Gebz:FHIR bc-MaternalObservation
1 bc-MaternalObservation
This is a generic profile for observations related to the woman patient.
Each bc-MaternalObservation must have:
- a subject, the woman patient
- 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. Not for Observations related to the pregnancy or the delivery. 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 | 131148009]]"/>
<display value="[[display, see below | Bleeding (finding)]]"/>
</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]]
<valueBoolean value="false"/>
[[/observation.value]]
</Observation>
1.3 Valuation table
| 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 | |||||