{ "resourceType": "StructureDefinition", "id": "zib-PainScore", "text": { "status": "empty", "div": "
No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.
" }, "url": "http://nictiz.nl/fhir/StructureDefinition/zib-PainScore", "name": "ZibPainScore", "title": "zib PainScore", "status": "draft", "publisher": "Nictiz", "contact": [ { "name": "Nictiz", "telecom": [ { "system": "url", "value": "https://www.nictiz.nl", "use": "work" } ] } ], "description": "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\nNRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 1 (no pain) to 10 (unbearable pain).\r\nVAS (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.", "purpose": "This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) PainScore v4.0 (2020)](https://zibs.nl/wiki/PainScore-v4.0(2020EN)).", "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.", "fhirVersion": "4.0.1", "mapping": [ { "identity": "zib-painscore-v4.0-2020EN", "uri": "https://zibs.nl/wiki/PainScore-v4.0(2020EN)", "name": "zib PainScore-v4.0(2020EN)" } ], "kind": "resource", "abstract": true, "type": "Observation", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation", "derivation": "constraint", "differential": { "element": [ { "id": "Observation", "path": "Observation", "short": "PainScore", "alias": [ "PijnScore" ], "constraint": [ { "key": "zib-PainScore-1", "severity": "error", "human": "The maximum value is 10 if method is VAS10 or NRS, or 100 if method is VAS100", "expression": "(method.coding.code in ('VAS10' | 'NRS') implies value <= 10) and (method.coding.code = 'VAS100' implies value <= 100)" }, { "key": "zib-PainScore-2", "severity": "error", "human": "The minimum value is 0", "expression": "value >= 0" } ], "mapping": [ { "identity": "zib-painscore-v4.0-2020EN", "map": "NL-CM:12.9.1", "comment": "PainScore" } ] }, { "id": "Observation.code", "path": "Observation.code", "patternCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "225908003" } ] } }, { "id": "Observation.effective[x]", "path": "Observation.effective[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "open" } }, { "id": "Observation.effective[x]:effectiveDateTime", "path": "Observation.effective[x]", "sliceName": "effectiveDateTime", "short": "PainScoreDateTime", "definition": "The date and time at which the pain score was measured.", "alias": [ "PijnscoreDatumTijd" ], "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "zib-painscore-v4.0-2020EN", "map": "NL-CM:12.9.3", "comment": "PainScoreDateTime" } ] }, { "id": "Observation.value[x]", "path": "Observation.value[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "open" } }, { "id": "Observation.value[x]:valueInteger", "path": "Observation.value[x]", "sliceName": "valueInteger", "short": "PainScoreValue", "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.", "alias": [ "PijnscoreWaarde" ], "type": [ { "code": "integer" } ], "condition": [ "zib-PainScore-1", "zib-PainScore-2" ], "mapping": [ { "identity": "zib-painscore-v4.0-2020EN", "map": "NL-CM:12.9.2", "comment": "PainScoreValue" } ] }, { "id": "Observation.note", "path": "Observation.note", "max": "1" }, { "id": "Observation.note.text", "path": "Observation.note.text", "short": "Comment", "definition": "Comment on the pain score measurement, including comments on for example the circumstances and/or disruptive factors that may influence the result.", "alias": [ "Toelichting" ], "mapping": [ { "identity": "zib-painscore-v4.0-2020EN", "map": "NL-CM:12.9.5", "comment": "Comment" } ] }, { "id": "Observation.method", "path": "Observation.method", "short": "PainMeasuringMethod", "definition": "The measuring method describes the method used to determine the pain score. The measurement involves a visualization of the pain scale.", "comment": "PijnMeetmethodeCodelijst uses codes from a custom code system. Although more standardized LOINC codes are available for VAS and NRS, these are about the *result* of the measurement (as determined by the method) rather than the method itself, and thus are not suitable as a drop-in replacement (they should be used on `Observation.code` rather than `Observation.method`). In future versions of the zib, the data model may be redesigned to adopt these standardized codes. See [ZIB-2199](https://nictiz.atlassian.net/browse/ZIB-2199) for more information.", "alias": [ "PijnMeetmethode" ], "condition": [ "zib-PainScore-1", "zib-PainScore-2" ], "binding": { "strength": "required", "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.9.1--20200901000000" }, "mapping": [ { "identity": "zib-painscore-v4.0-2020EN", "map": "NL-CM:12.9.4", "comment": "PainMeasuringMethod" } ] } ] } }