Gebz:V1.0 FHIR IG

Uit informatiestandaarden
Naar navigatie springen Naar zoeken springen

Issue icon.png

Dit materiaal is in ontwikkeling en nog niet geschikt voor gebruik!

{{#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.

A high level overview:

Fhir-model-overview.png

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 the following HTTP requests:

1. 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. Each Bundle.entry should contain an entry.request with request.method = POST. An example of a transaction Bundle can be found here: Example of Transaction Bundle 

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

2. 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

FHIR Resources and StructureDefinitions

Graphical overview

The following link Media:FHIR Geboortezorg Profielen Prio1 23-03-2020.png provides a graphical overview of the structure definitions and their relations.

Types of resources and relations between them

For pregnancy-, delivery- and child related observations detailed information is given, follow links below.

Name FHIR resource Description
Woman (Vrouw) Patient The core of each pregnancy is the pregnant woman, a FHIR Patient.
Generic resources Practitioner, PractitionerRole, Organization Those are not used differently than in other Dutch projects.
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
Delivery (Bevalling) Procedure Delivery is modeled with Procedure (even for uncomplicated natural births for consistency).
  • Delivery refers to the EpisodeOfCare with Observation.context.reference
Obstetric Procedures Procedure Obstetric Procedures, such as vacuum delivery, are Procedures conducted as part of the Delivery Procedure.
  • Obstetric Procedures use Procedure.partOf element to point to the delivery Procedure they're part of.
  • Obstetric Procedures refer to the EpisodeOfCare with Observation.context.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
Birth Observation 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, which is still the subject of the record.
  • Birth uses focus extension to point to the delivery Procedure.
  • Birth uses focus extension to point to the child Patient.
  • Birth refers to the EpisodeOfCare with Observation.context.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

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.

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.

