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General information

Name: nl.zorg.PainScore NL.png
Version: 3.2
HCIM Status:Final
Release: 2019
Release status: Prepublished
Release date: 31-01-2020

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DCM::CoderList Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate 29-11-2012
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Name PM
DCM::Id 2.16.840.1.113883.
DCM::KeywordList pijn, pijnscore, vas, nrs, vitale parameters
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.Pijnscore
DCM::PublicationDate 31-01-2020
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Supersedes nl.zorg.Pijnscore-v3.1
DCM::Version 3.2
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013)

Publicatieversie 1.1 (01-07-2013)

Publicatieversie 1.2 (01-04-2015)

ZIB-114 Aanpassing GOG bouwsteen OverdrachtPijnScore; aanscherpen definities, toevoegen meetmethode, aanpassen naam rootconcept naar pijnscore, en concept pijnscore naar pijnscorewaarde.
ZIB-263 Het concept Pijnscore bevat een constraint welke op een andere manier is toegevoegd als dat bij andere concepten het geval is, dit is gelijk getrokken.
ZIB-308 Prefix Overdracht weggehaald bij de generieke bouwstenen

Incl. algemene wijzigingsverzoeken:

ZIB-94 Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154 Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200 Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201 Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309 EOI aangepast
ZIB-324 Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326 Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015

Publicatieversie 1.2.1 (22-05-2015)

ZIB-371 Concepten PijnMeetmethode en Toelichting uit nl.nfu.Pijnscore-v1.2 hebben hetzelfde ID.

Publicatieversie 3.0 (01-05-2016)

ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-564 Aanpassing/harmonisatie Engelse conceptnamen
ZIB-524 Toevoegen Anatomische Locatie en PijnContext teneinde de bouwsteen Pijnbeleving te laten vervallen

Publicatieversie 3.2 (31-01-2020)

ZIB-927 DefinitionCodes zib nl.Pijnscore



The 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:

  1. NRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 1 (no pain) to 10 (unbearable pain).
  2. 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.


The purpose of the pain score is to quantify and objectify the patient’s subjective pain experience.

Information Model


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:12.9.1 Arrowdown.pngPainScore Root concept of the PainScore information model. This root concept contains all data elements of the PainScore information model.
425401001 Pain intensity rating scale
INT.png NL-CM:12.9.2 Arrowright.pngPainScoreValue 1 The score is a general measurement of pain experience, not a description of specific, localized pain.

Depending 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.

Sometimes a value range of 0-100 is used instead of 0-10.

225908003 Pain score
TS.png NL-CM:12.9.3 Arrowright.pngPainScoreDateTime 1 The date and time at which the pain score was measured.
CD.png NL-CM:12.9.4 Arrowright.pngPainMeasuringMethod 1 The measuring method describes the method used to determine the pain score. The measurement involves a visualization of the pain scale.
List2.png PainMeasuringMethodCodelist
CD.png NL-CM:12.9.6 Arrowright.pngAnatomicalLocation 0..1 Anatomical location which is the focus of the procedure.
363698007 Finding site
List2.png PainAnatomicalLocationCodelist
CD.png NL-CM:12.9.7 Arrowright.pngLaterality 0..1 Laterality adds information about body side to the anatomic location, e.g. left
272741003 Laterality
List2.png PainLateralityCodelist
ST.png NL-CM:12.9.5 Arrowright.pngComment 0..1 Comment on the pain score measurement, including comments on for example the circumstances and/or disruptive factors that may influence the result.
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

PijnscoreDatum Tijd PijnscoreWaarde PijnMeetmethode AnatomischeLocatie Lateraliteit Toelichting
08-02-2013 6:43 7 VAS10 Enkel Rechts Bij bewegen


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



Valueset OID: 2.16.840.1.113883. Binding: Extensible
Conceptname Codesystem name Codesystem OID
SNOMED CT: <442083009|Anatomical or acquired body structure| SNOMED CT 2.16.840.1.113883.6.96


Valueset OID: 2.16.840.1.113883. Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Left 7771000 SNOMED CT 2.16.840.1.113883.6.96 Links
Right 24028007 SNOMED CT 2.16.840.1.113883.6.96 Rechts
Right and left 51440002 SNOMED CT 2.16.840.1.113883.6.96 Rechts en links


Valueset OID: 2.16.840.1.113883. Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
NRS NRS PijnMeetmethode 2.16.840.1.113883. NRS
VAS10 VAS10 PijnMeetmethode 2.16.840.1.113883. VAS10
VAS100 VAS100 PijnMeetmethode 2.16.840.1.113883. VAS100

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 Prerelease 2019-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20190731 [R] (July 2019 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage List2.png
This page is generated on 03/02/2020 01:40:47 with ZibExtraction v. 4.0.7338.2051

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