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=FHIR Guidelines Geboortezorg=
=FHIR Recipes Geboortezorg v2.3=
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==Pattern legend==
List of recipes for Birthcare. A recipe (terms such as template, pattern, definition etc. are already used in similar contexts) contains:
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For several FHIR resource types we follow generic patterns in Birthcare. A pattern contains:
 
* an XML and/or JSON fragment
 
* an XML and/or JSON fragment
 
** all non-bracketed code is fixed
 
** all non-bracketed code is fixed
 
** parts in <nowiki>[[</nowiki>square brackets<nowiki>]]</nowiki> are variable and contain instructions on how to populate those
 
** parts in <nowiki>[[</nowiki>square brackets<nowiki>]]</nowiki> are variable and contain instructions on how to populate those
 
** a pipeline | separates text from example value
 
** a pipeline | separates text from example value
 +
** <nowiki>[[!</nowiki>comments<nowiki>]]</nowiki> are bracketed with exclamation mark
 
** bracketed blocks start with <nowiki>[[# text]]</nowiki> and end with <nowiki>[[/ text]]</nowiki>, text will contain information on how to populate the block in instances
 
** bracketed blocks start with <nowiki>[[# text]]</nowiki> and end with <nowiki>[[/ text]]</nowiki>, text will contain information on how to populate the block in instances
 
** for instance: [http://hl7.org/fhir/STU3/observation.html#resource Observation.value[x]], if 'x' can vary, information about the content is provided
 
** for instance: [http://hl7.org/fhir/STU3/observation.html#resource Observation.value[x]], if 'x' can vary, information about the content is provided
Regel 15: Regel 16:
 
** fixed values for the valuation of bracketed elements of the fragment (i.e. those are fixed for that particular concept)
 
** fixed values for the valuation of bracketed elements of the fragment (i.e. those are fixed for that particular concept)
 
** bracketed values for per-instance variable data (i.e. those are not fixed for that particular concept, usually the actual values that are exchanged)
 
** bracketed values for per-instance variable data (i.e. those are not fixed for that particular concept, usually the actual values that are exchanged)
==bc-pregnancy-observation==
 
===XML fragment===
 
This is a recipe for pregnacy-related Observations in Birthcare.
 
 
<syntaxhighlight lang="xml" heading="XML fragment">
 
<Observation xmlns="http://hl7.org/fhir">
 
    <id value="[[a unique id]]"/>
 
    <meta>
 
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-pregnancy-observation"/>
 
    </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>
 
    [[#observation.value, see below]]
 
    <valueQuantity>
 
        <value value="1"/>
 
        <system value="http://unitsofmeasure.org"/>
 
        <code value="1"/>
 
    </valueQuantity>
 
    [[/observation.value]]
 
</Observation>
 
</syntaxhighlight>
 
 
===Valuation table===
 
{| class="wikitable"
 
|-
 
! pwd id !! name !! system !! code !! display !! datatype !! value !! system !! unit
 
|-
 
|peri23-dataelement-20010
 
|| Graviditeit
 
|| <nowiki>http://loinc.org</nowiki>
 
|| 11996-6
 
|| Gravidity
 
|| valueQuantity
 
|| <nowiki>[[Het aantal keren dat de vrouw zwanger is geworden (inclusief deze).]]</nowiki>
 
|| <nowiki>http://unitsofmeasure.org</nowiki>
 
|| 1
 
|-
 
| peri23-dataelement-20150
 
|| Pariteit (vóór deze zwangerschap)
 
|| <nowiki>http://loinc.org</nowiki>
 
|| 11977-6
 
|| Parity
 
|| valueQuantity
 
|| <nowiki>[[Aantal voorafgaande zwangerschappen vóór deze zwangerschap die eindigden met een partus (>= 16w 0d / 112 dagen).
 
