Version 2.78

38216-8 Pain severity Face FLACC

Reference Information

Type Source Reference
Article NCBI PubMed Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
Citation Regenstrief Institute Development and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.face
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Observed.FLACC

Additional Names

Short Name
Pain severity Face FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.73
Common Test Rank Get Info
4749

Normative Answer List LL513-3

Answer Code Score Answer ID
No particular expression or smile 0 0 LA9588-0
Occasional grimace/frown, withdrawn or disinterested, appears sad or worried; or parent-identified expression 1 1 LA9589-8
Constant grimace or frown, frequent / constant quivering chin, clenched jaw, distressed-looking face, expression of fright or panic; or parent-identified expression 2 2 LA9590-6

Member of these Panels

LOINC Long Common Name
38212-7 Pain assessment panel

38217-6 Pain severity Legs FLACC

Reference Information

Type Source Reference
Article NCBI PubMed Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
Citation Regenstrief Institute Development and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.legs
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Observed.FLACC

Additional Names

Short Name
Pain severity Legs FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.73
Common Test Rank Get Info
5502

Normative Answer List LL514-1

Answer Code Score Answer ID
Normal position or relaxed; usual tone and motion to limbs 0 0 LA9591-4
Uneasy, restless, tense, occasional tremors; or parent-identified behavior 1 1 LA9592-2
Kicking or legs drawn up, marked increase in spasticity, constant tremors or jerking; or parent-identified behavior 2 2 LA9593-0

Member of these Panels

LOINC Long Common Name
38212-7 Pain assessment panel

38218-4 Pain severity Activity FLACC

Reference Information

Type Source Reference
Article NCBI PubMed Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
Citation Regenstrief Institute Development and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.activity
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Observed.FLACC

Additional Names

Short Name
Pain severity Activity FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.69

Normative Answer List LL515-8

Answer Code Score Answer ID
Lying quietly, normal position, moves easily; regular, rhythmic respirations 0 0 LA9594-8
Squirming, shifting back and forth, tense or guarded movements; mildly agitated (e.g., head back and forth, aggression), shallow; splinting respirations, intermittent sighs; or parent-identified behavior 1 1 LA9595-5
Arched, rigid, or jerking; severe agitation; head banging; shivering (not rigors); breath holding, gasping or sharp intake of breaths, severe splinting; or parent-identified behavior 2 2 LA9596-3

Member of these Panels

LOINC Long Common Name
38212-7 Pain assessment panel

38219-2 Pain severity Cry FLACC

Reference Information

Type Source Reference
Article NCBI PubMed Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
Citation Regenstrief Institute Development and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.cry
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Observed.FLACC

Additional Names

Short Name
Pain severity Cry FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.69

Normative Answer List LL516-6

Answer Code Score Answer ID
No cry/verbalization 0 0 LA9597-1
Moans or whimpers; occasional complaint; occasional verbal outburst or grunt; or parent-identified vocalization 1 1 LA9598-9
Crying steadily, screams or sobs; frequent complaints; repeated outbursts, constant grunting; or parent-identified vocalization 2 2 LA9599-7

Member of these Panels

LOINC Long Common Name
38212-7 Pain assessment panel

38220-0 Pain severity Consolability FLACC

Reference Information

Type Source Reference
Article NCBI PubMed Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
Citation Regenstrief Institute Development and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.consolability
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Observed.FLACC

Additional Names

Short Name
Pain severity Consolability FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.69

Normative Answer List LL517-4

Answer Code Score Answer ID
Content and relaxed 0 0 LA9600-3
Reassured by occasional touching, hugging, or being talked to; distractible; or parent-identified behavior 1 1 LA9601-1
Difficult to console or comfort; pushing away caregiver, resisting care or comfort measures; or parent-identified behavior 2 2 LA9602-9

Member of these Panels

LOINC Long Common Name
38212-7 Pain assessment panel

38215-0 Pain severity total [Score] FLACC

Reference Information

Type Source Reference
Article NCBI PubMed Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
Citation Regenstrief Institute Development and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.total
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
Observed.FLACC

Additional Names

Short Name
Pain severity total Score FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.69

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
38212-7 Pain assessment panel

Example Units

Unit Source
{score} Example UCUM Units