Gebz:V1.2 FHIR IG bc-ProcedureObservation

1 bc-ProcedureObservation

This is a generic profile for observations related to a procedure. For example, in an embryo transfer this could be an observation about the embryo being frozen or not. Each bc-ProcedureObservation must have:

• a subject, the pregnant woman
• a reference to the Procedure (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.

1.1 Profile

The entire profile can be found at: bc-ProcedureObservation

1.2 Pattern

This is a pattern for procedure-related Observations in Birthcare. Not for Observations to the pregnant woman. Note that the meta.profile element should at least include nl-core-observation and preferably bc-ProcedureObservation.

All FHIR instances which follow this pattern will be valid Procedure Observations. Other fields from the FHIR profile may be present: this description is a minimal representation.

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1.2.1 XML fragment

This is a recipe for procedure-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-ProcedureObservation.

<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-ProcedureObservation"/>
    </meta>
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
        <valueReference>
            <reference value="[[reference to the procedure | Procedure/wouden-embryoterugplaatsing]]" />
        </valueReference>
    </extension>
    [[! Other values than final should be avoided ]]
    <status value="final"/>
    <code>
        <coding>
            <system value="[[system, see below | http://snomed.info/sct]]"/>
            <code value="[[code, see below | 236894009]]"/>
            <display value="[[display, see below | transfer van ingevroren embryo (verrichting) ]]"/>
        </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-contact1]]"/>
        [[/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]]
    <valueBoolean value="true"/>
    [[/observation.value]]
</Observation>

1.3 Valuation table

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

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

1.3.2 Dataset 3.2 mappings

PWD 2.3 to FHIR
Type	#	Concept	Reference	Profile	System	Code	Display	FHIR element	ValueSet
	7891	Eicelextractiedatum		bc-ProcedureObservation	http://snomed.info/sct	177037000	eicelaspiratie (verrichting)	valueDateTime
	7892	Cryo embryo		bc-ProcedureObservation	http://snomed.info/sct	236894009	transfer van ingevroren embryo (verrichting)	valueBoolean
	7893	Embryotransferdatum		bc-ProcedureObservation	http://snomed.info/sct	75456002	embryotransfer (verrichting)	valueDateTime