<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="An Observation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) FLACCpainScale v1.0(2017EN). The FLACC (Faces, Legs, Activity, Cry and Consolability) is a pain assessment tool, that is used to assess pain in children aged 0-7 years old by observing their behaviour. The FLACC has five subscales 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 NRS-score that is completed by the nurses on basis of clinical experience." /> <purpose value="# Purpose of HCIM A pain assessment 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 young children, it is nevertheless difficult to differentiate between pain or distress/anxiety. This difference is relevant in determining the treatment. The score on a pain assessment instrument remains a snapshot in time." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-flaccpainscale-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/FLACCpainScale-v1.0(2017EN)" /> <name value="HCIM FLACCPainScale-v1.0(2017EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://fhir.nl/fhir/StructureDefinition/nl-core-observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="FLACCpainScore" /> <alias value="FLACCpijnScore" /> <mapping> <identity value="hcim-flaccpainscale-v1.0-2017EN" /> <map value="NL-CM:12.13.1" /> <comment value="FLACCpainScore" /> </mapping> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.code.coding:FLACCPainScaleCoding"> <path value="Observation.code.coding" /> <sliceName value="FLACCPainScaleCoding" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.code.coding:FLACCPainScaleCoding.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding:FLACCPainScaleCoding.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="38213-5" /> </element> <element id="Observation.code.coding:FLACCPainScaleCoding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.code.coding.display" /> <defaultValueString value="FLACC pain assessment panel" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <short value="ScoreDateTime" /> <definition value="The date and time at which the FLACC score was determined." /> <alias value="ScoreDatumTijd" /> <min value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="hcim-flaccpainscale-v1.0-2017EN" /> <map value="NL-CM:12.13.11" /> <comment value="ScoreDateTime" /> </mapping> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <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." /> <alias value="TotaalScore" /> <type> <code value="Quantity" /> </type> <minValueQuantity> <value value="0" /> </minValueQuantity> <maxValueQuantity> <value value="10" /> </maxValueQuantity> <mapping> <identity value="hcim-flaccpainscale-v1.0-2017EN" /> <map value="NL-CM:12.13.2" /> <comment value="TotalScore" /> </mapping> </element> <element id="Observation.comment"> <path value="Observation.comment" /> <short value="Comment" /> <definition value="A comment on the circumstances during the measurement." /> <alias value="Toelichting" /> <mapping> <identity value="hcim-flaccpainscale-v1.0-2017EN" /> <map value="NL-CM:12.13.12" /> <comment value="Comment" /> </mapping> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="pattern" /> <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="http://loinc.org" /> <code value="38216-8" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:Face.code.coding.display"> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Pain severity Face FLACC" /> </element> <element id="Observation.component:Face.value[x]"> <path value="Observation.component.value[x]" /> <short value="Face" /> <definition value="Observation faces; The extent to which the child’s expression on the face is tensed, grimace, tension of jaws." /> <alias value="Gezicht" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="GezichtCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.13.1--20171231000000" /> <display value="GezichtCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-flaccpainscale-v1.0-2017EN" /> <map value="NL-CM:12.13.3" /> <comment value="Face" /> </mapping> </element> <element id="Observation.component:Legs"> <path value="Observation.component" /> <sliceName value="Legs" /> <max value="1" /> </element> <element id="Observation.component:Legs.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="38217-6" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:Legs.code.coding.display"> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Pain severity Legs FLACC" /> </element> <element id="Observation.component:Legs.value[x]"> <path value="Observation.component.value[x]" /> <short value="Legs" /> <definition value="Observation legs: the extent to which the child is restless (body and legs)." /> <alias value="Benen" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="BenenCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.13.2--20171231000000" /> <display value="BenenCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-flaccpainscale-v1.0-2017EN" /> <map value="NL-CM:12.13.4" /> <comment value="Legs" /> </mapping> </element> <element id="Observation.component:Activity"> <path value="Observation.component" /> <sliceName value="Activity" /> <max value="1" /> </element> <element id="Observation.component:Activity.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="38218-4" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:Activity.code.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Pain severity Activity FLACC" /> </element> <element id="Observation.component:Activity.value[x]"> <path value="Observation.component.value[x]" /> <short value="Activity" /> <definition value="Observation activity: the extent to which the child is restless and has tense muscles." /> <alias value="Activiteit" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="ActiviteitCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.13.3--20171231000000" /> <display value="ActiviteitCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-flaccpainscale-v1.0-2017EN" /> <map value="NL-CM:12.13.5" /> <comment value="Activity" /> </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="http://loinc.org" /> <code value="38219-2" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:Cry.code.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Pain severity Cry FLACC" /> </element> <element id="Observation.component:Cry.value[x]"> <path value="Observation.component.value[x]" /> <short value="Cry" /> <definition value="Observation Crying: the extent to which the child is crying, whimpers or laments." /> <alias value="Huilen" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="HuilenCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.13.4--20171231000000" /> <display value="HuilenCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-flaccpainscale-v1.0-2017EN" /> <map value="NL-CM:12.13.6" /> <comment value="Cry" /> </mapping> </element> <element id="Observation.component:Consolability"> <path value="Observation.component" /> <sliceName value="Consolability" /> <max value="1" /> </element> <element id="Observation.component:Consolability.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="38220-0" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:Consolability.code.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Pain severity Consolability FLACC" /> </element> <element id="Observation.component:Consolability.value[x]"> <path value="Observation.component.value[x]" /> <short value="Consolability" /> <definition value="Observation Consolability: the extent to which the child is consolable." /> <alias value="Troostbaar" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="TroostbaarCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.13.5--20171231000000" /> <display value="TroostbaarCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-flaccpainscale-v1.0-2017EN" /> <map value="NL-CM:12.13.9" /> <comment value="Consolability" /> </mapping> </element> </differential> </StructureDefinition>