Gebz:V1.1 FHIR IG bc-FetusObservation
1 bc-FetusObservation
This is a generic profile for observations related to a fetus.
Each bc-FetusObservation must have:
- a subject, the pregnant woman
- a reference to the fetus (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-FetusObservation
1.2 Pattern
This is a patten for fetus-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-FetusObservation.
All FHIR instances which follow this pattern will be valid Fetus 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 fetus-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-FetusObservation.
<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-FetusObservation"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
<valueReference>
<reference value="[[reference to the fetus | BodySite/fetusA]]" />
</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 | 11727-5]]"/>
<display value="[[display, see below | Fetal Body weight estimated by US ]]"/>
</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.
(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 | |||||
|
60080 | AC | http://loinc.org | 11979-2 | AC | valueQuantity | ||||||
|
|
60081 | AC percentiel | http://loinc.org | X_AC_PRCTL | AC Percentiel | interpretation.extension:percentile | ||||||
|
|
60030 | BPD | http://loinc.org | 11820-8 | BPD | valueQuantity | ||||||
|
|
60031 | BPD percentiel | http://loinc.org | X_BPD_PRCTL | BPD Percentiel | interpretation.extension:percentile | ||||||
|
|
82340 | EFW | http://loinc.org | 11727-5 | Fetal Body weight estimated by US | valueQuantity | ||||||
|
|
60100 | FL | http://loinc.org | 11963-6 | Femur lengte | valueQuantity | ||||||
|
|
60101 | FL percentiel | http://loinc.org | X_FL_PRCTL | FL Percentiel | interpretation.extension:percentile | ||||||
|
|
60060 | HC | http://loinc.org | 8288-3 11984-2 | Head Occipital-frontal circumference by US HC | valueQuantity | ||||||
|
|
60061 | HC percentiel | http://loinc.org | X_HC_PRCTL | HC Percentiel | interpretation.extension:percentile | ||||||
|
|
60070 | TCD | http://loinc.org | 11863-8 | Fetal Cerebellum Diameter transverse US | valueQuantity | ||||||
|
80944 | Ligging | http://snomed.info/sct | 249062004 | Lie of fetus (observable entity) | valueCodeableConcept | Ligging | |||||
|
82069 | Placentalokalisatie | valueCodeableConcept | |||||||||
|
|
80946 | Placentalokalisatie | http://snomed.info/sct | 7381000146107 | Finding of placental position (finding) | valueCodeableConcept | Placentalokalisatie (2.2) | |||||
1.3.2 Dataset 3.2 mappings
| PWD 2.3 to FHIR | ||||||||||||
| Type | # | Concept | Reference | Profile | System | Code | Display | FHIR element | ValueSet | |||
|
|
4048 | Fundusstand (Meting) | bc-FetusObservation | |||||||||
|
|
4050 | FundusstandWaarde | bc-FetusObservation | http://snomed.info/sct | 364265003 | hoogte van uterus gravidus (waarneembare entiteit) | valueCodeableConcept | 2.16.840.1.113883.2.4.3.11.60.90.77.11.246--20161216162923 20191028105919&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 Fundusstand (2.2) Fundusstand Kraamzorg | ||||
|
|
4051 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | 2.16.840.1.113883.2.4.3.11.60.40.2.21.1.1--20200526172902 20200901000000&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 MeetMethode_GZ MeetMethodeCodelijst | ||||
|
4054 | MeetDatumBeginTijd | bc-FetusObservation | effectivePeriod.start | ||||||||
|
|
4055 | MeetDatumEindTijd | bc-FetusObservation | effectivePeriod.end | ||||||||
|
4056 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4057 | AnatomischeLocatieMeting | bc-FetusObservation | http://snomed.info/sct | 405813007 | directe locatie van verrichting (attribuut) | bodySite | |||||
|
|
4058 | Locatie | bc-FetusObservation | http://snomed.info/sct | 363698007 | locatie van bevinding (attribuut) | bodySite | 2.16.840.1.113883.2.4.3.11.60.40.2.20.7.3--20200901000000 20200901000000&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 LocatieCodelijst LocatieICD-O-3Codelijst | ||||
|
|
10522 | Bevindingen Foetus | bc-FetusObservation | |||||||||
|
|
4060 | LiggingFoetus (Meting) | bc-FetusObservation | |||||||||
|
|
