FHIR Implementation Guide: Pregnancy Card

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Note that this is draft material for use in the pilot of region Northern Netherlands

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Introduction

This page describes the process of collecting pregnancy data in a patient's personal health record (PHR). The process is initiated by the patient (pregnant woman).

This Implementation Guide (IG) is a technical representation of the functional design and follows the principles of the general use case overarching principles.

Technical details of the FHIR resources and structure definitions described in this IG can be found in the birthcare information standard and the Simplifier Geboortezorg STU3 project.

The technical specifications described in this IG are based on the PWD (Perinataal Woordenboek & Dataset) 3.2.

Actors involved

The table shows the relevant actors, systems and FHIR CapabilityStatements. The CapabilityStatements demonstrate the minimum conformance requirements for the described use cases.

Actors Systems FHIR CapabilityStatements
Name Description Name Description Name Description
Patient The user of a personal healthcare environment PHR Personal health record FHIR client/server requirements
Healthcare provider The user of a XIS XIS Healthcare information system

Boundaries and relationships

Go to Afsprakenstelsel
Go to Afsprakenstelsel

This FHIR implementation guide assumes that the PHR system is able to make a connection with the XIS and create resources. It does not provide information on finding the right XIS nor does it provide information about security. These infrastructure and interface specifications are described in the 'MedMij Afsprakenstelsel'.

The Pregnancy Card (gegevensdienst Integrale Zwangerschapskaart) has overlap with other standards such as the BgZ (basisgegevensset zorg), Medication Process, Vital Signs and Lab Results. The Pregnancy Card uses the same HCIM based FHIR profiles for exchanging information as used in other standards extended with additional birthcare specific profiles. Most of these birthcare specific profiles are derived from the base HCIM FHIR profiles. For example, the bc-Woman is in fact a nl-core-patient with additional specifications for relating the pregnant woman to the (unborn) child.

Use case: retrieve pregnancy card

This use case covers the process of retrieving.

PHR: request message

The PHR system requests the Pregnancy Card using individual search interactions. The Pregnancy Card consists of multiple FHIR resources with certain constraints. To obtain the patient's Pregnancy Card, the client can use multiple individual search operations based on specified [1] queries. The interactions are performed by an HTTP GET as shown:

GET [base]/[type]{?[parameters]}

List of requests

To retrieve all known data of the Pregnancy Card, a client has to execute the following requests: 

GET Patient
GET EpisodeOfCare?type=http://snomed.info/sct|364320009&status=active&_include=EpisodeOfCare:organization&_include=EpisodeOfCare:care-manager&_revinclude:iterate=PractitionerRole:practitioner
GET Condition?context=EpisodeOfCare/{dossier-id}
GET Encounter?episodeofcare={dossier-id}&_include=Encounter:participant:Practitioner
GET Observation?context=EpisodeOfCare/{dossier-id}
GET Procedure?context=EpisodeOfCare/{dossier-id}&_include=Procedure:performer

PWD to FHIR mapping table

The table below shows in the first three columns the PWD 3.2 data elements, in the fifth and sixth column their mapping to the FHIR profiles and in the last column the FHIR search queries to obtain the Integral Pregnancy Card information. These queries and expected responses are based on profiles listed in FHIR profiles.

The mapping table below is based on the corresponding ART-DECOR transaction MedMij 0.1 Beschikbaarstellen integrale zwangerschapskaart version 2021-04-06T15:01:01

