Gebz:V1.0 FHIR IG

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{{#customtitle:FHIR Implementation Guide Geboortezorg v2.3 | FHIR Implementation Guide Geboortezorg v2.3}}

AfsprakenstelselFunctioneelTechnischAfspraken-Functioneel-Technisch

Introduction

This page details the HL7 FHIR requirements for exchanging the Geboortezorg v2.3 data described in Functioneel.

Technical details of the FHIR resources and structure definitions described in this Implementation Guide (IG) can be found in the Simplifier Geboortezorg STU3 project. This IG provides links to the required resources and structure definitions for each use case.

A high level overview:

Fhir-model-overview.png

FHIR Resources and StructureDefinitions

Types of resources and relations between them

For Observations, which are often very similar, we follow patterns: an implementer will only need to implement the pattern and an associated table with codes, and be able to support all Observations. So for Observations pertaining to a particular pregnancy (not to the woman - she may have multiple pregnancies on record, neither to the delivery) all Observations will link to the Pregnancy Condition. So instead of having to inspect StructureDefinitions separately for each pregnancy observations, following a single pattern will do. The pattern has it's own StructureDefinition, so the FHIR profile is still complete. Likewise Observations for the mother, delivery and child follow patterns. See links below.

Name FHIR resource Description
Woman (Vrouw) Patient The core of each pregnancy is the pregnant woman, a FHIR Patient.
Partner RelatedPerson The partner of the pregnant woman (not necessarily the biological father).
Generic resources Practitioner, PractitionerRole, Organization Those are not used differently than in other Dutch projects.
Referral details ReferralRequest Referral details (such as type of referral, reason code, referrer and target of the referral) are described in ReferralRequest. The pregnant woman is the subject, the context is the pregnancy file (EpisodeOfCare).
Involvement pediatrician CareTeam A CareTeam describes the involvement of different care providers, such as a pediatrician.
  • These care providers are included as participants in the CareTeam using the CareTeam.participant.member element. Participants may either be Practitioners or Organizations.
  • Their role and period of involvement are described at the participant level (that is CareTeam.participant.role and CareTeam.participant.period).
  • The reason of involvement is described in CareTeam.reasonCode
Pregnancy, Pregnancy file (Zwangerschap, zwangerschapsdossier) Condition, EpisodeOfCare Each pregnancy is a Condition. It is also represented as an EpisodeOfCare for each involved Organization. The pregnancy includes references to an Organization and responsible Practitioner. (Practitioners responsible for the actual data may be included there, i.e. in Procedures, Observations.)
  • Condition points to the EpisodeOfCare through a EpisodeOfCare.context.reference element. (Note: different providers may each have their own Condition resource.)
  • EpisodeOfCare points to the Condition through a EpisodeOfCare.diagnosis.condition element.
  • Condition points to the Patient with Condition.subject.reference
  • Condition.status must be 'active' for ongoing pregnancies and 'inactive' for past ones.
Patient-related Observations Observation Observations such as blood type pertain to the Patient.
  • Observations can refer to an EpisodeOfCare with Observation.context.reference
Pregnancy-related Observations Observation Observations such as gravidity and parity do not (only) pertain to the Patient but to a particular pregnancy.
  • Pregnancy-related Observations use focus extension to point to Condition they're about. Without this, all gravidities would only be Observations about a Patient.
  • Pregnancy-related Observations refer to the EpisodeOfCare with Observation.context.reference
Childbirth Assistance Encounter Childbirth Assistance is modeled as an Encounter. The woman Patient is subject of the Encounter.
  • The place of birth is described in Encounter.class using a ConceptMap to map values to available FHIR codes
  • The Encounter.diagnosis element refers to the Pregnancy (Condition)
  • The Encounter.participant element containts a list of care providers that were present during delivery. Family members and even the woman Patient could also be included in this list.
  • Additional details can be defined at participant level, such as participant type and time of arrival. The latter uses an extension at participant level with a coded list of time of arrival.
  • Childbirth Assistance refers to the EpisodeOfCare with Encounter.EpisodeOfCare.reference
Delivery (Bevalling) Procedure Delivery is modeled with Procedure (even for uncomplicated natural births for consistency). A pregnancy can lead to one DeliveryProcedure even in multiple birth. The Patient is the subject.
  • Delivery refers to the EpisodeOfCare with Procedure.context.reference
  • Delivery refers to the Pregnancy with Procedure.reasonReference.reference
Delivery-related Observations Observation Observations such as onset of labor or blood loss pertain to a delivery Procedure.
  • Delivery-related Observations use focus extension to point to the delivery Procedure they're about.
  • Delivery-related Observations refer to the EpisodeOfCare with Observation.context.reference
Placenta BodySite The placenta is a body structure of the woman Patient and is modeled as a BodySite.
  • The BodySite.patient element refers to the woman Patient.
Placenta-related Observations Observation Observations related to the Placenta (such as date/time of birth placenta) use the focus element to refer to the Placenta. The woman Patient is still the subject of the Observation.
  • Placenta-related Observations use focus extension to point to the placenta.
  • Placenta-related Observations refer to the EpisodeOfCare with Observation.context.reference
Birth Procedure A birth pertains to a delivery Procedure as well as a child, especially in multiple birth where multiple birth instances point to the same delivery Procedure. A birth also provides the relation between a child and its mother. The mother Patient is the subject of the delivery Procedure and the child Patient is the subject of the birth Procedure, which is part of the delivery Procedure. A pregnancy can lead to one delivery Procedure and multiple birth Procedures.
  • Birth refers to the delivery Procedure with Procedure.partOf
  • Birth refers to the EpisodeOfCare with Procedure.context.reference
  • Delivery refers to the Pregnancy with Procedure.reasonReference.reference
Birth-related Observations Observation Observations such as parturition type pertain to a birth. They are also about the mother, which still is the subject.
  • Birth-related Observations use focus extension to point to a birth.
  • Birth-related Observations refer to the EpisodeOfCare with Observation.context.reference
Child Patient Child is a separate Patient.
  • Procedure-related Observations use focus extension to point to the child Patient they're about.
Child-related Observations Observation Observations such as Apgar score and birthweight pertain to the child Patient, which is the subject of these Observations.
  • Child observations refer to the EpisodeOfCare with Observation.context.reference
Child disorders Condition Child disorders such as chromosomal and congenital abnormalities or other problems are conditions. The child is the subject.
  • Child disorders can refer to the EpisodeOfCare with Condition.context.reference
  • A ConceptMap is available to map verification status to accepted FHIR codes
Digital vaginal examination DiagnosticReport The digital vaginal examination DiagnosticReport groups Observations related to the digital vaginal examination. The woman Patient is the subject of the report.
  • Digital vaginal examination refers to the EpisodeOfCare with DiagnosticReport.context.reference

