Gebz:V1.0 FHIR IG bc-DisorderOfPregnancy

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bc-DisorderOfPregnancy

This is a generic profile for conditions related to a pregnancy.

Each bc-DisorderOfPregnancy must have:

  • a code, specifying the condition
  • a subject, the pregnant woman
  • performer should be provided if known (this may not always be the case for historical data). performer is the responsible care professional.

Each bc-DisorderOfPregnancy may have:

  • a reference to the Pregnancy Condition (the focus of the Observation). The preferred option for birthcare systems is to include this, but this cannot be guaranteed for external data (such as BGZ). ==Profile==

The entire profile can be found at: bc-DisorderOfPregnancy

Pattern

This is a patten for pregnancy-related Conditions in Birthcare. Note that the meta.profile element should preferably include bc-DisorderOfPregnancy. Again, this may be the case for BGZ.

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

[Legend]

XML fragment

This is a recipe for pregnancy-related disorders in Birthcare. Note that the meta.profile element should preferably be bc-DisorderOfPregnancy.

For boolean typed data elements in ART-DECOR the condition.code element is taken from the corresponding terminology. For code typed data elements it is taken from the related value set (which provides a further specification of the condition). In this case, the corresponding terminology of the data element is mapped to condition.category. See the XML fragments below.

XML fragment for boolean typed data elements 

<Condition xmlns="http://hl7.org/fhir">
    <id value="[[a unique id]]"/>
    <meta>
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy"/>
    </meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/condition-partOf">
        <valueReference>
            <reference value="[[reference to the pregnancy | Condition/wouden-zwanger1]]" />
        </valueReference>
    </extension>
    [[# clinicalStatus is optional, only when known ]]
    <clinicalStatus value="[[active | recurrence | inactive | remission | resolved]]"/> 
    [[/ clinicalStatus ]]
    <code>
        <coding> 
            <system value="[[system, preferably from | http://snomed.info/sct]]"/> 
            <code value="[[code, to be taken from the relevant valuesets in ART-DECOR | 235888006"/> 
            <display value="[[display | Cholestasis of pregnancy (disorder)]]"/> 
        </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>
</Condition>

XML fragment for code typed data elements 

<Condition xmlns="http://hl7.org/fhir">
    <id value="[[a unique id]]"/>
    <meta>
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy"/>
    </meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/condition-partOf">
        <valueReference>
            <reference value="[[reference to the pregnancy | Condition/wouden-zwanger1]]" />
        </valueReference>
    </extension>
    [[# clinicalStatus is optional, only when known ]]
    <clinicalStatus value="[[active | recurrence | inactive | remission | resolved]]"/> 
    [[/ clinicalStatus ]]
    [[# category, only when there is a valueset to specify the condition ]]
    <category>
        <coding> 
            <system value="[[system, preferably from | http://snomed.info/sct]]"/> 
            <code value="[[code, to be taken from the relevant valuesets in ART-DECOR | 80002007 "/> 
            <display value="[[display | Malpresentation of fetus (disorder) ]]"/> 
        </coding> 
    </category> 
   [[/ category ]]
   [[#condition.code, see below]]
    <code>
        <coding> 
            <system value="[[system, preferably from | http://snomed.info/sct]]"/> 
            <code value="[[code, to be taken from the relevant valuesets in ART-DECOR | 6096002"/> 
            <display value="[[display | Breech presentation (finding)]]"/> 
        </coding> 
    </code>
    [[/condition.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>
</Condition>

Valuation table

PWD 2.3 to FHIR
Type # Concept System Code Display FHIR element ValueSet
CD.png 82509 Gynaecologische aandoening code Gynaecologische aandoeningen
BL.png 82510 Bloedverlies? http://snomed.info/sct 131148009 Bleeding (finding) code
BL.png 82511 Partiële mola? urn:oid:2.16.840.1.113883.2.4.4.13 MolaPartieelIntacteZw Partiële mola met intacte zwangerschap code
BL.png 82512 Cervixinsufficiëntie? http://snomed.info/sct 17382005 Cervical incompetence (disorder) code
CD.png 82513 Infectie code Infectie
BL.png 82514 Hyperemesis gravidarum? http://snomed.info/sct 14094001 Excessive vomiting in pregnancy (disorder) code
CD.png 82515 Hypertensieve aandoening code Hypertensieve aandoening
BL.png 82516 Zwangerschapscholestase? http://snomed.info/sct 235888006 Cholestasis of pregnancy (disorder) code
BL.png 82517 Diabetes gravidarum met insuline? http://snomed.info/sct 46894009 Gestational diabetes mellitus, class A>2< (disorder) code
CD.png 82518 Afwijkende groei foetus code Groei afwijkend
BL.png 82519 Dreigende partus immaturus? urn:oid:2.16.840.1.113883.2.4.4.13 PartusImmaturusDreig Partus immaturus - dreigend code
BL.png 82520 Dreigende partus prematurus? urn:oid:2.16.840.1.113883.2.4.4.13 PartusPrematurusDreig Partus prematurus - dreigend code
BL.png 82521 Abruptio placentae? http://snomed.info/sct 415105001 Placental abruption (disorder) code
BL.png 82522 Navelstrengprolaps? http://snomed.info/sct 270500004 Prolapsed cord (disorder) code
CD.png 82523 Liggingsafwijking code Ligging (afwijkend)
Container.png 82268 Diagnose http://snomed.info/sct 439401001 Diagnosis (observable entity) code
TS.png 82272    Datum assertedDate
CD.png 82269 Gynaecologische aandoening code Gynaecologische aandoeningen
BL.png 82270 Bloedverlies? http://snomed.info/sct 131148009 Bleeding (finding) code
BL.png 82286 Partiële mola? urn:oid:2.16.840.1.113883.2.4.4.13 MolaPartieelIntacteZw Partiële mola met intacte zwangerschap code
BL.png 82271 Cervixinsufficiëntie? http://snomed.info/sct 17382005 Cervical incompetence (disorder) code
CD.png 82273 Infectie code Infectie
BL.png 82274 Hyperemesis gravidarum? http://snomed.info/sct 14094001 Excessive vomiting in pregnancy (disorder) code
CD.png 82275 Hypertensieve aandoening code Hypertensieve aandoening
BL.png 82276 Zwangerschapscholestase? http://snomed.info/sct 235888006 Cholestasis of pregnancy (disorder) code
BL.png 82277 Diabetes gravidarum met insuline? http://snomed.info/sct 46894009 Gestational diabetes mellitus, class A>2< (disorder) code
CD.png 82278 Afwijkende groei foetus code Groei afwijkend
BL.png 82279 Dreigende partus immaturus? urn:oid:2.16.840.1.113883.2.4.4.13 PartusImmaturusDreig Partus immaturus - dreigend code
BL.png 82280 Dreigende partus prematurus? urn:oid:2.16.840.1.113883.2.4.4.13 PartusPrematurusDreig Partus prematurus - dreigend code
BL.png 82289 Abruptio placentae? http://snomed.info/sct 415105001 Placental abruption (disorder) code
BL.png 82452 Navelstrengprolaps? http://snomed.info/sct 270500004 Prolapsed cord (disorder) code
CD.png 82380 Liggingsafwijking code Ligging (afwijkend)


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