PWD 3.2 to FHIR
Type # Concept Card Profile Mapping Search URL
1313 Administratief 1 .. 1
750    Contact 0 .. * bc-Encounter Encounter
  • GET [base]/Encounter
751       ContactType 1 .. 1 bc-Encounter Encounter.class
3690       ContactSoort 0 .. 1 bc-Encounter Encounter.type
752       ContactMet 0 .. 1 bc-Encounter Encounter.participant.individual
  • GET [base]/Encounter?_include=Encounter:participant:Practitioner
1868          Zorgverlener 0 .. 1 nl-core-practitioner Practitioner.participant.individual
  • GET [base]/Encounter?_include=Encounter:participant:Practitioner
754       Locatie 0 .. 1 bc-Encounter Encounter.serviceProvider
  • GET [base]/Encounter?_include=Encounter:service-provider:Organization
1881          Zorgaanbieder 0 .. 1 nl-core-organization Organization
  • GET [base]/Organization
756       BeginDatumTijd 1 .. 1 bc-Encounter Encounter.period.start
757       EindDatumTijd 1 .. 1 bc-Encounter Encounter.period.start
758       RedenContact 1 .. * bc-Encounter Encounter.diagnosis
  • GET [base]/Encounter?_include=Encounter:diagnosis:Condition
759          Probleem 0 .. 1 zib-Problem Condition
  • GET [base]/Encounter?_include=Encounter:diagnosis:Condition
1984             Vrouw/ moeder 0 .. 1 zib-Problem Condition.subject
3828                Probleem (Algemene anamnese) 0 .. 1 zib-Problem Condition
3831                Probleem (Psychiatrie) 0 .. 1 zib-Problem Condition
3829                Probleem (Sociale problemen) 0 .. 1 zib-Problem Condition
3832                Probleem (Misbruik/ Geweld) 0 .. 1 zib-Problem Condition
3830                Probleem (Zwangerschap) 0 .. 1 bc-DisorderOfPregnancy Condition
1928                Probleem (Maternaal) 0 .. 1 bc-DisorderPostPartum Condition
3833                Probleem (Postpartum complicatie) 0 .. 1 bc-DisorderPostPartum Condition
1985             Kind 0 .. 1 bc-DisorderOfChild Condition.subject
1981                Probleem (Kindspecifieke maternale problemen) 0 .. 1 bc-DisorderOfChild Condition.code
1983                Probleem (ProblematiekKind) 0 .. 1 bc-DisorderOfChild Condition
8781                Probleem (Geboortetrauma) 0 .. 1 bc-DisorderOfChild Condition
8782                Probleem (Congenitale aandoeningen) 0 .. 1 bc-DisorderOfChild Condition
8783                Probleem_Huid 0 .. 1 bc-DisorderOfChild Condition
8784                Probleem_Hoofd/Hals 0 .. 1 bc-DisorderOfChild Condition
8785                Probleem_Thorax 0 .. 1 bc-DisorderOfChild Condition
8786                Probleem_Abdomen 0 .. 1 bc-DisorderOfChild Condition
8787                Probleem_Rug 0 .. 1 bc-DisorderOfChild Condition
8788                Probleem_Extremiteiten 0 .. 1 bc-DisorderOfChild Condition
8789                Probleem_Genitalia 0 .. 1 bc-DisorderOfChild Condition
8790                Probleem_Neurologie 0 .. 1 bc-DisorderOfChild Condition
10682                Probleem (OpnameIndicatie_LNR) 0 .. 1 nvt
10683                   ProbleemAnatomischeLocatie 0 .. 1 bc-DisorderOfChild Condition.bodySite
10684                   ProbleemLateraliteit 0 .. 1 bc-DisorderOfChild Condition.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
10685                   ProbleemType 0 .. 1 bc-DisorderOfChild Condition.category
10686                   ProbleemNaam 0 .. 1 bc-DisorderOfChild Condition.code
10687                   ProbleemBeginDatum 0 .. 1 bc-DisorderOfChild Condition.onsetDateTime:onsetDateTime
10688                   ProbleemEindDatum 0 .. 1 bc-DisorderOfChild Condition.abatementDateTime:abatementDateTime
10689                   ProbleemStatus 0 .. 1 bc-DisorderOfChild Condition.clinicalStatus