The use of focus extensions is a pre-adopt of FHIR R4, where it is part of Observation: "What the observation is about, when it is not about the subject of record." Focus is required for all Observations which do not pertain to the Patient. In R4, use of focus permits "reverse include" queries (give me all Observations with focus element X). In STU3, this could be a custom search.

The use of context is encouraged for all resources which have a context element. It is a reference to an EpisodeOfCare or an Encounter. Context should point to an Encounter when appropriate (scheduled maternity checks etc.) and to the EpisodeOfCare in all other cases. Possibly it will be absent in Observations where the source is not birth care, so readers should not rely on it's presence.

Observations should include a performer if known.

Pattern tables can be found on individual pattern pages and on Gebz:V2.3_FHIR_mapping_addendum.

Terminology, NamingSystems, Mappings

Terminology

Relevant value sets can be found here. All resources can be downloaded in a .zip in XML or JSON format. In the .zip, the value sets are stored in the directory 'value sets'.

Use case: Register Prio1 data

Introduction

The Register Prio1 transaction is used by the sending XIS to send the relevant data to the registry.

Actors

Transaction group Transaction Actor Role
Register Prio1(PUSH) Register Prio1 Healthcare professional (using a XIS) Sends Prio1 data to registry
Retrieve Prio1(PULL) Querying XIS Healthcare professional (using a XIS) Retrieves Prio1 data from registry

Invocations

Sending XIS: request message

Trigger Events

Message Semantics

The source executes two HTTP requests:

1. HTTP POST request

A HTTP POST request of a Bundle with Bundle.type = transaction to the target's base endpoint. The first Bundle.entry contains a Composition resource, and each subsequent entry contains a resource that is referenced from the Composition resource. 

POST [base]{&_format=[mime-type]}

Each Bundle.entry shall contain an entry.request with request.method = PUT. Each Bundle.entry shall contain either:

  1. A client assigned UUID in the entry.resource and the entry.request.url
  2. A conditional reference in the entry.fullUrl and the entry.request.url

The first applies to resources (e.g. Observations) of which multiple instances are allowed to live on the server.

The second applies to resources (e.g. Patients) for which no duplicates are allowed, e.g. by identifier. Please note that resource instances with conditional references are only created when no resource instance on the server meets the condition, updated when one such an instance exists and the transaction is fully rejected when multiple resource instances meet the condition. Also note that the internal references in the transaction pointing to these kind of resource instances are conditional ones.

Below are examples of transaction Bundles for the prio1 transaction:

2. HTTP GET request

A HTTP GET request to the target's Composition endpoint, handling the createDocumentOperation with persist=true. The target's response is a FHIR Document Bundle, which is generated from the Composition resource and stored to the target's Bundle endpoint. 

GET [base]/Composition/[id]/$document?persist=true{&_format=[mime-type]}

Retrieving XIS: request message

FHIR Document Bundles can be retrieved by a HTTP GET request to the target's Bundle endpoint. Note that FHIR Document Bundles are immutable and its entries refer to a time-related version of a resource which is not necessarily its latest version. 

GET [base]/Bundle/[id]{&_format=[mime-type]}

Individual resources can be retrieved by HTTP GET requests to specific resource endpoints, see the Search section and list of StructureDefinitions below.

Examples

Example FHIR resources can be found here: [1]

Search

Example search URLs can be found in the list of StructureDefinitions below. Some searches require the implementation of custom search parameters. These parameters can be found here: https://simplifier.net/geboortezorg-stu3/~resources?category=SearchParameter

List of StructureDefinitions

Please note that many birth care specific profiles are derived from nl-core profiles (e.g. bc-PregnancyObservation is derived from nl-core-observation) to support (re)use of profiles in multiple use cases. The meta.profile element of FHIR instances conforming these profiles should at least include the generic nl-core profile and preferably the specific birth care profile.

