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General information Name: nl.zorg.ComfortScale 1.1 2019
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
2.16.840.1.113883.2.4.3.11.60.40.3.12.12
DCM::KeywordList
Pijnscore, assessment, comfort, comfortneo
DCM::LifecycleStatus
Final
DCM::ModelerList
Werkgroep RadB Verpleegkundige Gegevens
DCM::Name
nl.zorg.ComfortScore
DCM::PublicationDate
29-01-2020
DCM::PublicationStatus
Prepublished
DCM::ReviewerList
Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate
09-01-2020
DCM::Supersedes
nl.zorg.ComfortScore-v1.0
DCM::Version
1.1
HCIM::PublicationLanguage
EN
Revision History
Only available in Dutch
Publicatieversie 1.0 (04-09-2017)
Publicatieversie 1.1 (29-01-2020)
ZIB-925
DefinitionCodes zib nl.ComfortScore
Concept The Comfort Behaviour scale /Comfortneo scale is an assessment tool, that is used to assess the pain behaviour of neonates (new born).
Purpose > A pain observation 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 new born it is nevertheless difficult to differentiate between pain or distress/anxiety. This is relevant in determining the treatment. The score on a pain measurement instrument remains a snapshot in time.
Evidence Base For determining the degree of pain in children with difficulty expressing themselves there are divers pain observation instruments available
CPB
Comfort behaviour scale/ Comfortneo scale
Flacc
Patient Population The COMFORT assessment scale is validated for young children up to the age of 4.
Information Model
Type
Id
Concept
Card.
Definition
DefinitionCode
Reference
NL-CM:12.12.1
Rootconcept of the ComfortScale information model. This root concept contains all data elements of the ComfortScale information model.
NL-CM:12.12.2
0..1
The total score is the sum of all the individual scores. The total score has a range from 0 - 35.
NL-CM:12.12.3
0..1
Observation of: Alertness
12012003 ComfortScale Alertness
NL-CM:12.12.4
0..1
Observation: Calmness/ agitation
12012004 ComfortScale Calmness_Agitation
NL-CM:12.12.5
0..1
Observation Respiratory response (only in mechanically ventilated children)
12012005 ComfortScale RespiratoryResponse
NL-CM:12.12.6
0..1
Observation Crying (only in spontaneously breathing children)
12012006 ComfortScale Crying
NL-CM:12.12.8
0..1
Observation Physical movement
12012008 ComfortScale BodyMovement
NL-CM:12.12.9
0..1
Observation Facial tension
12012009 ComfortScale FacialTone
NL-CM:12.12.10
0..1
Observation Muscle tone
12012010 ComfortScale BodyMuscleTone
NL-CM:12.12.11
1
The date and time at which the Comfort Behaviour scale/ComfortNeo scale was determined.
NL-CM:12.12.12
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
Example Instances Only available in Dutch
Comfort Score
ScoreDatumTijd
21-12-2016 12:05
Alertheid
4 (wakker en alert)
Kalmte_Agitatie
2 (licht angstig)
Huilen
2 (af en toe snikken of kreunen)
Lichaamsbeweging
2 (incidentele beweging)
Gezichtsspanning
2 (normale spanning van het gelaat)
Spierspanning
2 (verminderde spierspanning)
Totaalscore
14
Toelichting
Controle na verhogen pijnmedicatie.
ComfortNeoScore
ScoreDatumTijd
21-12-2016 12:05
Alertheid
4 (wakker en alert)
Kalmte_Agitatie
2 (licht angstig)
Ademhalingsreactie
3 (af en toe hoesten of verzet tegen de ventilator)
Lichaamsbeweging
2 (incidentele beweging)
Gezichtsspanning
2 (normale spanning van het gelaat)
Spierspanning
2 (verminderde spierspanning)
Totaalscore
15
Toelichting
Controle na verhogen pijnmedicatie.
Instructions In the ComfortNeo scale the item crying is replaced by respiratory reaction.
