| Package | NICEProfiling.v23Q1 |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R3 |
| Source | https://simplifier.net/resolve?scope=NICEProfiling.v23Q1@0.5.0&canonical=https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-PainScore-2022Q1 |
| Url | https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-PainScore-2022Q1 |
| Status | active |
| Date | 2022-03-22T10:49:40.0924639Z |
| Name | NICE-PainScore |
| Title | NICE-PainScore |
| Experimental | False |
| Description | This profile is for submitting data to the NICE related to pain scores. The pain score is a general measurement for pain experience of an ICU patient at rest. It is not a description of specific, localized pain. |
| Purpose | This profile is used to submit pain score related information to the Dutch National Intensive Care Evaluation (NICE). It was derived from the Nictiz Health and Care Information Model (HCIM; Dutch: Zorginformatiebouwsteen or ZIB) PainScore, 2017 release version 3.1 |
| Copyright | CC0 |
| Type | Observation |
| Kind | resource |
No resources found
| StructureDefinition | |
https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1  | NICE-Encounter |
| https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1 | NICE-Patient |
| https://fhir.stichting-nice.nl/fhir/ValueSet/NICE-PainMeasurementToolCodeList | NICE-PainMeasurementToolCodeList |
FHIR{
"resourceType" : "StructureDefinition",
"id" : "7a24e162-338f-4443-ba01-3ec07498c669",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2022-07-14T12:55:46.0435804+00:00"
},
"url" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-PainScore-2022Q1",
"name" : "NICE-PainScore",
"title" : "NICE-PainScore",
"status" : "active",
"date" : "2022-03-22T10:49:40.0924639Z",
"publisher" : "NICE",
"contact" : [
{
"name" : "NICE",
"telecom" : [
{
"system" : "email",
"value" : "vragen@stichting-nice.nl"
}
]
}
],
"description" : "This profile is for submitting data to the NICE related to pain scores. The pain score is a general measurement for pain experience of an ICU patient at rest. It is not a description of specific, localized pain.",
"purpose" : "This profile is used to submit pain score related information to the Dutch National Intensive Care Evaluation (NICE). It was derived from the Nictiz Health and Care Information Model (HCIM; Dutch: Zorginformatiebouwsteen or ZIB) PainScore, 2017 release version 3.1",
"copyright" : "CC0",
"fhirVersion" : "3.0.2",
"mapping" : [
{
"identity" : "NICE-AI",
"uri" : "https://www.stichting-nice.nl/dd/#791",
"name" : "NICE2Improve (Actionable Indicators)"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Observation",
"baseDefinition" : "http://fhir.nl/fhir/StructureDefinition/nl-core-observation",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "Observation",
"path" : "Observation",
"short" : "PainScore",
"definition" : "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\n\r\n NRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 1 (no pain) to 10 (unbearable pain).\r\n 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.\r\n BPS (Behavioural Pain Scale) in which the care provider scores pain based on three indicators: facial expression, upper limb movement and compliance with ventilation. Each indicator is scored a 1, 2, 3 or 4. High scores indicate more pain.\r\n CPOT (Critical-Care Pain Observation Tool) in which the care provider scores pain based on four indicators: facial expression, body movements muscle tension and compliance with the ventilator if intubated, or vocalization if extubated. Each indicator is scored a 0, 1 or 2. High scores indicate more pain.\r\n CIA (Critically Ill Assessment scale) in which five items are scored (alertness, facial tension, muscle tone, body movements and respiratory response) with a total score between 5 and 20",
"alias" : [
"Pijnscore"
],
"constraint" : [
{
"key" : "maxValue-for-method",
"severity" : "error",
"human" : "maxValue of 10 if method is VAS10 or NRS, 100 if VAS100, 12 if BPS, 8 if CPTOT, or 20 if CIA",
"expression" : "((method.coding.code = 'VAS10' or method.coding.code = 'NRS') and valueQuantity.value <= 10) or (method.coding.code='VAS100' and valueQuantity.value <= 100) or (method.coding.code = 'BPS' and valueQuantity.value <= 12) or (method.coding.code='CPTOT' and valueQuantity.value <= 8) or (method.coding.code='CIA' and valueQuantity.value <= 20)"
},
{
"key" : "minValue-for-method",
"severity" : "error",
"human" : "minValue of 1 if method is NRS, 0 if VAS or CPTOT, 4 if BPS and 5 if CIA",
"expression" : "((method.coding.code = 'VAS10' or method.coding.code = 'VAS100' or method.coding.code = 'CPTOT') and valueQuantity.value >= 0) or (method.coding.code='NRS' and valueQuantity.value >= 1) or (method.coding.code='BPS' and valueQuantity.value >= 4) or (method.coding.code='CIA' and valueQuantity.value >= 5)"
}
],
"mapping" : [
{
"identity" : "NICE-AI",
"map" : "https://www.stichting-nice.nl/dd/#752",
"comment" : "Pain score"
},
{
"identity" : "hcim-painscore-v3.1-2017EN",
"map" : "NL-CM:12.9.1",
"comment" : "Pain score"
}
]
},
{
"id" : "Observation.extension",
"path" : "Observation.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
},
"min" : 1
},
{
"id" : "Observation.identifier",
"path" : "Observation.identifier",
"max" : "1",
"mustSupport" : true,
"mapping" : [
{
"identity" : "NICE-AI",
