Gebz:V1.0 FHIR IG bc-DeliveryObservation

1 bc-DeliveryObservation

This is a generic profile for observations related to a delivery.

Each DeliveryObservation must have:

• a subject, the pregnant woman
• a reference to the Delivery 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-DeliveryObservation

1.2 XML fragment

This is a patten for delivery-related Observations in Birthcare. Not for Observations to a particular child in that delivery. Note that the meta.profile element should at least include nl-core-observation and preferably bc-DeliveryObservation.

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

<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-DeliveryObservation"/>
    </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>
    <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="600"/>
        <unit value="ml"/>
        <system value="http://unitsofmeasure.org"/>
    </valueQuantity>
    [[/observation.value]]
</Observation>

1.3 Valuation table

PWD 2.3 to FHIR
Type	#	Concept	Profile	System	Code	Display	FHIR type	system+code	unit
	20590	Tijdstip begin actieve ontsluiting	bc-DeliveryObservation	http://snomed.info/sct	249120008	Onset of labour first stage	valueDatetime
	20640	Hoeveelheid bloedverlies	bc-DeliveryObservation	http://snomed.info/sct	364332008	Blood loss in labour	valueQuantity		ml
	80673	Conditie perineum postpartum	bc-DeliveryObservation	http://snomed.info/sct	364297003	Female perineum observable (observable entity)	valueCodeableConcept	Conditie perineum (2.2)