Gebz:V1.1 FHIR IG bc-FetusObservation
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.
Profile
The entire profile can be found at: bc-FetusObservation
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]
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>
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.)
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) | |||||
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 | |||||