Gebz:V1.0 FHIR IG bc-DeliveryObservation

bc-DeliveryObservation

This is a generic profile for observations related to a delivery.

Each DeliveryObservation must have:

• a subject, the pregnant woman
• a reference to the Delivery Procedure (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-DeliveryObservation

XML fragment

This is a patten for delivery-related Observations in Birthcare. Not for Observations to a particular child in that delivery. Note that the meta.profile element should at least include nl-core-observation and preferably bc-DeliveryObservation.

All FHIR instances which follow this pattern will be valid Delivery Observations. Other fields from the FHIR profile may be present: this description is a minimal representation.

<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-DeliveryObservation"/>
    </meta>
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
        <valueReference>
            <reference value="[[reference to the delivery | Procedure/bevallingprocedure-wouden-zwanger1]]" />
        </valueReference>
    </extension>
    <status value="final"/>
    <code>
        <coding>
            <system value="[[system, see below | http://snomed.info/sct]]"/>
            <code value="[[code, see below | 64332008"/>
            <display value="[[display, see below | Blood loss in labour]]"/>
        </coding>
    </code>
    <subject>
        <reference value="[[reference to the Mother Patient | Patient/XXX-VDWOUDEN" />
        <display value="[[display of reference | Patient van der Wouden]]" />
    </subject>
    <context>
        <reference value="[[reference to the EpisodeOfCare | EpisodeOfCare/wouden-dossier-zwanger1]]"/>
    </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="600"/>
        <unit value="ml"/>
        <system value="http://unitsofmeasure.org"/>
    </valueQuantity>
    [[/observation.value]]
</Observation>

Valuation table

PWD 2.3 to FHIR
Type	#	Concept	Profile	System	Code	Display	FHIR type	system+code	unit
	20590	Tijdstip begin actieve ontsluiting	bc-DeliveryObservation	http://snomed.info/sct	249120008	Onset of labour first stage	valueDatetime
	20640	Hoeveelheid bloedverlies	bc-DeliveryObservation	http://snomed.info/sct	364332008	Blood loss in labour	valueQuantity		ml
	80673	Conditie perineum postpartum	bc-DeliveryObservation	http://snomed.info/sct	364297003	Female perineum observable (observable entity)	valueCodeableConcept	Conditie perineum (2.2)