Name PWD 2.3 id FHIR Profile FHIR Example Example SEARCH URL
Vrouw bc-Woman (nl-core-patient) Patient 
GET [base]/Patient/[vrouwid]
GET [base]/Patient?identifier=[bsn]
Zorgverlener nl-core-practitioner Practitioner 
GET [base]/Practitioner/[zorgverlenerid]
GET [base]/Practitioner?identifier=[lvrid]
Zorginstelling nl-core-organization Organization 
GET [base]/Organization/[zorginstellingid]
GET [base]/Organization?identifier=[lvrid]
Zorgverlenerrol nl-core-practitionerrole PractitionerRole 
GET [base]/PractitionerRole/[zorgverlenerrolid]
GET [base]/PractitionerRole?practitioner:Practitioner.identifier=[lvrid]
Zwangerschapsdossier bc-MaternalRecord (nl-core-episodeofcare) EpisodeOfCare 
GET [base]/EpisodeOfCare/[dossierid]
GET [base]/Observation,Condition,Procedure?context=[dossierid]
GET [base]/Observation,Condition,Procedure?context:EpisodeOfCare.condition:Condition.clinical-status=active
Zwangerschap peri23-dataelement-3 zib-Pregnancy Condition 
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
Bloedgroep vrouw peri23-dataelement-10810 zib-LaboratoryTestResult-Observation Observation 
GET [base]/Observation?code=883-9{&subject=[vrouwid]&context=[dossierid]}
Rhesus D Factor vrouw peri23-dataelement-10811 Observation 
GET [base]/Observation?code=1305-2{&subject=[vrouwid]&context=[dossierid]}
Rhesus c Factor peri23-dataelement-10816 Observation 
GET [base]/Observation?code=1159-3{&subject=[vrouwid]&context=[dossierid]}
Hb waarde peri23-dataelement-10814 Observation 
GET [base]/Observation?code=718-7{&subject=[vrouwid]&context=[dossierid]}
A terme datum peri23-dataelement-20030 zib-Pregnancy-DueDate Observation 
GET [base]/Observation?code=11778-8{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}
Graviditeit peri23-dataelement-20010 zib-Pregnancy-Gravidity Observation 
GET [base]/Observation?code=11996-6{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}
Pariteit peri23-dataelement-20150 zib-Pregnancy-Parity Observation 
GET [base]/Observation?code=11977-6{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}
Wijze einde zwangerschap peri23-dataelement-80625 bc-PregnancyObservation (nl-core-observation) Observation 
GET [base]/Observation?code=EindeZw{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}
Datum einde zwangerschap peri23-dataelement-20540 Observation 
GET [base]/Observation?code=xxx{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}
Bevalling peri23-dataelement-6 bc-DeliveryProcedure Procedure 
GET [base]/Procedure?code=236973005{&subject=[vrouwid]&context=[dossierid]&reasonReference=[zwangerschapid]}
Vaginale kunstverlossing peri23-dataelement-40190 bc-ObstetricProcedure Procedure 
GET [base]/Procedure?code=3311000146109{&subject=[vrouwid]&context=[dossierid]&partof=[bevallingid,uitdrijvingsfaseid]}
Tijdstip begin actieve ontsluiting peri23-dataelement-20590 bc-DeliveryObservation (nl-core-observation) Observation 
GET [base]/Observation?code=249120008{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}
Hoeveelheid bloedverlies peri23-dataelement-20640 Observation 
GET [base]/Observation?code=64332008{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}
Conditie perineum postpartum peri23-dataelement-80673 Observation 
GET [base]/Observation?code=364297003{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}
Geboorte bc-Birth (nl-core-observation) Observation 
GET [base]/Observation?code=3950001{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]&focus=[kindid]}
Tijdstip actief meepersen peri23-dataelement-30030 bc-BirthObservation (nl-core-observation) Observation 
GET [base]/Observation?code=249163006{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]}
Type partus peri23-dataelement-80626 Observation 
GET [base]/Observation?code=364336006{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]}
Kind bc-Child (of nl-core-patient) Patient 
GET [base]/Patient/[kindid]
Geboortedatum peri23-dataelement-40050 bc-Child (of nl-core-patient) Patient.birthdate 
GET [base]/Patient/[kindid]
Apgarscore na 5 min. peri23-dataelement-40071 zib-ApgarScore Observation 
GET [base]/Observation?code=9274-2{&subject=[kindid]&context=[dossierid]}
Geboortegewicht peri23-dataelement-40060 bc-BirthWeight Observation 
GET [base]/Observation?code=29463-7{&subject=[kindid]&context=[dossierid]}

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 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 the following HTTP requests:

1. 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. Each Bundle.entry should contain an entry.request with request.method = POST. An example of a transaction Bundle can be found here: Example of Transaction Bundle 

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

2. 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.

FHIR Resources and StructureDefinitions [NOT YET COMPLETE]

Graphical overview

Types of resources and relations between them

For pregnancy-, delivery- and child related observations detailed information is given, follow 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
Maternal Preferences List Maternal preferences (such as infant nutrition, delivery location) are grouped in a List of which the woman Patient is the subject.
  • The maternal preferences list includes references to Maternal Preference Observations in List.entry.item
Maternal Preference Observations Observation Maternal Preference Observations are about the preferences of the woman Patient, who is the subject of these Observations.
  • Maternal Preference 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).
  • Delivery refers to the EpisodeOfCare with Observation.context.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 Observation 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, which is still the subject of the record.
  • Birth uses focus extension to point to the delivery Procedure.
  • Birth uses focus extension to point to the child Patient.
  • Birth refers to the EpisodeOfCare with Observation.context.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
Digital vaginal examination Observations Observation Observations related to the digital vaginal examination pertain to the woman Patient, who is the subject of the observation.
  • Digital vaginal examination observations refer to the EpisodeOfCare with Observation.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.

List of StructureDefinitions [NOT YET COMPLETE]

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.

