Gebz:V1.1 FHIR IG bc-PregnancyObservation
(Doorverwezen vanaf Gebz:FHIR IG bc-PregnancyObservation)
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 will follow.
(The values in column 'Code' can be found on Simplifier as a binding on the code on this profile.)
Dataset 2.3 mappings
| PWD 2.3 to FHIR | ||||||||||||
| Type | # | Concept | System | Code | Display | FHIR element | ValueSet | |||||
|
82501 | Afwijkende groei foetus | http://snomed.info/sct | 276604007 | Fetal growth abnormality (disorder) | valueCodeableConcept | Groei afwijkend | |||||
|
82524 | Intra-uteriene vruchtdood | valueBoolean | |||||||||
|
82525 | Vermoeden intra-uteriene vruchtdood? | valueBoolean | |||||||||
|
|
80623 | Wijze einde zwangerschap | urn:oid:2.16.840.1.113883.2.4.4.13 | EindeZw | Wijze einde zwangerschap | valueCodeableConcept | WijzeEindeZwangerschap | |||||
|
82337 | Definitieve à terme datum | urn:oid:2.16.840.1.113883.2.4.4.13 | EDDDef | Definitieve à terme datum | valueDateTime | ||||||
|
|
82314 | Diagnose | http://snomed.info/sct | 439401001 439401001 | Diagnosis (observable entity) Diagnosis (observable entity) | value[X] | ||||||
|
|
82317 | Gynaecologische aandoening | http://snomed.info/sct | 310789003 | Disorder of female genital tract (disorder) | valueCodeableConcept | Gynaecologische aandoeningen | |||||
|
|
82318 | Bloedverlies? | http://snomed.info/sct | 131148009 | Bleeding (finding) | valueBoolean | ||||||
|
|
82320 | Cervixinsufficiëntie? | http://snomed.info/sct | 17382005 | Cervical incompetence (disorder) | valueBoolean | ||||||
|
|
82321 | Infectie | http://snomed.info/sct | 40733004 | Infectious disease (disorder) | valueCodeableConcept | Infectie | |||||
|
|
82322 | Hyperemesis gravidarum? | http://snomed.info/sct | 14094001 | Excessive vomiting in pregnancy (disorder) | valueBoolean | ||||||
|
|
82323 | Hypertensieve aandoening | http://snomed.info/sct | 38341003 | Hypertensive disorder, systemic arterial (disorder) | valueCodeableConcept | Hypertensieve aandoening | |||||
|
|
82324 | Zwangerschapscholestase? | http://snomed.info/sct | 235888006 | Cholestasis of pregnancy (disorder) | valueBoolean | ||||||
|
|
82325 | Diabetes gravidarum met insuline? | http://snomed.info/sct | 46894009 | Gestational diabetes mellitus, class A>2< (disorder) | valueBoolean | ||||||
|
|
82326 | Afwijkende groei foetus | http://snomed.info/sct | 276604007 | Fetal growth abnormality (disorder) | valueCodeableConcept | Groei afwijkend | |||||
|
|
82327 | Dreigende partus immaturus? | urn:oid:2.16.840.1.113883.2.4.4.13 | PartusImmaturusDreig | Partus immaturus - dreigend | valueBoolean | ||||||
|
|
82328 | Dreigende partus prematurus? | urn:oid:2.16.840.1.113883.2.4.4.13 | PartusPrematurusDreig | Partus prematurus - dreigend | valueBoolean | ||||||
|
|
82329 | Abruptio placentae? | http://snomed.info/sct | 415105001 | Placental abruption (disorder) | valueBoolean | ||||||
|
|
82214 | Irregulaire antistoffen? | http://snomed.info/sct | 312457003 | Finding of irregular blood group antibody present (finding) | valueBoolean | ||||||
|
80617 | Aantal levende kinderen | http://snomed.info/sct | 143881000146107 | aantal levende nakomelingen (waarneembare entiteit) | valueQuantity | ||||||
|
|
82160 | Definitieve à terme datum | urn:oid:2.16.840.1.113883.2.4.4.13 | EDDDef | Definitieve à terme datum | valueDateTime | ||||||
|
|
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 | |||||
|
|
80746 | Leven voelen | http://snomed.info/sct | 364618000 | Pattern of fetal movement (observable entity) | valueCodeableConcept | Leven voelen | |||||
|
|
80613 | Intra-uteriene vruchtdood | http://snomed.info/sct | 59291004 | Undelivered in utero fetal death | |||||||
|
|
82435 | Vermoeden intra-uteriene vruchtdood? | http://snomed.info/sct | 139661000146100 | verdenking op intra-uteriene vruchtdood (situatie) | valueBoolean | ||||||
|
|
82436 | Vermoeden iuvd op basis van | method | IUVD methode | ||||||||
|
|
20670 | Maternale sterfte? | http://snomed.info/sct | 59283008 | maternale sterfte (gebeurtenis) | valueBoolean | ||||||
|
|
80625 | Wijze einde zwangerschap | urn:oid:2.16.840.1.113883.2.4.4.13 | EindeZw | Wijze einde zwangerschap | valueCodeableConcept | WijzeEindeZwangerschap | |||||
|
|
20540 | Datum einde zwangerschap | http://snomed.info/sct | 118951000146109 | datum van einde van zwangerschap (waarneembare entiteit) | valueDateTime | ||||||
|
|
82444 | Vermoeden intra-uteriene vruchtdood? | valueBoolean | |||||||||
|
|
82445 | Vermoeden iuvd op basis van | method | IUVD methode | ||||||||
|
|
20505 | Aantal geboren kinderen | http://snomed.info/sct | 118861000146102 | aantal geboren kinderen uit zwangerschap (waarneembare entiteit) | valueQuantity | ||||||
Dataset 3.2 mappings
| PWD 2.3 to FHIR | ||||||||||||
| Type | # | Concept | Reference | Profile | System | Code | Display | FHIR element | ValueSet | |||
|
|
3346 | ATermeDatumItems | bc-PregnancyObservation | |||||||||
|
|
