Gebz:V1.0 FHIR IG bc-PregnancyObservation: verschil tussen versies
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| Regel 4: | Regel 4: | ||
Each bc-PregnancyObservation must have: | Each bc-PregnancyObservation must have: | ||
* a subject, the pregnant woman | * a subject, the pregnant woman | ||
| − | * a reference to the | + | * a reference to the Pregnancy Condition (the focus of the Observation) |
* performer should be provided if known (this may not always be the case for historical data). performer is the responsible care professional. | * performer should be provided if known (this may not always be the case for historical data). performer is the responsible care professional. | ||
==Profile== | ==Profile== | ||
| Regel 10: | Regel 10: | ||
[https://simplifier.net/geboortezorg-stu3/bc-pregnancyobservation bc-PregnancyObservation] | [https://simplifier.net/geboortezorg-stu3/bc-pregnancyobservation bc-PregnancyObservation] | ||
==Pattern== | ==Pattern== | ||
| − | This is a patten for | + | This is a patten for pregnancy-related Observations in Birthcare. Not for Observations to the pregnant woman or the delivery. Note that the meta.profile element should at least include nl-core-observation and preferably bc-PregnancyObservation. |
| − | All FHIR instances which follow this pattern will be valid | + | All FHIR instances which follow this pattern will be valid Pregnancy Observations. Other fields from the FHIR profile may be present: this description is a minimal representation. |
[[https://informatiestandaarden.nictiz.nl/wiki/Gebz:FHIR_Guidelines#Pattern_legend Legend]] | [[https://informatiestandaarden.nictiz.nl/wiki/Gebz:FHIR_Guidelines#Pattern_legend Legend]] | ||
Versie van 2 jun 2020 13:57
bc-PregnancyObservation
This is a generic profile for observations related to a pregnancy.
Each bc-PregnancyObservation must have:
- a subject, the pregnant woman
- a reference to the Pregnancy Condition (the focus of the Observation)
- performer should be provided if known (this may not always be the case for historical data). performer is the responsible care professional.
Profile
The entire profile can be found at: bc-PregnancyObservation
Pattern
This is a patten for pregnancy-related Observations in Birthcare. Not for Observations to the pregnant woman or the delivery. Note that the meta.profile element should at least include nl-core-observation and preferably bc-PregnancyObservation.
All FHIR instances which follow this pattern will be valid Pregnancy Observations. Other fields from the FHIR profile may be present: this description is a minimal representation.
[Legend]
XML fragment
This is a recipe for pregnacy-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-DeliveryObservation.
<Observation xmlns="http://hl7.org/fhir">
<id value="[[a unique id]]"/>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-observation"/>
<profile value="http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
<valueReference>
<reference value="[[reference to the pregnancy | Condition/wouden-zwanger1]]" />
</valueReference>
</extension>
<status value="[['final' for completed pregnancies, 'active' for ongoing ones]]"/>
<code>
<coding>
<system value="[[system, see below | http://loinc.org]]"/>
<code value="[[code, see below | 11996-6"/>
<display value="[[display, see below | Gravidity]]"/>
</coding>
</code>
<subject>
<reference value="[[reference to the Mother Patient | Patient/XXX-VDWOUDEN" />
<display value="[[display of reference | Patient van der Wouden]]" />
</subject>
<context>
<reference value="[[reference to the EpisodeOfCare | EpisodeOfCare/wouden-dossier-zwanger1]]"/>
</context>
<performer>
<reference value="[[reference to the performer should be included if known | Practitioner/nl-core-practitioner-01]]" />
<display value="[[display of reference | Vera de Los]]" />
</performer>
[[#observation.value, see below]]
<valueQuantity>
<value value="1"/>
<system value="http://unitsofmeasure.org"/>
<code value="1"/>
</valueQuantity>
[[/observation.value]]
</Observation>
Valuation table
| PWD 2.3 to FHIR | ||||||||||||
| Type | # | Concept | System | Code | Display | FHIR element | ValueSet | |||||
|
82501 | Afwijkende groei foetus | http://snomed.info/sct | 276604007 | Fetal growth abnormality (disorder) | valueCodeableConcept | Groei afwijkend | |||||
|
