PainScore-v3.1(2018EN)
General information
Name: nl.zorg.PainScore 
Version: 3.1
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019
Metadata
| DCM::CoderList | Kerngroep Registratie aan de Bron |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::CreationDate | 29-11-2012 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | PM |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.12.9 |
| DCM::KeywordList | pijn, pijnscore, vas, nrs, vitale parameters |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Kerngroep Registratie aan de Bron |
| DCM::Name | nl.zorg.Pijnscore |
| DCM::PublicationDate | 26-02-2019 |
| DCM::PublicationStatus | Prepublished |
| DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 31-12-2017 |
| DCM::Superseeds | nl.zorg.Pijnscore-v3.0 |
| DCM::Version | 3.1 |
| HCIM::PublicationLanguage | EN |
Revision History
Concept
The pain score is a general measurement for pain experience, not a description of specific, localized pain.
The following are used as an easily reproducible measurement for pain experience:
- NRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 1 (no pain) to 10 (unbearable pain).
- VAS (Visual Analogue Score), in which the patient points to a bar with a line to indicate the pain they feel. The back of the bar has a scale from 0 (no pain) to 10 (unbearable pain) on it.
The results of both scores have the same meaning, but the visual analogue method (VAS) is seen as more reliable than the NRS pain score.
Purpose
The purpose of the pain score is to quantify and objectify the patient’s subjective pain experience.
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
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NL-CM:12.9.1 |  PainScore
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Root concept of the PainScore information model. This root concept contains all data elements of the PainScore information model. | |||||||||||
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NL-CM:12.9.2 |  PainScoreValue
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1 | The score is a general measurement of pain experience, not a description of specific, localized pain.
Depending on the measuring method used, it indicates the level of pain experienced by the patient on a scale of 0 to 10: 0 = no pain and 10 = the worst pain imaginable. No descriptions are used for the intermediate values, so that the value is displayed as a number and not as a code. Sometimes a value range of 0-100 is used instead of 0-10. |
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NL-CM:12.9.3 | PainScoreDateTime
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1 | The date and time at which the pain score was measured. | ||||||||||
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NL-CM:12.9.4 | PainMeasuringMethod
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1 | The measuring method describes the method used to determine the pain score. The measurement involves a visualization of the pain scale. |
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NL-CM:12.9.6 | AnatomicalLocation
|
0..1 | Anatomical location which is the focus of the procedure. |
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NL-CM:12.9.7 | Laterality
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0..1 | Laterality adds information about body side to the anatomic location, e.g. left |
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NL-CM:12.9.5 | Comment
|
0..1 | Comment on the pain score measurement, including comments on for example the circumstances and/or disruptive factors that may influence the result. |
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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
| PijnscoreDatum Tijd | PijnscoreWaarde | PijnMeetmethode | AnatomischeLocatie | Lateraliteit | Toelichting |
| 08-02-2013 6:43 | 7 | VAS10 | Enkel | Rechts | Bij bewegen |
References
1. openEHR-EHR-OBSERVATION.symptom-pain.v1[Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 23 december 2014].
Valuesets
PainAnatomicalLocationCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.9.2 | Binding: Extensible |
| Conceptname | Codesystem name | Codesystem OID |
| SNOMED CT: <442083009|Anatomical or acquired body structure| | SNOMED CT | 2.16.840.1.113883.6.96 |
PainLateralityCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.9.3 | Binding: Extensible |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Left | 7771000 | SNOMED CT | 2.16.840.1.113883.6.96 | Links |
| Right | 24028007 | SNOMED CT | 2.16.840.1.113883.6.96 | Rechts |
| Right and left | 51440002 | SNOMED CT | 2.16.840.1.113883.6.96 | Rechts en links |
PainMeasuringMethodCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.9.1 | Binding: Extensible |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| NRS | NRS | PijnMeetmethode | 2.16.840.1.113883.2.4.3.11.60.40.4.9.1 | NRS |
| VAS10 | VAS10 | PijnMeetmethode | 2.16.840.1.113883.2.4.3.11.60.40.4.9.1 | VAS10 |
| VAS100 | VAS100 | PijnMeetmethode | 2.16.840.1.113883.2.4.3.11.60.40.4.9.1 | VAS100 |
This information model in other releases
- Release 2015, (Version 1.2.1)
- Release 2016, (Version 3.0)
- Release 2017, (Version 3.1)
- Prerelease 2019-2, (Version 3.2)
- Release 2020, (Version 4.0)
- Prerelease 2021-2, (Version 4.0)
- Prerelease 2022-1, (Version 4.0)
- Prerelease 2023-1, (Version 4.1)
- Prerelease 2024-1, (Version 4.1)
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 Prerelease 2018-2
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
- LOINC version 2.64
Conditions for use are located on the mainpage
This page is generated on 12/03/2019 17:31:02 with ZibExtraction v. 3.0.7010.25883