Gebz:V1.1 FHIR IG bc-MaternalObservation
1 bc-MaternalObservation
This is a generic profile for observations related to the mother.
Each bc-MaternalObservation must have:
- a subject, the pregnant woman
- 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-MaternalObservation
1.2 Pattern
This is a patten for patient-related Observations in Birthcare, i.e. Observations to the pregnant woman. Note that the meta.profile element should at least include nl-core-observation and preferably bc-MaternalObservation.
All FHIR instances which follow this pattern will be valid Maternal 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 patient-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-MaternalObservation.
<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-MaternalObservation"/>
</meta>
[[! Other values than final should be avoided ]]
<status value="final"/>
<code>
<coding>
<system value="[[system, see below | http://snomed.info/sct]]"/>
<code value="[[code, see below | 7928070036]]"/>
<display value="[[display, see below | intake van foliumzuur (waarneembare entiteit)]]"/>
</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="9771000146106"/>
<display value="intake van foliumzuur via voeding vanaf vastgestelde zwangerschap (bevinding)"/>
</coding>
</valueCodeableConcept>
[[/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 | |||||
| 20305 | Conclusie risicostatus na intake | urn:oid:2.16.840.1.113883.2.4.4.13 | RiskStat | Conclusie risicostatus na intake | valueCodeableConcept | ConclusieRisicostatus | ||||||
| 82456 | Auto-immuun aandoening | http://snomed.info/sct | 85828009 | Autoimmune disease (disorder) | valueCodeableConcept | Auto-immuun aandoening (2.2) | ||||||
| 82458 | Cardiovasculaire aandoening | http://snomed.info/sct | 49601007 | Disorder of cardiovascular system (disorder) | valueCodeableConcept | Cardiovasculaire aandoeningen | ||||||
| 82460 | Urogenitale aandoening | http://snomed.info/sct | 42030000 | Disorder of the genitourinary system (disorder) | valueCodeableConcept | Urogenitale aandoening (2.2) | ||||||
| 82462 | Oncologische aandoening | http://snomed.info/sct | 363346000 | Malignant neoplastic disease (disorder) | valueCodeableConcept | Oncologische aandoening (2.2) | ||||||
| 82464 | Schildklier aandoening | http://snomed.info/sct | 14304000 | Disorder of thyroid gland (disorder) | valueCodeableConcept | Schildklieraandoeningen | ||||||
| 82465 | Diabetes mellitus? | http://snomed.info/sct | 73211009 | Diabetes mellitus (disorder) | valueBoolean | |||||||
| 82467 | Neurologische aandoening | http://snomed.info/sct | 118940003 | Disorder of nervous system (disorder) | valueCodeableConcept | Neurologische aandoeningen | ||||||
| 82469 | Infectieziekte | http://snomed.info/sct | 40733004 | Infectious disease (disorder) | valueCodeableConcept | Infectieziekten | ||||||
| 82471 | MDL aandoening | http://snomed.info/sct | 53619000 | Disorder of digestive system (disorder) | valueCodeableConcept | Maag Darm Lever aandoening (2.2) | ||||||
| 82473 | Anemie | http://snomed.info/sct | 271737000 | Anemia (disorder) | valueCodeableConcept | Anemie (2.2) | ||||||
| 82475 | Longaandoening | http://snomed.info/sct | 50043002 | Disorder of respiratory system (disorder) | valueCodeableConcept | Longaandoening | ||||||
| 82477 | Gynaecologische aandoening | http://snomed.info/sct | 310789003 | Disorder of female genital tract (disorder) | valueCodeableConcept | Gynaecologische aandoeningen | ||||||
| 82479 | Orthopedische afwijking | http://snomed.info/sct | 928000 | Disorder of musculoskeletal system (disorder) | valueCodeableConcept | Orthopedische afwijkingen | ||||||
| 82481 | Bloedtransfusie? | http://snomed.info/sct | 116859006 | Transfusion of blood product (procedure) | valueBoolean | |||||||
| 82482 | Transfusiereactie? | http://snomed.info/sct | 82545002 | Blood transfusion reaction (disorder) | valueBoolean | |||||||
| 82484 | Type operatie | http://snomed.info/sct | 387713003 | Surgical procedure (procedure) | valueCodeableConcept | Type operatie | ||||||
| 82486 | Type stollingsprobleem | http://snomed.info/sct | 64779008 | Blood coagulation disorder (disorder) | valueCodeableConcept | Type stollingsprobleem | ||||||
