1.3.6.1.4.1.19376.1.5.3.1.1.12.3.1
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Pain Score Observation 1.3.6.1.4.1.19376.1.5.3.1.1.12.3.1
The pain score observation is a Simple Observation that records the patient's assessment of their pain on a scale from 0 to 10.
Parent Template
The parent of this template is Simple Observation.
Uses
See Templates using Pain Score Observation
Specification
<observation typeCode='OBS' moodCode='EVN'>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
<templateId root=1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
<id root=' ' extension=' '/>
<code code='38208‑5|38221‑8|38214‑3' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
<translation code='406127006' displayName='Pain intensity'
codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT'/>
<text><reference value='#xxx'/></text>
<statusCode code='completed'/>
<effectiveTime value=' '/>
<repeatNumber value=' '/>
<value xsi:type='CO|REAL' />
<interpretationCode code= codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT'/>
|
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
The <templateId> identifies this as a Pain Score Observation, and shall be present as shown above.
<code code='38208‑5' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
<translation code='406127006' displayName='Pain intensity' codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT'/>
The <code> element indicates what kind of pain observation was made. It shall contain the code and codeSystem attribute values shown above. The <translation> element may be present, and provides a mapping to SNOMED CT of the observation. If present, is shall have the code and codeSystem attribute values shown above.
| Code | Data Type | Description |
|---|---|---|
| 38208‑5 | CO | A Pain Score made using the Numerical Rating Scale (NRS), where pain is assessed on a scale from 0 to 10.  -->>The code system to use for this observation<<--
|
<value xsi:type='CO' value=' ' />
The <value> element records the assessed pain score. If using the NRS the pain is assessed using coded ordinal values that range from 0 to 10. The use of the coded ordinal type is required because while pain assessments are ordered values, and can be compared, the differences between two pain assessment values cannot be compared, and so these values are not really numbers.
<interpretationCode code='301379001|40196000|76948002|67849003' codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT'/>
The <interpretationCode> element should be present to provide an interpretation of the pain scale assessment using SNOMED CT. When the <interpretationCode> element is present, the <translation> element described above shall be present. These interpretations are provided to assist decision support systems that are making secondary use of the assessment information, and are not intended to replace the score values.
| Pain Score Range | Code | Description |
|---|---|---|
| 0 | 301379001 | No Present Pain |
| 1-3 | 40196000 | Mild Pain |
| 4-6 | 50415004 | Moderate Pain |
| 7-9 | 76948002 | Severe Pain |
| 10 | 67849003 | Excruciating Pain |
<methodCode code=' ' codeSystem=' ' codeSystemName=' '/>
The <methodCode> should not be present in a Pain Score Observation, as the method is implied by the <code> element.
<targetSiteCode code=' ' codeSystem=' ' codeSystemName=' '/>
The <targetSiteCode> element should be present, and shall indicate the location of the pain being assessed.