10690                   VerificatieStatus 0 .. 1 bc-DisorderOfChild Condition.verificationStatus
10691                   Toelichting 0 .. 1 bc-DisorderOfChild Condition.note
769          Verrichting 0 .. 1 nl-core-procedure Procedure
1986             Vrouw/ moeder 0 .. 1 nl-core-procedure Procedure.subject
3834                Verrichting (Algemene anamnese) 0 .. 1 bc-ObstetricProcedure Procedure
3835                Verrichting (Zwangerschap) 0 .. 1 bc-ObstetricProcedure Procedure
1970                Verrichting (Maternaal) 0 .. 1 bc-ObstetricProcedure Procedure
3836                Verrichting (Onderzoek) 0 .. 1 bc-ObstetricProcedure Procedure
3837                Verrichting (Postpartum complicatie) 0 .. 1 bc-ObstetricProcedure Procedure
1987             Kind 0 .. 1
1982                Verrichting (Kindspecifieke maternale verrichtingen) 0 .. 1 bc-ObstetricProcedure Procedure
8791                Verrichting (Ondersteuning opvang) 0 .. 1 bc-ObstetricProcedure Procedure
8792                Chirurgische ingrepen (Verrichting) 0 .. 1 bc-ObstetricProcedure Procedure
8793                Verrichting (Problematiek kind) 0 .. 1 bc-ObstetricProcedure Procedure
763          AfwijkendeUitslag 0 .. 1 bc-Encounter Encounter.reason.text
8780          Toelichting reden contact 0 .. 1 bc-Encounter Encounter.reason.text
764       Herkomst 0 .. 1 bc-Encounter Encounter.hospitalization.admitSource
765       Bestemming 0 .. 1 bc-Encounter Encounter.hospitalization.dischargeDisposition
675    Patient 1 .. * nl-core-patient Patient*
  • GET [base]/Patient/[patientid]
  • GET [base]/Patient?_id=[patientid or childid]
3197       Naamgegevens 1 .. 1 nl-core-patient Patient.name
3198          Voornamen 0 .. 1 nl-core-patient Patient.name.given
3199          Initialen 0 .. 1 nl-core-patient Patient.name.given
3200          Roepnaam 0 .. 1 nl-core-patient Patient.name.given
3201          Naamgebruik 0 .. 1 nl-core-patient Patient.name.use
3202          Geslachtsnaam 0 .. 1 nl-core-patient Patient.name.family:humannameOwnName
3203             Voorvoegsels 0 .. 1 nl-core-patient Patient.name.family:humannameOwnPrefix
3204             Achternaam 1 .. 1 nl-core-patient Patient.name.family:humannameOwnName
3205          GeslachtsnaamPartner 0 .. 1 nl-core-patient Patient.name.family:humannamePartnerName
3206             VoorvoegselsPartner 0 .. 1 nl-core-patient Patient.name.family:humannamePartnerPrefix
3207             AchternaamPartner 1 .. 1 nl-core-patient Patient.name.family:humannamePartnerName
3208       Adresgegevens 0 .. * nl-core-patient Patient.address
3209          Straat 0 .. 1 nl-core-patient Patient.address.line.streetName
3210          Huisnummer 0 .. 1 nl-core-patient Patient.address.line.houseNumber
3211          Huisnummerletter 0 .. 1 nl-core-patient Patient.address.line.buildingNumbersuffix
3212          Huisnummertoevoeging 0 .. 1 nl-core-patient Patient.address.line.additionalLocator
3213          AanduidingBijNummer 0 .. 1 nl-core-patient Patient.address.line.additionalLocator
3214          Postcode 0 .. 1 nl-core-patient Patient.address.postalCode
3215          Woonplaats 0 .. 1 nl-core-patient Patient.address.city
3216          Gemeente 0 .. 1 nl-core-patient Patient.address.district
3217          Land 0 .. 1 nl-core-patient Patient.address.country
3218          AdditioneleInformatie 0 .. 1 nl-core-patient Patient.address
3219          AdresSoort 0 .. 1 nl-core-patient Patient.address.use
3220       Contactgegevens 0 .. 1 nl-core-patient Patient.telecom
3221          Telefoonnummers 0 .. * nl-core-patient Patient.telecom.value
3222             Telefoonnummer 0 .. 1 nl-core-patient Patient.telecom.value
