FLACCpainScale-v1.0(2017EN): verschil tussen versies

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(4 tussenliggende versies door dezelfde gebruiker niet weergegeven)
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==General information==
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<!-- Hieronder wordt een transclude page aangeroepen -->
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Name: '''nl.zorg.FLACCpainScale''' [[Bestand:NL.png|link=FLACCpijnScore-v1.0(2017NL)]]<BR>
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.13(EN)|1|FLACCpainScale-v1.0(2017EN)}}
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Version: '''1.0''' <br>
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HCIM Status:Final<br>
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==General information<!--hdGeneralInformation-->==
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Release: '''2017''' <br>
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Name<!--hdName-->: '''nl.zorg.FLACCpainScale''' [[Bestand:NL.png|link=FLACCpijnScore-v1.0(2017NL)]]<BR>
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Release status: Prepublished<br>
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Version<!--hdVersion-->: '''1.0''' <br>
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Release date: 04-09-2017
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HCIM Status<!--hdStatus-->:Final<br>
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Release<!--hdPublication-->: '''2017''' <br>
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Release status<!--hdPublicationStatus-->: Published<br>
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Release date<!--hdPublicationDate-->: 31-12-2017
 
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<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>
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<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>
  
 
==Metadata==
 
==Metadata==
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|style="width:250px; "|DCM::Name||nl.zorg.FLACCpijnScore
 
|style="width:250px; "|DCM::Name||nl.zorg.FLACCpijnScore
 
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|style="width:250px; "|DCM::PublicationDate||04-09-2017
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|style="width:250px; "|DCM::PublicationDate||31-12-2017
 
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|style="width:250px; "|DCM::PublicationStatus||Prepublished
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|style="width:250px; "|DCM::PublicationStatus||Published
 
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|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
 
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
 
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|style="width:250px; "|DCM::RevisionDate||04-09-2017
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|style="width:250px; "|DCM::RevisionDate||31-12-2017
 
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|style="width:250px; "|DCM::Superseeds||
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==Revision History==
 
==Revision History==
 
<div class="mw-collapsible mw-collapsed">
 
<div class="mw-collapsible mw-collapsed">
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''Only available in Dutch''
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''Only available in Dutch<!--noTranslation-->''
  
 
<u>Publicatieversie 1.0</u> (04-09-2017).
 
<u>Publicatieversie 1.0</u> (04-09-2017).
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<ul>
 
<ul>
 
<li>CPB</li>
 
<li>CPB</li>
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</ul>
 
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<ul>
 
 
<li>Comfort Behaviour Scale/ Comfortneo Scale</li>
 
<li>Comfort Behaviour Scale/ Comfortneo Scale</li>
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</ul>
 
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<ul>
 
 
<li>FLACC</li>
 
<li>FLACC</li>
 
</ul>
 
</ul>
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==Information Model==
 
==Information Model==
 
<BR>
 
<BR>
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<imagemap> Bestand:FLACCpainScale-v1.0Model(EN).png | center  
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<imagemap> Bestand:FLACCpainScale-v1.0Model(2017EN).png | center  
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rect 799 218 953 268 [[#ConsolabilityCodelist]]
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rect 809 226 963 276 [[#ConsolabilityCodelist]]
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rect 441 431 561 481 [[#ActivityCodelist]]
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rect 451 439 571 489 [[#ActivityCodelist]]
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rect 257 430 377 480 [[#LegsCodelist]]
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rect 267 438 387 488 [[#LegsCodelist]]
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rect 92 217 208 267 [[#FaceCodelist]]
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rect 102 225 218 275 [[#FaceCodelist]]
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rect 634 208 754 278 [[#11445]]
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rect 644 216 764 286 [[#11445]]
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rect 624 334 744 404 [[#11460]]
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rect 634 342 754 412 [[#11460]]
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rect 441 333 561 403 [[#11458]]
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rect 451 341 571 411 [[#11458]]
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rect 258 335 378 405 [[#11449]]
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rect 268 343 388 413 [[#11449]]
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rect 258 208 378 278 [[#11457]]
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rect 268 216 388 286 [[#11457]]
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rect 633 67 752 137 [[#11447]]
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rect 643 75 762 145 [[#11447]]
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rect 442 35 560 137 [[#11444]]
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rect 452 43 570 145 [[#11444]]
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rect 624 431 744 481 [[#CryCodelist]]
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rect 634 439 754 489 [[#CryCodelist]]
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rect 259 67 378 137 [[#11448]]
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rect 269 75 388 145 [[#11448]]
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rect 441 203 561 283 [[#11450]]
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rect 451 211 571 291 [[#11450]]
 
desc none
 
desc none
 
</imagemap>
 
</imagemap>
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|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
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|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
 
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
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{|
 
{|
 
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|-
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|<span Title="Codesystem: LOINC"> 48767-8 Annotation comment</span>
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|<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span>
 
|}
 
|}
 
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|
 
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Columns Concept and DefinitionCode: hover over the values for more information<BR>
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Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR>
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For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]
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For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]
  
