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Gaps #94343

open

CLINICARE> ER> Pain score for paediatrics under paediatrics vitals category

Added by Marcella David Kok 5 months ago. Updated 10 days ago.

Status:
Tested
Priority:
Critical
Assignee:
Marcella David Kok
Category:
CliniCare
Target version:
Start date:
07/08/2026
Due date:
% Done:

100%

Estimated time:
(Total: 0:00 h)
Spent time:
Dev Due date:
25/07/2026
Release date to QA:
15/08/2026
Issue released on:
QA
Function:
Standard

Description

Requirement
Add a Pain Score field specifically for Paediatric patients under Paeds Vital.

Dropdown Options (Compliance with KKM Pain Assessment)
  • Numeric Scale (0–10) – 7 YEARS ABOVE; older children able to self-report
  • Wong-Baker Faces Scale – 4 TO 7 YEARS - for younger children
  • FLACC (FACE, LEG, ACTIVITY, CRY, CONSOLABILITY) Scale – 1 MONTH TO 4 YEARS; for infants/non-verbal children
  • NIPS (NEONATAL INFANT PAIN) SCALE - NEONATES UP TO 1 MONTH

IMAGE 1 - NUMERIC SCALE

IMAGE 2 - WONG-BAKER FACES SCALE

IMAGE 3 - FLACC

IMAGE 4 - NIPS

*IMAGE 5 - SUGGESTION OF LAYOUT: PAIN SCORE SELECTION TAB BOX


Files

PAEDS VITALS.png (233 KB) PAEDS VITALS.png Marcella David Kok, 01/07/2026 12:08 PM
pain score clinicare.png (204 KB) pain score clinicare.png Marcella David Kok, 09/07/2026 11:19 AM
clipboard-202607291455-fjndt.png (308 KB) clipboard-202607291455-fjndt.png Anis Yusof , 29/07/2026 02:55 PM
clipboard-202607291455-mw7je.png (309 KB) clipboard-202607291455-mw7je.png Anis Yusof , 29/07/2026 02:55 PM
clipboard-202607291456-6vbhk.png (309 KB) clipboard-202607291456-6vbhk.png Anis Yusof , 29/07/2026 02:56 PM
clipboard-202607291503-m2p03.png (381 KB) clipboard-202607291503-m2p03.png Anis Yusof , 29/07/2026 03:03 PM
clipboard-202607291503-2fwpd.png (382 KB) clipboard-202607291503-2fwpd.png Anis Yusof , 29/07/2026 03:03 PM
clipboard-202607291503-5mpxt.png (382 KB) clipboard-202607291503-5mpxt.png Anis Yusof , 29/07/2026 03:03 PM
clipboard-202607291505-r37fb.png (388 KB) clipboard-202607291505-r37fb.png Anis Yusof , 29/07/2026 03:05 PM
clipboard-202607291505-j0opw.png (387 KB) clipboard-202607291505-j0opw.png Anis Yusof , 29/07/2026 03:05 PM
clipboard-202607291505-1ag2r.png (387 KB) clipboard-202607291505-1ag2r.png Anis Yusof , 29/07/2026 03:05 PM
clipboard-202607291513-4boju.png (416 KB) clipboard-202607291513-4boju.png Anis Yusof , 29/07/2026 03:13 PM

Subtasks 1 (0 open — 1 closed)

Gaps #96949: CLINICARE > ER/OP/IP > Pain Scale (Pain assessment) for Paediatrics under the Paediatrics vitals category.ClosedMehdi Mehdi07/08/2026

Actions
Actions #1

Updated by Marcella David Kok 4 months ago · Edited

  • File criteria pain rating scale.pdf added
  • File 1 MONTH TO 4 YEARS FLACC scale.pdf added
  • File NEONATES UP TO 1 MONTH _neonatal infant pain scale.pdf added
Actions #2

Updated by Marcella David Kok 4 months ago

  • File deleted (7 years above_Numerical scales.png)
Actions #3

Updated by Marcella David Kok 4 months ago

  • File deleted (behavioural measure_Neonates up to 1 month_ NIPS.png)
Actions #4

Updated by Marcella David Kok 4 months ago

  • File deleted (behavioural measure_1 month to 4 years_FLACC.png)
Actions #5

Updated by Marcella David Kok 4 months ago

  • File deleted (4 to 7 faces pain scale.png)
Actions #6

Updated by Marcella David Kok 4 months ago

  • Assignee changed from Kierthini Nethi to Mehdi Mehdi
Actions #7

Updated by Kierthini Nethi 4 months ago

  • Assignee changed from Mehdi Mehdi to Marcella David Kok
Actions #8

Updated by Marcella David Kok 4 months ago

Marcella David Kok wrote:

Requirement
Add a Pain Score field specifically for Paediatric patients under Paeds Vital.

