Gebz:V1.0 FHIR IG bc-PregnancyObservation

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.

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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>
    [[! Other values than final should be avoided ]]
    <status value="final"/>
    <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>
        [[#context]]
        <reference value="[[reference to the EpisodeOfCare | EpisodeOfCare/wouden-dossier-zwanger1]]"/>
        OR
        <reference value="[[reference to the Encounter | Encounter/wouden-controle12]]"/>
        [[/context]]
    </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

The FHIR profiles are independent of dataset versions, the mappings are not. Mappings for 3.1 and 3.2 will follow.

Dataset 2.3 mappings

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