3347 | ATermeDatum | bc-PregnancyObservation | http://snomed.info/sct | 161714006 | geschatte datum van partus (waarneembare entiteit) | valueDateTime | |||||
|
|
3348 | BepalingsMethode | bc-PregnancyObservation | method | BepalingsMethodeCodelijst | |||||||
|
|
3349 | DatumBepaling | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
1729 | Datum einde zwangerschap | bc-PregnancyObservation | http://snomed.info/sct | 118951000146109 | datum van einde van zwangerschap (waarneembare entiteit) | valueDateTime | |||||
|
|
2220 | Definitieve à terme datum (Observatie) | bc-PregnancyObservation | |||||||||
|
|
2221 | Definitieve à terme DatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
2223 | Definitieve à terme Waarde | bc-PregnancyObservation | http://snomed.info/sct | 147781000146105 | definitieve uitgerekende datum van partus (waarneembare entiteit) | valueDateTime | |||||
|
|
2224 | Definitieve à terme Methode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
2225 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1837 | Aantal foetussen (Observatie) | bc-PregnancyObservation | |||||||||
|
|
1838 | AantalFoetussenDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
1840 | AantalFoetussenWaarde | bc-PregnancyObservation | http://snomed.info/sct | 246435002 | aantal foetussen (waarneembare entiteit) | valueQuantity | |||||
|
|
1841 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
1843 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1711 | Meerling zwangerschap (Observatie) | bc-PregnancyObservation | |||||||||
|
|
1825 | MeerlingZwangerschapDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
2231 | TyperingGemellizwangerschapWaarde | bc-PregnancyObservation | http://snomed.info/sct | 65147003 | tweelingzwangerschap (aandoening) | valueCodeableConcept | TweelingzwangerschapType | ||||
|
|
1845 | Aantal foetussen (Observatie) | 1837 | bc-PregnancyObservation | ||||||||
|
|
1833 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
1826 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1734 | Aantal levende kinderen (Observatie) | bc-PregnancyObservation | |||||||||
|
|
1735 | AantalLevendeKinderenDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
1740 | AantalLevendeKinderenWaarde | bc-PregnancyObservation | http://snomed.info/sct | 143881000146107 | aantal levende nakomelingen (waarneembare entiteit) | valueQuantity | |||||
|
|
1736 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
1738 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1817 | Fetal loss (Observatie) | bc-PregnancyObservation | |||||||||
|
|
1818 | FetalLossDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
1820 | FetalLossWaarde | bc-PregnancyObservation | http://snomed.info/sct | 713651007 | voorgeschiedenis met zwangerschap met abortus als resultaat (situatie) | valueQuantity | |||||
|
|
1821 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
1824 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
7025 | Zwangerschapsduur | bc-PregnancyObservation | http://snomed.info/sct | 57036006 | zwangerschapsduur (waarneembare entiteit) | valueQuantity | |||||
|
|
2134 | Leven voelen (Observatie) | bc-PregnancyObservation | |||||||||
|
|
2135 | LevenVoelenDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
2137 | LevenVoelenWaarde | bc-PregnancyObservation | http://snomed.info/sct | 364618000 | bewegingspatroon van foetus (waarneembare entiteit) | valueCodeableConcept | Leven voelen | ||||
|
|
2138 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
2141 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1078 | Lichaamsgewicht | 1073 | bc-PregnancyObservation | ||||||||
|
|
1072 | Bloeddruk | 1060 | bc-PregnancyObservation | ||||||||
|
|
2143 | Actuele aantal levende foetus (Observatie) | bc-PregnancyObservation | |||||||||
|
|
2144 | ActueleAantalLevendeFoetusDatumTijd | bc-PregnancyObservation | effectiveDateTime | ||||||||
|
|
2146 | ActueelAantalLevendeFoetusWaarde | bc-PregnancyObservation | http://snomed.info/sct | 142931000146106 | aantal levende foetussen (waarneembare entiteit) | valueQuantity | |||||
|
|
2147 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
2150 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1847 | OverlijdensIndicator | bc-PregnancyObservation | http://snomed.info/sct | 59283008 397709008 | maternale sterfte (gebeurtenis) patiënt overleden (bevinding) | valueBoolean | |||||
|
|
1848 | DatumOverlijden | bc-PregnancyObservation | http://snomed.info/sct | 399753006 | datum van overlijden (waarneembare entiteit) | valueDateTime | |||||
|
|
4157 | TOP nav prenataal onderzoek? (Observatie) | bc-PregnancyObservation | |||||||||
|
|
4158 | ObservatieDatumTijd | bc-PregnancyObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effectiveDateTime | |||||
|
|
4160 | TOPnavPrenataalOnderzoekWaarde | bc-PregnancyObservation | http://snomed.info/sct | 386639001 | afbreken van zwangerschap (verrichting) | value | |||||
|
|
4161 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | ||||
|
|
4168 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||