 
==Example Instances==
 
==Example Instances==
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''Only available in Dutch''
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''Only available in Dutch<!--noTranslation-->''
  
 
{|class="wikitable" width="564px" style= "font-size: 9.5pt;"
 
{|class="wikitable" width="564px" style= "font-size: 9.5pt;"
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|-style='vertical-align:top; background-color: #E8D7BE;'
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{| class="wikitable"  width="60% "
 
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|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
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|Description
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|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Lying quiet
 
|Lying quiet
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|Overstrekt zich, trekt een holle rug of ligt ineengekrompen,is verstijfd of maakt schokkende bewegingen
 
|Overstrekt zich, trekt een holle rug of ligt ineengekrompen,is verstijfd of maakt schokkende bewegingen
 
|}
 
|}
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=== ConsolabilityCodelist===
 
=== ConsolabilityCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
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|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Content
 
|Content
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|Is moeilijk te troosten of op te beuren
 
|Is moeilijk te troosten of op te beuren
 
|}
 
|}
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=== CryCodelist===
 
=== CryCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
|-style='vertical-align:top; background-color: #E8D7BE;'
 
|-style='vertical-align:top; background-color: #E8D7BE;'
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|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.4
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|Binding<!--vsBindingTag-->:
 
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{| class="wikitable"  width="60% "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
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|Conceptname
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|Conceptname<!--vsConceptName-->
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|Conceptcode<!--vsConceptCode-->
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|Conceptvalue<!--vsConceptValue-->
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|Codesystem name||Codesystem OID
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|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
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|Description
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|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|No cry
 
|No cry
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|Huilt voortdurend, schreeuwt of jammert, klaagt veelvuldig
 
|Huilt voortdurend, schreeuwt of jammert, klaagt veelvuldig
 
|}
 
|}
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=== FaceCodelist===
 
=== FaceCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
|-style='vertical-align:top; background-color: #E8D7BE;'
 
|-style='vertical-align:top; background-color: #E8D7BE;'
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|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
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|Description
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|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|No particular expression
 
|No particular expression
Regel 396: Regel 396:
 
|Fronst regelmatig tot voortdurend, klemt de kaken op elkaar, heeft een trillende kin
 
|Fronst regelmatig tot voortdurend, klemt de kaken op elkaar, heeft een trillende kin
 
|}
 
|}
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=== LegsCodelist===
 
=== LegsCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
|-style='vertical-align:top; background-color: #E8D7BE;'
 
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|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
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|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Normal position
 
|Normal position
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|}
 
|}
  
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==This information model in other releases<!--ftOtherReleases-->==
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==This information model in other releases==
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<!-- Hieronder wordt een transclude page aangeroepen -->
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---
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.13(EN)|2|2017}}
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==More on this information model==
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<!-- Tot hier de transclude page -->
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==Information model references<!--ftReferences-->==
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====This information model refers to<!--ftRefersTo-->====
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:--
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====This information model is used in<!--ftReferredBy-->====
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:--
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==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
 
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
 
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
−
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
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Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
 
<ul>
 
<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=2.16.840.1.113883.2.4.3.11.60.7.4.2.12.13&effectiveDate=2017-09-04T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
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<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.12.13&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
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<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>
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<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2017}}</li>
 
</ul>
 
</ul>
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This information model is also available as [[Media:nl.zorg.FLACCpainScale-v1.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FLACCpainScale-v1.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
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==Downloads<!--ftDownloadTitle-->==
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==About this information==
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This information model is also available as [[Media:nl.zorg.FLACCpainScale-v1.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FLACCpainScale-v1.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
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The information in this wikipage is based on Prerelease 2017 #1 <BR>
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==About this information<!--ftHeader2-->==
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Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
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The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR>
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This page is generated on 30/11/2017 13:24:42 <BR>
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Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
 +
This page is generated on 21/12/2018 14:47:18 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
 
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<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>
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<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>

Huidige versie van 24 dec 2018 om 11:03


Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.FLACCpainScale NL.png
Version: 1.0
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017

Back 16.png Back to HCIM list

Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 1-8-2016
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name zorg
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.12.13
DCM::KeywordList Pijnscore, assessment, FLACC
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.FLACCpijnScore
DCM::PublicationDate 31-12-2017
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017).

Concept

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

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.

Evidence Base

For assessing the degree of pain in children with difficulty expressing themselves a number of pain observation instruments exist:

  • CPB
  • Comfort Behaviour Scale/ Comfortneo Scale
  • FLACC

Patient Population

The FLACC assessment score used to assess pain in children between the ages of 0 and 7 years

Information Model


#ConsolabilityCodelist#ActivityCodelist#LegsCodelist#FaceCodelist#11445#11460#11458#11449#11457#11447#11444#CryCodelist#11448#11450FLACCpainScale-v1.0Model(2017EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:12.13.1 Arrowdown.pngFLACCpainScore Root concept of the FLACCpainScale information model. This root concept contains all data elements of the FLACCpainScale information model.
INT.png NL-CM:12.13.2 Arrowright.pngTotalScore 0..1 The total score is the sum of all the individual scores. The total score has a range from 0 - 10.
CO.png NL-CM:12.13.3 Arrowright.pngFace 0..1 Observation Faces;

The extent to which the child’s expression on the face is tensed, grimace, tension of jaws.