| 82488 | Psychiatrie? | valueBoolean | ||||||||||
| 82490 | Overige aandoening? | valueBoolean | ||||||||||
| 82492 | Obstetrische anamnese | http://snomed.info/sct | 248983002 | Obstetric history (context-dependent category) | reasonCode|Reference | |||||||
| 82582 | Gynaecologische aandoening | valueCodeableConcept | Gynaecologische aandoeningen | |||||||||
| 82493 | Bloedverlies? | http://snomed.info/sct | 131148009 | Bleeding (finding) | valueBoolean | |||||||
| 82494 | Partiële mola? | urn:oid:2.16.840.1.113883.2.4.4.13 | MolaPartieelIntacteZw | Partiële mola met intacte zwangerschap | valueBoolean | |||||||
| 82495 | Cervixinsufficiëntie? | http://snomed.info/sct | 17382005 | Cervical incompetence (disorder) | valueBoolean | |||||||
| 82496 | Infectie | http://snomed.info/sct | 40733004 | Infectious disease (disorder) | valueCodeableConcept | Infectie | ||||||
| 82497 | Hyperemesis gravidarum? | http://snomed.info/sct | 14094001 | Excessive vomiting in pregnancy (disorder) | valueBoolean | |||||||
| 82498 | Hypertensieve aandoening | http://snomed.info/sct | 38341003 | Hypertensive disorder, systemic arterial (disorder) | valueCodeableConcept | Hypertensieve aandoening | ||||||
| 82499 | Zwangerschapscholestase? | http://snomed.info/sct | 235888006 | Cholestasis of pregnancy (disorder) | valueBoolean | |||||||
| 82500 | Diabetes gravidarum met insuline? | http://snomed.info/sct | 46894009 | Gestational diabetes mellitus, class A>2< (disorder) | valueBoolean | |||||||
| 82502 | Dreigende partus immaturus? | urn:oid:2.16.840.1.113883.2.4.4.13 | PartusImmaturusDreig | Partus immaturus - dreigend | valueBoolean | |||||||
| 82503 | Dreigende partus prematurus? | urn:oid:2.16.840.1.113883.2.4.4.13 | PartusPrematurusDreig | Partus prematurus - dreigend | valueBoolean | |||||||
| 82504 | Abruptio placentae? | http://snomed.info/sct | 415105001 | Placental abruption (disorder) | valueBoolean | |||||||
| 82505 | Fluxus postpartum? | http://snomed.info/sct | 47821001 | Postpartum hemorrhage (disorder) | valueBoolean | |||||||
| 82506 | Zwangerschap | http://snomed.info/sct | 364320009 | Pregnancy observable (observable entity) | reasonReference | |||||||
| 82020 | Onder behandeling (geweest)? | urn:oid:2.16.840.1.113883.2.4.4.13 | OnderBehandeling | Onder behandeling (geweest)? | valueBoolean | |||||||
| 82220 | Auto-immuun aandoening | http://snomed.info/sct | 85828009 | Autoimmune disease (disorder) | valueCodeableConcept | Auto-immuun aandoening (2.2) | ||||||
| 80906 | Cardiovasculaire aandoening | http://snomed.info/sct | 49601007 | Disorder of cardiovascular system (disorder) | valueCodeableConcept | Cardiovasculaire aandoeningen | ||||||
| 82267 | Urogenitale aandoening | http://snomed.info/sct | 42030000 | Disorder of the genitourinary system (disorder) | valueCodeableConcept | Urogenitale aandoening (2.2) | ||||||
| 82221 | Oncologische aandoening | http://snomed.info/sct | 363346000 | Malignant neoplastic disease (disorder) | valueCodeableConcept | Oncologische aandoening (2.2) | ||||||
| 80909 | Schildklier aandoening | http://snomed.info/sct | 14304000 | Disorder of thyroid gland (disorder) | valueCodeableConcept | Schildklieraandoeningen | ||||||
| 80910 | Diabetes mellitus? | http://snomed.info/sct | 73211009 | Diabetes mellitus (disorder) | valueBoolean | |||||||
| 80912 | Neurologische aandoening | http://snomed.info/sct | 118940003 | Disorder of nervous system (disorder) | valueCodeableConcept | Neurologische aandoeningen | ||||||
| 82210 | Infectieziekte | http://snomed.info/sct | 40733004 | Infectious disease (disorder) | valueCodeableConcept | Infectieziekten | ||||||
| 82219 | MDL aandoening | http://snomed.info/sct | 53619000 | Disorder of digestive system (disorder) | valueCodeableConcept | Maag Darm Lever aandoening (2.2) | ||||||
| 82222 | Anemie | http://snomed.info/sct | 271737000 | Anemia (disorder) | valueCodeableConcept | Anemie (2.2) | ||||||
| 82266 | Longaandoening | http://snomed.info/sct | 50043002 | Disorder of respiratory system (disorder) | valueCodeableConcept | Longaandoening | ||||||