De waarde van dit item is minimaal 1 minder dan graviditeit.]]</nowiki>
 
|| <nowiki>http://unitsofmeasure.org</nowiki>
 
|| 1
 
|-
 
| peri23-dataelement-80625
 
|| Wijze einde zwangerschap
 
|| <nowiki>urn:oid:2.16.840.1.113883.2.4.4.13</nowiki>
 
|| EindeZw
 
|| Wijze einde zwangerschap
 
|| valueCodeableConcept
 
||
 
|colspan="2" |[http://decor.nictiz.nl/decor/services/RetrieveValueSet?prefix=peri20-&id=2.16.840.1.113883.2.4.11.171&effectiveDate=2013-03-20T00:00:00&version=&format=html&language=nl-NL&seetype=live-services WijzeEindeZwangerschap]
 
|}
 
 
==bc-delivery-observation==
 
===XML fragment===
 
This is a recipe for delivery-related Observations in Birthcare. Not for Observations to a particular child in that delivery.
 
 
<syntaxhighlight lang="xml" heading="XML fragment">
 
<Observation xmlns="http://hl7.org/fhir">
 
    <id value="[[a unique id]]"/>
 
    <meta>
 
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-delivery-observation"/>
 
    </meta>
 
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
 
        <valueReference>
 
            <reference value="[[reference to the delivery | Procedure/bevallingprocedure-wouden-zwanger1]]" />
 
        </valueReference>
 
    </extension>
 
    <status value="final"/>
 
    <code>
 
        <coding>
 
            <system value="[[system, see below | http://snomed.info/sct]]"/>
 
            <code value="[[code, see below | 64332008"/>
 
            <display value="[[display, see below | Blood loss in labour]]"/>
 
        </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>
 
    [[#observation.value, see below]]
 
    <valueQuantity>
 
        <value value="600"/>
 
        <unit value="ml"/>
 
        <system value="http://unitsofmeasure.org"/>
 
    </valueQuantity>
 
    [[/observation.value]]
 
</Observation>
 
</syntaxhighlight>
 
 
===Valuation table===
 
{| class="wikitable"
 
|-
 
! pwd id !! name !! system !! code !! display !! datatype !! value !! system !! unit
 
|-
 
| peri23-dataelement-20640 || Hoeveelheid bloedverlies || <nowiki>http://snomed.info/sct</nowiki> || 64332008 || Blood loss in labour || valueQuantity || <nowiki>[[Hoeveelheid bloedverlies tijdens baring/nageboortetijdperk.]]</nowiki> || <nowiki>http://unitsofmeasure.org</nowiki> || ml
 
|-
 
| peri23-dataelement-80673
 
|| Conditie perineum postpartum
 
|| <nowiki>http://snomed.info/sct</nowiki>
 
|| 364297003
 
|| Female perineum observable (observable entity)
 
|| valueCodeableConcept
 
||
 
|colspan="2" |[http://decor.nictiz.nl/decor/services/RetrieveValueSet?prefix=peri20-&id=2.16.840.1.113883.2.4.11.192&effectiveDate=2014-01-22T11:04:47&version=&format=html&language=nl-NL&seetype=live-services Conditie perineum]
 
|}
 
 
==bc-birth-observation==
 
 
===XML fragment===
 
This is a recipe for delivery- and child-related Observations in Birthcare.
 
 
<syntaxhighlight lang="xml" heading="XML fragment">
 
<Observation xmlns="http://hl7.org/fhir">
 
    <id value="[[a unique id]]"/>
 
    <meta>
 
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-birth-observation"/>
 
    </meta>
 
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
 
        <valueReference>
 
            <reference value="[[reference to the delivery | Procedure/bevallingprocedure-wouden-zwanger1" />
 
        </valueReference>
 
    </extension>
 
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
 
        <valueReference>
 
            <reference value="[[reference to the Child | Patient/XXX-KIND1VDWOUDEN" />
 
        </valueReference>
 
    </extension>
 
    <status value="final"/>
 
    <code>
 
        <coding>
 
            <system value="[[system, see below | http://snomed.info/sct]]"/>
 
            <code value="[[code, see below | 364336006"/>
 
            <display value="[[display, see below | Pattern of delivery (observable entity)]]"/>
 
        </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="EpisodeOfCare/wouden-dossier-zwanger1" />
 
    </context>
 
    <context>
 
        <reference value="[[reference to the EpisodeOfCare | EpisodeOfCare/wouden-dossier-zwanger1]]"/>
 
    </context>
 
    [[#observation.value see below]]
 
    <valueCodeableConcept>
 
        <coding>
 
            <system value="http://snomed.info/sct"/>
 
            <code value="3311000146109"/>
 
            <display value="Vaginale kunstverlossing"/>
 
        </coding>
 
    </valueCodeableConcept>
 
    [[/observation.value]]
 
