Gebz:FHIR bc-MaternalObservation

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Versie door Lilian Minne (overleg | bijdragen) op 20 aug 2020 om 09:49 (Nieuwe pagina aangemaakt met '=bc-MaternalObservation= This is a generic profile for observations related to the woman patient. Each bc-MaternalObservation must have: * a subject, the woman pat...')
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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.

Profile

The entire profile can be found at: bc-MaternalObservation

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]

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>

Valuation table

PWD 2.3 to FHIR
Type # Concept System Code Display FHIR element ValueSet
CD.png 20305 Conclusie risicostatus na intake urn:oid:2.16.840.1.113883.2.4.4.13 RiskStat Conclusie risicostatus na intake valueCodeableConcept ConclusieRisicostatus
CD.png 82456 Auto-immuun aandoening http://snomed.info/sct 85828009 Autoimmune disease (disorder) valueCodeableConcept Auto-immuun aandoening (2.2)
CD.png 82458 Cardiovasculaire aandoening http://snomed.info/sct 49601007 Disorder of cardiovascular system (disorder) valueCodeableConcept Cardiovasculaire aandoeningen
CD.png 82460 Urogenitale aandoening http://snomed.info/sct 42030000 Disorder of the genitourinary system (disorder) valueCodeableConcept Urogenitale aandoening (2.2)
CD.png 82462 Oncologische aandoening http://snomed.info/sct 363346000 Malignant neoplastic disease (disorder) valueCodeableConcept Oncologische aandoening (2.2)
CD.png 82464 Schildklier aandoening http://snomed.info/sct 14304000 Disorder of thyroid gland (disorder) valueCodeableConcept Schildklieraandoeningen
BL.png 82465 Diabetes mellitus? http://snomed.info/sct 73211009 Diabetes mellitus (disorder) valueBoolean
CD.png 82467 Neurologische aandoening http://snomed.info/sct 118940003 Disorder of nervous system (disorder) valueCodeableConcept Neurologische aandoeningen
CD.png 82469 Infectieziekte http://snomed.info/sct 40733004 Infectious disease (disorder) valueCodeableConcept Infectieziekten
CD.png 82471 MDL aandoening http://snomed.info/sct 53619000 Disorder of digestive system (disorder) valueCodeableConcept Maag Darm Lever aandoening (2.2)
CD.png 82473 Anemie http://snomed.info/sct 271737000 Anemia (disorder) valueCodeableConcept Anemie (2.2)
CD.png 82475 Longaandoening http://snomed.info/sct 50043002 Disorder of respiratory system (disorder) valueCodeableConcept Longaandoening
CD.png 82477 Gynaecologische aandoening http://snomed.info/sct 310789003 Disorder of female genital tract (disorder) valueCodeableConcept Gynaecologische aandoeningen
CD.png 82479 Orthopedische afwijking http://snomed.info/sct 928000 Disorder of musculoskeletal system (disorder) valueCodeableConcept Orthopedische afwijkingen
BL.png 82481 Bloedtransfusie? http://snomed.info/sct 116859006 Transfusion of blood product (procedure) valueBoolean
BL.png 82482 Transfusiereactie? http://snomed.info/sct 82545002 Blood transfusion reaction (disorder) valueBoolean
CD.png 82484 Type operatie http://snomed.info/sct 387713003 Surgical procedure (procedure) valueCodeableConcept Type operatie
CD.png 82486 Type stollingsprobleem http://snomed.info/sct 64779008 Blood coagulation disorder (disorder) valueCodeableConcept Type stollingsprobleem
BL.png 82488 Psychiatrie? valueBoolean
BL.png 82490 Overige aandoening? valueBoolean
Container.png 82492    Obstetrische anamnese http://snomed.info/sct 248983002 Obstetric history (context-dependent category) reasonCode|Reference
CD.png 82582 Gynaecologische aandoening valueCodeableConcept Gynaecologische aandoeningen
BL.png 82493 Bloedverlies? http://snomed.info/sct 131148009 Bleeding (finding) valueBoolean
BL.png 82494 Partiële mola? urn:oid:2.16.840.1.113883.2.4.4.13 MolaPartieelIntacteZw Partiële mola met intacte zwangerschap valueBoolean
BL.png 82495 Cervixinsufficiëntie? http://snomed.info/sct 17382005 Cervical incompetence (disorder) valueBoolean
CD.png 82496 Infectie http://snomed.info/sct 40733004 Infectious disease (disorder) valueCodeableConcept Infectie
BL.png 82497 Hyperemesis gravidarum? http://snomed.info/sct 14094001 Excessive vomiting in pregnancy (disorder) valueBoolean
CD.png 82498 Hypertensieve aandoening http://snomed.info/sct 38341003 Hypertensive disorder, systemic arterial (disorder) valueCodeableConcept Hypertensieve aandoening
BL.png 82499 Zwangerschapscholestase? http://snomed.info/sct 235888006 Cholestasis of pregnancy (disorder) valueBoolean
BL.png 82500 Diabetes gravidarum met insuline? http://snomed.info/sct 46894009 Gestational diabetes mellitus, class A>2< (disorder) valueBoolean
BL.png 82502 Dreigende partus immaturus? urn:oid:2.16.840.1.113883.2.4.4.13 PartusImmaturusDreig Partus immaturus - dreigend valueBoolean
BL.png 82503 Dreigende partus prematurus? urn:oid:2.16.840.1.113883.2.4.4.13 PartusPrematurusDreig Partus prematurus - dreigend valueBoolean