| 80917 | Gynaecologische aandoening | http://snomed.info/sct | 310789003 | Disorder of female genital tract (disorder) | valueCodeableConcept | Gynaecologische aandoeningen | ||||||
| 80918 | Orthopedische afwijking | http://snomed.info/sct | 928000 | Disorder of musculoskeletal system (disorder) | valueCodeableConcept | Orthopedische afwijkingen | ||||||
| 10805 | Bloedtransfusie? | http://snomed.info/sct | 116859006 | Transfusion of blood product (procedure) | valueBoolean | |||||||
| 82231 | Transfusiereactie? | http://snomed.info/sct | 82545002 | Blood transfusion reaction (disorder) | valueBoolean | |||||||
| 80818 | Type operatie | http://snomed.info/sct | 387713003 | Surgical procedure (procedure) | valueCodeableConcept | Type operatie | ||||||
| 80817 | Type stollingsprobleem | http://snomed.info/sct | 64779008 | Blood coagulation disorder (disorder) | valueCodeableConcept | Type stollingsprobleem | ||||||
| 82159 | Psychiatrie? | http://snomed.info/sct | 74732009 | Mental disorder (disorder) | valueBoolean | |||||||
| 82212 | Overige aandoening? | urn:oid:2.16.840.1.113883.2.4.4.13 | OverigeAandoeningenAnamnese | Overige aandoeningen / afwijkingen uit algemene anamnese vrouw | valueBoolean | |||||||
| 80919 | Overige aandoening | urn:oid:2.16.840.1.113883.2.4.4.13 | OverigeAandoeningenAnamnese | Overige aandoeningen / afwijkingen uit algemene anamnese vrouw | valueCodeableConcept | |||||||
| 10803 | Negatieve seksuele ervaringen? | http://snomed.info/sct | 313216003 | History of sexual abuse (situation) | valueCodeableConcept | |||||||
| 10801 | Medicatiegebruik? | http://snomed.info/sct | 129019007 | Taking medication, function (observable entity) | valueBoolean | |||||||
| 10806 | BMI vrouw | http://loinc.org | 39156-5 | Body mass index (BMI) [Ratio] | valueQuantity | |||||||
| 80675 | Vrouwelijke genitale verminking? | http://snomed.info/sct | 95041000119101 | Female genital mutilation (disorder) | valueBoolean | |||||||
| 80676 | Type vrouwelijke genitale verminking | http://snomed.info/sct | 95041000119101 | Female genital mutilation (disorder) | valueCodeableConcept | Type vrouwelijke genitale verminking | ||||||
| 20612 | Portio | http://snomed.info/sct | 249021005 | Effacement of cervix | valueCodeableConcept | Cervix Effacement | ||||||
| 20613 | Ontsluiting | http://snomed.info/sct | 289761004 | Finding of cervical dilatation | valueCodeableConcept | Cervical dilatation | ||||||
| 20614 | Vliezen | http://snomed.info/sct | 112074005 | Condition of fetal membrane | valueCodeableConcept | Vliezen | ||||||
| 20615 | Indaling Hodge | http://snomed.info/sct | 364611006 | Fetal descent in relation to ischial spines (observable entity) | valueCodeableConcept | Hodge Planes | ||||||
| 80616 | Aard van het voorliggend deel | http://snomed.info/sct | 364612004 | Presenting part palpable vaginally | valueCodeableConcept | Presentation of fetus | ||||||
| 80618 | Stand | http://snomed.info/sct | 163520002 | O/E - presenting part position | valueCodeableConcept | Stand | ||||||
1.3.2 Dataset 3.2 mappings
| PWD 2.3 to FHIR | ||||||||||||
| Type | # | Concept | Reference | Profile | System | Code | Display | FHIR element | ValueSet | |||
| 3407 | Consanguïniteit (Observatie) | bc-MaternalObservation | ||||||||||
| 3500 | ConsanguïniteitDatumTijd | bc-MaternalObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | ||||||
| 3499 | ConsanguïniteitWaarde | bc-MaternalObservation | valueBoolean | |||||||||
| 3497 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method | MeetMethode_GZ | |||||
| 3498 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 1728 | Metingen | bc-MaternalObservation | ||||||||||
| 3427 | Body Mass Index (BMI) (Meting) | bc-MaternalObservation | ||||||||||
| 3429 | BMIWaarde | bc-MaternalObservation | http://loinc.org | 39156-5 | Body mass index (BMI) [Ratio] | valueQuantity | ||||||
| 3430 | MeetMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3433 | BMIDatumBeginTijd | bc-MaternalObservation | effectiveDateTime | |||||||||
| 3434 | BMIDatumEindTijd | bc-MaternalObservation | period.end | |||||||||
