ComfortScale-v1.0(2017EN) - Bewerkingsoverzicht

Update bot op 24 dec 2018 om 11:03

2018-12-24T11:03:13Z

Update bot op 20 dec 2018 om 12:30

2018-12-20T12:30:36Z

Wijzigingen bekijken

Update bot: Copy of

2018-02-20T09:04:39Z

Copy of

Update bot op 24 jan 2018 om 15:16

2018-01-24T15:16:36Z

Update bot op 23 jan 2018 om 00:11

2018-01-23T00:11:24Z

Update bot op 30 nov 2017 om 12:28

2017-11-30T12:28:25Z

Wijzigingen bekijken

Update bot op 28 sep 2017 om 09:27

2017-09-28T09:27:16Z

Update bot op 21 sep 2017 om 16:27

2017-09-21T16:27:08Z

Update bot op 21 sep 2017 om 16:18

2017-09-21T16:18:06Z

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.ComfortScale''' link=ComfortScore-v1.0(2017NL)
Version: '''1.0'''
HCIM Status:Final
Pub...'

2017-09-21T15:26:29Z

Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.ComfortScale''' link=ComfortScore-v1.0(2017NL) Version: '''1.0''' HCIM Status:Final Pub...'

Nieuwe pagina

==General information==
Name: '''nl.zorg.ComfortScale''' [[Bestand:NL.png|link=ComfortScore-v1.0(2017NL)]] 
Version: '''1.0''' 
HCIM Status:Final 
Publication: '''2017''' 
Release status: Prepublished 
Publication date: 04-09-2017
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::CreationDate||1-8-2016
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||zorg
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.12.12
|-
|style="width:250px; "|DCM::KeywordList||Pijnscore, assessment, comfort, comfortneo
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.zorg.ComfortScore
|-
|style="width:250px; "|DCM::PublicationDate||04-09-2017
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||04-09-2017
|-
|style="width:250px; "|DCM::Superseeds||
|-
|style="width:250px; "|DCM::Version||1.0
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''

Publicatieversie 1.0 (04-09-2017).
</div>

==Concept==
The Comfort Behaviour scale /Comfortneo scale is an assessment tool, that is used to assess the pain behaviour of neonates (new born). 
The Comfort Behaviour scale has 7 observation points that that need to be addressed. For each on observation is value is assigned from a 5-point scale, the final score indicates whether the observed child suffers pain and 'how much'. The score is combined with an NRS score that is completed by the nurses on basis of clinical experience.

==Purpose==
> A pain observation 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 new born it is nevertheless difficult to differentiate between pain or distress/anxiety. This is relevant in determining the treatment. The score on a pain measurement instrument remains a snapshot in time.

==Evidence Base==
For determining the degree of pain in children with difficulty expressing themselves there are divers pain observation instruments available 
<ul>
<li>CPB</li>
</ul>
<ul>
<li>Comfort behaviour scale/ Comfortneo scale</li>
</ul>
<ul>
<li>Flacc</li>
</ul>

==Patient Population==
The COMFORT assessment scale is validated for young children up to the age of 4. 
The COMFORT and COMFORTneo assessment score is validated for preterm neonates

