<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="nl-core-ComfortScale-02"/>
  <meta>
    <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-ComfortScale"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="nl-core-ComfortScale-02"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation &quot;nl-core-ComfortScale-02&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-nl-core-ComfortScale.html">nl core ComfortScale</a></p></div><p><b>status</b>: final</p><p><b>code</b>: COMFORT scale <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#108301000146109)</span></p><p><b>subject</b>: <a href="Patient-nl-core-Patient-01.html">Patient/nl-core-Patient-01: Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen</a> &quot; VAN PUTTEN-VAN DER GIESSEN&quot;</p><p><b>effective</b>: 2016-12-21 12:05:00+0100</p><p><b>value</b>: 15</p><p><b>note</b>: Controle na verhogen pijnmedicatie.</p><blockquote><p><b>component</b></p><p><b>code</b>: ComfortScore Alertheid <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#12012003)</span></p><p><b>value</b>: Awake and alert <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#Alert4)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: ComfortScore Kalmte_Agitatie <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#12012004)</span></p><p><b>value</b>: Slightly anxious <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#Calm2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: ComfortScore Ademhalingsreactie <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#12012005)</span></p><p><b>value</b>: Unrest or resistance to ventilator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#Vent3)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: ComfortScore Lichaamsbeweging <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#12012008)</span></p><p><b>value</b>: Occasional, slight movements <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#Mov2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: ComfortScore Gezichtsspanning <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#12012009)</span></p><p><b>value</b>: Normal facial tone <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#Face2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: ComfortScore Spierspanning <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#12012010)</span></p><p><b>value</b>: Reduced muscle tone <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#Musc2)</span></p></blockquote></div>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="108301000146109"/>
      <display value="COMFORT scale"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/nl-core-Patient-01"/>
    <type value="Patient"/>
    <display value="Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen"/>
  </subject>
  <effectiveDateTime value="2016-12-21T12:05:00+01:00"/>
  <valueInteger value="15"/>
  <note>
    <text value="Controle na verhogen pijnmedicatie."/>
  </note>
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"/>
        <code value="12012003"/>
        <display value="ComfortScore Alertheid"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.1"/>
        <code value="Alert4"/>
        <display value="Awake and alert"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"/>
        <code value="12012004"/>
        <display value="ComfortScore Kalmte_Agitatie"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.2"/>
        <code value="Calm2"/>
        <display value="Slightly anxious"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"/>
        <code value="12012005"/>
        <display value="ComfortScore Ademhalingsreactie"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.3"/>
        <code value="Vent3"/>
        <display value="Unrest or resistance to ventilator"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"/>
        <code value="12012008"/>
        <display value="ComfortScore Lichaamsbeweging"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.5"/>
        <code value="Mov2"/>
        <display value="Occasional, slight movements"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"/>
        <code value="12012009"/>
        <display value="ComfortScore Gezichtsspanning"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.6"/>
        <code value="Face2"/>
        <display value="Normal facial tone"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1"/>
        <code value="12012010"/>
        <display value="ComfortScore Spierspanning"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.7"/>
        <code value="Musc2"/>
        <display value="Reduced muscle tone"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>