| 3435 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 2913 | SociaalNetwerk | bc-MaternalObservation | http://snomed.info/sct | 365469004 | bevinding betreffende netwerk van gezin, familie en ondersteuners (bevinding) | valueBoolean | ||||||
| 1742 | Foliumzuurgebruik (Observatie) | bc-MaternalObservation | http://snomed.info/sct | 792807003 | intake van foliumzuur (waarneembare entiteit) | |||||||
| 1743 | FoliumzuurgebruikDatumTijd | bc-MaternalObservation | effectiveDateTime | |||||||||
| 1745 | FoliumzuurgebruikWaarde | bc-MaternalObservation | http://snomed.info/sct | 792807003 | intake van foliumzuur (waarneembare entiteit) | valueCodeableConcept | Foliumzuur gebruik | |||||
| 1746 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 1749 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 4367 | Kinkhoestvaccinatie (Observatie) | bc-MaternalObservation | ||||||||||
| 4368 | ObservatieDatumTijd | bc-MaternalObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | ||||||
| 4370 | KinkhoestvaccinatieWaarde | bc-MaternalObservation | http://snomed.info/sct | 39343008 | vaccinatie tegen kinkhoest (verrichting) | value | ||||||
| 4371 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 4378 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 10270 | Trisomie in de anamnese? (Observatie) | bc-MaternalObservation | ||||||||||
| 10271 | ObservatieDatumTijd | bc-MaternalObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | ||||||
| 10273 | TrisomieAnamneseWaarde | bc-MaternalObservation | valueCodeableConcept | |||||||||
| 10274 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 10279 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 1712 | Voornemens vrouw | bc-MaternalObservation | ||||||||||
| 2252 | Voorgenomen plaats baring tijdens zwangerschap (Observatie) | bc-MaternalObservation | valueCodeableConcept | |||||||||
| 2253 | VoorgenomenPlaatsBaringDatumTijd | bc-MaternalObservation | effectiveDateTime | |||||||||
| 2255 | VoorgenomenPlaatsBaringWaarde | bc-MaternalObservation | http://snomed.info/sct | 142961000146102 | plaats van voorkeur voor bevalling (waarneembare entiteit) | valueCodeableConcept | VoorgenomenPlaatsBaring (3.2) | |||||
| 2938 | Voorkeursziekenhuis | bc-MaternalObservation | value[x].extension:valueReference | |||||||||
| 2256 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 2257 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 3336 | Voorgenomen echelon eindverantwoordelijke (Observatie) | bc-MaternalObservation | ||||||||||
| 3838 | VoorgenomenEchelonDatumTijd | bc-MaternalObservation | effectiveDateTime | |||||||||
| 3337 | VoorgenomenEchelonWaarde | bc-MaternalObservation | valueCodeableConcept | Echelon_3.2 | ||||||||
| 3839 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3840 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 2279 | Voorgenomen voeding (Observatie) | bc-MaternalObservation | valueCodeableConcept | |||||||||
| 3872 | VoorgenomenVoedingDatumTijd | bc-MaternalObservation | effectiveDateTime | |||||||||
| 2281 | VoorgenomenVoedingWaarde | bc-MaternalObservation | http://snomed.info/sct | 169740003 | wijze van voeden van zuigeling (waarneembare entiteit) | valueCodeableConcept | Voorgenomen voeding | |||||
| 3873 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3874 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 2272 | Voorgenomen achternaam (Observatie) | bc-MaternalObservation | valueString | |||||||||
| 3875 | VoorgenomenAchternaamDatumTijd | bc-MaternalObservation | effectiveDateTime | |||||||||
| 2275 | VoorgenomenAchternaamWaarde | bc-MaternalObservation | http://snomed.info/sct | 142981000146105 | voorgenomen achternaam voor neonaat | valueString | ||||||
| 3876 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3877 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 2269 | Kraamzorg aangevraagd (Observatie) | bc-MaternalObservation | valueBoolean | |||||||||
| 3878 | KraamzorgAangevraagdDatumTijd | bc-MaternalObservation | effectiveDateTime | |||||||||
| 2277 | KraamzorgAangevraagdWaarde | bc-MaternalObservation | http://snomed.info/sct | 147771000146108 | zorgafnemer heeft kraamzorg aangevraagd (situatie) | valueBoolean | ||||||