==Information Model==
 
[[Bestand: ComfortScale-v1.0Model(EN).png | center]]
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px]]
||NL-CM:12.12.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px]]ComfortScale
|
|Rootconcept of the ComfortScale information model. This root concept contains all data elements of the ComfortScale information model.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
||NL-CM:12.12.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]TotalScore
|0..1
|The total score is the sum of all the individual scores. The total score has a range from 0 - 35.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:12.12.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Alertness
|0..1
|Observation of: Alertness
|
|
{|
|-
|[[Bestand: List2.png]]||[[#AlertnessCodelist|AlertnessCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:12.12.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Calmness_Agitation
|0..1
| Observation: Calmness/ agitation
|
|
{|
|-
|[[Bestand: List2.png]]||[[#Calmness_AgitationCodelist|Calmness_AgitationCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:12.12.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]RespiratoryResponse
|0..1
|Observation Respiratory response (only in mechanically ventilated children)
|
|
{|
|-
|[[Bestand: List2.png]]||[[#RespiratoryResponseCodelist|RespiratoryResponseCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:12.12.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Crying
|0..1
|Observation Crying (only in spontaneously breathing children)
|
|
{|
|-
|[[Bestand: List2.png]]||[[#CryingCodelist|CryingCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:12.12.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]BodyMovement
|0..1
|Observation Physical movement
|
|
{|
|-
|[[Bestand: List2.png]]||[[#BodyMovementCodelist|BodyMovementCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:12.12.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]FacialTone
|0..1
|Observation Facial tension
|
|
{|
|-
|[[Bestand: List2.png]]||[[#FacialToneCodelist|FacialToneCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:12.12.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]BodyMuscleTone
|0..1
|Observation Muscle tone
|
|
{|
|-
|[[Bestand: List2.png]]||[[#BodyMuscleToneCodelist|BodyMuscleToneCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:12.12.11
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]ScoreDateTime
|1
|The date and time at which the Comfort Behaviour scale/ComfortNeo scale was determined.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:12.12.12
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Comment
|0..1
|A comment on the circumstances during the measurement.
|
{|
|-
| 48767-8 Annotation comment
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="564px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|ComfortScore
|-style=vertical-align:top;
| style="width: 44%; "|ScoreDatumTijd
| style="width: 56%; "|21-12-2016 12:05
|-style=vertical-align:top;
| style="width: 44%; "|Alertheid
| style="width: 56%; color: #000000; "|4 (wakker en alert)
|-style=vertical-align:top;
| style="width: 44%; "|Kalmte_Agitatie
| style="width: 56%; color: #000000; "|2 (licht angstig)
|-style=vertical-align:top;
| style="width: 44%; "|Huilen
| style="width: 56%; color: #000000; "|2 (af en toe snikken of kreunen)
|-style=vertical-align:top;
| style="width: 44%; "|Lichaamsbeweging
| style="width: 56%; color: #000000; "|2 (incidentele beweging)
|-style=vertical-align:top;
| style="width: 44%; "|Gezichtsspanning
| style="width: 56%; color: #000000; "|2 (normale spanning van het gelaat)
|-style=vertical-align:top;
| style="width: 44%; "|Spierspanning
| style="width: 56%; color: #000000; "|2 (verminderde spierspanning)
|-style=vertical-align:top;
| style="width: 44%; "|Totaalscore
| style="width: 56%; "|14
|-style=vertical-align:top;
| style="width: 44%; "|Toelichting
| style="width: 56%; color: #000000; "|Controle na verhogen pijnmedicatie.
|}
{|class="wikitable" width="564px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|ComfortNeoScore
|-style=vertical-align:top;
| style="width: 44%; "|ScoreDatumTijd
| style="width: 56%; "|21-12-2016 12:05
|-style=vertical-align:top;
| style="width: 44%; "|Alertheid
| style="width: 56%; color: #000000; "|4 (wakker en alert)
|-style=vertical-align:top;
| style="width: 44%; "|Kalmte_Agitatie
| style="width: 56%; color: #000000; "|2 (licht angstig)
|-style=vertical-align:top;
| style="width: 44%; "|Ademhalingsreactie
| style="width: 56%; color: #000000; "|3 (af en toe hoesten of verzet tegen de ventilator)
|-style=vertical-align:top;
| style="width: 44%; "|Lichaamsbeweging
| style="width: 56%; color: #000000; "|2 (incidentele beweging)
|-style=vertical-align:top;
| style="width: 44%; "|Gezichtsspanning
| style="width: 56%; color: #000000; "|2 (normale spanning van het gelaat)
|-style=vertical-align:top;
| style="width: 44%; "|Spierspanning
| style="width: 56%; color: #000000; "|2 (verminderde spierspanning)
|-style=vertical-align:top;
| style="width: 44%; "|Totaalscore
| style="width: 56%; "|15
|-style=vertical-align:top;
| style="width: 44%; "|Toelichting
| style="width: 56%; color: #000000; "|Controle na verhogen pijnmedicatie.
|}

==Instructions==
In the ComfortNeo scale the item crying is replaced by respiratory reaction. 
In the Comfort scale the item respiratory reaction is replaced by crying.

