Gebz:V1.1 FHIR IG bc-PregnancyObservation
1 bc-PregnancyObservation
This is a generic profile for observations related to a pregnancy.
Each bc-PregnancyObservation must have:
- a subject, the pregnant woman
- a reference to the Pregnancy Condition (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-PregnancyObservation
1.2 Pattern
This is a patten for pregnancy-related Observations in Birthcare. Not for Observations to the pregnant woman or the delivery. Note that the meta.profile element should at least include nl-core-observation and preferably bc-PregnancyObservation.
All FHIR instances which follow this pattern will be valid Pregnancy Observations. Other fields from the FHIR profile may be present: this description is a minimal representation.
[Legend]
1.2.1 XML fragment
This is a recipe for pregnacy-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-PregnancyObservation"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
<valueReference>
<reference value="[[reference to the pregnancy | Condition/wouden-zwanger1]]" />
</valueReference>
</extension>
[[! Other values than final should be avoided ]]
<status value="final"/>
<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>
[[#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]]
<valueQuantity>
<value value="1"/>
<system value="http://unitsofmeasure.org"/>
<code value="1"/>
</valueQuantity>
[[/observation.value]]
</Observation>
1.3 Valuation table
The FHIR profiles are independent of dataset versions, the mappings are not. Mappings for 3.1 will follow.
(The values in column 'Code' can be found on Simplifier as a binding on the code on this profile.)
1.3.1 Dataset 2.3 mappings
| PWD 2.3 to FHIR | ||||||||||||
| Type | # | Concept | System | Code | Display | FHIR element | ValueSet | |||||
|
82501 | Afwijkende groei foetus | http://snomed.info/sct | 276604007 | Fetal growth abnormality (disorder) | valueCodeableConcept | Groei afwijkend | |||||
|
82524 | Intra-uteriene vruchtdood | valueBoolean | |||||||||
|
82525 | Vermoeden intra-uteriene vruchtdood? | valueBoolean | |||||||||
|
|
80623 | Wijze einde zwangerschap | urn:oid:2.16.840.1.113883.2.4.4.13 | EindeZw | Wijze einde zwangerschap | valueCodeableConcept | WijzeEindeZwangerschap | |||||
|
82337 | Definitieve à terme datum | urn:oid:2.16.840.1.113883.2.4.4.13 | EDDDef | Definitieve à terme datum | valueDateTime | ||||||
|
|
82314 | Diagnose | http://snomed.info/sct | 439401001 439401001 | Diagnosis (observable entity) Diagnosis (observable entity) | value[X] | ||||||
|
|
82317 | Gynaecologische aandoening | http://snomed.info/sct | 310789003 | Disorder of female genital tract (disorder) | valueCodeableConcept | Gynaecologische aandoeningen | |||||
|
|
82318 | Bloedverlies? | http://snomed.info/sct | 131148009 | Bleeding (finding) | valueBoolean | ||||||
|
|
82320 | Cervixinsufficiëntie? | http://snomed.info/sct | 17382005 | Cervical incompetence (disorder) | valueBoolean | ||||||
|
|
82321 | Infectie | http://snomed.info/sct | 40733004 | Infectious disease (disorder) | valueCodeableConcept | Infectie | |||||
|
|
82322 | Hyperemesis gravidarum? | http://snomed.info/sct | 14094001 | Excessive vomiting in pregnancy (disorder) | valueBoolean | ||||||
|
|
82323 | Hypertensieve aandoening | http://snomed.info/sct | 38341003 | Hypertensive disorder, systemic arterial (disorder) | valueCodeableConcept | Hypertensieve aandoening | |||||
|
|
82324 | Zwangerschapscholestase? | http://snomed.info/sct | 235888006 | Cholestasis of pregnancy (disorder) | valueBoolean | ||||||
|
|
82325 | Diabetes gravidarum met insuline? | http://snomed.info/sct | 46894009 | Gestational diabetes mellitus, class A>2< (disorder) | valueBoolean | ||||||
|
|
82326 | Afwijkende groei foetus | http://snomed.info/sct | 276604007 | Fetal growth abnormality (disorder) | valueCodeableConcept | Groei afwijkend | |||||