References 1. Comfort assessment [Online] Beschikbaar op:http://www.comfortassessment.nl/ https://www.nvk.nl/Kwaliteit/Richtlijnenoverzicht/Details/tabid/1558/articleType/ArticleView/articleId/760/Pijn-meting-en-behandeling-van.aspx
Valuesets AlertnessCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.1
Binding: Required
Conceptname
Conceptcode
Conceptvalue
Codesystem name
Codesystem OID
Description
Deeply asleep
Alert1
1
CN_Alertheid
2.16.840.1.113883.2.4.3.11.60.40.4.20.1
Diep in slaap (ogen dicht, geen reactie op omgeving)
Lightly asleep
Alert2
2
CN_Alertheid
2.16.840.1.113883.2.4.3.11.60.40.4.20.1
Licht in slaap (ogen grotendeels gesloten, af en toe reactie)
Drowsy
Alert3
3
CN_Alertheid
2.16.840.1.113883.2.4.3.11.60.40.4.20.1
Slaperig (kind sluit vaak zijn ogen, reageert minder op omgeving)
Awake and alert
Alert4
4
CN_Alertheid
2.16.840.1.113883.2.4.3.11.60.40.4.20.1
Wakker en alert (kind reageert op omgeving)
Awake and hyperalert
Alert5
5
CN_Alertheid
2.16.840.1.113883.2.4.3.11.60.40.4.20.1
Wakker en hyper-alert (overdreven reactie op veranderingen)
BodyMovementCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.5
Binding: Required
Conceptname
Conceptcode
Conceptvalue
Codesystem name
Codesystem OID
Description
No movement
Mov1
1
CN_Lichaamsbeweging
2.16.840.1.113883.2.4.3.11.60.40.4.20.5
Geen beweging
Occasional, slight movements
Mov2
2
CN_Lichaamsbeweging
2.16.840.1.113883.2.4.3.11.60.40.4.20.5
Incidentele (3 of minder) kleine bewegingen
Frequent, slight movements
Mov3
3
CN_Lichaamsbeweging
2.16.840.1.113883.2.4.3.11.60.40.4.20.5
Frequente (3 of meer) kleine bewegingen
Vigorous movements limited to extremities
Mov4
4
CN_Lichaamsbeweging
2.16.840.1.113883.2.4.3.11.60.40.4.20.5
Heftige bewegingen met armen en benen
Vigorous movements including torso and head
Mov5
5
CN_Lichaamsbeweging
2.16.840.1.113883.2.4.3.11.60.40.4.20.5
Heftige bewegingen ook met romp en hoofd
BodyMuscleToneCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.7
Binding: Required
Conceptname
Conceptcode
Conceptvalue
Codesystem name
Codesystem OID
Description
Muscles fully relaxed
Musc1
1
CN_Spierspanning
2.16.840.1.113883.2.4.3.11.60.40.4.20.7
Spieren volledig ontspannen; geen spierspanning
Reduced muscle tone
Musc2
2
CN_Spierspanning
2.16.840.1.113883.2.4.3.11.60.40.4.20.7
Verminderde spierspanning; minder weerstand dan normaal
Normal muscle tone
Musc3
3
CN_Spierspanning
2.16.840.1.113883.2.4.3.11.60.40.4.20.7
Normale spierspanning
Increased muscle tone
Musc4
4
CN_Spierspanning
2.16.840.1.113883.2.4.3.11.60.40.4.20.7
Toegenomen spierspanning en buiging van vingers en tenen
Extreme muscle rigidity
Musc5
5
CN_Spierspanning
2.16.840.1.113883.2.4.3.11.60.40.4.20.7
Extreme spierstijfheid en buiging van vingers en tenen
Calmness_AgitationCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.2
Binding: Required
Conceptname
Conceptcode
Conceptvalue
Codesystem name
Codesystem OID
Description
Calm
Calm1
1
CN_Kalmte_Agitatie
2.16.840.1.113883.2.4.3.11.60.40.4.20.2
Kalm (kind helder en rustig)
Slightly anxious
Calm2
2
CN_Kalmte_Agitatie
2.16.840.1.113883.2.4.3.11.60.40.4.20.2
Licht angstig (kind toont lichte onrust)
Anxious
Calm3
3
CN_Kalmte_Agitatie
