FLACCpainScale-v1.0(2017EN): verschil tussen versies

Versie van 30 nov 2017 13:28

General information

Name: nl.zorg.FLACCpainScale
Version: 1.0
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017

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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	04-09-2017
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	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.

FaceCodelist

NL-CM:12.13.4

Legs

0..1

Observation legs: the extent to which the child is restless (body and legs).

LegsCodelist

NL-CM:12.13.5

Activity

0..1

Observation activity: the extent to which the child is restless and has tense muscles.

ActivityCodelist

NL-CM:12.13.6

Cry

0..1

Observation Crying: the extent to which the child is crying, whimpers or laments.

CryCodelist

NL-CM:12.13.9

Consolability

0..1

Observation Consolability: the extent to which the child is consolable.

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

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

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

This information model in other releases

---

More on this information model

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

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 30/11/2017 13:24:42

Back to HCIM list

@@ Regel 3: / Regel 3: @@
 Version: '''1.0''' <br>
 HCIM Status:Final<br>
-Publication: '''2017''' <br>
+Release: '''2017''' <br>
 Release status: Prepublished<br>
-Publication date: 04-09-2017
+Release date: 04-09-2017
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
@@ Regel 90: / Regel 90: @@
 ==Information Model==
 <BR>
-[[Bestand: FLACCpainScale-v1.0Model(EN).png | center]]
+<imagemap> Bestand:FLACCpainScale-v1.0Model(EN).png | center
+rect 799 218 953 268 [[#ConsolabilityCodelist]]
+rect 441 431 561 481 [[#ActivityCodelist]]
+rect 257 430 377 480 [[#LegsCodelist]]
+rect 92 217 208 267 [[#FaceCodelist]]
+rect 634 208 754 278 [[#11445]]
+rect 624 334 744 404 [[#11460]]
+rect 441 333 561 403 [[#11458]]
+rect 258 335 378 405 [[#11449]]
+rect 258 208 378 278 [[#11457]]
+rect 633 67 752 137 [[#11447]]
+rect 442 35 560 137 [[#11444]]
+rect 624 431 744 481 [[#CryCodelist]]
+rect 259 67 378 137 [[#11448]]
+rect 441 203 561 283 [[#11450]]
+desc none
+</imagemap>
 <BR>
 {| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
@@ Regel 96: / Regel 112: @@
 |style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
 |-style="vertical-align:top; background-color: #E3E3E3; "
-|style = "text-align:center" |[[Bestand: block.png| 20px]]
+|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
 ||NL-CM:12.13.1
-|colspan ="6" style ="padding-left: 0px"|<span Title="NL: FLACCpijnScore">[[Bestand: arrowdown.png | 10px]]FLACCpainScore</span>
+|colspan ="6" style ="padding-left: 0px"|<span Id=11450 Title="NL: FLACCpijnScore">[[Bestand: arrowdown.png | 10px | link=]]FLACCpainScore</span>
 |
 |Root concept of the FLACCpainScale information model. This root concept contains all data elements of the FLACCpainScale information model.
@@ Regel 104: / Regel 120: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: INT.png| 16px]]
+|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
 ||NL-CM:12.13.2
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: TotaalScore">[[Bestand: arrowright.png | 10px]]TotalScore</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11444 Title="NL: TotaalScore">[[Bestand: arrowright.png | 10px | link=]]TotalScore</span>
 |0..1
 |The total score is the sum of all the individual scores. The total score has a range from 0 - 10.
@@ Regel 113: / Regel 129: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CO.png| 16px]]
+|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
 ||NL-CM:12.13.3
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Gezicht">[[Bestand: arrowright.png | 10px]]Face</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11457 Title="NL: Gezicht">[[Bestand: arrowright.png | 10px | link=]]Face</span>
 |0..1
 |Observation Faces;
@@ Regel 124: / Regel 140: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#FaceCodelist|FaceCodelist]]
+|[[Bestand: List2.png | link=#FaceCodelist]]||[[#FaceCodelist|FaceCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CO.png| 16px]]
+|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
 ||NL-CM:12.13.4
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Benen">[[Bestand: arrowright.png | 10px]]Legs</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11449 Title="NL: Benen">[[Bestand: arrowright.png | 10px | link=]]Legs</span>
 |0..1
 | Observation legs: the extent to which the child is restless (body and legs).
@@ Regel 137: / Regel 153: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#LegsCodelist|LegsCodelist]]