82524 | Intra-uteriene vruchtdood | valueBoolean | |||||||||
|
82525 | Vermoeden intra-uteriene vruchtdood? | valueBoolean | |||||||||
|
|
80623 | Wijze einde zwangerschap | urn:oid:2.16.840.1.113883.2.4.4.13 | EindeZw | Wijze einde zwangerschap | valueCodeableConcept | WijzeEindeZwangerschap | |||||
|
82337 | Definitieve à terme datum | urn:oid:2.16.840.1.113883.2.4.4.13 | EDDDef | Definitieve à terme datum | valueDateTime | ||||||
|
|
82314 | Diagnose | http://snomed.info/sct | 439401001 439401001 | Diagnosis (observable entity) Diagnosis (observable entity) | value[X] | ||||||
|
|
82317 | Gynaecologische aandoening | http://snomed.info/sct | 310789003 | Disorder of female genital tract (disorder) | valueCodeableConcept | Gynaecologische aandoeningen | |||||
|
|
82318 | Bloedverlies? | http://snomed.info/sct | 131148009 | Bleeding (finding) | valueBoolean | ||||||
|
|
82320 | Cervixinsufficiëntie? | http://snomed.info/sct | 17382005 | Cervical incompetence (disorder) | valueBoolean | ||||||
|
|
82321 | Infectie | http://snomed.info/sct | 40733004 | Infectious disease (disorder) | valueCodeableConcept | Infectie | |||||
|
|
82322 | Hyperemesis gravidarum? | http://snomed.info/sct | 14094001 | Excessive vomiting in pregnancy (disorder) | valueBoolean | ||||||
|
|
82323 | Hypertensieve aandoening | http://snomed.info/sct | 38341003 | Hypertensive disorder, systemic arterial (disorder) | valueCodeableConcept | Hypertensieve aandoening | |||||
|
|
82324 | Zwangerschapscholestase? | http://snomed.info/sct | 235888006 | Cholestasis of pregnancy (disorder) | valueBoolean | ||||||
|
|
82325 | Diabetes gravidarum met insuline? | http://snomed.info/sct | 46894009 | Gestational diabetes mellitus, class A>2< (disorder) | valueBoolean | ||||||
|
|
82326 | Afwijkende groei foetus | http://snomed.info/sct | 276604007 | Fetal growth abnormality (disorder) | valueCodeableConcept | Groei afwijkend | |||||
|
|
82327 | Dreigende partus immaturus? | urn:oid:2.16.840.1.113883.2.4.4.13 | PartusImmaturusDreig | Partus immaturus - dreigend | valueBoolean | ||||||
|
|
82328 | Dreigende partus prematurus? | urn:oid:2.16.840.1.113883.2.4.4.13 | PartusPrematurusDreig | Partus prematurus - dreigend | valueBoolean | ||||||
|
|
82329 | Abruptio placentae? | http://snomed.info/sct | 415105001 | Placental abruption (disorder) | valueBoolean | ||||||
|
|
82214 | Irregulaire antistoffen? | http://snomed.info/sct | 312457003 | Finding of irregular blood group antibody present (finding) | valueBoolean | ||||||
|
80617 | Aantal levende kinderen | http://snomed.info/sct | 143881000146107 | aantal levende nakomelingen (waarneembare entiteit) | valueQuantity | ||||||
|
|
82160 | Definitieve à terme datum | urn:oid:2.16.840.1.113883.2.4.4.13 | EDDDef | Definitieve à terme datum | valueDateTime | ||||||
|
|
20261 | Voorgenomen plaats baring tijdens zwangerschap (type locatie) | urn:oid:2.16.840.1.113883.2.4.3.22.1.3 | PRN4209 | Voorgenomen plaats baring tijdens zwangerschap | valueCodeableConcept | VoorgenomenPlaatsBaring | |||||
|
|
80746 | Leven voelen | http://snomed.info/sct | 364618000 | Pattern of fetal movement (observable entity) | valueCodeableConcept | Leven voelen | |||||
|
|
80613 | Intra-uteriene vruchtdood | http://snomed.info/sct | 59291004 | Undelivered in utero fetal death | |||||||
|
|
82435 | Vermoeden intra-uteriene vruchtdood? | http://snomed.info/sct | 139661000146100 | verdenking op intra-uteriene vruchtdood (situatie) | valueBoolean | ||||||
|
|
82436 | Vermoeden iuvd op basis van | method | IUVD methode | ||||||||
|
|
20670 | Maternale sterfte? | http://snomed.info/sct | 59283008 | maternale sterfte (gebeurtenis) | valueBoolean | ||||||
|
|
80625 | Wijze einde zwangerschap | urn:oid:2.16.840.1.113883.2.4.4.13 | EindeZw | Wijze einde zwangerschap | valueCodeableConcept | WijzeEindeZwangerschap | |||||
|
|
20540 | Datum einde zwangerschap | http://snomed.info/sct | 118951000146109 | datum van einde van zwangerschap (waarneembare entiteit) | valueDateTime | ||||||
|
|
82444 | Vermoeden intra-uteriene vruchtdood? | valueBoolean | |||||||||
|
|
82445 | Vermoeden iuvd op basis van | method | IUVD methode | ||||||||
|
|
20505 | Aantal geboren kinderen | http://snomed.info/sct | 118861000146102 | aantal geboren kinderen uit zwangerschap (waarneembare entiteit) | valueQuantity | ||||||