==References==
1. Comfort assessment [Online] Beschikbaar op:http://www.comfortassessment.nl/ [Geraadpleegd: 2 augustus 2016]
2. Richtlijn Pijnmeting en Behandeling van pijn bij kinderen, NVK, 2007 [Online] Beschikbaar op:https://www.nvk.nl/Kwaliteit/Richtlijnenoverzicht/Details/tabid/1558/articleType/ArticleView/articleId/760/Pijn-meting-en-behandeling-van.aspx [Geraadpleegd: 21 december 2016]

== Valuesets ==
=== AlertnessCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.1
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Deeply asleep
|Alert1
|1
|CN_Alertheid
|2.16.840.1.113883.2.4.3.11.60.40.4.20.1
|Diep in slaap (ogen dicht, geen reactie op omgeving)
|-style="vertical-align:top; "
|Lightly asleep
|Alert2
|2
|CN_Alertheid
|2.16.840.1.113883.2.4.3.11.60.40.4.20.1
|Licht in slaap (ogen grotendeels gesloten, af en toe reactie)
|-style="vertical-align:top; "
|Drowsy
|Alert3
|3
|CN_Alertheid
|2.16.840.1.113883.2.4.3.11.60.40.4.20.1
|Slaperig (kind sluit vaak zijn ogen, reageert minder op omgeving)
|-style="vertical-align:top; "
|Awake and alert
|Alert4
|4
|CN_Alertheid
|2.16.840.1.113883.2.4.3.11.60.40.4.20.1
|Wakker en alert (kind reageert op omgeving)
|-style="vertical-align:top; "
|Awake and hyperalert
|Alert5
|5
|CN_Alertheid
|2.16.840.1.113883.2.4.3.11.60.40.4.20.1
|Wakker en hyper-alert (overdreven reactie op veranderingen)
|}

=== BodyMovementCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.5
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|No movement
|Mov1
|1
|CN_Lichaamsbeweging
|2.16.840.1.113883.2.4.3.11.60.40.4.20.5
|Geen beweging
|-style="vertical-align:top; "
|Occasional, slight movements
|Mov2
|2
|CN_Lichaamsbeweging
|2.16.840.1.113883.2.4.3.11.60.40.4.20.5
|Incidentele (3 of minder) kleine bewegingen
|-style="vertical-align:top; "
|Frequent, slight movements
|Mov3
|3
|CN_Lichaamsbeweging
|2.16.840.1.113883.2.4.3.11.60.40.4.20.5
|Frequente (3 of meer) kleine bewegingen
|-style="vertical-align:top; "
|Vigorous movements limited to extremities
|Mov4
|4
|CN_Lichaamsbeweging
|2.16.840.1.113883.2.4.3.11.60.40.4.20.5
|Heftige bewegingen met armen en benen
|-style="vertical-align:top; "
|Vigorous movements including torso and head
|Mov5
|5
|CN_Lichaamsbeweging
|2.16.840.1.113883.2.4.3.11.60.40.4.20.5
|Heftige bewegingen ook met romp en hoofd
|}

=== BodyMuscleToneCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.7
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Muscles fully relaxed
|Musc1
|1
|CN_Spierspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.7
|Spieren volledig ontspannen; geen spierspanning
|-style="vertical-align:top; "
|Reduced muscle tone
|Musc2
|2
|CN_Spierspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.7
|Verminderde spierspanning; minder weerstand dan normaal
|-style="vertical-align:top; "
|Normal muscle tone
|Musc3
|3
|CN_Spierspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.7
|Normale spierspanning
|-style="vertical-align:top; "
|Increased muscle tone
|Musc4
|4
|CN_Spierspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.7
|Toegenomen spierspanning en buiging van vingers en tenen
|-style="vertical-align:top; "
|Extreme muscle rigidity
|Musc5
|5
|CN_Spierspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.7
|Extreme spierstijfheid en buiging van vingers en tenen
|}

