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1a. Project Name

Pain Assessment PSS

1b. Project ID


1c. Is Your Project an Investigative Project (aka PSS-Lite)?


1d. Is your Project Artifact being Reaffirmed or proceeding to Normative directly after being either Informative or STU?


1e. Today's Date

1f. Name of standard being reaffirmed

1g. Project Artifact Information

1h. ISO/IEC Standard to Adopt

1i. Does the standard include excerpted text from one or more ISO, IEC or ISO/IEC standards, but is not an identical or modified adoption?

1j. Unit of Measure

2a. Primary/Sponsor WG

Clinical Interoperability Council

2b. Co-Sponsor WG

Clinical Information Modeling Initiative

2c. Co-Sponsor Level of Involvement

Request formal content review prior to ballot

2b. Co-Sponsor WG 2

Patient Care

2c. Co-Sponsor Level of Involvement

Request periodic project updates; specify period in text box below (e.g. 'Monthly', 'At WGMs', etc.)

2d. Project Facilitator

Stan Huff

2e. Other Interested Parties (and roles)

New York Presbyterian - Sarah Collins-Rossetti, Chief Nursing Informatics Officer
Epic - Emily Barey, Chief Nursing Officer

2f. Modeling Facilitator

Nathan Davis

2g. Publishing Facilitator

Stan Huff

2h. Vocabulary Facilitator

Susan Matney

2i. Domain Expert Representative

2j. Business Requirements Analyst

2k. Conformance Facilitator

2l. Other Facilitators

2m. Implementers

New York Presbyterian - Sarah Collins-Rossetti, Chief Nursing Informatics Officer
Epic - Emily Barey, Chief Nursing Officer
University of Utah

3a. Project Scope

The purpose of the project is to develop a standardized pain assessment that includes the assertion of pain and all pertinent qualifying elements such as pain severity, pain quality (burning, stabbing, aching), nonverbal pain indicator (grimacing, aggression, agitation). The qualifying elements will have LOINC codes and the associated value sets will be SNOMED CT concepts.

Note that FHIR profiles and terminology bindings will conform to USCDI.


3b. Project Need

Pain is the most common symptom documented in healthcare. Many questions about the pain (qualifying observations) are also recorded such as pain quality, exacerbating factors, body location etc. This data needs to be standardly structured and encoded in order to gain knowledge about pain.

3c. Security Risk


3d. External Drivers

3e. Objectives/Deliverables and Target Dates

1. Identify needed data elements and value sets used to document pain (completed by Nursing Knowledge Big Data Science Initiative)
2. Curate the needed terminology content with LOINC and SNOMED CT (in progress - target 3/30/2020).
2. Develop the Clinical Element Models (Target 4/30/2020)
3. Develop the FHIR profiles (Target 5/30/2020)
4. QA FHIR profiles within CIMI (Target 6/30/2020)
5. Develop Implementation Guide (Target 7/30/2020)
6. Connectathon (Sept. 2020 HL7 meeting)
7. Ballot in Jan. 2021

3f. Common Names / Keywords / Aliases:

Pain Assessment

3g. Lineage

3h. Project Dependencies

3i. HL7-Managed Project Document Repository URL:

3j. Backwards Compatibility


3k. Additional Backwards Compatibility Information (if applicable)

3l. Using Current V3 Data Types?


3l. Reason for not using current V3 data types?

3m. External Vocabularies


3n. List of Vocabularies


3o. Earliest prior release and/or version to which the compatibility applies

4a. Products

FHIR Implementation Guide, FHIR Profiles

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

4c. FHIR Profiles Version

4d. Please define your New Product Definition

4d. Please define your New Product Family

5a. Project Intent

Create new standard

5a. White Paper Type

5a. Is the project adopting/endorsing an externally developed IG?

5a. Externally developed IG is to be (select one)

5a. Specify external organization

5a. Revising Current Standard Info

5b. Project Ballot Type

STU to Normative

5c. Additional Ballot Info

5d. Joint Copyright


5e. I understand I must submit a Joint Copyright Letter of Agreement to the TSC in order for the PSS to receive TSC approval.


6a. External Project Collaboration

Nursing Knowledge Big Data Science Initiative

6b. Content Already Developed


6c. Content externally developed?


6d. List Developers of Externally Developed Content

Intermountain healthcare

6e. Is this a hosted (externally funded) project?


6f. Stakeholders

Quality Reporting Agencies, Standards Development Organizations (SDOs)

6f. Other Stakeholders

6g. Vendors


6g. Other Vendors

6h. Providers

Emergency Services, Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health)

6h. Other Providers

6i. Realm

U.S. Realm Specific

7d. US Realm Approval Date

Dec 10, 2019

7a. Management Group(s) to Review PSS


7b. Sponsoring WG Approval Date

May 23, 2019

7c. Co-Sponsor Approval Date

May 23, 2019

7c. Co-Sponsor 2 Approval Date

7c. Co-Sponsor 3 Approval Date

7c. Co-Sponsor 4 Approval Date

7c. Co-Sponsor 5 Approval Date

7c. Co-Sponsor 6 Approval Date

7c. Co-Sponsor 7 Approval Date

7c. Co-Sponsor 8 Approval Date

7c. Co-Sponsor 9 Approval Date

7c. Co-Sponsor 10 Approval Date

7e. CDA MG Approval Date

7f. FMG Approval Date

Nov 13, 2019

7g. V2 MG Approval Date

7h. Architecture Review Board Approval Date

7i. Steering Division Approval Date

Feb 04, 2020

7j. TSC Approval Date