1.3.6.1.4.1.19376.1.5.3.1.1.12.3.1

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The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at http://www.ihe.net/Technical_Framework/index.cfm#PCC

Trial.gif 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
Pain Score Observation Example

<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'/>
 </code>
 <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'/>
 <methodCode code=' ' codeSystem=' ' codeSystemName=' '/>
 <targetSiteCode code=' ' codeSystem=' ' codeSystemName=' '/>
</observation>


<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.

Pain Score Codes
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. This text needs to be fixed-->>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 Interpretation Codes
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.