2.16.840.1.113883.2.4.3.11.60.40.4.20.2
Angstig (kind lijkt onrustig, kan zich beheersen)
Very anxious
Calm4
4
CN_Kalmte_Agitatie
2.16.840.1.113883.2.4.3.11.60.40.4.20.2
Zeer angstig (kind lijkt zeer onrustig, kan zich nog net beheersen)
Panicky
Calm5
5
CN_Kalmte_Agitatie
2.16.840.1.113883.2.4.3.11.60.40.4.20.2
Paniekerig (ernstige onrust met verlies van beheersing)
CryingCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.4
Binding: Required
Conceptname
Conceptcode
Conceptvalue
Codesystem name
Codesystem OID
Description
Quiet breathing
Cry1
1
CN_Huilen
2.16.840.1.113883.2.4.3.11.60.40.4.20.4
Geen huilgeluiden
Occasional sobbing or moaning
Cry2
2
CN_Huilen
2.16.840.1.113883.2.4.3.11.60.40.4.20.4
Af en toe snikken of kreunen (nasnikken)
Whining
Cry3
3
CN_Huilen
2.16.840.1.113883.2.4.3.11.60.40.4.20.4
Jengelen of dreinen (monotoon geluid)
Crying
Cry4
4
CN_Huilen
2.16.840.1.113883.2.4.3.11.60.40.4.20.4
Huilen
Screaming or shrieking
Cry5
5
CN_Huilen
2.16.840.1.113883.2.4.3.11.60.40.4.20.4
Schreeuwen of krijsen
FacialToneCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.6
Binding: Required
Conceptname
Conceptcode
Conceptvalue
Codesystem name
Codesystem OID
Description
Facial muscles totally relaxed
Face1
1
CN_Gezichtsspanning
2.16.840.1.113883.2.4.3.11.60.40.4.20.6
Gezichtsspieren volkomen ontspannen
Normal facial tone
Face2
2
CN_Gezichtsspanning
2.16.840.1.113883.2.4.3.11.60.40.4.20.6
Normale spanning van het gezicht
Tension evident in some facial muscles
Face3
3
CN_Gezichtsspanning
2.16.840.1.113883.2.4.3.11.60.40.4.20.6
Spanning duidelijk in sommige gelaatsspieren (niet aanhoudend)
Tension evident throughout facial muscles
Face4
4
CN_Gezichtsspanning
2.16.840.1.113883.2.4.3.11.60.40.4.20.6
Spanning duidelijk in alle gelaatsspieren (aanhoudend)
Facial muscles contorted and grimacing
Face5
5
CN_Gezichtsspanning
2.16.840.1.113883.2.4.3.11.60.40.4.20.6
Gezichtsspieren verwrongen en in een grimas
RespiratoryResponseCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.3
Binding: Required
Conceptname
Conceptcode
Conceptvalue
Codesystem name
Codesystem OID
Description
No spontaneous respiration
Vent1
1
CN_Ademhalingsreactie
2.16.840.1.113883.2.4.3.11.60.40.4.20.3
Geen spontane ademhaling
Spontaneous respiration on ventilator
Vent2
2
CN_Ademhalingsreactie
2.16.840.1.113883.2.4.3.11.60.40.4.20.3
Spontane ademhaling aan de beademing
Unrest or resistance to ventilator
Vent3
3
CN_Ademhalingsreactie
2.16.840.1.113883.2.4.3.11.60.40.4.20.3
Onrust of verzet tegen de beademing
Actively breathes against ventilator or coughs regularly
Vent4
4
CN_Ademhalingsreactie
2.16.840.1.113883.2.4.3.11.60.40.4.20.3
Ademt actief tegen de beademing in of hoest regelmatig
Fights ventilator
Vent5
5
CN_Ademhalingsreactie
2.16.840.1.113883.2.4.3.11.60.40.4.20.3
Vecht tegen de beademing
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.
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 spreadsheet
About this information The information in this wikipage is based on Prerelease 2019-2
SNOMED Clinical Terms version: 20190731 [R] (July 2019 Release)
LOINC version 2.64
Conditions for use are located on the mainpage
ComfortScale
TotalScore
or as spreadsheet 