Prio 1 huidig

PWD 2.3 to FHIR
Type # Concept Card Profile Example Search URL
Container.png 1 Zorgverlener/Zorginstelling 1 .. 1
Container.png 10020    Zorginstelling 1 .. 1 nl-core-organization example 
GET [base]/Organization/[zorginstellingid]
GET [base]/Organization?identifier=[lvrid]
II.png 10021       Zorginstelling OID 0 .. 1
II.png 10022       Zorginstelling AGB-ID 0 .. 1
II.png 10023       Zorginstelling LVR-ID 0 .. 1
II.png 10024       Zorginstelling URA 0 .. 1
ANY.png 10026       Naam zorginstelling 0 .. 1
Container.png 10027       Adres zorginstelling 0 .. 1
ST.png 10032          Straatnaam 0 .. 1
ST.png 10033          Huisnummer 0 .. 1
ST.png 10034          Huisletter/huisnummertoevoeging 0 .. 1
ST.png 10041          Postcode 0 .. 1
ST.png 10036          Plaatsnaam 0 .. 1
ST.png 10037          Gemeentenaam 0 .. 1
ST.png 10038          Land 0 .. 1
CD.png 10039          Adrestype 0 .. 1
CD.png 10029       Type zorginstelling 0 .. 1
CD.png 82019       Type zorginstelling (bij verwijzing) 0 .. 1
Container.png 2 Vrouw 1 .. 1 bc-Woman example 
GET [base]/Patient/[vrouwid]
GET [base]/Patient?identifier=[bsn]
II.png 10030    Burgerservicenummer 1 .. 1
Container.png 10035    Naamgegevens 0 .. 1
ST.png 10042       Voornamen 0 .. 1
ST.png 82359       Initialen 0 .. 1
ST.png 82360       Roepnaam 0 .. 1
Container.png 82361       Achternaam 1 .. 1
CD.png 82362          Soort naam 0 .. 1
ST.png 82363          Voorvoegsel 0 .. 1
ST.png 10043          Achternaam 1 .. 1
CD.png 10810    Bloedgroep vrouw 0 .. 1 zib-LaboratoryTestResult-Observation example 





CD.png

10811

   Rhesus D Factor vrouw

0 .. 1

zib-LaboratoryTestResult-Observation

example



GET [base]/Observation?code=1305-2{&subject=[vrouwid]&context=[dossierid]}






CD.png

10816

   Rhesus c Factor

0 .. 1

zib-LaboratoryTestResult-Observation

example



GET [base]/Observation?code=1159-3{&subject=[vrouwid]&context=[dossierid]}






Container.png

3

Zwangerschap

1 .. 1

zib-Pregnancy

example



GET [base]/Condition/[zwangerschapid]
GET [base]/Condition?clinicalstatus=active
GET [base]/Condition?clinicalstatus=inactive&_sort=_-id&_count=1
GET [base]/Condition?subject=[patientid]&_revinclude=Observation:focus






INT.png

20010

   Graviditeit

1 .. 1

zib-Pregnancy-Gravidity

example



GET [base]/Observation?code=11996-6{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}






INT.png

20153

   Pariteit

1 .. 1










Container.png

20029

   A terme datum (groep)

1 .. 1










TS.png

20030

      A terme datum

1 .. 1

zib-Pregnancy-TermDate

example



GET [base]/Observation?code=11778-8{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}






Container.png

14

Medisch onderzoek

0 .. *










TS.png

50020

   Datum onderzoek

1 .. 1










Container.png

142

   Maternale onderzoeksgegevens

1 .. 1










Container.png

80959

      Urine-, bloed- en aanvullende onderzoeken

1 .. 1










PQ.png

10814

         Hb

1 .. 1

zib-LaboratoryTestResult-Observation

example



GET [base]/Observation?code=718-7{&subject=[vrouwid]&context=[dossierid]}





Prio 1 vorig





PWD 2.3 to FHIR




Type

#

Concept

Card

Profile

Example

Search URL




Container.png

1

Zorgverlener/Zorginstelling

1 .. 1










Container.png

10020

   Zorginstelling

1 .. 1

nl-core-organization

example



GET [base]/Organization/[zorginstellingid]
GET [base]/Organization?identifier=[lvrid]






II.png

10021

      Zorginstelling OID

0 .. 1










II.png

10022

      Zorginstelling AGB-ID

0 .. 1










II.png

10023

      Zorginstelling LVR-ID

0 .. 1










II.png

10024

      Zorginstelling URA

0 .. 1










ANY.png

10026

      Naam zorginstelling

0 .. 1










Container.png

10027

      Adres zorginstelling

0 .. 1










ST.png

10032

         Straatnaam

0 .. 1










ST.png

10033

         Huisnummer

0 .. 1










ST.png

10034

         Huisletter/huisnummertoevoeging

0 .. 1










ST.png

10041

         Postcode

0 .. 1










ST.png

10036

         Plaatsnaam

0 .. 1










ST.png

10037

         Gemeentenaam

0 .. 1










ST.png

10038

         Land

0 .. 1










CD.png

10039

         Adrestype

0 .. 1










CD.png

10029

      Type zorginstelling

0 .. 1










CD.png

82019

      Type zorginstelling (bij verwijzing)

0 .. 1










Container.png

2

Vrouw

1 .. 1

bc-Woman

example



GET [base]/Patient/[vrouwid]
GET [base]/Patient?identifier=[bsn]






