<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="This profile is derived from the HL7 Observation profile in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) PainScore version 3.1, release 2017 and to provide extensions for missing concepts if needed. The pain score is a general measurement for pain experience, not a description of specific, localized pain." /> <purpose value="The purpose of the pain score is to quantify and objectify the patient’s subjective pain experience." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-painscore-v3.1-2017EN" /> <uri value="https://zibs.nl/wiki/PainScore-v3.1(2017EN)" /> <name value="HCIM PainScore-v3.1-2017EN" /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/BasicElements-v1.0(2017EN)" /> <name value="HCIM BasicElements-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="PainScore" /> <definition value="The pain score is a general measurement for pain experience, not a description of specific, localized pain. The following are used as an easily reproducible measurement for pain experience: NRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 1 (no pain) to 10 (unbearable pain). VAS (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. The results of both scores have the same meaning, but the visual analogue method (VAS) is seen as more reliable than the NRS pain score." /> <alias value="Pijnscore" /> <constraint> <key value="maxValue-for-method" /> <severity value="error" /> <human value="maxValue of 10 if method is VAS10 or NRS or 100 if VAS100" /> <expression value="((method.coding.code = 'VAS10' or method.coding.code = 'NRS') and valueQuantity.value <= 10) or (method.coding.code='VAS100' and valueQuantity.value <= 100)" /> </constraint> <constraint> <key value="minValue-for-method" /> <severity value="error" /> <human value="minValue of 1 if method is NRS or 0 if VAS" /> <expression value="((method.coding.code = 'VAS10' or method.coding.code = 'VAS100') and valueQuantity.value >= 0) or (method.coding.code='NRS' and valueQuantity.value >= 1)" /> </constraint> <mapping> <identity value="hcim-painscore-v3.1-2017EN" /> <map value="NL-CM:12.9.1" /> <comment value="PainScore" /> </mapping> </element> <element id="Observation.identifier"> <path value="Observation.identifier" /> <max value="1" /> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.code.coding:PainScoreCode"> <path value="Observation.code.coding" /> <sliceName value="PainScoreCode" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.code.coding:PainScoreCode.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Observation.code.coding:PainScoreCode.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="225908003" /> </element> <element id="Observation.code.coding:PainScoreCode.display"> <path value="Observation.code.coding.display" /> <defaultValueString value="Pain score (observable entity)" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <definition value="The date and time at which the pain score was measured." /> <alias value="PijnscoreDatumTijd" /> <min value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="hcim-painscore-v3.1-2017EN" /> <map value="NL-CM:12.9.3" /> <comment value="PainScoreDateTime" /> </mapping> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <definition value="The 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." /> <alias value="PijnscoreWaarde" /> <min value="1" /> <type> <code value="Quantity" /> </type> <example> <label value="Example of PainScore" /> <valueQuantity> <value value="7" /> <system value="http://unitsofmeasure.org" /> <code value="{score}" /> </valueQuantity> </example> <mapping> <identity value="hcim-painscore-v3.1-2017EN" /> <map value="NL-CM:12.9.2" /> <comment value="PainScoreValue" /> </mapping> </element> <element id="Observation.value[x].value"> <path value="Observation.value[x].value" /> <min value="1" /> </element> <element id="Observation.comment"> <path value="Observation.comment" /> <definition value="Comment on the pain score measurement, including comments on for example the circumstances and/or disruptive factors that may influence the result." /> <alias value="Toelichting" /> <mapping> <identity value="hcim-painscore-v3.1-2017EN" /> <map value="NL-CM:12.9.5" /> <comment value="Comment" /> </mapping> </element> <element id="Observation.bodySite"> <path value="Observation.bodySite" /> <label value="AnatomicalLocation" /> <definition value="Anatomical location which is the focus of the procedure." /> <alias value="AnatomischeLocatie" /> <binding> <strength value="required" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.9.2--20171231000000" /> <display value="PijnAnatomischeLocatieCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-painscore-v3.1-2017EN" /> <map value="NL-CM:12.9.6" /> <comment value="AnatomicalLocation" /> </mapping> </element> <element id="Observation.bodySite.extension:Laterality"> <path value="Observation.bodySite.extension" /> <sliceName value="Laterality" /> <definition value="Laterality adds information about body side to the anatomic location, e.g. left" /> <alias value="Lateraliteit" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier" /> </type> <mapping> <identity value="hcim-painscore-v3.1-2017EN" /> <map value="NL-CM:12.9.7" /> <comment value="Laterality" /> </mapping> </element> <element id="Observation.bodySite.extension:Laterality.value[x]"> <path value="Observation.bodySite.extension.value[x]" /> <binding> <strength value="extensible" /> <description value="Laterality" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.9.3--20171231000000" /> <display value="PijnLateraliteitCodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.method"> <path value="Observation.method" /> <label value="PainMeasuringMethod" /> <definition value="The measuring method describes the method used to determine the pain score. The measurement involves a visualization of the pain scale." /> <alias value="PijnMeetmethode" /> <min value="1" /> <binding> <strength value="required" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.9.1--20171231000000" /> <display value="PijnMeetMethodeCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-painscore-v3.1-2017EN" /> <map value="NL-CM:12.9.4" /> <comment value="PainMeasuringMethod" /> </mapping> </element> </differential> </StructureDefinition>