3223             TelecomType 0 .. 1 nl-core-patient Patient.telecom:extension:TelecomType
3224             NummerSoort 0 .. 1 nl-core-patient Patient.telecom.use
3225          EmailAdressen 0 .. * nl-core-patient Patient.telecom.value
3226             EmailAdres 0 .. 1 nl-core-patient Patient.telecom.value
3227             EmailSoort 0 .. 1 nl-core-patient Patient.telecom.use
682       Identificatienummer 0 .. * nl-core-patient Patient.identifier
683       Geboortedatum 0 .. 1 nl-core-patient Patient.birthDate
684       Geslacht (administratief) 1 .. 1 nl-core-patient Patient.gender
10776       Geslacht (identiteit) 0 .. 1 bc-Woman Patient.extension:genderIdentity
685       MeerlingIndicator 0 .. 1 nl-core-patient Patient.multipleBirthBoolean
3358       Rangnummer 0 .. 1 nl-core-patient Patient.multipleInteger
686       OverlijdensIndicator 0 .. 1 nl-core-patient Patient.deceasedBoolean
687       DatumOverlijden 0 .. 1 nl-core-patient Patient.deceasedDateTime
956    Zorgaanbieder 1 .. * nl-core-organization Organization
  • GET [base]/EpisodeOfCare?_id=[id for pregnancy episode]&_include=EpisodeOfCare:organization
957       ZorgaanbiederIdentificatienummer 1 .. * nl-core-organization Organization.identifier
958       OrganisatieNaam 1 .. 1 nl-core-organization Organization.name
3236       Adresgegevens 0 .. 1 nl-core-organization Organization.address
3237          Straat 0 .. 1 nl-core-organization Organization.address.line.streetName
3238          Huisnummer 0 .. 1 nl-core-organization Organization.address.line.houseNumber
3239          Huisnummerletter 0 .. 1 nl-core-organization Organization.address.line:extension:buildingNumbersuffix
3240          Huisnummertoevoeging 0 .. 1 nl-core-organization Organization.address.line:extension:buildingNumbersuffix
3241          AanduidingBijNummer 0 .. 1 nl-core-organization Organization.address.line:extension:additionalLocator
3242          Postcode 0 .. 1 nl-core-organization Organization.address.postalCode
3243          Woonplaats 0 .. 1 nl-core-organization Organization.address.city
3244          Gemeente 0 .. 1 nl-core-organization Organization.address.district
3245          Land 0 .. 1 nl-core-organization Organization.address.country
3246          AdditioneleInformatie 0 .. 1 nl-core-organization Organization.address.line.extension
3247          AdresSoort 0 .. 1 nl-core-organization Organization.address.use/.type (via conceptMap)
965       OrganisatieType 1 .. 1 nl-core-organization Organization.type
978    Zorgverlener 1 .. * nl-core-practitioner Practitioner
  • GET [base]/EpisodeOfCare?_id=[id for pregnancy episode]&_include=EpisodeOfCare:care-manager
979       ZorgverlenerIdentificatienummer 1 .. * nl-core-practitioner Practitioner.identifier
3248       Naamgegevens 1 .. 1 nl-core-practitioner Practitioner.name
3249          Voornamen 0 .. 1 nl-core-practitioner Practitioner.name.given
3250          Initialen 0 .. 1 nl-core-practitioner Practitioner.name.given
3251          Roepnaam 0 .. 1 nl-core-practitioner Practitioner.name.given
3252          Naamgebruik 0 .. 1 nl-core-practitioner Practitioner.name:extension:humannameAssemblyOrder
3253          Geslachtsnaam 1 .. 1 nl-core-practitioner Practitioner.name.family:extension:humannameOwnName
3254             Voorvoegsels 0 .. 1 nl-core-practitioner Practitioner.name.family:extension:humannameOwnPrefix
3255             Achternaam 1 .. 1 nl-core-practitioner Practitioner.name.family:extension:humanNameOwnName
3256          GeslachtsnaamPartner 0 .. 1 nl-core-practitioner Practitioner.name.family:extension:humannamePartnerName