BL.png 82504 Abruptio placentae? http://snomed.info/sct 415105001 Placental abruption (disorder) valueBoolean
BL.png 82505 Fluxus postpartum? http://snomed.info/sct 47821001 Postpartum hemorrhage (disorder) valueBoolean
Container.png 82506    Zwangerschap http://snomed.info/sct 364320009 Pregnancy observable (observable entity) reasonReference
BL.png 82020 Onder behandeling (geweest)? urn:oid:2.16.840.1.113883.2.4.4.13 OnderBehandeling Onder behandeling (geweest)? valueBoolean
CD.png 82220 Auto-immuun aandoening http://snomed.info/sct 85828009 Autoimmune disease (disorder) valueCodeableConcept Auto-immuun aandoening (2.2)
CD.png 80906 Cardiovasculaire aandoening http://snomed.info/sct 49601007 Disorder of cardiovascular system (disorder) valueCodeableConcept Cardiovasculaire aandoeningen
CD.png 82267 Urogenitale aandoening http://snomed.info/sct 42030000 Disorder of the genitourinary system (disorder) valueCodeableConcept Urogenitale aandoening (2.2)
CD.png 82221 Oncologische aandoening http://snomed.info/sct 363346000 Malignant neoplastic disease (disorder) valueCodeableConcept Oncologische aandoening (2.2)
CD.png 80909 Schildklier aandoening http://snomed.info/sct 14304000 Disorder of thyroid gland (disorder) valueCodeableConcept Schildklieraandoeningen
BL.png 80910 Diabetes mellitus? http://snomed.info/sct 73211009 Diabetes mellitus (disorder) valueBoolean
CD.png 80912 Neurologische aandoening http://snomed.info/sct 118940003 Disorder of nervous system (disorder) valueCodeableConcept Neurologische aandoeningen
CD.png 82210 Infectieziekte http://snomed.info/sct 40733004 Infectious disease (disorder) valueCodeableConcept Infectieziekten
CD.png 82219 MDL aandoening http://snomed.info/sct 53619000 Disorder of digestive system (disorder) valueCodeableConcept Maag Darm Lever aandoening (2.2)
CD.png 82222 Anemie http://snomed.info/sct 271737000 Anemia (disorder) valueCodeableConcept Anemie (2.2)
CD.png 82266 Longaandoening http://snomed.info/sct 50043002 Disorder of respiratory system (disorder) valueCodeableConcept Longaandoening
CD.png 80917 Gynaecologische aandoening http://snomed.info/sct 310789003 Disorder of female genital tract (disorder) valueCodeableConcept Gynaecologische aandoeningen
CD.png 80918 Orthopedische afwijking http://snomed.info/sct 928000 Disorder of musculoskeletal system (disorder) valueCodeableConcept Orthopedische afwijkingen
BL.png 10805 Bloedtransfusie? http://snomed.info/sct 116859006 Transfusion of blood product (procedure) valueBoolean
BL.png 82231 Transfusiereactie? http://snomed.info/sct 82545002 Blood transfusion reaction (disorder) valueBoolean
CD.png 80818 Type operatie http://snomed.info/sct 387713003 Surgical procedure (procedure) valueCodeableConcept Type operatie
CD.png 80817 Type stollingsprobleem http://snomed.info/sct 64779008 Blood coagulation disorder (disorder) valueCodeableConcept Type stollingsprobleem
BL.png 82159 Psychiatrie? http://snomed.info/sct 74732009 Mental disorder (disorder) valueBoolean
BL.png 82212 Overige aandoening? urn:oid:2.16.840.1.113883.2.4.4.13 OverigeAandoeningenAnamnese Overige aandoeningen / afwijkingen uit algemene anamnese vrouw valueBoolean
ST.png 80919 Overige aandoening urn:oid:2.16.840.1.113883.2.4.4.13 OverigeAandoeningenAnamnese Overige aandoeningen / afwijkingen uit algemene anamnese vrouw valueCodeableConcept
BL.png 10803 Negatieve seksuele ervaringen? http://snomed.info/sct 313216003 History of sexual abuse (situation) valueCodeableConcept
BL.png 10801 Medicatiegebruik? http://snomed.info/sct 129019007 Taking medication, function (observable entity) valueBoolean
PQ.png 10806 BMI vrouw http://loinc.org 39156-5 Body mass index (BMI) [Ratio] valueQuantity
BL.png 80675 Vrouwelijke genitale verminking? http://snomed.info/sct 95041000119101 Female genital mutilation (disorder) valueBoolean
CD.png 80676 Type vrouwelijke genitale verminking http://snomed.info/sct 95041000119101 Female genital mutilation (disorder) valueCodeableConcept Type vrouwelijke genitale verminking
CD.png 20612 Portio http://snomed.info/sct 249021005 Effacement of cervix valueCodeableConcept Cervix Effacement
CD.png 20613 Ontsluiting http://snomed.info/sct 289761004 Finding of cervical dilatation valueCodeableConcept Cervical dilatation
CD.png 20614 Vliezen http://snomed.info/sct 112074005 Condition of fetal membrane valueCodeableConcept Vliezen
CD.png 20615 Indaling Hodge http://snomed.info/sct 364611006 Fetal descent in relation to ischial spines (observable entity) valueCodeableConcept Hodge Planes
CD.png 80616 Aard van het voorliggend deel http://snomed.info/sct 364612004 Presenting part palpable vaginally valueCodeableConcept Presentation of fetus
CD.png 80618 Stand http://snomed.info/sct 163520002 O/E - presenting part position valueCodeableConcept Stand


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