+|[[Bestand: List2.png | link=#LegsCodelist]]||[[#LegsCodelist|LegsCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CO.png| 16px]]
+|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
 ||NL-CM:12.13.5
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Activiteit">[[Bestand: arrowright.png | 10px]]Activity</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11458 Title="NL: Activiteit">[[Bestand: arrowright.png | 10px | link=]]Activity</span>
 |0..1
 |Observation activity: the extent to which the child is restless and has tense muscles.
@@ Regel 150: / Regel 166: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#ActivityCodelist|ActivityCodelist]]
+|[[Bestand: List2.png | link=#ActivityCodelist]]||[[#ActivityCodelist|ActivityCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CO.png| 16px]]
+|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
 ||NL-CM:12.13.6
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Huilen">[[Bestand: arrowright.png | 10px]]Cry</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11460 Title="NL: Huilen">[[Bestand: arrowright.png | 10px | link=]]Cry</span>
 |0..1
 |Observation Crying: the extent to which the child is crying, whimpers or laments.
@@ Regel 163: / Regel 179: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#CryCodelist|CryCodelist]]
+|[[Bestand: List2.png | link=#CryCodelist]]||[[#CryCodelist|CryCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CO.png| 16px]]
+|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
 ||NL-CM:12.13.9
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Troostbaar">[[Bestand: arrowright.png | 10px]]Consolability</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11445 Title="NL: Troostbaar">[[Bestand: arrowright.png | 10px | link=]]Consolability</span>
 |0..1
 |Observation Consolability: the extent to which the child is consolable.
@@ Regel 176: / Regel 192: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#ConsolabilityCodelist|ConsolabilityCodelist]]
+|[[Bestand: List2.png | link=#ConsolabilityCodelist]]||[[#ConsolabilityCodelist|ConsolabilityCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: TS.png| 16px]]
+|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
 ||NL-CM:12.13.11
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: ScoreDatumTijd">[[Bestand: arrowright.png | 10px]]ScoreDateTime</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11447 Title="NL: ScoreDatumTijd">[[Bestand: arrowright.png | 10px | link=]]ScoreDateTime</span>
 |1
 |The date and time at which the FLACC score was determined.
@@ Regel 188: / Regel 204: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: ST.png| 16px]]
+|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
 ||NL-CM:12.13.12
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11448 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
 |0..1
 |A comment on the circumstances during the measurement.
@@ Regel 209: / Regel 225: @@
 {|class="wikitable" width="564px" style= "font-size: 9.5pt;"
 |-style=vertical-align:top;
-|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|FLACCpijnScore
+|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>FLACCpijnScore</b></font>
 |-style=vertical-align:top;
 | style="width: 44%; "|ScoreDatumTijd
@@ Regel 233: / Regel 249: @@
 |-style=vertical-align:top;
 | style="width: 44%; "|Toelichting
-| style="width: 56%; color: #000000; "|Controle voor toediening pijnmedicatie.
+| style="width: 56%; "|Controle voor toediening pijnmedicatie.
 |}
@@ Regel 417: / Regel 433: @@
+==This information model in other releases==
+---
 ==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[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.12.13] <BR>
+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:
+<ul>
+<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.12.13&effectiveDate=2017-09-04T00:00:00&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 [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
+</ul>
 This information model is also available as [[Media:nl.zorg.FLACCpainScale-v1.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FLACCpainScale-v1.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
 ==About this information==
 The information in this wikipage is based on Prerelease 2017 #1 <BR>
 Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
-This page is generated on 28/09/2017 11:18:38 <BR>
+This page is generated on 30/11/2017 13:24:42 <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

FLACCpainScale-v1.0(2017EN): verschil tussen versies

Versie van 30 nov 2017 13:28

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Patient Population

Information Model

Example Instances

References