3257             VoorvoegselsPartner 0 .. 1 nl-core-practitioner Practitioner.name.family:extension:humannamePartnerPrefix
3258             AchternaamPartner 0 .. 1 nl-core-practitioner Practitioner.name.family:extension:humannamePartnerName
2219       Specialisme 1 .. 1 nl-core-practitionerrole PractitionerRole.specialty
3271       Contactgegevens 0 .. 1 nl-core-practitioner Practitioner.telecom
3272          Telefoonnummers 0 .. * nl-core-practitioner Practitioner.telecom.value
3273             Telefoonnummer 1 .. 1 nl-core-practitioner Practitioner.telecom.value
3274             TelecomType 1 .. 1 nl-core-practitioner Practitioner.telecom:extension:TelecomType
1678       Zorgaanbieder 0 .. 1 nl-core-organization Organization
989       ZorgverlenersRol 0 .. 1 nl-core-practitionerrole PractitionerRole
1314 Zorgverlening 1 .. * nvt
3399    ZorgEpisode 1 .. * bc-MaternalRecord EpisodeOfCare
  • GET [base]/EpisodeOfCare?type=http://snomed/info/sct |364320009&patient=[patientid]&status=[active/inactive]{&_include=EpisodeOfCare:organization&_include=EpisodeOfCare:care-manager}
  • GET [base]/EpisodeOfCare?_id=[id for pregnancy episode]
3400       BeginDatum 0 .. 1 bc-MaternalRecord EpisodeOfCare.period.start
3401       EindDatum 0 .. 1 bc-MaternalRecord EpisodeOfCare.period.end
674 Vrouw 1 .. 1 bc-Woman Patient
  • GET [base]/Patient/[patientid]
  • GET [base]/Patient?_id=[patientid]
1713    Demografische gegevens 1 .. 1 bc-Woman Patient
1434       Patient 1 .. 1 bc-Woman Patient
1127    Bloedonderzoek 0 .. * zib-LaboratoryTestResult-Observation Observation
1139       LaboratoriumTest_Bloedgroep 0 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueCodeableConcept
1151       LaboratoriumTest_Rhesus D 0 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueCodeableConcept
1163       LaboratoriumTest_Rhesus c 0 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueCodeableConcept
25 Zwangerschapsgegevens 1 .. 1 bc-MaternalRecord EpisodeOfCare
  • GET [base]/EpisodeOfCare?type=http://snomed/info/sct |364320009&patient=[patientid]&status=[active/inactive]{&_include=EpisodeOfCare:organization&_include=EpisodeOfCare:care-manager}
  • GET [base]/EpisodeOfCare?_id=[id for pregnancy episode]
1699    Coördinerend zorgverlener 1 .. 1 bc-MaternalRecord EpisodeOfCare.careManager
9662       Zorgverlener 1 .. 1 nl-core-practitioner Practitioner
3341    Zwangerschap 1 .. 1 zib-Pregnancy Condition
3342       Zwangerschapsduur 1 .. 1 zib-Pregnancy-PregnancyDuration Observation.value[x]:valueQuantity
3343       Pariteit 1 .. 1 zib-Pregnancy-Parity Observation.value[x]:valueQuantity
  • GET [base]/Observation?context=[id for pregnancy episode]{&code=http://loinc.org |11977-6}
3344       Graviditeit 1 .. 1 zib-Pregnancy-Gravidity Observation.value[x]:valueQuantity
  • GET [base]/Observation?context=[id for pregnancy episode]{&code=http://loinc.org |11996-6}
3345       Toelichting 0 .. 1 zib-Pregnancy Condition.note
3346       ATermeDatumItems 1 .. * bc-PregnancyObservation Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode]{&code=http://snomed.info/sct |161714006}
3347          ATermeDatum 1 .. 1 bc-PregnancyObservation Observation.value[x]:valueDateTime
3348          BepalingsMethode 1 .. 1 bc-PregnancyObservation Observation.method
3349          DatumBepaling 1 .. 1 bc-PregnancyObservation Observation.effective[x]:effectiveDateTime
3350          DatumLaatsteMenstruatie 1 .. 1 zib-Pregnancy-DateLastMenstruation Observation.value[x]:valueDateTime
1729       Datum einde zwangerschap 0 .. * bc-PregnancyObservation Observation.value[x]:valueDateTime
