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Name: be.en.hd.PainScore
Version: 0.0.1
Status: Draft


DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Clinical Building Blocks Expert Group &
DCM::CreationDate 29-11-2012
DCM::DescriptionLanguage en
DCM::Id 2.16.840.1.113883.
DCM::KeywordList pijn, pijnscore, vas, nrs, vitale parameters
DCM::LifecycleStatus Draft
DCM::ModelerList Clinical Building Blocks Expert Group &
DCM::Name be.en.hd.PainScore
DCM::ReviewerList Clinical Building Blocks Expert Group &
DCM::RevisionDate 05-01-2016
DCM::Version 0.0.1

Revision History


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

Refer to the legend page for more information about the used types and data types

rootconcept PainScore
Definition Root concept of the PainScore building block. This root concept contains all data elements of the PainScore building block.
Type Zib.png
DCM::DefinitionCode NL-CM:12.9.1
data PainScoreValue
Definition 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.

Datatype INT.png
DCM::DefinitionCode NL-CM:12.9.2
DCM::DefinitionCode SNOMED CT: 225908003 Pain score
DCM::ExampleValue 2
data PainScoreDateTime
Definition The date and time at which the pain score was measured.
Datatype TS.png
DCM::DefinitionCode NL-CM:12.9.3
data Explanation
Definition Explanation of the pain score measurement, including comments on for example the circumstances and/or disruptive factors that may influence the result.
Datatype ST.png
DCM::DefinitionCode NL-CM:12.9.5
data PainMeasuringMethod
Definition The measuring method describes the method used to determine the pain score. The measurement involves a visualization of the pain scale.
Datatype CD.png
DCM::DefinitionCode NL-CM:12.9.4
DCM::ExampleValue NRS
DCM::ValueSet File:List.png PainMeasuringMethodCodeList OID: 2.16.840.1.113883.

Code Lists



Concept Name Concept Code Codesystem 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


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