|
|
82327 | Dreigende partus immaturus? | urn:oid:2.16.840.1.113883.2.4.4.13 | PartusImmaturusDreig | Partus immaturus - dreigend | valueBoolean | ||||||
|
|
82328 | Dreigende partus prematurus? | urn:oid:2.16.840.1.113883.2.4.4.13 | PartusPrematurusDreig | Partus prematurus - dreigend | valueBoolean | ||||||
|
|
82329 | Abruptio placentae? | http://snomed.info/sct | 415105001 | Placental abruption (disorder) | valueBoolean | ||||||
|
|
82214 | Irregulaire antistoffen? | http://snomed.info/sct | 312457003 | Finding of irregular blood group antibody present (finding) | valueBoolean | ||||||
|
80617 | Aantal levende kinderen | http://snomed.info/sct | 143881000146107 | aantal levende nakomelingen (waarneembare entiteit) | valueQuantity | ||||||
|
|
82160 | Definitieve à terme datum | urn:oid:2.16.840.1.113883.2.4.4.13 | EDDDef | Definitieve à terme datum | valueDateTime | ||||||
|
|
20261 | Voorgenomen plaats baring tijdens zwangerschap (type locatie) | urn:oid:2.16.840.1.113883.2.4.3.22.1.3 | PRN4209 | Voorgenomen plaats baring tijdens zwangerschap | valueCodeableConcept | VoorgenomenPlaatsBaring | |||||
|
|
80746 | Leven voelen | http://snomed.info/sct | 364618000 | Pattern of fetal movement (observable entity) | valueCodeableConcept | Leven voelen | |||||
|
|
80613 | Intra-uteriene vruchtdood | http://snomed.info/sct | 59291004 | Undelivered in utero fetal death | |||||||
|
|
82435 | Vermoeden intra-uteriene vruchtdood? | http://snomed.info/sct | 139661000146100 | verdenking op intra-uteriene vruchtdood (situatie) | valueBoolean | ||||||
|
|
82436 | Vermoeden iuvd op basis van | method | IUVD methode | ||||||||
|
|
20670 | Maternale sterfte? | http://snomed.info/sct | 59283008 | maternale sterfte (gebeurtenis) | valueBoolean | ||||||
|
|
80625 | Wijze einde zwangerschap | urn:oid:2.16.840.1.113883.2.4.4.13 | EindeZw | Wijze einde zwangerschap | valueCodeableConcept | WijzeEindeZwangerschap | |||||
|
|
20540 | Datum einde zwangerschap | http://snomed.info/sct | 118951000146109 | datum van einde van zwangerschap (waarneembare entiteit) | valueDateTime | ||||||
|
|
82444 | Vermoeden intra-uteriene vruchtdood? | valueBoolean | |||||||||
|
|
82445 | Vermoeden iuvd op basis van | method | IUVD methode | ||||||||
|
|
20505 | Aantal geboren kinderen | http://snomed.info/sct | 118861000146102 | aantal geboren kinderen uit zwangerschap (waarneembare entiteit) | valueQuantity | ||||||
1.3.2 Dataset 3.2 mappings
| PWD 2.3 to FHIR | ||||||||||||
| Type | # | Concept | Reference | Profile | System | Code | Display | FHIR element | ValueSet | |||
|
|
3346 | ATermeDatumItems | bc-PregnancyObservation | |||||||||
|
|
3347 | ATermeDatum | bc-PregnancyObservation | http://snomed.info/sct | 161714006 | geschatte datum van partus (waarneembare entiteit) | valueDateTime | |||||
|
|
3348 | BepalingsMethode | bc-PregnancyObservation | method | BepalingsMethodeCodelijst | |||||||
|
|
3349 | DatumBepaling | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
1729 | Datum einde zwangerschap | bc-PregnancyObservation | http://snomed.info/sct | 118951000146109 | datum van einde van zwangerschap (waarneembare entiteit) | valueDateTime | |||||
|
|
2220 | Definitieve à terme datum (Observatie) | bc-PregnancyObservation | |||||||||
|
|
2221 | Definitieve à terme DatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
2223 | Definitieve à terme Waarde | bc-PregnancyObservation | http://snomed.info/sct | 147781000146105 | definitieve uitgerekende datum van partus (waarneembare entiteit) | valueDateTime | |||||
|
|
2224 | Definitieve à terme Methode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
2225 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1837 | Aantal foetussen (Observatie) | bc-PregnancyObservation | |||||||||
|
|
1838 | AantalFoetussenDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