II.png

10030

   Burgerservicenummer

1 .. 1










Container.png

10035

   Naamgegevens

0 .. 1










ST.png

10042

      Voornamen

0 .. 1










ST.png

82359

      Initialen

0 .. 1










ST.png

82360

      Roepnaam

0 .. 1










Container.png

82361

      Achternaam

1 .. 1










CD.png

82362

         Soort naam

0 .. 1










ST.png

82363

         Voorvoegsel

0 .. 1










ST.png

10043

         Achternaam

1 .. 1










Container.png

3

Zwangerschap

0 .. 1

zib-Pregnancy

example



GET [base]/Condition/[zwangerschapid]
GET [base]/Condition?clinicalstatus=active
GET [base]/Condition?clinicalstatus=inactive&_sort=_-id&_count=1
GET [base]/Condition?subject=[patientid]&_revinclude=Observation:focus






INT.png

20010

   Graviditeit

0 .. 1

zib-Pregnancy-Gravidity

example



GET [base]/Observation?code=11996-6{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}






INT.png

20150

   Pariteit (vóór deze zwangerschap)

0 .. 1

zib-Pregnancy-Parity

example



GET [base]/Observation?code=11977-6{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}






CD.png

80625

   Wijze einde zwangerschap

0 .. 1

bc-PregnancyObservation

example



GET [base]/Observation?code=EindeZw{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}






TS.png

20540

   Datum einde zwangerschap

0 .. 1

bc-PregnancyObservation

example



GET [base]/Observation?code=code=118951000146109{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}






Container.png

6

Bevalling

0 .. 1

bc-DeliveryProcedure

example



GET [base]/Procedure?code=236973005{&subject=[vrouwid]&context=[dossierid]&reasonReference=[zwangerschapid]}






TS.png

20590

   Tijdstip begin actieve ontsluiting

0 .. 1

bc-DeliveryObservation

example



GET [base]/Observation?code=249120008{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}






PQ.png

82869

   Duur actieve ontsluitingsfase (Ontsluitingsduur)

0 .. 1










PQ.png

82870

   Duur uitdrijving vanaf actief meepersen

0 .. 1










PQ.png

20640

   Hoeveelheid bloedverlies

0 .. 1

bc-DeliveryObservation

example



GET [base]/Observation?code=64332008{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}






CD.png

80673

   Conditie perineum postpartum

0 .. 1

bc-DeliveryObservation

example



GET [base]/Observation?code=364297003{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}






Container.png

7

Uitkomst (per kind)

0 .. *










Container.png

40002

   Baring

1 .. 1

bc-Birth

example



GET [base]/Observation?code=3950001{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]&focus=[kindid]}






Container.png

40006

      Demografische gegevens

0 .. 1

bc-Child

example



GET [base]/Patient/[kindid]






TS.png

40050

         Geboortedatum

0 .. 1

bc-Child

example



GET [base]/Patient/[kindid]






Container.png

71

      Kindspecifieke maternale gegevens

0 .. 1










TS.png

30030

         Tijdstip actief meepersen

0 .. 1

bc-BirthObservation

example



GET [base]/Observation?code=249163006{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]}






Container.png

72

      Kindspecifieke uitkomstgegevens

0 .. 1










CD.png

80626

         Type partus

0 .. 1

bc-BirthObservation

example



GET [base]/Observation?code=364336006{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]}






PQ.png

20062

         Zwangerschapsduur

0 .. 1










Container.png

40189

         Vaginale kunstverlossing (groep)

0 .. 1










CD.png

40190

            Vaginale kunstverlossing

0 .. 1

bc-ObstetricProcedure

example



GET [base]/Procedure?code=3311000146109{&subject=[vrouwid]&context=[dossierid]&partof=[bevallingid,uitdrijvingsfaseid]}






Container.png

80766

         Lichamelijk onderzoek kind

0 .. 1










INT.png

40071

            Apgarscore na 5 min.

0 .. 1

zib-ApgarScore

example



GET [base]/Observation?code=9274-2{&subject=[kindid]&context=[dossierid]}






PQ.png

40060

            Geboortegewicht

0 .. 1

bc-BirthWeight

example



GET [base]/Observation?code=8339-4{&subject=[kindid]&context=[dossierid]}





Use case: Register Parturition Record


Introduction


The Register Parturition Record transaction is used by the sending XIS to send the relevant data to the registry. 



Actors





Transaction group

Transaction

Actor

Role




Register Parturition Record(PUSH)

Register Parturition Record

Healthcare professional (using a XIS)

Sends Parturition Record data to registry




Retrieve Parturition Record(PULL)

Querying XIS

Healthcare professional (using a XIS)

Retrieves Parturition Record data from registry



Invocations


Sending XIS: request message


Trigger Events


Message Semantics


The source executes two HTTP requests:



1. HTTP POST request


A HTTP POST request of a Bundle with Bundle.type = transaction to the target's base endpoint. The first Bundle.entry contains a Composition resource, and each subsequent entry contains a resource that is referenced from the Composition resource. 



POST [base]{&_format=[mime-type]}



Each Bundle.entry shall contain an entry.request with request.method = PUT. Each Bundle.entry shall contain either:



  1. A client assigned UUID in the entry.resource and the entry.request.url
    2. 

  2. A conditional reference in the entry.fullUrl and the entry.request.url


The first applies to resources (e.g. Observations) of which multiple instances are allowed to live on the server. 

The second applies to resources (e.g. Patients) for which no duplicates are allowed, e.g. by identifier. Please note that resource instances with conditional references are only created when no resource instance on the server meets the condition, updated when one such an instance exists and the transaction is fully rejected when multiple resource instances meet the condition. Also note that the internal references in the transaction pointing to these kind of resource instances are conditional ones. 

