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FHIR IG Statistics: StructureDefinition/zib-PainScore

Packagenictiz.fhir.nl.r4.zib2020
TypeStructureDefinition
Idzib-PainScore
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.zib2020@0.12.0-beta.1&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-PainScore
URLhttp://nictiz.nl/fhir/StructureDefinition/zib-PainScore
Statusdraft
NameZibPainScore
Titlezib PainScore
Realmnl
Authorityhl7
DescriptionThe 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.
PurposeThis 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)).
CopyrightCopyright 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.
TypeObservation
Kindresource

Resources that use this resource

StructureDefinition
nl-core-PainScorenl core PainScore

Resources that this resource uses

ValueSet
2.16.840.1.113883.2.4.3.11.60.40.2.12.9.1--20200901000000PijnMeetmethodeCodelijst

Narrative

Note: links and images are rebased to the (stated) source

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

Source

{
  "resourceType": "StructureDefinition",
  "id": "zib-PainScore",
  "text": {
    "status": "empty",
    "div": "<!-- snip (see above) -->"
  },
  "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"
          }
        ]
      }
    ]
  }
}