1840 | AantalFoetussenWaarde | bc-PregnancyObservation | http://snomed.info/sct | 246435002 | aantal foetussen (waarneembare entiteit) | valueQuantity | |||||
|
|
1841 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
1843 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1711 | Meerling zwangerschap (Observatie) | bc-PregnancyObservation | |||||||||
|
|
1825 | MeerlingZwangerschapDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
2231 | TyperingGemellizwangerschapWaarde | bc-PregnancyObservation | http://snomed.info/sct | 65147003 | tweelingzwangerschap (aandoening) | valueCodeableConcept | TweelingzwangerschapType | ||||
|
|
1845 | Aantal foetussen (Observatie) | 1837 | bc-PregnancyObservation | ||||||||
|
|
1833 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
1826 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1734 | Aantal levende kinderen (Observatie) | bc-PregnancyObservation | |||||||||
|
|
1735 | AantalLevendeKinderenDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
1740 | AantalLevendeKinderenWaarde | bc-PregnancyObservation | http://snomed.info/sct | 143881000146107 | aantal levende nakomelingen (waarneembare entiteit) | valueQuantity | |||||
|
|
1736 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
1738 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1817 | Fetal loss (Observatie) | bc-PregnancyObservation | |||||||||
|
|
1818 | FetalLossDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
1820 | FetalLossWaarde | bc-PregnancyObservation | http://snomed.info/sct | 713651007 | voorgeschiedenis met zwangerschap met abortus als resultaat (situatie) | valueQuantity | |||||
|
|
1821 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
1824 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
7025 | Zwangerschapsduur | bc-PregnancyObservation | http://snomed.info/sct | 57036006 | zwangerschapsduur (waarneembare entiteit) | valueQuantity | |||||
|
|
2134 | Leven voelen (Observatie) | bc-PregnancyObservation | |||||||||
|
|
2135 | LevenVoelenDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
2137 | LevenVoelenWaarde | bc-PregnancyObservation | http://snomed.info/sct | 364618000 | bewegingspatroon van foetus (waarneembare entiteit) | valueCodeableConcept | Leven voelen | ||||
|
|
2138 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
2141 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1078 | Lichaamsgewicht | 1073 | bc-PregnancyObservation | ||||||||
|
|
1072 | Bloeddruk | 1060 | bc-PregnancyObservation | ||||||||
|
|
2143 | Actuele aantal levende foetus (Observatie) | bc-PregnancyObservation | |||||||||
|
|
2144 | ActueleAantalLevendeFoetusDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
2146 | ActueelAantalLevendeFoetusWaarde | bc-PregnancyObservation | http://snomed.info/sct | 142931000146106 | aantal levende foetussen (waarneembare entiteit) | valueQuantity | |||||
|
|
2147 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
2150 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1847 | OverlijdensIndicator | bc-PregnancyObservation | http://snomed.info/sct | 59283008 397709008 | maternale sterfte (gebeurtenis) patiënt overleden (bevinding) | valueBoolean | |||||
|
|
1848 | DatumOverlijden | bc-PregnancyObservation | http://snomed.info/sct | 399753006 | datum van overlijden (waarneembare entiteit) | valueDateTime | |||||
|
|
4157 | TOP nav prenataal onderzoek? (Observatie) | bc-PregnancyObservation | |||||||||
|
|
4158 | ObservatieDatumTijd | bc-PregnancyObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4160 | TOPnavPrenataalOnderzoekWaarde | bc-PregnancyObservation | http://snomed.info/sct | 386639001 | afbreken van zwangerschap (verrichting) | value | |||||
|
|
4161 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4168 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||