Below are examples of transaction Bundles for the prio1 transaction: 




2. HTTP GET request


A HTTP GET request to the target's Composition endpoint, handling the createDocumentOperation with persist=true. The target's response is a FHIR Document Bundle, which is generated from the Composition resource and stored to the target's Bundle endpoint.



GET [base]/Composition/[id]/$document?persist=true{&_format=[mime-type]}



Retrieving XIS: request message


FHIR Document Bundles can be retrieved by a HTTP GET request to the target's Bundle endpoint. Note that FHIR Document Bundles are immutable and its entries refer to a time-related version of a resource which is not necessarily its latest version.



GET [base]/Bundle/[id]{&_format=[mime-type]}



Individual resources can be retrieved by HTTP GET requests to specific resource endpoints, see the Search section and list of StructureDefinitions below.



Examples


Example FHIR resources can be found here: [2]



Search


Example search URLs can be found in the list of StructureDefinitions below.



List of StructureDefinitions


Please note that many birth care specific profiles are derived from nl-core profiles (e.g. bc-PregnancyObservation is derived from nl-core-observation) to support (re)use of profiles in multiple use cases. The meta.profile element of FHIR instances conforming these profiles should at least include the generic nl-core profile and preferably the specific birth care profile.









PWD 2.3 to FHIR




Type

#

Concept

Card

Profile

Mapping

Example

Search URL




Container.png

4

Zorgverlening

1 .. 1

bc-MaternalRecord

EpisodeOfCare

example






Container.png

82012

   Verwijsdetails

1 .. 1

bc-ReferralRequest

ReferralRequest

example



  • GET [base]/ReferralRequest?subject=[vrouwid]
    • 

  • GET [base]/ReferralRequest?context=[dossierid]





TS.png

82013

      Datum verwijzing

1 .. 1

bc-ReferralRequest

ReferralRequest.authoredOn

example






Container.png

82577

      Verwijzing naar

1 .. 1

bc-ReferralRequest

ReferralRequest.recipient.reference

example






Container.png

82578

         Zorginstelling

0 .. 1

nl-core-organization

Organization

example






II.png

82579

            ZorgaanbiederIdentificatieNummer

0 .. 1

nl-core-organization

Organization.identifier

example






CD.png

82580

            Specialisme

0 .. 1

bc-ReferralRequest

ReferralRequest.requester.agent.extension:practitionerRole | PractitionerRole.specialty

example






CD.png

20367

      Perinatale periode

1 .. 1

bc-ReferralRequest

ReferralRequest.type

example






Container.png

9

Consent

1 .. 1












II.png

18010

   Autorisatieprofiel

0 .. 1












CD.png

18020

   Auteur autorisatieprofiel

1 .. 1












ANY.png

18030

   Patiënt als auteur

0 .. 1












CD.png

18040

   Vertegenwoordiger als auteur

0 .. 1












ANY.png

18050

   Vertegenwoordiger

0 .. 1












Container.png

18060

   (HL7: koppeling PermissionToTransfer)

1 .. 1












CD.png

18070

      Toestemming betreft

1 .. 1












Container.png

18100

      Ontvanger

1 .. 1












II.png

18110

         (HL7: ontvangende partij)

1 .. 1












ST.png

18120

         Ontvangende organisatie

1 .. 1












Container.png

18150

      (HL7: PermissionToTransferSubject)

0 .. 1












CD.png

18160

         RecordType

0 .. 1












Container.png

1

Zorgverlener/Zorginstelling

1 .. 1

nl-core-organization

Organization | Practitioner

example






Container.png

10001

   Zorgverlener

1 .. 1

nl-core-practitioner

Practitioner

example



  • GET [base]/Practitioner/[zorgverlenerid]
    • 

  • GET [base]/Practitioner?identifier=[lvrid]





II.png

10002

      Zorgverlener UZI-nummer

0 .. 1

nl-core-practitioner

Practitioner.identifier

example






II.png

10003

      Zorgverlener AGB-ID

1 .. 1

nl-core-practitioner

Practitioner.identifier

example






II.png

10004

      Zorgverlener LVR1-ID

1 .. 1

nl-core-practitioner

Practitioner.identifier

example






II.png

10005

      Zorgverlener (LVR2, eigen ID)

0 .. 1












ANY.png

10006

      Naam zorgverlener

1 .. 1

nl-core-practitioner

Practitioner.name

example






CD.png

10010

      Zorgverlenertype

0 .. 1

nl-core-practitionerrole

PractitionerRole.specialty

example






ST.png

10012

      Telefoon waar zorgverlener is te bereiken

1 .. 1

nl-core-practitioner

Practitioner.telecom

example






Container.png

10020

   Zorginstelling

1 .. 1

nl-core-organization

Organization

example



  • GET [base]/Organization/[zorginstellingid]
    • 

  • GET [base]/Organization?identifier=[lvrid]