| 2270 | Zorgaanbieder | 956 | bc-MaternalObservation | value[x].extension:valueReference | ||||||||
| 3879 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3880 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 10521 | Bevindingen Moeder | bc-MaternalObservation | ||||||||||
| 3415 | Fundushoogte (Meting) | bc-MaternalObservation | ||||||||||
| 3417 | FundushoogteWaarde | bc-MaternalObservation | http://loinc.org | 11881-0 | Uterus Fundal height Tape measure | valueQuantity | ||||||
| 3418 | MeetMethode | bc-MaternalObservation | 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 | |||||
| 3421 | MeetDatumBeginTijd | bc-MaternalObservation | effectivePeriod.start | |||||||||
| 3422 | MeetDatumEindTijd | bc-MaternalObservation | effectivePeriod.end | |||||||||
| 3423 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 3424 | AnatomischeLocatieMeting | bc-MaternalObservation | http://snomed.info/sct | 405813007 | directe locatie van verrichting (attribuut) | bodySite | ||||||
| 3425 | Locatie | bc-MaternalObservation | http://snomed.info/sct | 363698007 | locatie van bevinding (attribuut) | bodySite | LocatieCodelijst | |||||
| 1846 | Maternale sterfte | bc-MaternalObservation | ||||||||||
| 3635 | Cervixlengte (Meting) | bc-MaternalObservation | ||||||||||
| 3637 | CervixlengteWaarde | bc-MaternalObservation | http://snomed.info/sct | 248918004 | lengte van cervix uteri (waarneembare entiteit) | value | ||||||
| 3638 | MeetMethode | bc-MaternalObservation | 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 | |||||
| 3641 | CervixlengteDatumBeginTijd | bc-MaternalObservation | period.start | |||||||||
| 3642 | CervixlengteDatumEindTijd | bc-MaternalObservation | period.end | |||||||||
| 3643 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 1124 | Maternale onderzoeksgegevens | bc-MaternalObservation | ||||||||||
| 3678 | Portio/ P (Meting) | bc-MaternalObservation | ||||||||||
| 3680 | PortioWaarde | bc-MaternalObservation | http://snomed.info/sct | 249021005 | verstrijking van cervix uteri (waarneembare entiteit) | value | Cervix Effacement | |||||
| 3681 | MeetMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3684 | PortioDatumBeginTijd | bc-MaternalObservation | period.start | |||||||||
| 3685 | PortioDatumEindTijd | bc-MaternalObservation | period.end | |||||||||
| 3686 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 3691 | PositiePortio/ P (Meting) | bc-MaternalObservation | ||||||||||
| 3693 | PositiePortioWaarde | bc-MaternalObservation | http://snomed.info/sct | 248920001 | positie van cervix uteri (waarneembare entiteit) | value | Positie portio (2.2) | |||||
| 3694 | MeetMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3697 | PositiePortioDatumBeginTijd | bc-MaternalObservation | period.start | |||||||||
| 3698 | PositiePortioDatumEindTijd | bc-MaternalObservation | period.end | |||||||||
| 3699 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 3703 | Ontsluiting/ O (Meting) | bc-MaternalObservation | ||||||||||
| 3705 | OntsluitingWaarde | bc-MaternalObservation | http://snomed.info/sct | 289761004 | bevinding betreffende ontsluiting (bevinding) | value | Cervical dilatation | |||||
| 3706 | MeetMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3709 | OntsluitingDatumBeginTijd | bc-MaternalObservation | period.start | |||||||||
| 3710 | OntsluitingDatumEindTijd | bc-MaternalObservation | period.end | |||||||||
| 3711 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 3715 | Vliezen/ V (Meting) | bc-MaternalObservation | ||||||||||
| 3717 | VliezenWaarde | bc-MaternalObservation | http://snomed.info/sct | 112074005 | bevinding betreffende foetaal membraan (bevinding) | value | Vliezen | |||||
| 3718 | MeetMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3721 | VliezenDatumBeginTijd | bc-MaternalObservation | period.start | |||||||||
| 3722 | VliezenDatumEindTijd | bc-MaternalObservation | period.end | |||||||||
| 3723 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 3727 | IndalingHodge/ I (Meting) | bc-MaternalObservation | ||||||||||
| 3729 | IndalingHodgeWaarde | bc-MaternalObservation | http://snomed.info/sct | 364611006 | indaling van foetus ten opzichte van spinae ischiadicae (waarneembare entiteit) | value | Hodge Planes | |||||
