<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2020bbr-?id=2.16.840.1.113883.2.4.3.11.60.121.4.2.12.12&effectiveDate=2020-09-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2020bbr-?id=2.16.840.1.113883.2.4.3.11.60.121.4.2.12.12&effectiveDate=2020-09-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2020}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2020|ComfortScale}}</li>
</ul>
</ul>
==Downloads<!--ftDownloadTitle-->==
==Downloads<!--ftDownloadTitle-->==
This information model is also available as [[Media:nl.zorg.ComfortScale-v1.1(2020EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ComfortScale-v1.1(2020EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
This information model is also available as [[Media:nl.zorg.ComfortScale-v1.1(2020EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ComfortScale-v1.1(2020EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
Huidige versie van 8 dec 2023 00:44
Attention!! This is not the most recent version of this information model. You can find the most recent version here.
The Comfort Behaviour scale /Comfortneo scale is an assessment tool, that is used to assess the pain behaviour of neonates (new born).
The Comfort Behaviour scale has 7 observation points that that need to be addressed. For each on observation is value is assigned from a 5-point scale, the final score indicates whether the observed child suffers pain and 'how much'. The score is combined with an NRS score that is completed by the nurses on basis of clinical experience.
Purpose
> A pain observation instrument is a tool in determining the intensity of pain and can be useful in order to determine the effectiveness of pain treatment interventions (pharmacological or non-pharmacological). For new born it is nevertheless difficult to differentiate between pain or distress/anxiety. This is relevant in determining the treatment. The score on a pain measurement 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 COMFORT assessment scale is validated for young children up to the age of 4.
The COMFORT and COMFORTneo assessment score is validated for preterm neonates
Information Model
Type
Id
Concept
Card.
Definition
DefinitionCode
Reference
NL-CM:12.12.1
ComfortScale
Rootconcept of the ComfortScale information model. This root concept contains all data elements of the ComfortScale information model.
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
HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
ComfortScale
TotalScore
or as spreadsheet 