{
"description": "The pain score is a general measurement for pain experience, not a description of specific, localized pain.\\r\\n\\r\\nThe following are used as an easily reproducible measurement for pain experience:\\r\\nNRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 1 (no pain) to 10 (unbearable pain).\\r\\nVAS (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.\\r\\n\\r\\nThe results of both scores have the same meaning, but the visual analogue method (VAS) is seen as more reliable than the NRS pain score.",
"_filename": "zib-PainScore.json",
"package_name": "nictiz.fhir.nl.r4.zib2020",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"purpose": "This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) PainScore v4.0 (2020)](https://zibs.nl/wiki/PainScore-v4.0(2020EN)).",
"name": "ZibPainScore",
"mapping": [ {
"uri": "https://zibs.nl/wiki/PainScore-v4.0(2020EN)",
"name": "zib PainScore-v4.0(2020EN)",
"identity": "zib-painscore-v4.0-2020EN"
} ],
"abstract": true,
"copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "zib PainScore",
"package_version": "0.12.0-beta.1",
"status": "draft",
"id": "96ec5623-32f3-43b2-bb7d-31997470e3d9",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-PainScore",
"version": null,
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "PijnScore" ],
"short": "PainScore",
"mapping": [ {
"map": "NL-CM:12.9.1",
"comment": "PainScore",
"identity": "zib-painscore-v4.0-2020EN"
} ],
"constraint": [ {
"key": "zib-PainScore-1",
"human": "The maximum value is 10 if method is VAS10 or NRS, or 100 if method is VAS100",
"severity": "error",
"expression": "(method.coding.code in ('VAS10' | 'NRS') implies value <= 10) and (method.coding.code = 'VAS100' implies value <= 100)"
}, {
"key": "zib-PainScore-2",
"human": "The minimum value is 0",
"severity": "error",
"expression": "value >= 0"
} ]
}, {
"id": "Observation.code",
"path": "Observation.code",
"patternCodeableConcept": {
"coding": [ {
"code": "225908003",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "Observation.effective[x]:effectiveDateTime",
"path": "Observation.effective[x]",
"type": [ {
"code": "dateTime"
} ],
"alias": [ "PijnscoreDatumTijd" ],
"short": "PainScoreDateTime",
"mapping": [ {
"map": "NL-CM:12.9.3",
"comment": "PainScoreDateTime",
"identity": "zib-painscore-v4.0-2020EN"
} ],
"sliceName": "effectiveDateTime",
"definition": "The date and time at which the pain score was measured."
}, {
"id": "Observation.value[x]",
"path": "Observation.value[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"path": "Observation.value[x]",
"definition": "The score is a general measurement of pain experience, not a description of specific, localized pain. \r\n \r\nDepending 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. \r\n \r\nSometimes a value range of 0-100 is used instead of 0-10.",
"short": "PainScoreValue",
"mapping": [ {
"map": "NL-CM:12.9.2",
"comment": "PainScoreValue",
"identity": "zib-painscore-v4.0-2020EN"
} ],
"type": [ {
"code": "integer"
} ],
"sliceName": "valueInteger",
"alias": [ "PijnscoreWaarde" ],
"id": "Observation.value[x]:valueInteger",
"condition": [ "zib-PainScore-1", "zib-PainScore-2" ]
}, {
"id": "Observation.note",
"max": "1",
"path": "Observation.note"
}, {
"id": "Observation.note.text",
"path": "Observation.note.text",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:12.9.5",
"comment": "Comment",
"identity": "zib-painscore-v4.0-2020EN"
} ],
"definition": "Comment on the pain score measurement, including comments on for example the circumstances and/or disruptive factors that may influence the result."
}, {
"path": "Observation.method",
"definition": "The measuring method describes the method used to determine the pain score. The measurement involves a visualization of the pain scale.",
"short": "PainMeasuringMethod",
"mapping": [ {
"map": "NL-CM:12.9.4",
"comment": "PainMeasuringMethod",
"identity": "zib-painscore-v4.0-2020EN"
} ],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.9.1--20200901000000"
},
"alias": [ "PijnMeetmethode" ],
"id": "Observation.method",
"condition": [ "zib-PainScore-1", "zib-PainScore-2" ],
"comment": "PijnMeetmethodeCodelijst uses codes from a custom code system. Although more standardized LOINC codes are available for VAS and NRS, these are about the *result* of the measurement (as determined by the method) rather than the method itself, and thus are not suitable as a drop-in replacement (they should be used on `Observation.code` rather than `Observation.method`). In future versions of the zib, the data model may be redesigned to adopt these standardized codes. See [ZIB-2199](https://nictiz.atlassian.net/browse/ZIB-2199) for more information."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}