| 3730 | MeetMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3733 | IndalingHodgeDatumBeginTijd | bc-MaternalObservation | period.start | |||||||||
| 3734 | IndalingHodgeDatumEindTijd | bc-MaternalObservation | period.end | |||||||||
| 3735 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 3739 | AardVoorliggendDeel/ A (Meting) | bc-MaternalObservation | ||||||||||
| 3741 | AardVoorliggendDeelWaarde | bc-MaternalObservation | http://snomed.info/sct | 364612004 | voorliggend deel palpabel bij vaginaal toucher (waarneembare entiteit) | value | Presentation of fetus | |||||
| 3742 | MeetMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3745 | AardVoorliggendDeelDatumBeginTijd | bc-MaternalObservation | period.start | |||||||||
| 3746 | AardVoorliggendDeelDatumEindTijd | bc-MaternalObservation | period.end | |||||||||
| 3747 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 3751 | Stand/ S (Meting) | bc-MaternalObservation | ||||||||||
| 3753 | StandWaarde | bc-MaternalObservation | http://snomed.info/sct | 289388006 | bevinding betreffende palpabel voorliggend deel bij vaginaal toucher (bevinding) | value | Stand | |||||
| 3754 | MeetMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3757 | StandDatumBeginTijd | bc-MaternalObservation | period.start | |||||||||
| 3758 | StandDatumEindTijd | bc-MaternalObservation | period.end | |||||||||
| 3759 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 3108 | Lochia (Observatie) | bc-MaternalObservation | ||||||||||
| 3109 | ObservatieDatumTijd | bc-MaternalObservation | effectiveDateTime | |||||||||
| 3111 | Bloedverlies kraambed (lochia) (Waarde) | bc-MaternalObservation | http://snomed.info/sct | 249211006 | bevinding betreffende lochia (bevinding) | valueCodeableConcept | Lochia | |||||
| 3113 | Aantal kraamverbanden (Waarde) | bc-MaternalObservation | valueCodeableConcept | |||||||||
| 3115 | Lochia foetide / riekend? (Waarde) | bc-MaternalObservation | http://snomed.info/sct | 276375002 | stinkende lochia (bevinding) | valueBoolean | ||||||
| 3117 | Grote stolsels in lochia (Waarde) | bc-MaternalObservation | http://snomed.info/sct | 146381000146107 | grote bloedstolsels in lochia (bevinding) | valueBoolean | ||||||
| 3118 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 3119 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 3120 | Sectiowond (Wond) | bc-MaternalObservation | http://snomed.info/sct | 31781000146105 | wond na sectio caesarea (afwijkende morfologie) | * | ||||||
| 3122 | WondWeefsel | bc-MaternalObservation | valueCodeableConcept | WondWeefselWCSCodelijst | ||||||||
| 3123 | WondInfectie | bc-MaternalObservation | http://snomed.info/sct | 405009004 | infectiestatus (waarneembare entiteit) | valueBoolean | ||||||
| 3124 | WondVochtigheid | bc-MaternalObservation | http://snomed.info/sct | 298007001 | vochtigheid van verwonding (waarneembare entiteit) | valueCodeableConcept | WondVochtigheidCodelijst | |||||
| 3125 | WondRand | bc-MaternalObservation | http://snomed.info/sct | 449747006 | bevinding betreffende rand van wond (bevinding) | valueCodeableConcept | WondRandCodelijst | |||||
| 3126 | Wondlengte | bc-MaternalObservation | http://snomed.info/sct | 401238003 | lengte van verwonding (waarneembare entiteit) | valueQuantity | ||||||
| 3127 | Wondbreedte | bc-MaternalObservation | http://snomed.info/sct | 401239006 | breedte van verwonding (waarneembare entiteit) | valueQuantity | ||||||
| 3128 | Wonddiepte | bc-MaternalObservation | http://snomed.info/sct | 425094009 | diepte van verwonding (waarneembare entiteit) | valueQuantity | ||||||
| 3129 | AnatomischeLocatie | bc-MaternalObservation | http://snomed.info/sct | 363698007 | locatie van bevinding (attribuut) | bodySite | WondAnatomischeLocatieCodelijst | |||||
| 3131 | WondOntstaansdatum | bc-MaternalObservation | valueDateTime | |||||||||
| 3132 | DatumLaatsteVerbandwissel | bc-MaternalObservation | valueDateTime | |||||||||
| 3150 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment | comment | ||||||
| 9860 | Fundusstand (Meting) | 4048 | bc-MaternalObservation | |||||||||
