Gebz:V1.0 FHIR IG bc-PregnancyObservation

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bc-PregnancyObservation

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

Each bc-PregnancyObservation must have:

  • a subject, the pregnant woman
  • a reference to the Pregnancy Condition (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-PregnancyObservation

Pattern

This is a patten for pregnancy-related Observations in Birthcare. Not for Observations to the pregnant woman or the delivery. Note that the meta.profile element should at least include nl-core-observation and preferably bc-PregnancyObservation.

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

[Legend]

XML fragment

This is a recipe for pregnacy-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-DeliveryObservation. 

<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-PregnancyObservation"/>
    </meta>
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
        <valueReference>
            <reference value="[[reference to the pregnancy | Condition/wouden-zwanger1]]" />
        </valueReference>
    </extension>
    [[! Other values than final should be avoided ]]
    <status value="final"/>
    <code>
        <coding>
            <system value="[[system, see below | http://loinc.org]]"/>
            <code value="[[code, see below | 11996-6]]"/>
            <display value="[[display, see below | Gravidity]]"/>
        </coding>
    </code>
    <subject>
        <reference value="[[reference to the Mother Patient | Patient/XXX-VDWOUDEN" />
        <display value="[[display of reference | Patient van der Wouden]]" />
    </subject>
    <context>
        [[#context]]
        <reference value="[[reference to the EpisodeOfCare | EpisodeOfCare/wouden-dossier-zwanger1]]"/>
        OR
        <reference value="[[reference to the Encounter | Encounter/wouden-controle12]]"/>
        [[/context]]
    </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="1"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="1"/>
    </valueQuantity>
    [[/observation.value]]
</Observation>

Valuation table

The FHIR profiles are independent of dataset versions, the mappings are not. Mappings for 3.1 and 3.2 will follow.

Dataset 2.3 mappings

PWD 2.3 to FHIR
Type # Concept System Code Display FHIR element ValueSet
CD.png 82501 Afwijkende groei foetus http://snomed.info/sct 276604007 Fetal growth abnormality (disorder) valueCodeableConcept Groei afwijkend
Container.png 82524 Intra-uteriene vruchtdood valueBoolean
BL.png 82525 Vermoeden intra-uteriene vruchtdood? valueBoolean
CD.png 80623 Wijze einde zwangerschap urn:oid:2.16.840.1.113883.2.4.4.13 EindeZw Wijze einde zwangerschap valueCodeableConcept WijzeEindeZwangerschap
TS.png 82337 Definitieve à terme datum urn:oid:2.16.840.1.113883.2.4.4.13 EDDDef Definitieve à terme datum valueDateTime
Container.png 82314 Diagnose http://snomed.info/sct 439401001 439401001 Diagnosis (observable entity) Diagnosis (observable entity) value[X]
CD.png 82317 Gynaecologische aandoening http://snomed.info/sct 310789003 Disorder of female genital tract (disorder) valueCodeableConcept Gynaecologische aandoeningen
BL.png 82318 Bloedverlies? http://snomed.info/sct 131148009 Bleeding (finding) valueBoolean
BL.png 82320 Cervixinsufficiëntie? http://snomed.info/sct 17382005 Cervical incompetence (disorder) valueBoolean
CD.png 82321 Infectie http://snomed.info/sct 40733004 Infectious disease (disorder) valueCodeableConcept Infectie
BL.png 82322 Hyperemesis gravidarum? http://snomed.info/sct 14094001 Excessive vomiting in pregnancy (disorder) valueBoolean
CD.png 82323 Hypertensieve aandoening http://snomed.info/sct 38341003 Hypertensive disorder, systemic arterial (disorder) valueCodeableConcept Hypertensieve aandoening
BL.png 82324 Zwangerschapscholestase? http://snomed.info/sct 235888006 Cholestasis of pregnancy (disorder) valueBoolean
BL.png 82325 Diabetes gravidarum met insuline? http://snomed.info/sct 46894009 Gestational diabetes mellitus, class A>2< (disorder) valueBoolean
CD.png 82326 Afwijkende groei foetus http://snomed.info/sct 276604007 Fetal growth abnormality (disorder) valueCodeableConcept Groei afwijkend
BL.png 82327 Dreigende partus immaturus? urn:oid:2.16.840.1.113883.2.4.4.13 PartusImmaturusDreig Partus immaturus - dreigend valueBoolean
BL.png 82328 Dreigende partus prematurus? urn:oid:2.16.840.1.113883.2.4.4.13 PartusPrematurusDreig Partus prematurus - dreigend valueBoolean
BL.png 82329 Abruptio placentae? http://snomed.info/sct 415105001 Placental abruption (disorder) valueBoolean
BL.png 82214 Irregulaire antistoffen? http://snomed.info/sct 312457003 Finding of irregular blood group antibody present (finding) valueBoolean
INT.png 80617 Aantal levende kinderen http://snomed.info/sct 143881000146107 aantal levende nakomelingen (waarneembare entiteit) valueQuantity
TS.png 82160 Definitieve à terme datum urn:oid:2.16.840.1.113883.2.4.4.13 EDDDef Definitieve à terme datum valueDateTime
CD.png 20261 Voorgenomen plaats baring tijdens zwangerschap (type locatie) urn:oid:2.16.840.1.113883.2.4.3.22.1.3 PRN4209 Voorgenomen plaats baring tijdens zwangerschap valueCodeableConcept VoorgenomenPlaatsBaring
CD.png 80746 Leven voelen http://snomed.info/sct 364618000 Pattern of fetal movement (observable entity) valueCodeableConcept Leven voelen
Container.png 80613 Intra-uteriene vruchtdood http://snomed.info/sct 59291004 Undelivered in utero fetal death
BL.png 82435 Vermoeden intra-uteriene vruchtdood? http://snomed.info/sct 139661000146100 verdenking op intra-uteriene vruchtdood (situatie) valueBoolean
CD.png 82436    Vermoeden iuvd op basis van method IUVD methode
BL.png 20670 Maternale sterfte? http://snomed.info/sct 59283008 maternale sterfte (gebeurtenis) valueBoolean
CD.png 80625 Wijze einde zwangerschap urn:oid:2.16.840.1.113883.2.4.4.13 EindeZw Wijze einde zwangerschap valueCodeableConcept WijzeEindeZwangerschap
TS.png 20540 Datum einde zwangerschap http://snomed.info/sct 118951000146109 datum van einde van zwangerschap (waarneembare entiteit) valueDateTime
BL.png 82444 Vermoeden intra-uteriene vruchtdood? valueBoolean
CD.png 82445    Vermoeden iuvd op basis van method IUVD methode
INT.png 20505 Aantal geboren kinderen http://snomed.info/sct 118861000146102 aantal geboren kinderen uit zwangerschap (waarneembare entiteit) valueQuantity


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