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.

(The values in column 'Code' can be found on Simplifier as a binding on the code on this profile.)

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