Posting on behalf of Susan Matney
The Nursing Knowledge Big Data Initiative has been modeling Pain Assessment. We have two patient-reported observations:
-
Pain Exacerbating factors – Reported (LOINC 38209-3 Pain exacerbating factors - Reported )
-
Pain Alleviating factors – Reported (LOINC 38210-1 Pain alleviating factors - Reported )
We discovered two possible SNOMED clinical finding types that potentially align with exacerbating factors: “Provoked by” and "Aggravated by. For example:
426899007 |Pain provoked by walking (finding)| and 1285122000 |Pain aggravated by walking (finding)|
From our research, we determined that “Provoked by” is defined as a triggering type of event where Aggravated by worsens existing pain. We feel Aggravated by more closely aligns with Exacerbating factors.
Our questions to the Nursing CRG:
-
Do you use either or both in your pain assessment within your EHR
-
How do these translate into other languages
-
Do we need both?
-
Should we request the missing values in SNOMED?