<status value="draft" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="The CPB (Checklist Pain Behaviour) is a pain assessment tool, that is used to assess pain in children with a limited expressive repertoire or with a profound cognitive impairment, by observing their behaviour. The CPB has ten observations that need to be addressed. The final score indicates whether the observed child suffers pain and 'how much'. The score is often combined with a VAS score that is completed by the nurses on basis of clinical experience." /> <purpose value="This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) ChecklistPainBehavior v1.1 (2020)](https://zibs.nl/wiki/ChecklistPainBehavior-v1.1(2020EN))." /> <copyright value="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." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <uri value="https://zibs.nl/wiki/ChecklistPainBehavior-v1.1(2020EN)" /> <name value="zib ChecklistPainBehavior-v1.1(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="true" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="ChecklistPainBehaviour" /> <alias value="ChecklistPijnGedrag" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.1" /> <comment value="ChecklistPainBehaviour" /> </mapping> </element> <element id="Observation.code"> <path value="Observation.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="108331000146104" /> </coding> </patternCodeableConcept> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.effective[x]:effectiveDateTime"> <path value="Observation.effective[x]" /> <sliceName value="effectiveDateTime" /> <short value="ScoreDateTime" /> <definition value="The date and time at which the CPB score was determined." /> <alias value="ScoreDatumTijd" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.13" /> <comment value="ScoreDateTime" /> </mapping> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.value[x]:valueInteger"> <path value="Observation.value[x]" /> <sliceName value="valueInteger" /> <short value="TotalScore" /> <definition value="The total score is the sum of all the individual scores. The total score has a range from 0 - 10." /> <comment value="The total score communicated using this element is always determined using the individual scores, but these individual scores are not always registered or communicated. For this reason, all individual `Observation.component`s representing the individual scores are optional, and the total score might not align with the sum of the individual scores that are communicated." /> <alias value="TotaalScore" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="10" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.2" /> <comment value="TotalScore" /> </mapping> </element> <element id="Observation.note"> <path value="Observation.note" /> <max value="1" /> </element> <element id="Observation.note.text"> <path value="Observation.note.text" /> <short value="Comment" /> <definition value="A comment on the circumstances during the measurement." /> <alias value="Toelichting" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.14" /> <comment value="Comment" /> </mapping> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.component:face"> <path value="Observation.component" /> <sliceName value="face" /> <max value="1" /> </element> <element id="Observation.component:face.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1" /> <code value="12017003" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:face.value[x]"> <path value="Observation.component.value[x]" /> <short value="Face" /> <definition value="Tense face; one or more muscles in the face are tensed." /> <alias value="Gezicht" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="1" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.3" /> <comment value="Face" /> </mapping> </element> <element id="Observation.component:mouth"> <path value="Observation.component" /> <sliceName value="mouth" /> <max value="1" /> </element> <element id="Observation.component:mouth.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1" /> <code value="12017004" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:mouth.value[x]"> <path value="Observation.component.value[x]" /> <short value="Mouth" /> <definition value="Deeper naso-labial furrow; the line between the nose and mouth (naso-labial furrow) is deeper and aside." /> <alias value="Mond" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="1" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.4" /> <comment value="Mouth" /> </mapping> </element> <element id="Observation.component:grimace"> <path value="Observation.component" /> <sliceName value="grimace" /> <max value="1" /> </element> <element id="Observation.component:grimace.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1" /> <code value="12017005" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:grimace.value[x]"> <path value="Observation.component.value[x]" /> <short value="Grimace" /> <definition value="Grimace; the co-occurrence of: furrowed eyebrows; eyes that are composed or pinched; a deeper line between the nose and mouth; opened mouth." /> <alias value="Grimas" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="1" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.5" /> <comment value="Grimace" /> </mapping> </element> <element id="Observation.component:lookingSad"> <path value="Observation.component" /> <sliceName value="lookingSad" /> <max value="1" /> </element> <element id="Observation.component:lookingSad.