{
"description": "The Comfort Behaviour scale/ComfortNeo scale is an assessment tool, that is used to assess the pain behaviour of neonates (newborn).\\r\\nThe Comfort Behaviour scale has 7 observation points that need to be addressed. For each observation a value is assigned from a 5-point scale, the final score indicates whether the observed child suffers pain and 'how much'. The score is combined with an NRS score that is completed by the nurses on basis of clinical experience.",
"_filename": "zib-ComfortScale.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) ComfortScale-v1.1(2020EN)](https://zibs.nl/wiki/ComfortScale-v1.1(2020EN)).",
"name": "ZibComfortScale",
"mapping": [ {
"uri": "https://zibs.nl/wiki/ComfortScale-v1.1(2020EN)",
"name": "zib ComfortScale-v1.1(2020EN)",
"identity": "zib-comfortscale-v1.1-2020EN"
} ],
"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 ComfortScale",
"package_version": "0.8.0-beta.1",
"status": "draft",
"id": "a26a15cf-4ad3-48e1-a766-422ccc466f14",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-ComfortScale",
"version": null,
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "ComfortScore" ],
"short": "ComfortScale",
"mapping": [ {
"map": "NL-CM:12.12.1",
"comment": "ComfortScale",
"identity": "zib-comfortscale-v1.1-2020EN"
} ]
}, {
"id": "Observation.code",
"path": "Observation.code",
"patternCodeableConcept": {
"coding": [ {
"code": "108301000146109",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "Observation.effective[x]:effectiveDateTime",
"path": "Observation.effective[x]",
"type": [ {
"code": "dateTime"
} ],
"alias": [ "ScoreDatumTijd" ],
"short": "ScoreDateTime",
"mapping": [ {
"map": "NL-CM:12.12.11",
"comment": "ScoreDateTime",
"identity": "zib-comfortscale-v1.1-2020EN"
} ],
"sliceName": "effectiveDateTime",
"definition": "The date and time at which the Comfort Behaviour scale/ComfortNeo scale was determined."
}, {
"id": "Observation.value[x]",
"path": "Observation.value[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"path": "Observation.value[x]",
"definition": "The total score is the sum of all the individual scores. The total score has a range from 0 - 35.",
"minValueInteger": 0,
"short": "TotalScore",
"mapping": [ {
"map": "NL-CM:12.12.2",
"comment": "TotalScore",
"identity": "zib-comfortscale-v1.1-2020EN"
} ],
"type": [ {
"code": "integer"
} ],
"sliceName": "valueInteger",
"alias": [ "TotaalScore" ],
"id": "Observation.value[x]:valueInteger",
"maxValueInteger": 35
}, {
"id": "Observation.note",
"max": "1",
"path": "Observation.note"
}, {
"id": "Observation.note.text",
"path": "Observation.note.text",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:12.12.12",
"comment": "Comment",
"identity": "zib-comfortscale-v1.1-2020EN"
} ],
"definition": "A comment on the circumstances during the measurement."
}, {
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.component:alertness",
"max": "1",
"path": "Observation.component",
"sliceName": "alertness"
}, {
"id": "Observation.component:alertness.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12012003",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"
} ]
}
}, {
"id": "Observation.component:alertness.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "Alertheid" ],
"short": "Alertness",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.1--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.12.3",
"comment": "Alertness",
"identity": "zib-comfortscale-v1.1-2020EN"
} ],
"definition": "Observation Alertness"
}, {
"id": "Observation.component:calmnessAgitation",
"max": "1",
"path": "Observation.component",
"sliceName": "calmnessAgitation"
}, {
"id": "Observation.component:calmnessAgitation.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12012004",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"
} ]
}
}, {
"id": "Observation.component:calmnessAgitation.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "Kalmte_Agitatie" ],
"short": "Calmness_Agitation",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.2--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.12.4",
"comment": "Calmness_Agitation",
"identity": "zib-comfortscale-v1.1-2020EN"
} ],
"definition": "Observation Calmness/agitation"
}, {
"id": "Observation.component:respiratoryResponse",
"max": "1",
"path": "Observation.component",
"sliceName": "respiratoryResponse"
}, {
"id": "Observation.component:respiratoryResponse.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12012005",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"
} ]
}
}, {
"id": "Observation.component:respiratoryResponse.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "Ademhalingsreactie" ],
"short": "RespiratoryResponse",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.3--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.12.5",
"comment": "RespiratoryResponse",
"identity": "zib-comfortscale-v1.1-2020EN"
} ],
"definition": "Observation Respiratory response (only in mechanically ventilated children)"
}, {
"id": "Observation.component:crying",
"max": "1",
"path": "Observation.component",
"sliceName": "crying"
}, {
"id": "Observation.component:crying.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12012006",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"
} ]
}
}, {
"id": "Observation.component:crying.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "Huilen" ],
"short": "Crying",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.4--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.12.6",
"comment": "Crying",
"identity": "zib-comfortscale-v1.1-2020EN"
} ],
"definition": "Observation Crying (only in spontaneously breathing children)"
}, {
"id": "Observation.component:bodyMovement",
"max": "1",
"path": "Observation.component",
"sliceName": "bodyMovement"
}, {
"id": "Observation.component:bodyMovement.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12012008",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"
} ]
}
}, {
"id": "Observation.component:bodyMovement.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "Lichaamsbeweging" ],
"short": "BodyMovement",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.5--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.12.8",
"comment": "BodyMovement",
"identity": "zib-comfortscale-v1.1-2020EN"
} ],
"definition": "Observation Physical movement"
}, {
"id": "Observation.component:facialTone",
"max": "1",
"path": "Observation.component",
"sliceName": "facialTone"
}, {
"id": "Observation.component:facialTone.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12012009",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"
} ]
}
}, {
"id": "Observation.component:facialTone.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "Gezichtsspanning" ],
"short": "FacialTone",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.6--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.12.9",
"comment": "FacialTone",
"identity": "zib-comfortscale-v1.1-2020EN"
} ],
"definition": "Observation Facial tension"
}, {
"id": "Observation.component:bodyMuscleTone",
"max": "1",
"path": "Observation.component",
"sliceName": "bodyMuscleTone"
}, {
"id": "Observation.component:bodyMuscleTone.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12012010",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"
} ]
}
}, {
"id": "Observation.component:bodyMuscleTone.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "Spierspanning" ],
"short": "BodyMuscleTone",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.7--20200901000000"
},
"mapping": [ {
"map": "NL-CM:12.12.10",
"comment": "BodyMuscleTone",
"identity": "zib-comfortscale-v1.1-2020EN"
} ],
"definition": "Observation Muscle tone"
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}