Gebz:V1.2 FHIR IG bc-DeliveryObservation
1 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.
1.1 Profile
The entire profile can be found at: bc-DeliveryObservation
1.2 Pattern
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.
[Legend]
<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>
[[#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="600"/>
<unit value="ml"/>
<system value="http://unitsofmeasure.org"/>
</valueQuantity>
[[/observation.value]]
</Observation>
1.3 Valuation table
The FHIR profiles are independent of dataset versions, the mappings are not. Mappings for 3.1 will follow.
(The values in column 'Code' can be found on Simplifier as a binding on the code on this profile.)
1.3.1 Dataset 2.3 mappings
| 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) | |||||
1.3.2 Dataset 3.2 mappings
| PWD 2.3 to FHIR | ||||||||||||
| Type | # | Concept | Reference | Profile | System | Code | Display | FHIR element | ValueSet | |||
|
|
9172 | ObservatieDatumTijd | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
9174 | HoeveelheidBloedverliesWaarde | bc-DeliveryObservation | valueQuantity | ||||||||
|
|
9175 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
9180 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | note | |||||
|
7863 | Wijze Begin Baring (Observatie) | 4096 | bc-DeliveryObservation | ||||||||
|
|
4394 | Werkelijke plaats baring (type locatie) (Observatie) | 4193 | bc-DeliveryObservation | ||||||||
|
|
4395 | Ziekenhuis baring | 1587 | bc-DeliveryObservation | ||||||||
|
|
4390 | Hoeveelheid bloedverlies (Observatie) | 3967 | bc-DeliveryObservation | ||||||||
|
|
7865 | Wijze Geboorte Placenta (Observatie) | 4218 | bc-DeliveryObservation | ||||||||
|
|
4084 | Actieve Ontsluiting (Observatie) | bc-DeliveryObservation | code | ||||||||
|
|
4085 | ObservatieDatumTijd | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4087 | BeginActieveOntsluitingWaarde | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | valueDateTime | |||||
|
|
4088 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4095 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4096 | Wijze Begin Baring (Observatie) | bc-DeliveryObservation | http://snomed.info/sct | 249120008 | begin van eerste fase van partus (waarneembare entiteit) | ||||||
|
|
4097 | ObservatieDatumTijd | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4099 | BeginBaringWaarde | bc-DeliveryObservation | http://snomed.info/sct | 249120008 | begin van eerste fase van partus (waarneembare entiteit) | valueCodeableConcept | WijzeBeginBaring_32 | ||||
|
|
4100 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4107 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4193 | Werkelijke plaats baring (type locatie) (Observatie) | bc-DeliveryObservation | |||||||||
|
|
4194 | ObservatieDatumTijd | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4196 | WerkelijkePlaatsBaringWaarde | bc-DeliveryObservation | http://snomed.info/sct | 169812000 | geboorteplaats (waarneembare entiteit) | valueCodeableConcept | Werkelijke plaats baring 3.2 | ||||
|
|
4197 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4204 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4218 | Wijze Geboorte Placenta (Observatie) | bc-DeliveryObservation | |||||||||
|
|
4219 | ObservatieDatumTijd | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4221 | WijzeGeboortePlacentaWaarde | bc-DeliveryObservation | http://snomed.info/sct | 236994008 | geboorte van placenta (verrichting) | Geboorte Placenta 3.2 | |||||
|
|
4222 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4229 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4230 | Geboorte Placenta (Observatie) | bc-DeliveryObservation | |||||||||
|
|
4231 | ObservatieDatumTijd | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4233 | GeboortePlacentaWaarde | bc-DeliveryObservation | http://snomed.info/sct | 136311000146100 | datum en tijd van geboorte van placenta (waarneembare entiteit) | value | |||||
|
|
4234 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4241 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4242 | Placenta Compleet (Observatie) | bc-DeliveryObservation | |||||||||
|
|
4243 | ObservatieDatumTijd | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4245 | PlacentaCompleetWaarde | bc-DeliveryObservation | http://snomed.info/sct | 364343000 | compleetheid van placenta (waarneembare entiteit) | value | PlacentaCompleet (3.2) | ||||
|
|
4246 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4253 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4254 | Placenta PA? (Observatie) | bc-DeliveryObservation | |||||||||
|
|
4255 | ObservatieDatumTijd | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4257 | PlacentaPAWaarde | bc-DeliveryObservation | value | ||||||||
|
|
4258 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4265 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4266 | Testuitslag PA (Observatie) | bc-DeliveryObservation | |||||||||
|
|
4267 | ObservatieDatumTijd | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4269 | TestuitslagPAWaarde | bc-DeliveryObservation | value | ||||||||
|
|
4270 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4277 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4278 | Compleetheid Vliezen (Observatie) | bc-DeliveryObservation | |||||||||
|
|
4279 | ObservatieDatumTijd | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4281 | CompleetheidVliezenWaarde | bc-DeliveryObservation | http://snomed.info/sct | 364351002 | compleetheid van vruchtvliezen (waarneembare entiteit) | value | Compleetheid vliezen | ||||
|
|
4282 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4289 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
4290 | Navelstreng Vaten (Observatie) | bc-DeliveryObservation | |||||||||
|
|
4291 | ObservatieDatumTijd | bc-DeliveryObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4293 | NavelstrengVatenWaarde | bc-DeliveryObservation | http://snomed.info/sct | 249191003 | aantal bloedvaten in navelstreng (waarneembare entiteit) | value | Navelstreng vaten | ||||
|
|
4294 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4301 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
3967 | Hoeveelheid bloedverlies (Observatie) | bc-DeliveryObservation | |||||||||
|
|
3968 | ObservatieDatumTijd | bc-DeliveryObservation | effectiveDateTime | ||||||||
|
|
1751 | HoeveelheidBloedverliesWaarde | bc-DeliveryObservation | http://snomed.info/sct | 364332008 | bloedverlies durante partu (waarneembare entiteit) | valueQuantity | |||||
|
|
3969 | ObservatieMethode | bc-DeliveryObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
3970 | Toelichting | bc-DeliveryObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||