2220    Definitieve à terme datum (Observatie) 0 .. 1 bc-PregnancyObservation Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode]{&code=http://snomed.info/sct |147781000146105}
2221       Definitieve à terme DatumTijd 0 .. 1 bc-PregnancyObservation Observation.effective[x]:effectiveDateTime
2223       Definitieve à terme Waarde 1 .. 1 bc-PregnancyObservation Observation.value[x]:valueDateTime
2224       Definitieve à terme Methode 0 .. 1 bc-PregnancyObservation Observation.method
2225       Toelichting 0 .. 1 bc-PregnancyObservation Observation.comment
1837    Aantal foetussen (Observatie) 1 .. 1 bc-PregnancyObservation Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode]{&code=http://snomed.info/sct |65147003}
1838       AantalFoetussenDatumTijd 0 .. 1 bc-PregnancyObservation Observation.effective[x]:effectiveDateTime
1840       AantalFoetussenWaarde 1 .. 1 bc-PregnancyObservation Observation.value[x]:valueQuantity
1841       ObservatieMethode 0 .. 1 bc-PregnancyObservation Observation.method
1843       Toelichting 0 .. 1 bc-PregnancyObservation Observation.comment
1711    Meerling zwangerschap (Observatie) 0 .. 1 bc-PregnancyObservation Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode]{&code=http://snomed.info/sct |65147003}
1825       MeerlingZwangerschapDatumTijd 0 .. 1 bc-PregnancyObservation Observation.effective[x]:effectiveDateTime
2231       TyperingGemellizwangerschapWaarde 1 .. 1 bc-PregnancyObservation Observation.value[x]:valueCodeableConcept
1845       Aantal foetussen (Observatie) 1 .. 1 bc-PregnancyObservation Observation.related.target
1833       ObservatieMethode 0 .. 1 bc-PregnancyObservation Observation.method
1826       Toelichting 0 .. 1 bc-PregnancyObservation Observation.comment
1734    Aantal levende kinderen (Observatie) 0 .. 1 bc-PregnancyObservation Observation
  • GET [base}/Observation?context=EpisodeOfCare/[id for pregnancy episode]{&code=http://snomed.info/sct |143881000146107}
1735       AantalLevendeKinderenDatumTijd 0 .. 1 bc-PregnancyObservation Observation.effective[x]:effectiveDateTime
1740       AantalLevendeKinderenWaarde 1 .. 1 bc-PregnancyObservation Observation.value[x]:valueQuantity
1736       ObservatieMethode 0 .. 1 bc-PregnancyObservation Observation.method
1738       Toelichting 0 .. 1 bc-PregnancyObservation Observation.comment
1817    Fetal loss (Observatie) 0 .. 1 bc-PregnancyObservation Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode]{&code=http://snomed.info/sct |713651007}
1818       FetalLossDatumTijd 0 .. 1 bc-PregnancyObservation Observation.effective[x]:effectiveDateTime
1820       FetalLossWaarde 1 .. 1 bc-PregnancyObservation Observation.value[x]:valueQuantity
1821       ObservatieMethode 0 .. 1 bc-PregnancyObservation Observation.method
1824       Toelichting 0 .. 1 bc-PregnancyObservation Observation.comment
1742    Foliumzuurgebruik (Observatie) 0 .. 1 bc-MaternalObservation Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode]{&code=http://snomed.info/sct |792807003}
1743       FoliumzuurgebruikDatumTijd 0 .. 1 bc-MaternalObservation Observation.effective[x]:effectiveDateTime
1745       FoliumzuurgebruikWaarde 1 .. 1 bc-MaternalObservation Observation.value[x]:valueCodeableConcept
1746       ObservatieMethode 0 .. 1 bc-MaternalObservation Observation.method
1749       Toelichting 0 .. 1 bc-MaternalObservation Observation.comment
111    Prenatale controle 0 .. * bc-Encounter Encounter
  • GET [base]/Encounter?type=http://snomed.info/sct |18114009&episodeofcare=[id for pregnancy episode]&_include=Encounter:participant:Practitioner
10520       Contact 0 .. 1 bc-Encounter Encounter
7025       Zwangerschapsduur 0 .. 1 zib-Pregnancy-PregnancyDuration Observation.value[x]:valueQuantity
