Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate
04-09-2017
DCM::Superseeds
DCM::Version
1.0
HCIM::PublicationLanguage
EN
Revision History
Only available in Dutch
Publicatieversie 1.0 (04-09-2017).
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 a 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 assessment score used to assess pain in children between the ages of 0 and 7 years
Information Model
Type
Id
Concept
Card.
Definition
DefinitionCode
Reference
NL-CM:12.13.1
FLACCpainScore
Root concept of the FLACCpainScale information model. This root concept contains all data elements of the FLACCpainScale information model.
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.
NL-CM:12.13.3
Face
0..1
Observation Faces;
The extent to which the child’s expression on the face is tensed, grimace, tension of jaws.
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
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\Spruyt\Dropbox\ZIBs\Prepublicatieversie 2017-1\VZIBS_Examples\nl.zorg.FLACCpijnScore-v1.0(NL)_Voorbeeld.docx
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.3
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
ConsolabilityCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.5
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
CryCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.4
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
FaceCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.1
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
LegsCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.2
Conceptname
Conceptcode
Conceptvalue
Codesystem name
Codesystem OID
Description
Normal position
Legs0
0
FLACC_Legs
2.16.840.1.113883.2.4.3.11.60.40.4.21.2
Normale houding en/of ontspannen
Restless
Legs1
1
FLACC_Legs
2.16.840.1.113883.2.4.3.11.60.40.4.21.2
Ongemakkelijk, onrustig, gespannen
Kicking
Legs2
2
FLACC_Legs
2.16.840.1.113883.2.4.3.11.60.40.4.21.2
Schopt of heeft opgetrokken benen
More on this information model
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[1]
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 21/09/2017 18:14:39
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FLACCpainScore
TotalScore
or as spreadsheet 