Gebz:V1.0 FHIR IG bc-BirthObservation

bc-BirthObservation

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

Each Birth Observation must have:

• a subject, the woman giving birth
• a reference to the Delivery Procedure (the focus of the Observation): this Procedure will contain a reference to the child which is born
• 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-BirthObservation

Pattern

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

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

[Legend]

<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 | Procedure/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>
        [[#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]]
    <valueCodeableConcept>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="3311000146109"/>
            <display value="Vaginale kunstverlossing"/>
        </coding>
    </valueCodeableConcept>
    [[/observation.value]]
</Observation>

Valuation table

PWD 2.3 to FHIR
Type	#	Concept	System	Code	Display	FHIR element	ValueSet
	80624	Type partus	http://snomed.info/sct	364336006	Pattern of delivery (observable entity)	valueCodeableConcept	TypePartus
	40280	Perinatale sterfte?	http://snomed.info/sct	10588007	perinatale sterfte (gebeurtenis)	valueBoolean
	40290	Fase perinatale sterfte	urn:oid:2.16.840.1.113883.2.4.4.13	FasePerinataleSterfte	Fase perinatale sterfte	valueCodeableConcept	Fase Perinatale Sterfte (2.2)
	40300	Datum/tijd vaststelling perinatale sterfte	http://snomed.info/sct	398299004 399753006	overlijdenstijd (waarneembare entiteit) datum van overlijden (waarneembare entiteit)	valueDateTime
	80619	Tijdstip breken vliezen	http://snomed.info/sct	289251005	Time rupture of membranes detected	valueDateTime
	20610	Kleur en consistentie vruchtwater	http://loinc.org	38386-9	Color of Amniotic fluid	valueCodableConcept	KleurVruchtwater
	30030	Tijdstip actief meepersen	urn:oid:2.16.840.1.113883.2.4.3.22.1.1	PRN530401	Tijdstip actief meepersen	valueDateTime
	82089	Ruggeprik gewenst, niet gekregen?	urn:oid:2.16.840.1.113883.2.4.4.13	RuggeprikGewNGekr	Ruggeprik gewenst niet gekregen	valueBoolean
	80626	Type partus	http://snomed.info/sct	364336006	Pattern of delivery (observable entity)	valueCode	TypePartus
	40140	Ligging bij geboorte	urn:oid:2.16.840.1.113883.2.4.3.22.1.1	LigGbrt	Ligging bij geboorte	valueCodeableConcept	LiggingBijGeboorte22