Uit Zorginformatiebouwstenen
Ga naar: navigatie, zoeken

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.ChecklistPainBehavior NL.png
Version: 1.1
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021

Back 16.png Back to HCIM list


DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 1-12-2016
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Name zorg
DCM::Id 2.16.840.1.113883.
DCM::KeywordList Pijnscore, assessment, CPG
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.ChecklistPijngedrag
DCM::PublicationDate 01-12-2021
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 09-01-2020
DCM::Supersedes nl.zorg.ChecklistPijngedrag-v1.0
DCM::Version 1.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017)

Publicatieversie 1.1 (31-01-2020)

ZIB-923 DefintionCodes zib nl.ChecklistPijngedrag


The CPB (Checklist Pain Behaviour) is a pain assessment tool, that is used to assess pain in children with a limited expressive repertoire or with a profound cognitive impairment, by observing their behaviour
The CPB has ten observations that need te be addressed. The final score indicates whether the observed child suffers pain and 'how much'. The score is often combined with a VAS score that is completed by the nurses on basis of clinical experience.


A pain assessment tool is an instrument for determining the intensity of pain and can be useful in order to determine the effectiveness of pain treatment interventions (pharmacological or non-pharmacological). For children with a limited expressive repertoire it is nevertheless difficult to differentiate between pain or distress/anxiety. This difference is relevant in determining the treatment. The score on a pain observation 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

  • CPB
  • Comfort behaviour scale/ Comfortneo scale
  • Flacc

Patient Population

The pain assessment tool CPB is developed for children with limited expressive repertoire or a profound cognitive impairment.

Information Model


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:12.17.1 Arrowdown.pngChecklistPainBehaviour Root concept of the ChecklistPainBehaviour information model. This root concept contains all data elements of the ChecklistPainBehaviour information model.
108331000146104 Pain Behaviour Checklist
INT.png NL-CM:12.17.2 Arrowright.pngTotalScore 0..1 The total score is the sum of all the individual scores. The total score has a range from 0 - 10.
48981000146100 Pain Behaviour Checklist total score
INT.png NL-CM:12.17.3 Arrowright.pngFace 0..1 Tense face; one or more muscles in the face are tensed.
12017003 ChecklistPainBehaviour Face
INT.png NL-CM:12.17.4 Arrowright.pngMouth 0..1 Deeper naso-labial furrow; the line between the nose and mouth (naso-labial furrow) is deeper and aside.
12017004 ChecklistPainBehaviour Mouth
INT.png NL-CM:12.17.5 Arrowright.pngGrimace 0..1 Grimace; the co-occurrence of: furrowed eyebrows; eyes that are composed or pinched; a deeper line between the nose and mouth; opened mouth.
12017005 ChecklistPainBehaviour Grimace
INT.png NL-CM:12.17.6 Arrowright.pngLooking sad 0..1 Looking sad, almost in tears: eyebrows which have been pulled up laterally on the inner sides; wrinkles in the forehead, especially over the nose; eyes are squeezed; mouth drawn down possibly combined with a pout.
12017006 ChecklistPainBehaviour Looking sad
INT.png NL-CM:12.17.7 Arrowright.pngEyes 0..1 Eyes squeezed

Note: Do NOT score as present when the child is blinking or when the eyes are still closed without blinking.

12017007 ChecklistPainBehaviour Eyes
INT.png NL-CM:12.17.8 Arrowright.pngPanic 0..1 Panics, panic attack: an extreme form of anxiety which manifests itself in random restless body movements or violent resistance.
This may be associated with an anxious look characterized by large widely opened eyes and eyebrows which are on the inner side raised up.
12017008 ChecklistPainBehaviour Panic
INT.png NL-CM:12.17.9 Arrowright.pngMoaning 0..1 Moaning, groaning; monotonous sound on plaintive tone
12017009 ChecklistPainBehaviour Moaning
INT.png NL-CM:12.17.10 Arrowright.pngCry 0..1 Cries softly; crying is accompanied by a shocking breath.
12017010 ChecklistPainBehaviour Cry
INT.png NL-CM:12.17.11 Arrowright.pngSoundsOfRestlessness 0..1 Penetrating sounds of restlessness: sudden or longer lasting intense cries or verbal expressions of pain, such as "au" or "you hurt me'.
12017011 ChecklistPainBehaviour SoundsOfRestlessness
INT.png NL-CM:12.17.12 Arrowright.pngTears 0..1 Tears: child produces tears in at least one eye, so more than just watery eyes.
12017012 ChecklistPainBehaviour Tears
TS.png NL-CM:12.17.13 Arrowright.pngScoreDateTime 1 The date and time at which the CPB score was determined.
ST.png NL-CM:12.17.14 Arrowright.pngComment 0..1 A comment on the circumstances during the measurement.
48767-8 Annotation comment [Interpretation] Narrative

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

ScoreDatumTijd 19-12-2016, 10.45 uur
Gespannen gezicht 1
Lijn tussen neus en mondhoek dieper 0
Grimas 1
Verdrietige blik, bijna in tranen 0
Ogen dicht knijpen 1
Paniekerig, paniek reactie 1
Kreunen, jammeren 1
Huilen, snikken 0
Indringende onruistgeluiden 1
Tranen 0
Totaalscore 6
Toelichting pijn gemeten i.v.m. toegenomen onrust


1. Pijnobservatielijst CPG – Checklist pijngedrag [Online] Beschikbaar op: [Geraadpleegd: 1 december 2016] 2. Richtlijn Pijnmeting en Behandeling van pijn bij kinderen, NVK, 2007 [Online] Beschikbaar op: [Geraadpleegd: 21 december 2016] 3. Onderbouwing richtlijn Signaleren van Pijn bij mensen met een verstandelijke beperking” V&VN, februari 2015 [Online] Beschikbaar op [Geraadpleegd: 21 december 2016]

This information model in other releases

Information model references

This information model refers to


This information model is used in


Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

  • HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png


This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Pre-release 2021-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)
  • LOINC version 2.67

Conditions for use are located on the mainpage List2.png
This page is generated on 30/11/2021 10:37:44 with ZibExtraction v. 6.4.8004.1652

Back 16.png Back to HCIM list