{
"description": "This profile is derived from the HL7 Observation profile in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) PainScore version 3.1, release 2017 and to provide extensions for missing concepts if needed.\\r\\n\\r\\nThe pain score is a general measurement for pain experience, not a description of specific, localized pain.",
"_filename": "zib-PainScore.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.2",
"purpose": "The purpose of the pain score is to quantify and objectify the patient’s subjective pain experience.",
"name": "Zib PainScore",
"mapping": [ {
"uri": "https://zibs.nl/wiki/PainScore-v3.1(2017EN)",
"name": "HCIM PainScore-v3.1-2017EN",
"identity": "hcim-painscore-v3.1-2017EN"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0-2017EN",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM PainScore",
"package_version": "2.1.5",
"status": "active",
"id": "a7dbe520-10e0-4009-ac96-c79063ba83e3",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-PainScore",
"version": "1.0.1",
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "Pijnscore" ],
"short": "PainScore",
"mapping": [ {
"map": "NL-CM:12.9.1",
"comment": "PainScore",
"identity": "hcim-painscore-v3.1-2017EN"
} ],
"constraint": [ {
"key": "maxValue-for-method",
"human": "maxValue of 10 if method is VAS10 or NRS or 100 if VAS100",
"severity": "error",
"expression": "((method.coding.code = 'VAS10' or method.coding.code = 'NRS') and valueQuantity.value <= 10) or (method.coding.code='VAS100' and valueQuantity.value <= 100)"
}, {
"key": "minValue-for-method",
"human": "minValue of 1 if method is NRS or 0 if VAS",
"severity": "error",
"expression": "((method.coding.code = 'VAS10' or method.coding.code = 'VAS100') and valueQuantity.value >= 0) or (method.coding.code='NRS' and valueQuantity.value >= 1)"
} ],
"definition": "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\n\r\n NRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 1 (no pain) to 10 (unbearable pain).\r\n 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.\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."
}, {
"id": "Observation.identifier",
"max": "1",
"path": "Observation.identifier"
}, {
"id": "Observation.code.coding",
"min": 1,
"path": "Observation.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "value"
}, {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.code.coding:PainScoreCode",
"max": "1",
"min": 1,
"path": "Observation.code.coding",
"sliceName": "PainScoreCode"
}, {
"id": "Observation.code.coding:PainScoreCode.system",
"min": 1,
"path": "Observation.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.code.coding:PainScoreCode.code",
"min": 1,
"path": "Observation.code.coding.code",
"fixedCode": "225908003"
}, {
"id": "Observation.code.coding:PainScoreCode.display",
"path": "Observation.code.coding.display",
"defaultValueString": "Pain score (observable entity)"
}, {
"id": "Observation.subject",
"path": "Observation.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
} ]
}, {
"id": "Observation.effective[x]:effectiveDateTime",
"min": 1,
"path": "Observation.effectiveDateTime",
"type": [ {
"code": "dateTime"
} ],
"alias": [ "PijnscoreDatumTijd" ],
"mapping": [ {
"map": "NL-CM:12.9.3",
"comment": "PainScoreDateTime",
"identity": "hcim-painscore-v3.1-2017EN"
} ],
"sliceName": "effectiveDateTime",
"definition": "The date and time at which the pain score was measured."
}, {
"path": "Observation.valueQuantity",
"min": 1,
"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.",
"mapping": [ {
"map": "NL-CM:12.9.2",
"comment": "PainScoreValue",
"identity": "hcim-painscore-v3.1-2017EN"
} ],
"type": [ {
"code": "Quantity"
} ],
"sliceName": "valueQuantity",
"alias": [ "PijnscoreWaarde" ],
"id": "Observation.value[x]:valueQuantity",
"example": [ {
"label": "Example of PainScore",
"valueQuantity": {
"code": "{score}",
"value": 7,
"system": "http://unitsofmeasure.org"
}
} ]
}, {
"id": "Observation.value[x]:valueQuantity.value",
"min": 1,
"path": "Observation.valueQuantity.value"
}, {
"id": "Observation.comment",
"path": "Observation.comment",
"alias": [ "Toelichting" ],
"mapping": [ {
"map": "NL-CM:12.9.5",
"comment": "Comment",
"identity": "hcim-painscore-v3.1-2017EN"
} ],
"definition": "Comment on the pain score measurement, including comments on for example the circumstances and/or disruptive factors that may influence the result."
}, {
"id": "Observation.bodySite",
"path": "Observation.bodySite",
"alias": [ "AnatomischeLocatie" ],
"label": "AnatomicalLocation",
"binding": {
"strength": "required",
"valueSetReference": {
"display": "PijnAnatomischeLocatieCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.9.2--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:12.9.6",
"comment": "AnatomicalLocation",
"identity": "hcim-painscore-v3.1-2017EN"
} ],
"definition": "Anatomical location which is the focus of the procedure."
}, {
"id": "Observation.bodySite.extension",
"path": "Observation.bodySite.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.bodySite.extension:Laterality",
"path": "Observation.bodySite.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
} ],
"alias": [ "Lateraliteit" ],
"mapping": [ {
"map": "NL-CM:12.9.7",
"comment": "Laterality",
"identity": "hcim-painscore-v3.1-2017EN"
} ],
"sliceName": "Laterality",
"definition": "Laterality adds information about body side to the anatomic location, e.g. left"
}, {
"id": "Observation.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept",
"path": "Observation.bodySite.extension.valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "Laterality",
"valueSetReference": {
"display": "PijnLateraliteitCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.9.3--20171231000000"
}
},
"sliceName": "valueCodeableConcept"
}, {
"id": "Observation.method",
"min": 1,
"path": "Observation.method",
"alias": [ "PijnMeetmethode" ],
"label": "PainMeasuringMethod",
"binding": {
"strength": "required",
"valueSetReference": {
"display": "PijnMeetMethodeCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.9.1--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:12.9.4",
"comment": "PainMeasuringMethod",
"identity": "hcim-painscore-v3.1-2017EN"
} ],
"definition": "The measuring method describes the method used to determine the pain score. The measurement involves a visualization of the pain scale."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation"
}