{
"description": "The Comfort Behaviour scale /Comfortneo scale is an assessment tool, that is used to assess the pain behaviour of neonates (new born).\\r\\nThe Comfort Behaviour scale has 7 observation points that that need to be addressed. For each on observation is 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.stu3.zib2017",
"date": "2019-09-09T08:07:01.2428268Z",
"derivation": "constraint",
"meta": {
"versionId": "1",
"lastUpdated": "2019-09-09T08:07:00.8150537+00:00"
},
"publisher": "Nictiz",
"fhirVersion": "3.0.2",
"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.",
"name": "Zib ComfortScale",
"mapping": [ {
"uri": "https://zibs.nl/wiki/ComfortScale-v1.0(2017EN)",
"name": "HCIM ComfortScale-v1.0(2017EN)",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM ComfortScale",
"package_version": "2.2.3",
"status": "active",
"id": "ea59c0f7-0101-492a-b417-76a4652a2dc6",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-ComfortScale",
"version": "1.0.0",
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "ComfortScore" ],
"short": "ComfortScale",
"mapping": [ {
"map": "NL-CM:12.12.1",
"comment": "ComfortScale",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ]
}, {
"id": "Observation.code.coding",
"min": 1,
"path": "Observation.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.code.coding:comfortScaleCoding",
"max": "1",
"min": 1,
"path": "Observation.code.coding",
"sliceName": "comfortScaleCoding"
}, {
"id": "Observation.code.coding:comfortScaleCoding.system",
"min": 1,
"path": "Observation.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.code.coding:comfortScaleCoding.code",
"min": 1,
"path": "Observation.code.coding.code",
"fixedCode": "108301000146109"
}, {
"id": "Observation.code.coding:comfortScaleCoding.display",
"path": "Observation.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "COMFORT scale (assessment scale)"
}, {
"path": "Observation.effectiveDateTime",
"min": 1,
"definition": "The date and time at which the Comfort Behaviour scale/ComfortNeo scale was determined.",
"short": "ScoreDateTime",
"mapping": [ {
"map": "NL-CM:12.12.11",
"comment": "ScoreDateTime",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ],
"type": [ {
"code": "dateTime"
} ],
"sliceName": "effectiveDateTime",
"alias": [ "ScoreDatumTijd" ],
"id": "Observation.effective[x]:effectiveDateTime"
}, {
"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.",
"short": "TotalScore",
"mapping": [ {
"map": "NL-CM:12.12.2",
"comment": "TotalScore",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ],
"type": [ {
"code": "Quantity"
} ],
"sliceName": "valueQuantity",
"maxValueQuantity": {
"value": 35
},
"alias": [ "TotaalScore" ],
"id": "Observation.value[x]:valueQuantity",
"minValueQuantity": {
"value": 0
}
}, {
"id": "Observation.value[x]:valueQuantity.value",
"path": "Observation.value[x].value",
"maxValueDecimal": 35,
"minValueDecimal": 0
}, {
"id": "Observation.comment",
"path": "Observation.comment",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:12.12.12",
"comment": "Comment",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ],
"definition": "A comment on the circumstances during the measurement."