</Observation> 
 
</syntaxhighlight>
 
 
===Valuation table===
 
{| class="wikitable"
 
|-
 
! pwd id !! name !! system !! code !! display !! datatype !! value !! value-system !! value-code
 
|-
 
| peri23-dataelement-80626
 
|| Type partus
 
|| <nowiki>http://snomed.info/sct</nowiki>
 
|| 364336006
 
|| Pattern of delivery (observable entity)
 
|| valueCodeableConcept
 
|| 
 
|colspan="2" |[http://decor.nictiz.nl/decor/services/RetrieveValueSet?prefix=peri20-&id=2.16.840.1.113883.2.4.11.182&effectiveDate=2016-11-22T14:00:45&version=&format=html&language=nl-NL&seetype=live-services TypePartus]
 
|}
 
 
==bc-child-observation==
 
===XML fragment===
 
This is a recipe for child-related Observations in Birthcare.
 
 
<syntaxhighlight lang="xml" heading="XML fragment">
 
<Observation xmlns="http://hl7.org/fhir">
 
    <id value="[[a unique id]]"/>
 
    <meta>
 
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-child-observation"/>
 
    </meta>
 
    <status value="final"/>
 
    <code>
 
        <coding>
 
            <system value="[[system, see below | http://loinc.org]]"/>
 
            <code value="[[code, see below | 8339-4"/>
 
            <display value="[[display, see below | Birth weight Measured]]"/>
 
        </coding>
 
    </code>
 
    <subject>
 
        <reference value="[[reference to the Child Patient | Patient/XXX-KIND2VDWOUDEN" />
 
        <display value="[[display of reference | Kind 2 van der Wouden]]" />
 
    </subject>
 
    <context>
 
        <reference value="[[reference to the EpisodeOfCare | EpisodeOfCare/wouden-dossier-zwanger1]]"/>
 
    </context>
 
    [[#observation.value, see below]]
 
    <valueQuantity>
 
        <value value="2845"/>
 
        <system value="http://unitsofmeasure.org"/>
 
        <code value="gram"/>
 
    </valueQuantity>
 
    [[/observation.value]]
 
</Observation>
 
</syntaxhighlight>
 
 
===Valuation table===
 
{| class="wikitable"
 
|-
 
! pwd id !! name !! system !! code !! display !! datatype !! value !! value-system !! value-code
 
|-
 
| peri23-dataelement-40060 || Geboortegewicht || <nowiki>http://loinc.org</nowiki> || 8339-4 || Birth weight Measured || valueQuantity || <nowiki>[[Meting van het lichaamsgewicht zo kort mogelijk na de geboorte.]]</nowiki> || <nowiki>http://unitsofmeasure.org</nowiki> || gram
 
|-
 
| peri23-dataelement-40071 || Apgarscore na 5 min. || <nowiki>http://loinc.org</nowiki> || 9274-2 || 5 minute Apgar Score || valueQuantity || <nowiki>[[Apgarscore na 5 min.]]</nowiki> ||  ||
 
|}
 

Huidige versie van 13 jul 2020 om 15:16

FHIR Guidelines Geboortezorg

Pattern legend

For several FHIR resource types we follow generic patterns in Birthcare. A pattern contains:

  • an XML and/or JSON fragment
    • all non-bracketed code is fixed
    • parts in [[square brackets]] are variable and contain instructions on how to populate those
    • a pipeline | separates text from example value
    • [[!comments]] are bracketed with exclamation mark
    • bracketed blocks start with [[# text]] and end with [[/ text]], text will contain information on how to populate the block in instances
    • for instance: Observation.value[x], if 'x' can vary, information about the content is provided
    • (square brackets do not clash too much with either XML or JSON syntax, other than that we follow Mustache syntax very loosely)
    • (fragments are not intended to be machine-processable, but are for documentation, do not rely on fragments syntax to be faultless)
    • (not are recipes intended to replace StructureDefinitions, just to provide more readable documentation for implementers)
  • a valuation table
    • with a dataset concept id
    • fixed values for the valuation of bracketed elements of the fragment (i.e. those are fixed for that particular concept)
    • bracketed values for per-instance variable data (i.e. those are not fixed for that particular concept, usually the actual values that are exchanged)