Dropdown Options (Compliance with KKM Pain Assessment)
  • Numeric Scale (0–10) – 7 YEARS ABOVE; older children able to self-report
  • Wong-Baker FACES Scale – 4 TO 7 YEARS - for younger children
  • FLACC (FACE, LEG, ACTIVITY, CRY, CONSOLABILITY) Scale – 1 MONTH TO 4 YEARS; for infants/non-verbal children
  • NIPS (NEONATAL INFANT PAIN) SCALE - NEONATES UP TO 1 MONTH
  • > The Vitals dropdown should automatically capture patient age from the patient banner/Medcare demographics.
  • The pain score template should dynamically adjust:
    1. > * Neonates (0–28 days): Neonatal pain score (NIPS/CRIES).
    2. > * Infants/Children (1–12 years): Pediatric pain score (Wong‑Baker FACES).
    3. > * Adolescents/Adults (13+ years): Numeric Rating Scale (0–10).
Actions #9

Updated by Marcella David Kok 4 months ago

  • File deleted (PAEDS VITALS.png)
Actions #10

Updated by Marcella David Kok 4 months ago

  • File deleted (criteria pain rating scale.pdf)
Actions #11

Updated by Marcella David Kok 4 months ago

  • File deleted (1 MONTH TO 4 YEARS FLACC scale.pdf)
Actions #12

Updated by Marcella David Kok 4 months ago

  • File deleted (NEONATES UP TO 1 MONTH _neonatal infant pain scale.pdf)
Actions #13

Updated by Marcella David Kok 4 months ago

  • Assignee changed from Marcella David Kok to Kierthini Nethi
Actions #14

Updated by Marcella David Kok 4 months ago

Actions #15

Updated by Kierthini Nethi 4 months ago

  • Assignee changed from Kierthini Nethi to Marcella David Kok
Actions #16

Updated by Kierthini Nethi 4 months ago

  • Issue released on Dev added
  • Issue released on deleted (NA)
  • Function Standard added
  • Function deleted (HUMS)
Actions #17

Updated by Kierthini Nethi 4 months ago

  • Priority changed from High to Critical
Actions #18

Updated by Marcella David Kok 4 months ago

  • File pain score clinicare.png pain score clinicare.png added
  • Assignee changed from Marcella David Kok to Mehdi Mehdi
  • Priority changed from Critical to High
  • Issue released on HUMS SandBox added
  • Issue released on deleted (Dev)
  • Function HUMS added
  • Function deleted (Standard)

Dear Developer team,
please ignore the previous upload reference in this ticket.
Kindly refer to the following reference in this update.

1) For Paediatric pain score:
Pain score scale dropdown selection comes in 3 selective type of PAIN SCALE:
  • 1. FLACC SCALES : Age 1 month old to 4 years old
  • 2. REVISED FACES SCALES: 4 years to 7 years old
  • 3. NUMERICAL RATING SCALES: Above 7 years old

2) Selective of each pain scale will lead to the dropdown appearence of 1 to 10 scoring to be selected.

IMAGE 1

Actions #19

Updated by Kierthini Nethi 4 months ago

  • Priority changed from High to Critical
  • Issue released on Dev added
  • Issue released on deleted (HUMS SandBox)
  • Function Standard added
  • Function deleted (HUMS)
Actions #20

Updated by Kierthini Nethi 4 months ago

  • Release date to QA set to 15/08/2026
Actions #21

Updated by Mehdi Mehdi 4 months ago

  • Assignee changed from Mehdi Mehdi to Abdul Rehman
Actions #22

Updated by Mehdi Mehdi 4 months ago

  • Dev Due date set to 25/07/2026
Actions #23

Updated by Abdul Rehman 4 months ago

The Vital Save API is:

POST ipd-clinical/patient/vital

It currently saves this `painScale` object:

{
  "painScale": 2,
  "painFrequency": null,
  "painType": null,
  "painDuration": null,
  "painDurationUnit": null,
  "painLocation": null,
  "painLocationPlainText": null,
  "painParticipatingFactor": null
}

There is no field for the selected paediatric scale type: FLACC, Revised Faces, or Numerical Rating.

Please confirm whether the scale type is UI-only or must be saved. If it must be saved, does this API support it, and what field name/value should be sent?

Actions #24

Updated by Mehdi Mehdi 4 months ago · Edited

@Abdul Rehman
I added the painScale to the api please check

"painScale": {                                                                                                                                                                                                                   
"painScale": 2,
"painScaleType": "FLACC",
...
}
Actions #25

Updated by Abdul Rehman 4 months ago

  • Status changed from New to Assigned
Actions #26

Updated by Abdul Rehman 4 months ago

  • Status changed from Assigned to Coded
Actions #27

Updated by Mehdi Mehdi 3 months ago

  • Status changed from Coded to QA

Updated by Anis Yusof 3 months ago

Please find the observation below:

Verified in QA

CLINICARE > ER > Pain score for paediatrics under paediatrics vitals category - PASS in QA, system is showing a new dropdown = 'Pain Score Scale' which has data of FLACC Scales, Revised Faces Scales & Numerical Rating Scales for every patient record regardless of the age with Pain Score will be showing 1 - 10 for each of the scale. It is following the latest requirement by @marcella@hatiintl.com.my and as confirmed with @Kierthini Nethi









Also, system shows the default 'Pain Score Scale' based on the age group as screenshot below;

Actions #29

Updated by Marcella David Kok 3 months ago

  • Subtask #95272 added
Actions #30

Updated by Kierthini Nethi 3 months ago

  • Assignee changed from Kierthini Nethi to Marcella David Kok
Actions #32

Updated by Nurfarisha Izani 10 days ago

  • Subtask #96949 added
Actions #33

Updated by Azib Shahimie Rohaimi 10 days ago

  • Subtask deleted (#95272)
Actions

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