}, {
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "pattern"
} ]
}
}, {
"id": "Observation.component:Alertness",
"max": "1",
"path": "Observation.component",
"sliceName": "Alertness"
}, {
"id": "Observation.component:Alertness.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12.12.3",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0"
} ]
}
}, {
"id": "Observation.component:Alertness.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Alertness"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Observation of: Alertness",
"short": "Alertness",
"mapping": [ {
"map": "NL-CM:12.12.3",
"comment": "Alertness",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "AlertheidCodelijst",
"valueSetReference": {
"display": "AlertheidCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.1--20171231000000"
}
},
"alias": [ "Alertheid" ],
"id": "Observation.component:Alertness.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:CalmnessAgitation",
"max": "1",
"path": "Observation.component",
"sliceName": "CalmnessAgitation"
}, {
"id": "Observation.component:CalmnessAgitation.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12.12.4",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0"
} ]
}
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Observation: Calmness/ agitation",
"short": "Calmness_Agitation",
"mapping": [ {
"map": "NL-CM:12.12.4",
"comment": "Calmness_Agitation",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "Kalmte_AgitatieCodelijst",
"valueSetReference": {
"display": "Kalmte AgitatieCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.2--20171231000000"
}
},
"alias": [ "Kalmte_Agitatie" ],
"id": "Observation.component:CalmnessAgitation.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:RespiratoryResponse",
"max": "1",
"path": "Observation.component",
"sliceName": "RespiratoryResponse"
}, {
"id": "Observation.component:RespiratoryResponse.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12.12.5",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0"
} ]
}
}, {
"id": "Observation.component:RespiratoryResponse.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Respiratory Response"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Observation: Respiratory response (only in mechanically ventilated children)",
"short": "RespiratoryResponse",
"mapping": [ {
"map": "NL-CM:12.12.5",
"comment": "RespiratoryResponse",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "AdemhalingsreactieCodelijst",
"valueSetReference": {
"display": "AdemhalingsreactieCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.3--20171231000000"
}
},
"alias": [ "Ademhalingsreactie" ],
"id": "Observation.component:RespiratoryResponse.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:Crying",
"max": "1",
"path": "Observation.component",
"sliceName": "Crying"
}, {
"id": "Observation.component:Crying.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12.12.6",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0"
} ]
}
}, {
"id": "Observation.component:Crying.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Crying"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Observation: Respiratory response (only in mechanically ventilated children)",
"short": "RespiratoryResponse",
"mapping": [ {
"map": "NL-CM:12.12.6",
"comment": "Crying",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "HuilenCodelijst",
"valueSetReference": {
"display": "HuilenCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.13.4--20171231000000"
}
},
"alias": [ "Ademhalingsreactie" ],
"id": "Observation.component:Crying.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:BodyMovement",
"max": "1",
"path": "Observation.component",
"sliceName": "BodyMovement"
}, {
"id": "Observation.component:BodyMovement.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12.12.8",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0"
} ]
}
}, {
"id": "Observation.component:BodyMovement.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Body movement"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Observation: Physical movement",
"short": "BodyMovement",
"mapping": [ {
"map": "NL-CM:12.12.8",
"comment": "BodyMovement",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "LichaamsbewegingCodelijst",
"valueSetReference": {
"display": "LichaamsbewegingCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.5--20171231000000"
}
},
"alias": [ "Lichaamsbeweging" ],
"id": "Observation.component:BodyMovement.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:FacialTone",
"max": "1",
"path": "Observation.component",
"sliceName": "FacialTone"
}, {
"id": "Observation.component:FacialTone.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12.12.9",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0"
} ]
}
}, {
"id": "Observation.component:FacialTone.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Facial Tone"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Observation: Facial tension",
"short": "FacialTone",
"mapping": [ {
"map": "NL-CM:12.12.9",
"comment": "FacialTone",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "GezichtsspanningCodelijst",
"valueSetReference": {
"display": "GezichtsspanningCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.6--20171231000000"
}
},
"alias": [ "Gezichtsspanning" ],
"id": "Observation.component:FacialTone.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:BodyMuscleTone",
"max": "1",
"path": "Observation.component",
"sliceName": "BodyMuscleTone"
}, {
"id": "Observation.component:BodyMuscleTone.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "12.12.10",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0"
} ]
}
}, {
"id": "Observation.component:BodyMuscleTone.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Body Muscle Tone"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Observation: Muscle tone",
"short": "BodyMuscleTone",
"mapping": [ {
"map": "NL-CM:12.12.10",
"comment": "BodyMuscleTone",
"identity": "hcim-comfortscale-v1.0-2017EN"
} ],
"type": [ {
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} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "SpierspanningCodelijst",
"valueSetReference": {
"display": "SpierspanningCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.12.7--20171231000000"
}
},
"alias": [ "Spierspanning" ],
"id": "Observation.component:BodyMuscleTone.value[x]:valueCodeableConcept"
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation"
}