"map" : "https://www.stichting-nice.nl/dd/#750",
"comment" : "Pijnmeting volgnummer"
}
]
},
{
"id" : "Observation.status",
"path" : "Observation.status",
"constraint" : [
{
"key" : "completed",
"severity" : "error",
"human" : "NICE observations SHALL be completed",
"expression" : "$this = 'final' or $this = 'amended' or $this = 'corrected'"
}
],
"mustSupport" : true
},
{
"id" : "Observation.code",
"path" : "Observation.code",
"mustSupport" : true
},
{
"id" : "Observation.code.coding",
"path" : "Observation.code.coding",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "system"
},
{
"type" : "value",
"path" : "code"
}
],
"rules" : "open"
},
"max" : "1"
},
{
"id" : "Observation.code.coding:PainScoreCode",
"path" : "Observation.code.coding",
"sliceName" : "PainScoreCode",
"max" : "1"
},
{
"id" : "Observation.code.coding:PainScoreCode.system",
"path" : "Observation.code.coding.system",
"fixedUri" : "http://snomed.info/sct"
},
{
"id" : "Observation.code.coding:PainScoreCode.code",
"path" : "Observation.code.coding.code",
"fixedCode" : "225908003"
},
{
"id" : "Observation.code.coding:PainScoreCode.display",
"path" : "Observation.code.coding.display",
"defaultValueString" : "Pain score (observable entity)"
},
{
"id" : "Observation.subject",
"path" : "Observation.subject",
"type" : [
{
"code" : "Reference",
"targetProfile" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1"
}
],
"mustSupport" : true
},
{
"id" : "Observation.context",
"path" : "Observation.context",
"type" : [
{
"code" : "Reference",
"targetProfile" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1"
}
],
"mustSupport" : true
},
{
"id" : "Observation.effective[x]:effectiveDateTime",
"path" : "Observation.effectiveDateTime",
"sliceName" : "effectiveDateTime",
"alias" : [
"PijnscoreDatumTijd"
],
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hcim-painscore-v3.1-2017EN",
"map" : "NL-CM:12.9.3",
"comment" : "Pain measurement time"
},
{
"identity" : "NICE-AI",
"map" : "https://www.stichting-nice.nl/dd/#751",
"comment" : "Pain measurement time"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity",
"path" : "Observation.valueQuantity",
"sliceName" : "valueQuantity",
"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, 4-12, 0-8 or 5-20 is used instead of 0-10.",
"alias" : [
"PijnscoreWaarde"
],
"type" : [
{
"code" : "Quantity"
}
],
"example" : [
{
"label" : "Example of PainScore value",
"valueQuantity" : {
"value" : 7.0,
"system" : "http://unitsofmeasure.org",
"code" : "{score}"
}
}
],
"mapping" : [
{
"identity" : "hcim-painscore-v3.1-2017EN",
"map" : "NL-CM:12.9.2",
"comment" : "PainScoreValue"
}
]
},
{
"id" : "Observation.comment",
"path" : "Observation.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" : "hcim-painscore-v3.1-2017EN",
"map" : "NL-CM:12.9.5",
"comment" : "Comment"
}
]
},
{
"id" : "Observation.bodySite.extension",
"path" : "Observation.bodySite.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
},
"min" : 0
},
{
"id" : "Observation.bodySite.extension:Laterality",
"path" : "Observation.bodySite.extension",
"sliceName" : "Laterality",
"definition" : "Laterality adds information about body side to the anatomic location, e.g. left",
"comment" : "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.",
"alias" : [
"Lateraliteit"
],
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
}
],
"mapping" : [
{
"identity" : "hcim-painscore-v3.1-2017EN",
"map" : "NL-CM:12.9.7",
"comment" : "Laterality"
}
]
},
{
"id" : "Observation.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept",
"path" : "Observation.bodySite.extension.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"binding" : {
"strength" : "extensible",
"description" : "Laterality",
"valueSetReference" : {
"reference" : "https://simplifier.net/nictizstu3-zib2017/2.16.840.1.113883.2.4.3.11.60.40.2.12.9.3--20171231000000"
}
}
},
{
"id" : "Observation.method",
"path" : "Observation.method",
"short" : "How it was performed",
"definition" : "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\n\r\n NRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 1 (no pain) to 10 (unbearable pain).\r\n 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.\r\n BPS (Behavioural Pain Scale) in which the care provider scores pain based on three indicators: facial expression, upper limb movement and compliance with ventilation. Each indicator is scored a 1, 2, 3 or 4. High scores indicate more pain.\r\n CPOT (Critical-Care Pain Observation Tool) in which the care provider scores pain based on four indicators: facial expression, body movements muscle tension and compliance with the ventilator if intubated, or vocalization if extubated. Each indicator is scored a 0, 1 or 2. High scores indicate more pain.\r\n CIA (Critically Ill Assessment scale) in which five items are scored (alertness, facial tension, muscle tone, body movements and respiratory response) with a total score between 5 and 20",
"min" : 1,
"mustSupport" : true,
"binding" : {
"strength" : "required",
"description" : "NICE-methods for pain measurement",
"valueSetReference" : {
"reference" : "https://fhir.stichting-nice.nl/fhir/ValueSet/NICE-PainMeasurementToolCodeList"
}
},
"mapping" : [
{
"identity" : "NICE-AI",
"map" : "https://www.stichting-nice.nl/dd/#752",
"comment" : "Pain score"
}
]
}
]
},
"text" : {
}
}
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