.4.3.11.60.40.4.21.5 Is tevreden, ontspannen
Consolable, distractable Cons1 1 FLACC_Troostbaar 2.16.840.1.113883.2.4.3.11.60.40.4.21.5 Is te troosten door af en toe aan te raken, te knuffelen of toe te spreken; laat zich afleiden
Difficult to console Cons2 2 FLACC_Troostbaar 2.16.840.1.113883.2.4.3.11.60.40.4.21.5 Is moeilijk te troosten of op te beuren
Other values are not allowed

CryCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.4 Binding: Required Status: Active
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
No cry Cry0 0 FLACC_Huilen 2.16.840.1.113883.2.4.3.11.60.40.4.21.4 Huilt niet (wakker of slapend)
Moans Cry1 1 FLACC_Huilen 2.16.840.1.113883.2.4.3.11.60.40.4.21.4 Kreunt, kermt of jengelt; klaagt af en toe
Crying constantly Cry2 2 FLACC_Huilen 2.16.840.1.113883.2.4.3.11.60.40.4.21.4 Huilt voortdurend, schreeuwt of jammert, klaagt veelvuldig
Other values are not allowed

FaceCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.1 Binding: Required Status: Active
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
No particular expression Face0 0 FLACC_Gezicht 2.16.840.1.113883.2.4.3.11.60.40.4.21.1 Vertoont geen specifieke expressie of glimlach
Occasional grimace Face1 1 FLACC_Gezicht 2.16.840.1.113883.2.4.3.11.60.40.4.21.1 Fronst af en toe of trekt een grimas, is teruggetrokken, ongeïnteresseerd
Frequent to constant frown Face2 2 FLACC_Gezicht 2.16.840.1.113883.2.4.3.11.60.40.4.21.1 Fronst regelmatig tot voortdurend, klemt de kaken op elkaar, heeft een trillende kin
Other values are not allowed

LegsCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.2 Binding: Required Status: Active
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Normal position Legs0 0 FLACC_Benen 2.16.840.1.113883.2.4.3.11.60.40.4.21.2 Normale houding en/of ontspannen
Restless Legs1 1 FLACC_Benen 2.16.840.1.113883.2.4.3.11.60.40.4.21.2 Ongemakkelijk, onrustig, gespannen
Kicking Legs2 2 FLACC_Benen 2.16.840.1.113883.2.4.3.11.60.40.4.21.2 Schopt of heeft opgetrokken benen
Other values are not allowed

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 Release 2024
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20250331 [R] (maart 2025-editie)
  • LOINC version 2.77

Conditions for use are located on the mainpage
This page is generated on 18/04/2025 17:46:09 with ZibExtraction v. 9.4.9209.40417

Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=FLACCpainScale-v1.2.1(2024EN)&oldid=30726"