4062 | LiggingFoetusWaarde | bc-FetusObservation | http://snomed.info/sct | 249062004 | ligging van foetus (waarneembare entiteit) | valueCodeableConcept | Ligging | ||||
|
|
4063 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | 2.16.840.1.113883.2.4.3.11.60.40.2.21.1.1--20200526172902 20200901000000&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 MeetMethode_GZ MeetMethodeCodelijst | ||||
|
|
4066 | MeetDatumBeginTijd | bc-FetusObservation | effectivePeriod.start | ||||||||
|
|
4067 | MeetDatumEindTijd | bc-FetusObservation | effectivePeriod.end | ||||||||
|
|
4068 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4069 | AnatomischeLocatieMeting | bc-FetusObservation | http://snomed.info/sct | 405813007 | directe locatie van verrichting (attribuut) | bodySite | |||||
|
|
4070 | Locatie | bc-FetusObservation | http://snomed.info/sct | 363698007 | locatie van bevinding (attribuut) | bodySite | LocatieCodelijst | ||||
|
|
4072 | IndalingFoetus(Meting) | bc-FetusObservation | |||||||||
|
|
4074 | IndalingFoetusWaarde | bc-FetusObservation | http://snomed.info/sct | 364611006 | indaling van foetus ten opzichte van spinae ischiadicae (waarneembare entiteit) | valueCodeableConcept | Indaling (3.2) | ||||
|
|
4075 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | 2.16.840.1.113883.2.4.3.11.60.40.2.21.1.1--20200526172902 20200901000000&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 MeetMethode_GZ MeetMethodeCodelijst | ||||
|
|
4078 | MeetDatumBeginTijd | bc-FetusObservation | effectivePeriod.start | ||||||||
|
|
4079 | MeetDatumEindTijd | bc-FetusObservation | effectivePeriod.end | ||||||||
|
|
4080 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4081 | AnatomischeLocatieMeting | bc-FetusObservation | http://snomed.info/sct | 405813007 | directe locatie van verrichting (attribuut) | bodySite | |||||
|
|
4082 | Locatie | bc-FetusObservation | http://snomed.info/sct | 363698007 | locatie van bevinding (attribuut) | bodySite | LocatieCodelijst | ||||
|
|
4169 | Ligging kind (Observatie) | bc-FetusObservation | |||||||||
|
|
4170 | ObservatieDatumTijd | bc-FetusObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4172 | LiggingKindWaarde | bc-FetusObservation | valueCodeableConcept | LiggingBijGeboorte22 | |||||||
|
|
4173 | ObservatieMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4180 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1208 | Foetusspecifieke onderzoeksgegevens | bc-FetusObservation | |||||||||
|
|
10283 | Patient | 675 | bc-FetusObservation | subject | |||||||
|
|
1767 | Foetale monitoring (CTG) | bc-FetusObservation | http://snomed.info/sct | 281568006 | monitoren van foetale hart (regime/therapie) | ||||||
|
|
3513 | FoetaleBuikomtrek / AC (Meting) | bc-FetusObservation | |||||||||
|
|
3515 | ACWaarde | bc-FetusObservation | http://loinc.org | 11979-2 | Fetal Abdomen Circumference US | value | |||||
|
|
3516 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
3519 | ACDatumBeginTijd | bc-FetusObservation | period.start | ||||||||
|
|
3520 | ACDatumEindTijd | bc-FetusObservation | period.end | ||||||||
|
|
3521 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
3539 | FoetaleFemurlengte / FL (Meting) | bc-FetusObservation | |||||||||
|
|
3541 | FLWaarde | bc-FetusObservation | http://loinc.org | 11963-6 | Fetal Femur diaphysis [Length] US | value | |||||
|
|
3542 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
3545 | FLDatumBeginTijd | bc-FetusObservation | period.start | ||||||||
|
|
3546 | FLDatumEindTijd | bc-FetusObservation | period.end | ||||||||
|
|
3547 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
3552 | FoetaleBipariëtaleDiameter / BPD (Meting) | bc-FetusObservation | |||||||||
|
|
3554 | BPDWaarde | bc-FetusObservation | http://loinc.org | 11820-8 | Fetal Head Diameter.biparietal US | value | |||||
|
|
3555 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
3558 | BPDDatumBeginTijd | bc-FetusObservation | period.start | ||||||||
|
|
3559 | BPDDatumEindTijd | bc-FetusObservation | period.end | ||||||||
|
|
3560 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
3564 | FoetaalLongitudinaleBlaasDiameter / LBD (Meting) | bc-FetusObservation | |||||||||
|
|