Name PWD 2.3 id FHIR Profile FHIR Example Example SEARCH URL
Vrouw bc-Woman (nl-core-patient) Patient 
GET [base]/Patient/[vrouwid]
GET [base]/Patient?identifier=[bsn]
Partner peri23-dataelement-80633 nl-core-relatedperson [RelatedPerson] 
GET [base]/RelatedPerson?patient=[vrouwid]
Zorgverlener nl-core-practitioner Practitioner 
GET [base]/Practitioner/[zorgverlenerid]
GET [base]/Practitioner?identifier=[lvrid]
Zorginstelling nl-core-organization Organization 
GET [base]/Organization/[zorginstellingid]
GET [base]/Organization?identifier=[lvrid]
Zorgverlenerrol nl-core-practitionerrole PractitionerRole 
GET [base]/PractitionerRole/[zorgverlenerrolid]
GET [base]/PractitionerRole?practitioner:Practitioner.identifier=[lvrid]
Verwijsdetails peri23-dataelement-82012 bc-ReferralRequest ReferralRequest 
GET [base]/ReferralRequest?subject=[vrouwid]
GET [base]/ReferralRequest?context=[dossierid]
Zwangerschapsdossier bc-MaternalRecord (nl-core-episodeofcare) EpisodeOfCare 
GET [base]/EpisodeOfCare/[dossierid]
GET [base]/Observation,Condition,Procedure?context=[dossierid]
GET [base]/Observation,Condition,Procedure?context:EpisodeOfCare.condition:Condition.clinical-status=active
Zwangerschap peri23-dataelement-3 zib-Pregnancy Condition 
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
Bloedgroep vrouw peri23-dataelement-10810 zib-LaboratoryTestResult-Observation Observation 
GET [base]/Observation?code=883-9{&subject=[vrouwid]&context=[dossierid]}
Rhesus D Factor vrouw peri23-dataelement-10811 Observation 
GET [base]/Observation?code=1305-2{&subject=[vrouwid]&context=[dossierid]}
Hb waarde peri23-dataelement-10814 Observation 
GET [base]/Observation?code=718-7{&subject=[vrouwid]&context=[dossierid]}
Voornemens peri23-dataelement-80671 bc-MaternalPreferences [List] 
GET [base]/List?subject=[vrouwid]
Voorgenomen plaats baring peri23-dataelement-20261 bc-MaternalPreference [Observation] 
GET [base]/Observation?code=PRN4209{&subject=[vrouwid]&context=[dossierid]}
Voorgenomen voeding peri23-dataelement-82009 [Observation] 
GET [base]/Observation?code=169740003{&subject=[vrouwid]&context=[dossierid]}
A terme datum peri23-dataelement-20030 zib-Pregnancy-DueDate Observation 
GET [base]/Observation?code=11778-8{&subject=[vrouwid]&context=[dossierid]&focus=[zwangerschapid]}
Bevalling peri23-dataelement-6 bc-DeliveryProcedure Procedure 
GET [base]/Procedure?code=236973005{&subject=[vrouwid]&context=[dossierid]&reasonReference=[zwangerschapid]}
Tijdstip begin actieve ontsluiting peri23-dataelement-20590 bc-DeliveryObservation (nl-core-observation) Observation 
GET [base]/Observation?code=249120008{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}
Compleetheid vliezen peri23-dataelement-80792 [Observation] 
GET [base]/BodySite?subject=[vrouwid]
Hoeveelheid bloedverlies peri23-dataelement-20640 Observation 
GET [base]/Observation?code=64332008{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}
Conditie perineum postpartum peri23-dataelement-80673 Observation 
GET [base]/Observation?code=364297003{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}
Conditie perineum postpartum peri23-dataelement-80673 Observation 
GET [base]/Observation?code=364297003{&subject=[vrouwid]&context=[dossierid]&focus=[bevallingid]}
Placenta peri23-dataelement-80612 bc-Placenta BodySite 
GET [base]/BodySite?subject=[vrouwid]
Placenta compleet peri23-dataelement-20631 bc-PlacentaObservation [Observation] 