2134       Leven voelen (Observatie) 0 .. 1 bc-PregnancyObservation Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode],Encounter/[prenatal visit id]{&code=http://snomed.info/sct |364618000}
2135          LevenVoelenDatumTijd 1 .. 1 bc-PregnancyObservation Observation.effective[x]:effectiveDateTime
2137          LevenVoelenWaarde 1 .. 1 bc-PregnancyObservation Observation.value[x]:valueCodeableConcept
2138          ObservatieMethode 0 .. 1 bc-PregnancyObservation Observation.method
2141          Toelichting 0 .. 1 bc-PregnancyObservation Observation.comment
1078       Lichaamsgewicht 0 .. 1 bc-PregnancyObservation Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode],Encounter/[prenatal visit id]{&code=http://loinc.org |29463-7}
1072       Bloeddruk 0 .. 1 bc-PregnancyObservation Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode],Encounter/[prenatal visit id]{&code=http://loinc.org |85354-9}
121       AlcoholGebruik 0 .. 1 zib-AlcoholUse Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode],Encounter/[prenatal visit id]{&code=http://snomed.info/sct |228273003}
122          Toelichting 0 .. 1 zib-AlcoholUse Observation.comment
123          AlcoholGebruikStatus 0 .. 1 zib-AlcoholUse Observation.value[x]:valueCodeableConcept
124          WaarnemingGebruik 0 .. 1 zib-AlcoholUse Observation.effectivePeriod
125             StartDatum 0 .. 1 zib-AlcoholUse Observation.effective[x]:effectivePeriod.start
126             StopDatum 0 .. 1 zib-AlcoholUse Observation.effective[x]:effectivePeriod.end
127             Hoeveelheid 0 .. 1 zib-AlcoholUse Observation.component:amount.valueQuantity
112       DrugsGebruik 0 .. * zib-DrugUse Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode],Encounter/[prenatal visit id]{&code=http://snomed.info/sct |228366006}
117          Toelichting 0 .. 1 zib-DrugUse Observation.comment
119          DrugsGebruikStatus 0 .. 1 zib-DrugUse Observation.value[x]:valueCodeableConcept
118          DrugsOfGeneesmiddelSoort 0 .. 1 zib-DrugUse Observation.component:DrugOrMedicationType.valueCodeableConcept
120          Toedieningsweg 0 .. 1 zib-DrugUse Observation.component:RouteOfAdministration.valueCodeableConcept
113          WaarnemingGebruik 0 .. 1 zib-DrugUse Observation.effectivePeriod
114             StartDatum 0 .. 1 zib-DrugUse Observation.effective[x]:effectivePeriod.start
115             StopDatum 0 .. 1 zib-DrugUse Observation.effective[x]:effectivePeriod.end
116             Hoeveelheid 0 .. 1 zib-DrugUse Observation.component:amount.valueQuantity
2243       TabakGebruik 0 .. * zib-TobaccoUse Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode],Encounter/[prenatal visit id]{&code=http://snomed.info/sct |365980008}
2244          Toelichting 0 .. 1 zib-TobaccoUse Observation.comment
2246          TabakGebruikStatus 0 .. 1 zib-TobaccoUse Observation.value[x]:valueCodeableConcept
2245          SoortTabakGebruik 0 .. 1 zib-TobaccoUse Observation.component:TypeOfTobaccoUsed.valueCodeabelConcet
2247          WaarnemingGebruik 0 .. 1 zib-TobaccoUse Observation.effectivePeriod
2248             StartDatum 0 .. 1 zib-TobaccoUse Observation.effective[x]:effectivePeriod.start
2249             StopDatum 0 .. 1 zib-TobaccoUse Observation.effective[x]:effectivePeriod.end
2250             Hoeveelheid 0 .. 1 zib-TobaccoUse Observation.component:amount.valueQuantity
2251             PackYears 0 .. 1 zib-TobaccoUse Observation.component:PackYears.valueQuantity
1775       Uitwendig onderzoek 0 .. * nvt
10521          Bevindingen Moeder 0 .. 1 bc-MaternalObservation Observation
3415             Fundushoogte (Meting) 0 .. 1 bc-MaternalObservation Observation