3566 | LBDWaarde | bc-FetusObservation | http://loinc.org | 11815-8 | Fetal Urinary bladder Diameter US | value | |||||
|
|
3567 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
3570 | LBDDatumBeginTijd | bc-FetusObservation | period.start | ||||||||
|
|
3571 | LBDDatumEindTijd | bc-FetusObservation | period.end | ||||||||
|
|
3572 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
3576 | FoetaleKruinRompLengte / CRL (Meting) | bc-FetusObservation | |||||||||
|
|
3578 | CRLWaarde | bc-FetusObservation | http://loinc.org | 11957-8 | Fetal Crown Rump length US | value | |||||
|
|
3579 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
3582 | CRLDatumBeginTijd | bc-FetusObservation | period.start | ||||||||
|
|
3583 | CRLDatumEindTijd | bc-FetusObservation | period.end | ||||||||
|
|
3584 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
3589 | FoetaleTranscerebellarDiameter / TCD (Meting) | bc-FetusObservation | |||||||||
|
|
3591 | TCDWaarde | bc-FetusObservation | http://loinc.org | 11863-8 | Fetal Cerebellum Diameter transverse US | value | |||||
|
|
3592 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
3595 | TCDDatumBeginTijd | bc-FetusObservation | period.start | ||||||||
|
|
3596 | TCDDatumEindTijd | bc-FetusObservation | period.end | ||||||||
|
|
3597 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
3602 | FoetaleNekplooidikte / NT (Meting) | bc-FetusObservation | |||||||||
|
|
3604 | NTWaarde | bc-FetusObservation | http://loinc.org | 12146-7 | Fetal Nuchal fold Thickness US | value | |||||
|
|
3605 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
3608 | NTDatumBeginTijd | bc-FetusObservation | period.start | ||||||||
|
|
3609 | NTDatumEindTijd | bc-FetusObservation | period.end | ||||||||
|
|
3610 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
3614 | FoetaalGeschatGewicht / EFW (Meting) | bc-FetusObservation | |||||||||
|
|
3616 | EFWWaarde | bc-FetusObservation | http://loinc.org | 11727-5 | Fetal Body weight estimated by US | valueQuantity | |||||
|
|
3617 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
3620 | EFWDatumBeginTijd | bc-FetusObservation | period.start | ||||||||
|
|
3621 | EFWDatumEindTijd | bc-FetusObservation | period.end | ||||||||
|
|
3622 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
2451 | Bevindingen | bc-FetusObservation | |||||||||
|
|
7789 | LiggingFoetus (Meting) | 4060 | bc-FetusObservation | ||||||||
|
|
2404 | Beweging foetus (Observatie) | bc-FetusObservation | |||||||||
|
|
2405 | BewegingFoetusDatumTijd | bc-FetusObservation | effectiveDateTime | ||||||||
|
|
2407 | BewegingFoetusWaarde | bc-FetusObservation | http://snomed.info/sct | 364619008 | meetbare observatie betreffende foetale bewegingen (waarneembare entiteit) | valueCodeableConcept | Beweging | ||||
|
|
2408 | ObservatieMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
2409 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
2448 | OstiumWaarde | bc-FetusObservation | http://snomed.info/sct | 7381000146107 | bevinding betreffende positie van placenta (bevinding) | component.valueCodeableConcept | Ostium | ||||
|
|
2441 | ObservatieMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
2442 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
7836 | OrgaansysteemFoetus (Observatie) | bc-FetusObservation | |||||||||
|
|
7837 | OrgaansysteemFoetusDatumTijd | bc-FetusObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
7887 | ObservatieNaam | bc-FetusObservation | code | OrgaansysteemFoetus | |||||||
|
|
7839 | OrgaansysteemFoetusWaarde | bc-FetusObservation | valueCodeableConcept | Beoordeling Bevindingen | |||||||
|
|
7840 | ObservatieMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
7845 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
7847 | Sonomarkers (Observatie) | bc-FetusObservation | |||||||||
|
|
7848 | ObservatieDatumTijd | bc-FetusObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
7886 | ObservatieNaam | bc-FetusObservation | code | Sonomarkers 3.2 | |||||||
|
|
7850 | ObservatieWaarde | bc-FetusObservation | valueCodeableConcept | Beoordeling Sonomarkers | |||||||
|
|
7851 | ObservatieMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
7856 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||