=== Calmness_AgitationCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.2
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Calm
|Calm1
|1
|CN_Kalmte_Agitatie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.2
|Kalm (kind helder en rustig)
|-style="vertical-align:top; "
|Slightly anxious
|Calm2
|2
|CN_Kalmte_Agitatie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.2
|Licht angstig (kind toont lichte onrust)
|-style="vertical-align:top; "
|Anxious
|Calm3
|3
|CN_Kalmte_Agitatie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.2
|Angstig (kind lijkt onrustig, kan zich beheersen)
|-style="vertical-align:top; "
|Very anxious
|Calm4
|4
|CN_Kalmte_Agitatie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.2
|Zeer angstig (kind lijkt zeer onrustig, kan zich nog net beheersen)
|-style="vertical-align:top; "
|Panicky
|Calm5
|5
|CN_Kalmte_Agitatie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.2
|Paniekerig (ernstige onrust met verlies van beheersing)
|}

=== CryingCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.4
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Quiet breathing
|Cry1
|1
|CN_Huilen
|2.16.840.1.113883.2.4.3.11.60.40.4.20.4
|Geen huilgeluiden
|-style="vertical-align:top; "
|Occasional sobbing or moaning
|Cry2
|2
|CN_Huilen
|2.16.840.1.113883.2.4.3.11.60.40.4.20.4
|Af en toe snikken of kreunen (nasnikken)
|-style="vertical-align:top; "
|Whining
|Cry3
|3
|CN_Huilen
|2.16.840.1.113883.2.4.3.11.60.40.4.20.4
|Jengelen of dreinen (monotoon geluid)
|-style="vertical-align:top; "
|Crying
|Cry4
|4
|CN_Huilen
|2.16.840.1.113883.2.4.3.11.60.40.4.20.4
|Huilen
|-style="vertical-align:top; "
|Screaming or shrieking
|Cry5
|5
|CN_Huilen
|2.16.840.1.113883.2.4.3.11.60.40.4.20.4
|Schreewen of krijsen
|}

=== FacialToneCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.6
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Facial muscles totally relaxed
|Face1
|1
|CN_Gezichtsspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.6
|Gezichtsspieren volkomen ontspannen
|-style="vertical-align:top; "
|Normal facial tone
|Face2
|2
|CN_Gezichtsspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.6
|Normale spanning van het gezicht
|-style="vertical-align:top; "
|Tension evident in some facial muscles
|Face3
|3
|CN_Gezichtsspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.6
|Spanning duidelijk in sommige gelaatsspieren (niet aanhoudend)
|-style="vertical-align:top; "
|Tension evident throughout facial muscles
|Face4
|4
|CN_Gezichtsspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.6
|Spanning duidelijk in alle gelaatsspieren (aanhoudend)
|-style="vertical-align:top; "
|Facial muscles contorted and grimacing
|Face5
|5
|CN_Gezichtsspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.20.6
|Gezichtsspieren verwrongen en in een grimas
|}

=== RespiratoryResponseCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.12.3
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|No spontaneous respiration
|Vent1
|1
|CN_Ademhalingsreactie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.3
|Geen spontane ademhaling
|-style="vertical-align:top; "
|Spontaneous respiration on ventilator
|Vent2
|2
|CN_Ademhalingsreactie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.3
|Spontane ademhaling aan de beademing
|-style="vertical-align:top; "
|Unrest or resistance to ventilator
|Vent3
|3
|CN_Ademhalingsreactie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.3
|Onrust of verzet tegen de beademing
|-style="vertical-align:top; "
|Actively breathes against ventilator or coughs regularly
|Vent4
|4
|CN_Ademhalingsreactie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.3
|Ademt actief tegen de beademing in of hoest regelmatig
|-style="vertical-align:top; "
|Fights ventilator
|Vent5
|5
|CN_Ademhalingsreactie
|2.16.840.1.113883.2.4.3.11.60.40.4.20.3
|Vecht tegen de beademing
|}