List2.png FaceCodelist
CO.png NL-CM:12.13.4 Arrowright.pngLegs 0..1 Observation legs: the extent to which the child is restless (body and legs).
List2.png LegsCodelist
CO.png NL-CM:12.13.5 Arrowright.pngActivity 0..1 Observation activity: the extent to which the child is restless and has tense muscles.
List2.png ActivityCodelist
CO.png NL-CM:12.13.6 Arrowright.pngCry 0..1 Observation Crying: the extent to which the child is crying, whimpers or laments.
List2.png CryCodelist
CO.png NL-CM:12.13.9 Arrowright.pngConsolability 0..1 Observation Consolability: the extent to which the child is consolable.
List2.png ConsolabilityCodelist
TS.png NL-CM:12.13.11 Arrowright.pngScoreDateTime 1 The date and time at which the FLACC score was determined.
ST.png NL-CM:12.13.12 Arrowright.pngComment 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 List2.png

Example Instances

Only available in Dutch

FLACCpijnScore
ScoreDatumTijd 21-12-2016 12:05
Gezicht 1 (Fronst af en toe of trekt een grimas, is teruggetrokken, ongeïnteresseerd)
Benen 2 (Schopt of heeft opgetrokken benen)
Activiteit 1 (Kronkelt, wringt zich in bochten, verandert steeds van houding, is gespannen)
Huilen 0 (Huilt niet (wakker of slapend))
Troostbaar 2 (Is moeilijk te troosten of op te beuren)
Totaalscore 6
Toelichting Controle voor toediening pijnmedicatie.

References

1. Stichting Kind&Pijn [Online] Beschikbaar op:http://www.kind-pijn.org/ [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

ActivityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.3 Binding:
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Lying quiet Act0 0 FLACC_Activiteit 2.16.840.1.113883.2.4.3.11.60.40.4.21.3 Ligt rustig, in een normale houding, maakt rustige bewegingen
Squirming Act1 1 FLACC_Activiteit 2.16.840.1.113883.2.4.3.11.60.40.4.21.3 Kronkelt, wringt zich in bochten, verandert steeds van houding,is gespannen
Arched Act2 2 FLACC_Activiteit 2.16.840.1.113883.2.4.3.11.60.40.4.21.3 Overstrekt zich, trekt een holle rug of ligt ineengekrompen,is verstijfd of maakt schokkende bewegingen

ConsolabilityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.5 Binding:
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Content Cons0 0 FLACC_Troostbaar 2.16.840.1.113883.2.4.3.11.60.40.4.21.5 Is tevreden, ontspannen
Consolable, distractable Cons1 1 FLACC_Troostbaar 2.16.840.1.113883.2.4.3.11.60.40.4.21.5 Is te troosten door af en toe aan te raken, te knuffelen of toe te spreken; laat zich afleiden
Difficult to console Cons2 2 FLACC_Troostbaar 2.16.840.1.113883.2.4.3.11.60.40.4.21.5 Is moeilijk te troosten of op te beuren

CryCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.4 Binding:
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
No cry Cry0 0 FLACC_Huilen 2.16.840.1.113883.2.4.3.11.60.40.4.21.4 Huilt niet (wakker of slapend)
Moans Cry1 1 FLACC_Huilen 2.16.840.1.113883.2.4.3.11.60.40.4.21.4 Kreunt, kermt of jengelt; klaagt af en toe
Crying constantly Cry2 2 FLACC_Huilen 2.16.840.1.113883.2.4.3.11.60.40.4.21.4 Huilt voortdurend, schreeuwt of jammert, klaagt veelvuldig

FaceCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.1 Binding:
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
No particular expression Face0 0 FLACC_Gezicht 2.16.840.1.113883.2.4.3.11.60.40.4.21.1 Vertoont geen specifieke expressie of glimlach
Occasional grimace Face1 1 FLACC_Gezicht 2.16.840.1.113883.2.4.3.11.60.40.4.21.1 Fronst af en toe of trekt een grimas, is teruggetrokken, ongeïnteresseerd
Frequent to constant frown Face2 2 FLACC_Gezicht 2.16.840.1.113883.2.4.3.11.60.40.4.21.1 Fronst regelmatig tot voortdurend, klemt de kaken op elkaar, heeft een trillende kin

LegsCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.2 Binding:
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Normal position Legs0 0 FLACC_Legs 2.16.840.1.113883.2.4.3.11.60.40.4.21.2 Normale houding en/of ontspannen
Restless Legs1 1 FLACC_Legs 2.16.840.1.113883.2.4.3.11.60.40.4.21.2 Ongemakkelijk, onrustig, gespannen
Kicking Legs2 2 FLACC_Legs 2.16.840.1.113883.2.4.3.11.60.40.4.21.2 Schopt of heeft opgetrokken benen

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