| 10534 | ObservatieDatumTijd | bc-MaternalObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | ||||||
| 10537 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 10542 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 9841 | ObservatieWaarde | bc-MaternalObservation | value | |||||||||
| 9842 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 9843 | ObservatieSpecimen | bc-MaternalObservation | http://snomed.info/sct | 123038009 | monster (monster) | specimen | ||||||
| 9844 | AnatomischeLocatie | bc-MaternalObservation | http://snomed.info/sct | 123037004 | lichaamsstructuur (lichaamsstructuur) | bodySite | ||||||
| 9845 | Locatie | bc-MaternalObservation | performer | 2.16.840.1.113883.2.4.3.11.60.40.2.20.7.1--20200901000000 20200901000000&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 LocatieICD-O-3Codelijst LocatieCodelijst | ||||||||
| 9846 | Lateraliteit | bc-MaternalObservation | http://snomed.info/sct | 272741003 | lateraliteit (attribuut) | bodySite.extension:laterality | LateraliteitCodelijst | |||||
| 9847 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 2842 | Controle borsten | bc-MaternalObservation | ||||||||||
| 2858 | Bevindingen borsten (Observatie) | bc-MaternalObservation | ||||||||||
| 2843 | ObservatieDatumTijd | bc-MaternalObservation | effectiveDateTime | |||||||||
| 2863 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 2861 | Lateraliteit | bc-MaternalObservation | http://snomed.info/sct | 272741003 | lateraliteit (attribuut) | bodySite.extension:laterality | LateraliteitCodelijst | |||||
| 2860 | Aspect | bc-MaternalObservation | ||||||||||
| 2859 | AspectWaarde | bc-MaternalObservation | http://snomed.info/sct | 290054003 | bevinding betreffende aspect van mamma (bevinding) | valueCodeableConcept | Bevindingen borsten 3.2 | |||||
| 2856 | Tepels | bc-MaternalObservation | ||||||||||
| 2857 | TepelsWaarde | bc-MaternalObservation | http://snomed.info/sct | 364376001 | observatie betreffende tepel (waarneembare entiteit) | valueString | ||||||
| 2862 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 2864 | Controle benen | bc-MaternalObservation | ||||||||||
| 2865 | Bevindingen benen (Observatie) | bc-MaternalObservation | ||||||||||
| 2866 | ObservatieDatumTijd | bc-MaternalObservation | effectiveDateTime | |||||||||
| 2867 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 2868 | Lateraliteit | bc-MaternalObservation | http://snomed.info/sct | 272741003 | lateraliteit (attribuut) | bodySite.extension:laterality | LateraliteitCodelijst | |||||
| 2869 | ObservatieWaarde | bc-MaternalObservation | http://snomed.info/sct | 116312005 | bevinding betreffende onderste extremiteit (bevinding) | valueCodeableConcept | Controle benen 3.2 | |||||
| 2870 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 9837 | Controle perineum | bc-MaternalObservation | ||||||||||
| 2824 | Controle perineum (Observatie) | bc-MaternalObservation | ||||||||||
| 2826 | ObservatieDatumTijd | bc-MaternalObservation | effectiveDateTime | |||||||||
| 2825 | ControlePerineumWaarde | bc-MaternalObservation | http://snomed.info/sct | 124734007 | bevinding betreffende perineum (bevinding) | method | Controle perineum | |||||
| 2828 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 2827 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 2871 | Perineumwond (Wond) | bc-MaternalObservation | ||||||||||
| 2873 | WondWeefsel | bc-MaternalObservation | valueCodeableConcept | WondWeefselWCSCodelijst | ||||||||
| 2874 | WondInfectie | bc-MaternalObservation | http://snomed.info/sct | 405009004 | infectiestatus (waarneembare entiteit) | valueBoolean | ||||||
| 2875 | WondVochtigheid | bc-MaternalObservation | http://snomed.info/sct | 298007001 | vochtigheid van verwonding (waarneembare entiteit) | valueCodeableConcept | WondVochtigheidCodelijst | |||||
| 2876 | WondRand | bc-MaternalObservation | http://snomed.info/sct | 449747006 | bevinding betreffende rand van wond (bevinding) | valueCodeableConcept | WondRandCodelijst | |||||
| 2877 | Wondlengte | bc-MaternalObservation | http://snomed.info/sct | 401238003 | lengte van verwonding (waarneembare entiteit) | valueQuantity | ||||||