GET [base]/Observation?code=364343000{&subject=[vrouwid]&context=[dossierid]&focus=placenta}
Datum/tijd geboorte placenta peri23-dataelement-80791 [Observation] 
GET [base]/Observation?code=[XXXX]{&subject=[vrouwid]&context=[dossierid]&focus=placenta}
Geboorte bc-Birth (nl-core-observation) Observation 
GET [base]/Observation?code=3950001{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]&focus=[kindid]}
Tijdstip breken vliezen peri23-dataelement-80619 bc-BirthObservation (nl-core-observation) [Observation] 
GET [base]/Observation?code=289251005{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]}
Tijdstip actief meepersen peri23-dataelement-30030 [Observation] 
GET [base]/Observation?code=249163006{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]}
Type partus peri23-dataelement-80626 Observation 
GET [base]/Observation?code=364336006{&subject=[vrouwid]&context=[dossierid]&focus=[geboorteid]}
Kind bc-Child (of nl-core-patient) Patient 
GET [base]/Patient/[kindid]
Apgarscore na 1 min. peri23-dataelement-40070 zib-ApgarScore Observation 
GET [base]/Observation?code=9272-6{&subject=[kindid]&context=[dossierid]}
Apgarscore na 5 min. peri23-dataelement-40071 
GET [base]/Observation?code=9274-2{&subject=[kindid]&context=[dossierid]}
Apgarscore na 10 min. peri23-dataelement-80757 
GET [base]/Observation?code=[XXXX]{&subject=[kindid]&context=[dossierid]}
Geboortegewicht peri23-dataelement-40060 bc-BirthWeight Observation 
GET [base]/Observation?code=29463-7{&subject=[kindid]&context=[dossierid]}
Schedelomtrek peri23-dataelement-80760 nl-core-observation [Observation] 
GET [base]/Observation?code=[XXX]{&subject=[kindid]&context=[dossierid]}
Ligging bij geboorte peri23-dataelement-40140 bc-BirthObservation (nl-core-observation) Observation] 
GET [base]/Observation?code=LigGbrt{&subject=[kindid]&context=[dossierid]}
Navelstreng vaten peri23-dataelement-80793 [Observation] 
GET [base]/Observation?code=249191003{&subject=[kindid]&context=[dossierid]}
Vitamine K peri23-dataelement-80761 [Observation] 
GET [base]/Observation?code=[XXX]{&subject=[kindid]&context=[dossierid]}
Vaginaal toucher peri23-dataelement-40060 bc-DigitalVaginalExamination [DiagnosticReport] 
GET [base]/DiagnosticReport?code=51597003{&subject=[vrouwid]&context=[dossierid]}
Portio peri23-dataelement-20612 bc-DigitalVaginalExaminationObservation (nl-core-observation) [Observation] 
GET [base]/Observation?code=[249021005]{&subject=[kindid]&context=[dossierid]}
Positie portio peri23-dataelement-82372 [Observation] 
GET [base]/Observation?code=[248920001]{&subject=[kindid]&context=[dossierid]}
Ontsluiting peri23-dataelement-20613 [Observation] 
GET [base]/Observation?code=[289761004]{&subject=[kindid]&context=[dossierid]}
Vliezen peri23-dataelement-20614 [Observation] 
GET [base]/Observation?code=[112074005]{&subject=[kindid]&context=[dossierid]}
Indaling Hodge peri23-dataelement-20615 [Observation] 
GET [base]/Observation?code=[364611006]{&subject=[kindid]&context=[dossierid]}
Aard van het voorliggend deel peri23-dataelement-80616 [Observation] 
GET [base]/Observation?code=[364612004]{&subject=[kindid]&context=[dossierid]}
Stand peri23-dataelement-80618 [Observation] 
GET [base]/Observation?code=[163520002]{&subject=[kindid]&context=[dossierid]}

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'.

Overgenomen van "https://informatiestandaarden.test-nictiz.nl/index.php?title=Gebz:V1.0_FHIR_IG&oldid=25548"