==More on this information model==
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.12.12] 
This information model is also available as [[Media:nl.zorg.ComfortScale-v1.0(EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ComfortScale-v1.0(EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Prerelease 2017 #1 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 21/09/2017 15:46:33 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

@@ Regel 90: / Regel 90: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:ComfortScale-v1.0Model(EN).png | center
+<imagemap> Bestand:ComfortScale-v1.0Model(2017EN).png | center
 rect 621 89 740 159 [[#11394]]
 rect 621 487 789 537 [[#BodyMovementCodelist]]
@@ Regel 689: / Regel 689: @@
 The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 19/12/2018 18:43:08 with ZibExtraction v. 3.0.6927.32850<!--ftDate--> <BR>
+This page is generated on 21/12/2018 14:46:54 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

@@ Regel 672: / Regel 672: @@
 <ul>
 <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.12.12&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
-<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
+<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=Profile [[File:fhir.png|link=]]]</li>
 </ul>
 This information model is also available as [[Media:nl.zorg.ComfortScale-v1.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ComfortScale-v1.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]

@@ Regel 678: / Regel 678: @@
 The information in this wikipage is based on Release 2017 <BR>
 Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
-This page is generated on 22/01/2018 11:03:46 <BR>
+This page is generated on 24/01/2018 16:09:13 <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

@@ Regel 4: / Regel 4: @@
 HCIM Status:Final<br>
 Release: '''2017''' <br>
-Release status: Prepublished<br>
+Release status: Published<br>
-Release date: 04-09-2017
+Release date: 31-12-2017
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
@@ Regel 44: / Regel 44: @@
 |style="width:250px; "|DCM::Name||nl.zorg.ComfortScore
 |-
-|style="width:250px; "|DCM::PublicationDate||04-09-2017
+|style="width:250px; "|DCM::PublicationDate||31-12-2017
 |-
-|style="width:250px; "|DCM::PublicationStatus||Prepublished
+|style="width:250px; "|DCM::PublicationStatus||Published
 |-
 |style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
 |-
-|style="width:250px; "|DCM::RevisionDate||04-09-2017
+|style="width:250px; "|DCM::RevisionDate||31-12-2017
 |-
 |style="width:250px; "|DCM::Superseeds||
@@ Regel 77: / Regel 77: @@
 <ul>
 	<li>CPB</li>
 	<li>Comfort behaviour scale/ Comfortneo scale</li>
 	<li>Flacc</li>
 </ul>
@@ Regel 675: / Regel 671: @@
 Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
 <ul>
-<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.12.12&effectiveDate=2017-09-04T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
+<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.12.12&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
 <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
 </ul>
 This information model is also available as [[Media:nl.zorg.ComfortScale-v1.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ComfortScale-v1.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
 ==About this information==
-The information in this wikipage is based on Prerelease 2017 #1 <BR>
+The information in this wikipage is based on Release 2017 <BR>
 Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
-This page is generated on 30/11/2017 13:24:25 <BR>
+This page is generated on 22/01/2018 11:03:46 <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

@@ Regel 651: / Regel 651: @@
 ==More on this information model==
 More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.12.12] <BR>
-This information model is also available as [[Media:nl.zorg.ComfortScale-v1.0(EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ComfortScale-v1.0(EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
+This information model is also available as [[Media:nl.zorg.ComfortScale-v1.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ComfortScale-v1.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
 ==About this information==
 The information in this wikipage is based on Prerelease 2017 #1 <BR>
 Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
-This page is generated on 21/09/2017 18:24:25 <BR>
+This page is generated on 28/09/2017 11:18:20 <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>