II.png

10021

      Zorginstelling OID

0 .. 1

nl-core-organization

Organization.identifier

example






II.png

10022

      Zorginstelling AGB-ID

1 .. 1

nl-core-organization

Organization.identifier

example






II.png

10023

      Zorginstelling LVR-ID

1 .. 1

nl-core-organization

Organization.identifier

example






II.png

10024

      Zorginstelling URA

0 .. 1

nl-core-organization

Organization.identifier

example






ANY.png

10026

      Naam zorginstelling

1 .. 1

nl-core-organization

Organization.name

example






Container.png

10027

      Adres zorginstelling

1 .. 1

nl-core-organization

Organization.address

example






ST.png

10032

         Straatnaam

1 .. 1

nl-core-organization

Organization.address.line.Extension.streetName

example






ST.png

10033

         Huisnummer

1 .. 1

nl-core-organization

Organization.address.line.Extension.HouseNumber

example






ST.png

10034

         Huisletter/huisnummertoevoeging

0 .. 1

nl-core-organization

Organization.address.line.Extension.BuildingNumberSuffix

example






ST.png

10041

         Postcode

1 .. 1

nl-core-organization

Organization.address.postalCode

example






ST.png

10036

         Plaatsnaam

1 .. 1

nl-core-organization

Organization.address.city

example






ST.png

10037

         Gemeentenaam

1 .. 1












CD.png

10029

      Type zorginstelling

1 .. 1












CD.png

82019

      Type zorginstelling (bij verwijzing)

0 .. 1












Container.png

2

Vrouw

1 .. 1

bc-Woman

Patient

example



  • GET [base]/Patient/[vrouwid]
    • 

  • GET [base]/Patient?identifier=[bsn]





II.png

10030

   Burgerservicenummer

1 .. 1

bc-Woman

Patient.identifier

example






II.png

10031

   Lokale persoonsidentificatie

1 .. 1

bc-Woman

Patient.identifier

example






Container.png

10035

   Naamgegevens

0 .. 1

bc-Woman

Patient.name

example






ST.png

10042

      Voornamen

0 .. 1

bc-Woman

Patient.name.given

example






ST.png

82359

      Initialen

0 .. 1

bc-Woman

Patient.name.given

example






ST.png

82360

      Roepnaam

0 .. 1

bc-Woman

Patient.name.given

example






Container.png

82361

      Achternaam

0 .. 1

bc-Woman

Patient.name.family

example






CD.png

82362

         Soort naam

0 .. 1

bc-Woman

Patient.name.family

example






ST.png

82363

         Voorvoegsel

0 .. 1

bc-Woman

Patient.name.family

example






ST.png

10043

         Achternaam

1 .. 1

bc-Woman

Patient.name.family

example






TS.png

10040

   Geboortedatum

1 .. 1

bc-Woman

Patient.birthdate

example






Container.png

10300

   Adres

1 .. 1

bc-Woman

Patient.address

example






ST.png

10301

      Straatnaam

1 .. 1

bc-Woman

Patient.address.line.Extension.streetName

example






ST.png

10302

      Huisnummer

1 .. 1

bc-Woman

Patient.address.line.Extension.HouseNumber

example






ST.png

10303

      Huisletter/huisnummertoevoeging

0 .. 1

bc-Woman

Patient.address.line.Extension.BuildingNumberSuffix

example






ST.png

10304

      Postcode

1 .. 1

bc-Woman

Patient.address.postalCode

example






ST.png

10305

      Plaatsnaam

1 .. 1

bc-Woman

Patient.address.city

example






ST.png

10306

      Gemeentenaam

1 .. 1

bc-Woman

Patient.address.district

example






ST.png

10307

      Land

1 .. 1

bc-Woman

Patient.address.country

example






CD.png

10308

      Adrestype

1 .. 1

bc-Woman

Patient.address.type

example






CD.png

10400

   Etniciteit

0 .. 1

bc-Woman

Patient.extension

example






CD.png

10401

   Taalvaardigheid vrouw Nederlandse taal

0 .. 1

bc-Woman

Patient.communication.extension

example






CD.png

82371

   CommunicatieTaal

0 .. 1












CD.png

82155

   Opleidingsniveau

0 .. 1












ST.png

82154

   Beroep

0 .. 1












CD.png

10810

   Bloedgroep vrouw

0 .. 1

zib-LaboratoryTestResult-Observation

Observation.valueCodeableConcept

example



  • GET [base]/Observation?code=883-9{&subject=[vrouwid]&context=[dossierid]}





CD.png

10811

   Rhesus D Factor vrouw

0 .. 1

zib-LaboratoryTestResult-Observation

Observation.valueCodeableConcept

example



  • GET [base]/Observation?code=1305-2{&subject=[vrouwid]&context=[dossierid]}





Container.png

80633

   Partner

0 .. 1












Container.png

80638

      Persoonsnaam

0 .. 1












ST.png

80639

         Voornamen

0 .. 1












ST.png

80640

         Voorvoegsel

0 .. 1












ST.png

80641

         Achternamen

0 .. 1












Container.png

3

Zwangerschap

1 .. 1

zib-pregnancy

Condition

example



  • GET [base]/Condition/[zwangerschapid]
    • 

  • GET [base]/Condition?clinicalstatus=active
    • 

  • GET [base]/Condition?clinicalstatus=inactive&_sort=_-id&_count=1
    • 

  • GET [base]/Condition?subject=[patientid]&_revinclude=Observation:focus





TS.png

82160

   Definitieve à terme datum

1 .. 1

bc-PregnancyObservation

Observation.valueDateTime

example



  • GET [base]/Observation?code=11778-8{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}





Container.png

80671

   Voornemens

0 .. 1












CD.png

20261

      Voorgenomen plaats baring tijdens zwangerschap (type locatie)

