Gebz:FHIR Guidelines

FHIR Guidelines Geboortezorg

Pattern legend

List of recipes for Birthcare. A recipe (terms such as template, pattern, definition etc. are already used in similar contexts) 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
  • 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)

bc-DeliveryObservation

XML fragment

This is a recipe 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.

<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>

Valuation table

pwd id	name	system	code	display	datatype	value	system	unit
peri23-dataelement-20640	Hoeveelheid bloedverlies	http://snomed.info/sct	64332008	Blood loss in labour	valueQuantity	[[Hoeveelheid bloedverlies tijdens baring/nageboortetijdperk.]]	http://unitsofmeasure.org	ml
peri23-dataelement-80673	Conditie perineum postpartum	http://snomed.info/sct	364297003	Female perineum observable (observable entity)	valueCodeableConcept		Conditie perineum

bc-BirthObservation

XML fragment

This is a recipe for delivery- and child-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-BirthObservation"/>
    </meta>
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
        <valueReference>
            <reference value="[[reference to the birth | Observation/geboorte1-wouden]]" />
        </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>
    <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]]
    <valueCodeableConcept>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="3311000146109"/>
            <display value="Vaginale kunstverlossing"/>
        </coding>
    </valueCodeableConcept>
    [[/observation.value]]
</Observation>

Valuation table

pwd id	name	system	code	display	datatype	value	value-system	value-code
peri23-dataelement-80626	Type partus	http://snomed.info/sct	364336006	Pattern of delivery (observable entity)	valueCodeableConcept		TypePartus
peri23-dataelement-30030	Tijdstip actief meepersen	http://snomed.info/sct	249163006	Onset of pushing (in labor) (observable entity)	valueDateTime

bc-ChildObservation

XML fragment

This is a recipe for child-related Observations in Birthcare.

<Observation xmlns="http://hl7.org/fhir">
    <id value="[[a unique id]]"/>
    <meta>
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation"/>
    </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>
    <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="2845"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="gram"/>
    </valueQuantity>
    [[/observation.value]]
</Observation>

Valuation table

pwd id	name	system	code	display	datatype	value	value-system	value-code
peri23-dataelement-40060	Geboortegewicht	http://loinc.org	8339-4	Birth weight Measured	valueQuantity	[[Meting van het lichaamsgewicht zo kort mogelijk na de geboorte.]]	http://unitsofmeasure.org	gram
peri23-dataelement-40071	Apgarscore na 5 min.	http://loinc.org	9274-2	5 minute Apgar Score	valueQuantity	[[Apgarscore na 5 min.]]