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1" /> <code value="12017006" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:lookingSad.value[x]"> <path value="Observation.component.value[x]" /> <short value="Looking sad" /> <definition value="Looking sad, almost in tears: eyebrows which have been pulled up laterally on the inner sides; wrinkles in the forehead, especially over the nose; eyes are squeezed; mouth drawn down possibly combined with a pout." /> <alias value="VerdrietigeBlik" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="1" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.6" /> <comment value="LookingSad" /> </mapping> </element> <element id="Observation.component:eyes"> <path value="Observation.component" /> <sliceName value="eyes" /> <max value="1" /> </element> <element id="Observation.component:eyes.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1" /> <code value="12017007" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:eyes.value[x]"> <path value="Observation.component.value[x]" /> <short value="Eyes" /> <definition value="Eyes squeezed. Note: Do NOT score as present when the child is blinking or when the eyes are still closed without blinking." /> <alias value="Ogen" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="1" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.7" /> <comment value="Eyes" /> </mapping> </element> <element id="Observation.component:panic"> <path value="Observation.component" /> <sliceName value="panic" /> <max value="1" /> </element> <element id="Observation.component:panic.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1" /> <code value="12017008" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:panic.value[x]"> <path value="Observation.component.value[x]" /> <short value="Panic" /> <definition value="Panics, panic attack: an extreme form of anxiety which manifests itself in random restless body movements or violent resistance. This may be associated with an anxious look characterized by large widely opened eyes and eyebrows which are on the inner side raised up." /> <alias value="Paniek" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="1" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.8" /> <comment value="Panic" /> </mapping> </element> <element id="Observation.component:moaning"> <path value="Observation.component" /> <sliceName value="moaning" /> <max value="1" /> </element> <element id="Observation.component:moaning.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1" /> <code value="12017009" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:moaning.value[x]"> <path value="Observation.component.value[x]" /> <short value="Moaning" /> <definition value="Moaning, groaning; monotonous sound on plaintive tone." /> <alias value="Kreunen" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="1" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.9" /> <comment value="Moaning" /> </mapping> </element> <element id="Observation.component:cry"> <path value="Observation.component" /> <sliceName value="cry" /> <max value="1" /> </element> <element id="Observation.component:cry.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1" /> <code value="12017010" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:cry.value[x]"> <path value="Observation.component.value[x]" /> <short value="Cry" /> <definition value="Cries softly; crying is accompanied by a shocking breath." /> <alias value="Huilen" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="1" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.10" /> <comment value="Cry" /> </mapping> </element> <element id="Observation.component:soundsOfRestlessness"> <path value="Observation.component" /> <sliceName value="soundsOfRestlessness" /> <max value="1" /> </element> <element id="Observation.component:soundsOfRestlessness.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1" /> <code value="12017011" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:soundsOfRestlessness.value[x]"> <path value="Observation.component.value[x]" /> <short value="SoundsOfRestlessness" /> <definition value="Penetrating sounds of restlessness: sudden or longer lasting intense cries or verbal expressions of pain, such as "ow" or "you hurt me"." /> <alias value="Onrustgeluiden" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="1" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.11" /> <comment value="SoundsOfRestlessness" /> </mapping> </element> <element id="Observation.component:tears"> <path value="Observation.component" /> <sliceName value="tears" /> <max value="1" /> </element> <element id="Observation.component:tears.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1" /> <code value="12017012" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:tears.value[x]"> <path value="Observation.component.value[x]" /> <short value="Tears" /> <definition value="Tears: child produces tears in at least one eye, so more than just watery eyes." /> <alias value="Tranen" /> <type> <code value="integer" /> </type> <minValueInteger value="0" /> <maxValueInteger value="1" /> <mapping> <identity value="zib-checklistpainbehavior-v1.1-2020EN" /> <map value="NL-CM:12.17.12" /> <comment value="Tears" /> </mapping> </element> </differential> </StructureDefinition>

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.