Gebz:V1.2 FHIR IG bc-BirthObservation

1 bc-BirthObservation

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

Each Birth Observation must have:

• a subject, the woman giving birth
• a reference to the Delivery Procedure (the focus of the Observation): this Procedure will contain a reference to the child which is born
• 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-BirthObservation

1.2 Pattern

This is a patten for birth-related Observations in Birthcare. Not for observations related to the delivery. Note that the meta.profile element should at least include nl-core-observation and preferably bc-BirthObservation.

All FHIR instances which follow this pattern will be valid Birth 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-BirthObservation"/>
    </meta>
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
        <valueReference>
            <reference value="[[reference to the birth | Procedure/geboorte1-wouden]]" />
        </valueReference>
    </extension>
    <status value="final"/>
    <code>
        <coding>
            <system value="[[system, see below | http://snomed.info/sct]]"/>
            <code value="[[code, see below | 364336006"/>
            <display value="[[display, see below | Pattern of delivery (observable entity)]]"/>
        </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]]
    <valueCodeableConcept>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="3311000146109"/>
            <display value="Vaginale kunstverlossing"/>
        </coding>
    </valueCodeableConcept>
    [[/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
	80624	Type partus	http://snomed.info/sct	364336006	Pattern of delivery (observable entity)	valueCodeableConcept	TypePartus
	40280	Perinatale sterfte?	http://snomed.info/sct	10588007	perinatale sterfte (gebeurtenis)	valueBoolean
	40290	Fase perinatale sterfte	urn:oid:2.16.840.1.113883.2.4.4.13	FasePerinataleSterfte	Fase perinatale sterfte	valueCodeableConcept	Fase Perinatale Sterfte (2.2)
	40300	Datum/tijd vaststelling perinatale sterfte	http://snomed.info/sct	398299004 399753006	overlijdenstijd (waarneembare entiteit) datum van overlijden (waarneembare entiteit)	valueDateTime
	80619	Tijdstip breken vliezen	http://snomed.info/sct	289251005	Time rupture of membranes detected	valueDateTime
	20610	Kleur en consistentie vruchtwater	http://loinc.org	38386-9	Color of Amniotic fluid	valueCodableConcept	KleurVruchtwater
	30030	Tijdstip actief meepersen	urn:oid:2.16.840.1.113883.2.4.3.22.1.1	PRN530401	Tijdstip actief meepersen	valueDateTime
	82089	Ruggeprik gewenst, niet gekregen?	urn:oid:2.16.840.1.113883.2.4.4.13	RuggeprikGewNGekr	Ruggeprik gewenst niet gekregen	valueBoolean
	80626	Type partus	http://snomed.info/sct	364336006	Pattern of delivery (observable entity)	valueCode	TypePartus
	40140	Ligging bij geboorte	urn:oid:2.16.840.1.113883.2.4.3.22.1.1	LigGbrt	Ligging bij geboorte	valueCodeableConcept	LiggingBijGeboorte22

1.3.2 Dataset 3.2 mappings

PWD 2.3 to FHIR
Type	#	Concept	Reference	Profile	System	Code	Display	FHIR element	ValueSet
	4400	Type Partus (Observatie)	4144	bc-BirthObservation
	4108	Breken Vliezen (Observatie)		bc-BirthObservation
	4109	ObservatieDatumTijd		bc-BirthObservation	http://snomed.info/sct	439771001	datum van gebeurtenis (waarneembare entiteit)	effectiveDateTime
	4111	BrekenVliezenWaarde		bc-BirthObservation	http://snomed.info/sct	289251005	tijdstip waarop gebroken vliezen zijn geconstateerd (waarneembare entiteit)	valueCodeableConcept
	4112	ObservatieMethode		bc-BirthObservation	http://snomed.info/sct	260686004	methode (attribuut)	method	MeetMethode_GZ
	4119	Toelichting		bc-BirthObservation	http://loinc.org	48767-8	Annotation comment [Interpretation] Narrative	comment
	4120	Aard Vruchtwater (Observatie)		bc-BirthObservation
	4121	ObservatieDatumTijd		bc-BirthObservation	http://snomed.info/sct	439771001	datum van gebeurtenis (waarneembare entiteit)	effectiveDateTime
	4123	Aard Vruchtwater Waarde		bc-BirthObservation	http://snomed.info/sct	366334007	bevinding betreffende vruchtwater (bevinding)	valueCodeableConcept	KleurVruchtwater
	4124	ObservatieMethode		bc-BirthObservation	http://snomed.info/sct	260686004	methode (attribuut)	method	MeetMethode_GZ
	4131	Toelichting		bc-BirthObservation	http://loinc.org	48767-8	Annotation comment [Interpretation] Narrative	comment
	4132	Actief Meepersen (Observatie)		bc-BirthObservation
	4133	ObservatieDatumTijd		bc-BirthObservation	http://snomed.info/sct	439771001	datum van gebeurtenis (waarneembare entiteit)	effectiveDateTime
	4135	ActiefMeepersenWaarde		bc-BirthObservation				valueDateTime
	4136	ObservatieMethode		bc-BirthObservation	http://snomed.info/sct	260686004	methode (attribuut)	method	MeetMethode_GZ
	4143	Toelichting		bc-BirthObservation	http://loinc.org	48767-8	Annotation comment [Interpretation] Narrative	comment
	4144	Type Partus (Observatie)		bc-BirthObservation
	4145	ObservatieDatumTijd		bc-BirthObservation	http://snomed.info/sct	439771001	datum van gebeurtenis (waarneembare entiteit)	effectiveDateTime
	4147	TypePartusWaarde		bc-BirthObservation	http://snomed.info/sct	364336006	soort partus (waarneembare entiteit)	valueCodeableConcept	TypePartus
	4148	ObservatieMethode		bc-BirthObservation	http://snomed.info/sct	260686004	methode (attribuut)	method	MeetMethode_GZ
	4155	Toelichting		bc-BirthObservation	http://loinc.org	48767-8	Annotation comment [Interpretation] Narrative	comment