| 2878 | Wondbreedte | bc-MaternalObservation | http://snomed.info/sct | 401239006 | breedte van verwonding (waarneembare entiteit) | valueQuantity | ||||||
| 2879 | Wonddiepte | bc-MaternalObservation | http://snomed.info/sct | 425094009 | diepte van verwonding (waarneembare entiteit) | valueQuantity | ||||||
| 2880 | AnatomischeLocatie | bc-MaternalObservation | http://snomed.info/sct | 363698007 | locatie van bevinding (attribuut) | bodySite | WondAnatomischeLocatieCodelijst | |||||
| 2882 | WondOntstaansdatum | bc-MaternalObservation | valueDateTime | |||||||||
| 2883 | DatumLaatsteVerbandwissel | bc-MaternalObservation | valueDateTime | |||||||||
| 2901 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment | |||||||
| 9826 | Gezin | bc-MaternalObservation | ||||||||||
| 10220 | Voorlichting veilig slapen (Observatie) | bc-MaternalObservation | ||||||||||
| 10221 | ObservatieDatumTijd | bc-MaternalObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | ||||||
| 10223 | VoorlichtingVeiligSlapenWaarde | bc-MaternalObservation | valueString | |||||||||
| 10224 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 10229 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 10230 | Voorlichting vitamine D (Observatie) | bc-MaternalObservation | ||||||||||
| 10231 | ObservatieDatumTijd | bc-MaternalObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | ||||||
| 10233 | VoorlichtingVitamineDWaarde | bc-MaternalObservation | http://snomed.info/sct | 118791000146100 | voorlichten over toedienen van vitamine D (verrichting) | valueString | ||||||
| 10234 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 10239 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 7973 | Vloeien (Observatie) | bc-MaternalObservation | ||||||||||
| 7974 | ObservatieDatumTijd | bc-MaternalObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | ||||||
| 7976 | VloeienWaarde | bc-MaternalObservation | http://snomed.info/sct | 249211006 | bevinding betreffende lochia (bevinding) | valueCodeableConcept | Vloeien | |||||
| 7977 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 7982 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 7983 | Menstruatie (Observatie) | bc-MaternalObservation | ||||||||||
| 7984 | ObservatieDatumTijd | bc-MaternalObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | ||||||
| 7986 | MenstruatieWaarde | bc-MaternalObservation | http://snomed.info/sct | 276319003 | bevinding betreffende menstruatie (bevinding) | valueBoolean | ||||||
| 7987 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 7992 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 7970 | Continentie | bc-MaternalObservation | ||||||||||
| ordinal | 7971 | UrineContinentie | bc-MaternalObservation | http://snomed.info/sct | 129009001 | blaascontrole (waarneembare entiteit) | valueCodeableConcept | UrineContinentieCodelijst | ||||
| ordinal | 7972 | FecesContinentie | bc-MaternalObservation | http://snomed.info/sct | 129008009 | darmcontrole (waarneembare entiteit) | valueCodeableConcept | FecesContinentieCodelijst | ||||
| 7950 | Conditie perineum (Observatie) | bc-MaternalObservation | ||||||||||
| 7951 | ObservatieDatumTijd | bc-MaternalObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | ||||||
| 7953 | ConditiePerineumWaarde | bc-MaternalObservation | http://snomed.info/sct | 364297003 | observatie betreffende perineum van vrouw (waarneembare entiteit) | valueCodeableConcept | Conditie Perineum Observatie | |||||
| 7954 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 7959 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
| 7960 | Sectiowond (Observatie) | bc-MaternalObservation | ||||||||||
| 7961 | ObservatieDatumTijd | bc-MaternalObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | ||||||
| 7963 | SectiowondWaarde | bc-MaternalObservation | http://snomed.info/sct | 31781000146105 | wond na sectio caesarea (afwijkende morfologie) | valueCodeableConcept | Wond | |||||
| 7964 | ObservatieMethode | bc-MaternalObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
| 7969 | Toelichting | bc-MaternalObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||