0 .. 1

bc-PregnancyObservation

Observation.valueCodeableConcept

example



  • GET [base]/Observation?code=PRN4209{&subject=[vrouwid]&context=[dossierid]}





CD.png

82009

      Voorgenomen voeding

0 .. 1












Container.png

6

Bevalling

1 .. 1

bc-DeliveryProcedure

Procedure

example



  • GET [base]/Procedure?code=236973005{&subject=[vrouwid]&context=[dossierid]&reasonReference=[zwangerschapid]}





CD.png

20530

   Risicostatus vóór baring

0 .. 1

bc-DeliveryObservation

Observation.valueCodeableConcept

example






TS.png

20590

   Tijdstip begin actieve ontsluiting

0 .. 1

bc-DeliveryObservation

Observation.valueDateTime

example



  • GET [base]/Observation?code=249120008{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}





PQ.png

82869

   Duur actieve ontsluitingsfase (Ontsluitingsduur)

1 .. 1












PQ.png

82870

   Duur uitdrijving vanaf actief meepersen

1 .. 1












Container.png

80612

   Placenta

1 .. 1

bc-Placenta

BodySite





  • GET [base]/BodySite?subject=[vrouwid]





CD.png

20631

      Placenta Compleet

1 .. 1

bc-DeliveryObservation

Observation.CodeableConcept

example



  • GET [base]/Observation?code=364343000{&subject=[vrouwid]&context=[dossierid]&focus=placenta}





TS.png

80791

      Datum/tijd geboorte placenta

0 .. 1












CD.png

80792

   Compleetheid vliezen

1 .. 1












PQ.png

20640

   Hoeveelheid bloedverlies

1 .. 1

bc-DeliveryObservation

Observation.valueQuantity

example



  • GET [base]/Observation?code=64332008{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}





CD.png

80673

   Conditie perineum postpartum

1 .. 1

bc-DeliveryObservation

Observation.valueCodeableConcept

example



  • GET [base]/Observation?code=364297003{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}





BL.png

82125

   Hechten?

0 .. 1












CD.png

80797

   Wijze van hechten

0 .. 1












Container.png

80799

   Immunisatie

0 .. 1












BL.png

80831

      Rhesus D immunisatie?

0 .. 1












TS.png

80801

      Datum immunisatie

0 .. 1












Container.png

80839

   Partusassistentie

0 .. 1












CD.png

20650

      Partusstadium assistentie gearriveerd

0 .. 1












CD.png

82132

      Rol partusassistent

0 .. 1












Container.png

7

Uitkomst (per kind)

1 .. 1












Container.png

40002

   Baring

1 .. 1

bc-Birth

Procedure

example



  • GET [base]/Procedure?code=3950001{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]&focus=[kindid]}





CD.png

40003

      Werkelijke plaats baring (type locatie)

0 .. 1

bc-ChildBirthAssistance

Encounter.class:werkelijkePlaatsBaring

example






Container.png

40006

      Demografische gegevens

1 .. 1

bc-Child

Patient





  • GET [base]/Patient/[kindid]





Container.png

40007

         Identificaties kind

0 .. 1

bc-Child

Patient.identifier

example






II.png

40010

            BSN kind

0 .. 1

bc-Child

Patient.identifier:BSN

example






II.png

40011

            Lokale identificatie kind

0 .. 1

bc-Child

Patient.identifier

example






Container.png

82051

         Naamgegevens kind

1 .. 1

bc-Child

Patient.name

example






ST.png

82353

            Voornamen

1 .. 1

bc-Child

Patient.name.given

example






ST.png

82354

            Initialen

0 .. 1












ST.png

82052

            Roepnaam

0 .. 1












Container.png

82053

            Achternaam

1 .. 1

bc-Child

Patient.name.family

example






ST.png

82054

               Voorvoegsel

0 .. 1

bc-Child

Patient.name.family.humannamePrefix

example






ST.png

82055

               Achternaam

1 .. 1

bc-Child

Patient.name.family.humannameOwnName

example






TS.png

40050

         Geboortedatum

1 .. 1

bc-Child

Patient.birthdate & patient.birthtime (extension)

example



  • GET [base]/Patient/[kindid]





Container.png

71

      Kindspecifieke maternale gegevens

0 .. 1












TS.png

80619

         Tijdstip breken vliezen

1 .. 1

bc-BirthObservation

Observation.valueDateTime

example



  • GET [base]/Observation?code=289251005{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]}





TS.png

30030

         Tijdstip actief meepersen

0 .. 1

bc-BirthObservation

Observation.valueDateTime

example



  • GET [base]/Observation?code=249163006{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]}





Container.png

72

      Kindspecifieke uitkomstgegevens

0 .. 1












CD.png

80626

         Type partus

0 .. 1

bc-BirthObservation

Observation.valueCode

example



  • GET [base]/Observation?code=364336006{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]}





PQ.png

20062

         Zwangerschapsduur

1 .. 1












CD.png

40140

         Ligging bij geboorte

1 .. 1

bc-BirthObservation

Observation.codeableConcept

example



  • GET [base]/Observation?code=LigGbrt{&subject=[kindid]&context=[dossierid]}





Container.png

40149

         Aanpakker kind (groep)

0 .. 1

bc-ChildBirthAssistance

Encounter.participant

example






ANY.png

82058

            Naam zorgverlener

0 .. 1












CD.png

40150

            Rol aanpakker kind

0 .. 1

bc-ChildBirthAssistance

Encounter.participant.type|individual.extension:practitionerRole

example






Container.png

40169

         Supervisor (groep)

0 .. 1

bc-ChildBirthAssistance

Encounter.participant

example






ANY.png

82059

            Naam zorgverlener

0 .. 1












CD.png

40170

            Rol supervisor

0 .. 1

bc-ChildBirthAssistance

Encounter.participant.type|individual.extension:practitionerRole

example






Container.png

80766

         Lichamelijk onderzoek kind

0 .. 1



DiagnosticReport








INT.png

40070

            Apgarscore na 1 min.

