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HdBe-Pijnscore

WARNING This page contains a draft CBB, as raw output from the zib export and automatic conversion to CBB. It requires thorough review and adaption to the Belgian realm. This CBB is merely added for informative use.

CBBConceptStatus
HdBe-PainScore

De pijnscore is een algemene maat voor de pijnbeleving, geen beschrijving van specifieke, gelocaliseerde pijn.

Als goed reproduceerbare maat voor de beleving van pijn worden gebruikt:

  1. NRS (Numeric Rating Scale) waarbij de patiënt een cijfer geeft aan de pijn op een schaal van 1 (geen pijn) en 10 (ondraaglijke pijn).
  2. VAS (Visual Analogue Score) , waarbij de patiënt op een lat met een lijn aangeeft hoe de pijn ervaren wordt en op de achterkant van de lat staat een schaal van 0 (geen pijn) tot 10 (ondraaglijke pijn). De uitslag van beide scores hebben dezelfde betekenis, maar de visueel analoge methode (VAS) wordt als betrouwbaarder aangemerkt dan de NRS pijnscore.

Purpose

Het doel van de pijnscore is het kwantificeren en objectiveren van de subjectieve pijnbeleving van de patiënt.

References

  1. openEHR-EHR-OBSERVATION.symptom-pain.v1[Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 23 december 2014].
draft

id0..1string
extensionI0..*Extension
PainScoreValue1..1positiveInt
PainScoreDateTime1..1dateTime
PainMeasuringMethod1..1CodeableConceptBinding
Comment0..1string

PainScore0..*
PainScore.PainScoreValuepositiveInt1..1
PainScore.PainScoreDateTimedateTime1..1
PainScore.PainMeasuringMethodCodeableConcept1..1
PainScore.Commentstring0..1


PainScore
DefinitionRoot concept of the PainScore information model. This root concept contains all data elements of the PainScore information model.
Cardinality0...*
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
PainScore.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
PainScore.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
PainScore.PainScoreValue
DefinitionThe 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.
Cardinality1...1
TypepositiveInt
Comments

32 bit number; for values larger than this, use decimal

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
PainScore.PainScoreDateTime
DefinitionThe date and time at which the pain score was measured.
Cardinality1...1
TypedateTime
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
PainScore.PainMeasuringMethod
DefinitionThe measuring method describes the method used to determine the pain score. The measurement involves a visualization of the pain scale.
Cardinality1...1
TypeCodeableConcept
Binding

PainMeasuringMethod codes

PainMeasuringMethod (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
PainScore.Comment
DefinitionComment on the pain score measurement, including comments on for example the circumstances and/or disruptive factors that may influence the result.
Cardinality0...1
Typestring
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a

Example instances

[CBB name]
[Concept name ] [example value]

// example of NameInformation

## Example instances

| NameInformation      |                   |
|----------------------|-------------------|
| FirstNames | Johanna Petronella Maria   
| Initials | J.P.M. 
| GivenName | Jo 
| NameUsage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| LastName.Prefix | van
| LastName.LastName | Putten
| LastNamePartner.PartnerPrefix | van der
| LastNamePartner.PartnerLastName | Giessen
| Titles |

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Concept Category Description
[element.path] [category of change] [Description of change]([Reference to ticket/issue/zulip chat using MarkDown link])



Terminology Bindings

PathNameStrengthURL
PainMeasuringMethodPainMeasuringMethodrequiredhttps://fhir.healthdata.be/ValueSet/PainMeasuringMethod