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General information

Name: nl.zorg.PainCharacteristics NL.png
Version: 2.0
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023

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DCM::CoderList Nictiz zib centrum
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate 8-5-2020
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Name PM
DCM::Id 2.16.840.1.113883.
DCM::KeywordList pijn, pijnkenmerken, ALTIS
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.Pijnkenmerken
DCM::PublicationDate 15-10-2023
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 05-09-2023
DCM::Supersedes nl.zorg.Pijnkenmerken-v1.0
DCM::Version 2.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-09-2020)

Publicatieversie 2.0 (15-10-2023)

ZIB-1907 Voorstel verbeterde SNOMED code voor term 'Continue' in de zib Pijnkernmerken


Pain characteristics describe specific, localized pain. They provide information on a number of  aspects of the pain the patient is experiencing. The aspects follow the ALTIS method (Quality, Localization, Duration, Intensity and Context). In this way, pain is always assessed in the same way.


Pain Characteristics are instrumental in establishing a diagnosis and in evaluating the effectiveness of pain medication.

Information Model


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:12.21.1 Arrowdown.pngPainCharacteristics Root concept of the PainCharacteristics information model.This root concept contains all data elements of the PainCharacteristics information model.
276435006 Pain / sensation finding
CD.png NL-CM:12.21.2 Arrowright.pngPainType 0..*  Description of the characteristics of the pain as experienced by the patient.
364632003 Pain character
List2.png PainTypeCodelist
Verwijzing.png NL-CM:12.21.3 Arrowright.pngPainLocation::AnatomicLocation 0..1 Anatomic location and laterality of the pain.
363698007 Finding site
Block.png AnatomicalLocation
PQ.png NL-CM:12.21.4 Arrowright.pngPainEpisodeDuration 0..1 The duration of a pain episode with non-continues pain. The duration is measured in units of time (days, hours, ...)
162442009 Time symptom lasts
TS.png NL-CM:12.21.12 Arrowright.pngTimeOfOnset 0..1 Date and time of the onset of the pain.
405795006 Time of symptom onset
Verwijzing.png NL-CM:12.21.5 Arrowright.pngPainIntensity::PainScore 0..1 The intensity or severity of the pain experienced by the patient, measured using the NRS or VAS score.
406127006 Pain intensity
Block.png PainScore
CD.png NL-CM:12.21.6 Arrowright.pngPainPattern 0..1 Description of any repeating patterns in the course of the pain that occur over time
364631005 Pattern of pain
List2.png PainPatternCodelist
CD.png NL-CM:12.21.7 Arrowright.pngPainCourse 0..1 The course of the pain over time since the onset.
List2.png PainCourseCodelist
ST.png NL-CM:12.21.8 Arrowright.pngAlleviatingFactors 0..1 Description of the factors that relieve the pain, such as rest.
162483007 Symptom relieving factors
ST.png NL-CM:12.21.11 Arrowright.pngAggravatingFactors 0..1 Description of the factors that aggravate the pain, such as exercise.
162473008 Symptom aggravating factors
TS.png NL-CM:12.21.9 Arrowright.pngPainCharacteristicsDateTime 1 The date and time at which the pain characteristics have been identified.
439771001 Date of event
ST.png NL-CM:12.21.10 Arrowright.pngComment 0..1 Comments on the described pain characteristics.
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

PijnAard Drukkend
Locatie Borst
Lateraliteit Links
PijnAanvalDuur 1 uur
BeginTijdPijn 11-08-2020
PijnscoreWaarde 5
PijnMeetmethode NRS10
PijnPatroon Aanvalsgewijs
Pijnbeloop Toenemend
VerzachtendeFactoren -
VerergerendeFactoren Ademhalen
PijnkenmerkenDatumTijd 12-08-2020


1. openEHR-EHR-OBSERVATION.symptom-pain.v1[Online] Beschikbaar op: [Geraadpleegd: 23 december 2014].



Valueset OID: 2.16.840.1.113883. Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Stable 58158008 SNOMED CT 2.16.840.1.113883.6.96 Stabiel
Increasing 260369004 SNOMED CT 2.16.840.1.113883.6.96 Toenemend
Decreasing 260371004 SNOMED CT 2.16.840.1.113883.6.96 Afnemend


Valueset OID: 2.16.840.1.113883. Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Continuous 255238004 SNOMED CT 2.16.840.1.113883.6.96 Continue [DEPRECATED]
Continual 263730007 SNOMED CT 2.16.840.1.113883.6.96 Continue
Paroxysmal 26593000 SNOMED CT 2.16.840.1.113883.6.96 Aanvalsgewijs
Fluctuating 255341006 SNOMED CT 2.16.840.1.113883.6.96 Fluctuerend, wisselend


Valueset OID: 2.16.840.1.113883. Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Shooting pain 49575005 SNOMED CT 2.16.840.1.113883.6.96 opflikkerend, flitsend, schietend
Sharp pain 8708008 SNOMED CT 2.16.840.1.113883.6.96 prikkelend, stekend, doorborend
Tightening pain 162505000 SNOMED CT 2.16.840.1.113883.6.96 drukkend, knellend, snoerend
Burning pain 36349006 SNOMED CT 2.16.840.1.113883.6.96 branderig, brandend, vlammend
Cutting pain 162503007 SNOMED CT 2.16.840.1.113883.6.96 scherp, snijdend, messcherp
Aching pain 27635008 SNOMED CT 2.16.840.1.113883.6.96 zeurend, knagend, hardnekkig
Paresthesia 91019004 SNOMED CT 2.16.840.1.113883.6.96 tintelingen, doof

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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 Prerelease 2023-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
  • LOINC version 2.76

Conditions for use are located on the mainpage List2.png
This page is generated on 31/10/2023 18:35:58 with ZibExtraction v. 9.3.8704.31782

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