0 .. 1












INT.png

40071

            Apgarscore na 5 min.

1 .. 1

zib-ApgarScore

Observation.valueQuantity

example



  • GET [base]/Observation?code=9274-2{&subject=[kindid]&context=[dossierid]}





INT.png

80757

            Apgarscore na 10 min.

0 .. 1












PQ.png

40060

            Geboortegewicht

1 .. 1

bc-ChildObservation

Observation.valueQuantity

example



  • GET [base]/Observation?code=8339-4{&subject=[kindid]&context=[dossierid]}





PQ.png

80760

            Schedelomtrek

0 .. 1












CD.png

82385

            Indaling testes

1 .. 1












BL.png

40080

         Congenitale afwijkingen?

1 .. 1

bc-DisorderOfChild

Condition

example






Container.png

40081

         Congenitale afwijkingen (groep)

0 .. 1

bc-DisorderOfChild

Condition

example






Container.png

40082

            Specificatie congenitale afwijking (groep)

0 .. 1

bc-DisorderOfChild

Condition.code

example






CD.png

40090

               Specificatie congenitale afwijking

0 .. 1

bc-DisorderOfChild

Condition.code

example






BL.png

40110

            Chromosomale afwijkingen?

0 .. 1

bc-DisorderOfChild

Condition

example






Container.png

40111

            Specificatie chromosomale afwijking (groep)

0 .. 1

bc-DisorderOfChild

Condition.code

example






CD.png

40120

               Specificatie chromosomale afwijking

0 .. 1

bc-DisorderOfChild

Condition.code

example






BL.png

82334

         Problematiek kind?

1 .. 1

bc-DisorderOfChild

Condition

example






CD.png

80789

         Problematiek kind

0 .. 1

bc-DisorderOfChild

Condition.code

example






CD.png

80793

         Navelstreng vaten

1 .. 1












BL.png

80761

         Vitamine K?

1 .. 1












BL.png

82119

         Kinderarts betrokken?

1 .. 1

bc-CareTeam

CareTeam.participant.member.extension:practitionerRole








Container.png

82120

         Betrokkenheid kinderarts

0 .. 1

bc-CareTeam

CareTeam.participant.member.extension:practitionerRole








CD.png

82123

            Reden betrokkenheid

0 .. 1

bc-CareTeam

CareTeam.reasonCode

example






ST.png

80980

         Opmerkingen baring

0 .. 1












Container.png

14

Medisch onderzoek

0 .. 1

bc-PregnancyUltraSound

DiagnosticReport

example






Container.png

142

   Maternale onderzoeksgegevens

0 .. 1

zib-LaboratoryTestResult-DiagnosticReport

DiagnosticReport

example






Container.png

80959

      Urine-, bloed- en aanvullende onderzoeken

0 .. 1

zib-LaboratoryTestResult-DiagnosticReport

DiagnosticReport

example






PQ.png

10814

         Hb

0 .. 1

zib-LaboratoryTestResult-Observation

Observation.valueQuantity

example



  • GET [base]/Observation?code=718-7{&subject=[vrouwid]&context=[dossierid]}





Container.png

1421

      Vaginaal toucher

0 .. 1

bc-DigitalVaginalExamination

DiagnosticReport

example



  • GET [base]/DiagnosticReport?code=51597003{&subject=[vrouwid]&context=[dossierid]}





CD.png

20612

         Portio

0 .. 1

bc-MaternalObservation

Observation.valueCodeableConcept

example



  • GET [base]/Observation?code=[249021005]{&subject=[kindid]&context=[dossierid]}





CD.png

82372

         Positie portio

0 .. 1












CD.png

20613

         Ontsluiting

0 .. 1

bc-MaternalObservation

Observation.valueCodeableConcept

example



  • GET [base]/Observation?code=[289761004]{&subject=[kindid]&context=[dossierid]}





CD.png

20614

         Vliezen

0 .. 1

bc-MaternalObservation

Observation.valueCodeableConcept

example



  • GET [base]/Observation?code=[112074005]{&subject=[kindid]&context=[dossierid]}





CD.png

20615

         Indaling Hodge

0 .. 1

bc-MaternalObservation

Observation.valueCodeableConcept

example



  • GET [base]/Observation?code=[364611006]{&subject=[kindid]&context=[dossierid]}





CD.png

80616

         Aard van het voorliggend deel

0 .. 1

bc-MaternalObservation

Observation.valueCodeableConcept

example



  • GET [base]/Observation?code=[364612004]{&subject=[kindid]&context=[dossierid]}





CD.png

80618

         Stand

0 .. 1

bc-MaternalObservation

Observation.valueCodeableConcept

example



  • GET [base]/Observation?code=[163520002]{&subject=[kindid]&context=[dossierid]}





Container.png

16

Postnatale fase

1 .. 1












Container.png

82297

   Diagnose/interventie postnataal

1 .. 1

bc-DisorderPostPartum

Condition

example






CD.png

82209

      Pathologie vrouw

0 .. 1

bc-DisorderPostPartum

Condition.code

example






CD.png

82373

      Interventie

0 .. 1














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