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	System	Code	Display	FHIR element	ValueSet
	82543	Conditie perineum postpartum	http://snomed.info/sct	364297003	Female perineum observable (observable entity)	valueCodeableConcept
	82336	Geboorte placenta	urn:oid:2.16.840.1.113883.2.4.4.13	AfterBirthMethod	Geboorte placenta	valueCodeableConcept	GeboortePlacenta
	10598	Hoeveelheid bloedverlies	http://snomed.info/sct	364332008	Blood loss in labor (observable entity)	valueQuantity
	80674	Conditie perineum postpartum	http://snomed.info/sct	364297003	Female perineum observable (observable entity)	valueCodeableConcept	Conditie perineum (2.2)
	20530	Risicostatus vóór baring	urn:oid:2.16.840.1.113883.2.4.3.22.1.1	PRN5102	Risicostatus vóór baring	valueCodeableConcept	RisicoBaring22
	20550	Wijze waarop de baring begon	urn:oid:2.16.840.1.113883.2.4.4.13	BeginDeliv	Wijze waarop de baring begon	valueCodeableConcept	WijzeBaringBegin
	20590	Tijdstip begin actieve ontsluiting	http://snomed.info/sct	249120008	Onset of labour first stage	valueDateTime
	20630	Geboorte placenta	urn:oid:2.16.840.1.113883.2.4.4.13	AfterBirthMethod	Geboorte placenta	valueCodeableConcept	GeboortePlacenta
	20631	Placenta Compleet	http://snomed.info/sct	364343000	Completeness of placenta (observable entity)	valueCodeableConcept	Completeness placenta
	20640	Hoeveelheid bloedverlies	http://snomed.info/sct	364332008	Blood loss in labour	valueQuantity
	80673	Conditie perineum postpartum	http://snomed.info/sct	364297003	Female perineum observable (observable entity)	valueCodeableConcept	Conditie perineum (2.2)