PainPerception-v1.0(2015EN)
General information
Name: nl.nfu.PainPerception 
Version: 1.0
HCIM Status:Final
Publication: 2015
Release status: Published
Publication date: 8-9-2015
Metadata
| DCM::CoderList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::CreationDate | 7-7-2014 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | NFU & V&VN |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.12.11 |
| DCM::KeywordList | Pijn, pijnscore, pijnbeleving, vas, nrs |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::Name | nl.nfu.PijnBeleving |
| DCM::PublicationDate | 8-9-2015 |
| DCM::PublicationStatus | Published |
| DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 8-9-2015 |
| DCM::Superseeds | |
| DCM::Version | 1.0 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-07-2015).
Concept
Pain experience provides an indication of the pain experienced by the patient that is as comprehensive as possible. This includes not only the extent of the pain but also the context in which the pain is experienced. The extent of pain is recorded using the Numeric Rating Scale (NRS) or the Visual Analogue Score (VAS).
Purpose
The focus on the pain, asking for and recording a pain indication can facilitate a better estimate of the severity of the pain and a better evaluation of the effect of a treatment.
Evidence Base
For children under the age of 7, we recommend using a different pain scale: the COMFORT behavior scale, the CHIPPS (Children's and Infants' Postoperative Pain Scale), the POKIS (Pain Observation Scale for Young Children), the FLACC (Faces, legs, activity, cry and consolability) and the CHEOPS (Children's Hospital of Eastern Ontario Pain Scale).
(Source: Richtlijn Pijnmeting en Behandeling van pijn bij kinderen [Guideline for Children’s Pain Measurement and Treatment].
An observation scale for non-verbal pain behavior can be used for patients for which measuring with NRS is not an option. An example is REPOS, for patients with an expressive language disorder (the Rotterdam Elderly Pain Observation Scale), PACSLAC-D (the Pain Assessment Scale for Seniors with Severe Dementia) and the PAINAD (the Pain Assessment In Advanced Dementia).
Patient Population
The NRS and VAS are suited for measuring pain among patients of the age of 7 and older.
Information Model
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| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
|
NL-CM:12.11.1 |  PainExperience
|
Root concept of the PainExperience building block. This root concept contains all data elements of the PainExperience building block. | ||||||||||
|
NL-CM:12.11.2 |  AnatomicalLocation
|
0..1 | The location or area of the pain. |
| ||||||||
|
NL-CM:12.11.6 | NursingProcedure
|
0..* | The description of nursing procedures required to support a patient in pain. |
| ||||||||
|
NL-CM:12.11.3 | ExtentOfPain
|
1..* | Container of the ExtentOfPain concept. This container contains all data elements of the ExtentOfPain concept. | |||||||||
|
|
NL-CM:12.11.5 | PainScore
|
1 | The pain score indicates the extent of the pain experienced by the patient. |
| ||||||||
|
|
NL-CM:12.11.4 | PainContext
|
0..1 | Pain context indicates the context of the pain measurement. You can indicate whether the patient experiences pain when resting, when exercising or otherwise. |
| ||||||||
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
| PijnBeleving | |
| AnatomischeLocatie | Bovenbuik |
| MateVanPijn | |
| PijnContext | Pijn bij bewegen |
| PijnScore | |
| PijnscoreWaarde | 5 |
| PijnscoreDatumTijd | 10-09-2014 |
| PijnMeetmethode | VAS10 |
| Toelichting | Zeurende pijn. |
| VerpleegkundigeActie | |
| Activiteit | Pijnbestrijding volgens afspraak. Ondersteuning van wond bij hoesten. |
References
1. Nederlandse Vereniging voor Anesthesiologie. Richtlijn Postoperatieve pijn. (2012) [Online] Beschikbaar op:http://www.anesthesiologie.nl/uploads/kwaliteit/Def_RL_Postoperatieve_pijn.pdf [Geraadpleegd: 13 februari 2015]
2. VMS. Vroege herkenning en behandeling van pijn. (2009) [Online] Beschikbaar op:http://www.vmszorg.nl/_library/5544/web_2009.0109_praktijkgids_pijn.pdf [Geraadpleegd: 13 februari 2015]
3. Nederlandse Vereniging voor Kindergeneeskunde. Richtlijn Pijnmeting en Behandeling van pijn bij kinderen. (2007) [Online] Beschikbaar op:http://www.nvk.nl/Portals/0/richtlijnen/pijnmeting/richtlijnpijnmeting.pdf [Geraadpleegd: 13 februari 2015]
Valuesets
PainAnatomicalLocationCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.11.2 |
| Conceptname | Codesystem name | Codesystem OID |
| SNOMED CT: <<91723000 | anatomical structure | | SNOMED CT | 2.16.840.1.113883.6.96 |
PainContextCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.11.1 |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Pain onset at rest | 428926002 | SNOMED CT | 2.16.840.1.113883.6.96 | Pijn bij rust |
| Pain onset during exertion | 429056000 | SNOMED CT | 2.16.840.1.113883.6.96 | Pijn bij beweging |
| Other | OTH | NullFlavor | 2.16.840.1.113883.5.1008 | Anders |
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 Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 28/09/2017 00:05:36