3417                FundushoogteWaarde 0 .. 1 bc-MaternalObservation Observation.value[x]:valueQuantity
3418                MeetMethode 0 .. 1 bc-MaternalObservation Observation.method
3421                MeetDatumBeginTijd 0 .. 1 bc-MaternalObservation Observation.effective[x]:effectivePeriod.start
3422                MeetDatumEindTijd 0 .. 1 bc-MaternalObservation Observation.effective[x]:effectivePeriod.end
3423                Toelichting 0 .. 1 bc-MaternalObservation Observation.comment
3424                AnatomischeLocatieMeting 0 .. 1 bc-MaternalObservation Observation.bodySite
3425                   Locatie 0 .. 1 bc-MaternalObservation Observation.bodySite
4048             Fundusstand (Meting) 0 .. 1 bc-FetusObservation Observation
4050                FundusstandWaarde 0 .. 1 bc-FetusObservation Observation.value[x]:valueCodeableConcept
4051                MeetMethode 0 .. 1 bc-FetusObservation Observation.method
4054                MeetDatumBeginTijd 0 .. 1 bc-FetusObservation Observation.effective[x]:effectivePeriod.start
4055                MeetDatumEindTijd 0 .. 1 bc-FetusObservation Observation.effective[x]:effectivePeriod.end
4056                Toelichting 0 .. 1 bc-FetusObservation Observation.comment
4057                AnatomischeLocatieMeting 0 .. 1 bc-FetusObservation Observation.bodySite
4058                   Locatie 0 .. 1 bc-FetusObservation Observation.bodySite
10522          Bevindingen Foetus 0 .. * bc-FetusObservation Observation
4060             LiggingFoetus (Meting) 1 .. * bc-FetusObservation Observation
4062                LiggingFoetusWaarde 1 .. 1 bc-FetusObservation Observation.value[x]:valueCodeableConcept
4066                MeetDatumBeginTijd 1 .. 1 bc-FetusObservation Observation.effective[x]:effectivePeriod.start
4067                MeetDatumEindTijd 0 .. 1 bc-FetusObservation Observation.effective[x]:effectivePeriod.end
4069                AnatomischeLocatieMeting 1 .. 1 bc-FetusObservation Observation.bodySite
4070                   Locatie 1 .. 1 bc-FetusObservation Observation.bodySite
4072             IndalingFoetus(Meting) 1 .. * bc-FetusObservation Observation
4074                IndalingFoetusWaarde 1 .. 1 bc-FetusObservation Observation.value[x]:valueCodeableConcept
4078                MeetDatumBeginTijd 1 .. 1 bc-FetusObservation Observation.effective[x]:effectivePeriod.start
4079                MeetDatumEindTijd 0 .. 1 bc-FetusObservation Observation.effective[x]:effectivePeriod.end
4081                AnatomischeLocatieMeting 1 .. 1 bc-FetusObservation Observation.bodySite
4082                   Locatie 1 .. 1 bc-FetusObservation Observation.bodySite
1776             Foetale hartslag (Hartfrequentie) 0 .. * bc-FetalHeartRate Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode],Encounter/[prenatal visit id]&code=http://snomed.info/sct |249043002}
1778                HartfrequentieDatumTijd 0 .. 1 bc-FetalHeartRate Observation.effective[x]:effectiveDateTime
1777                HartfrequentieWaarde 1 .. 1 bc-FetalHeartRate Observation.value[x]:valueQuantity
1779                HartslagMeetMethode 0 .. 1 bc-FetalHeartRate Observation.method
1781                HartslagRegelmatigheid 1 .. 1 bc-FetalHeartRate Observation.component:heartRateRegularity.value[x]:valueCodeableConcept
1782                InterpretatieFrequentie 1 .. 1 bc-FetalHeartRate Observation.interpretation
1780                Toelichting 0 .. 1 bc-FetalHeartRate Observation.comment
1180    Probleem (Zwangerschap) 0 .. * bc-DisorderOfPregnancy Condition
  • GET [base]/Condition?category=http://snomed.info/sct |173300003&context=EpisodeOfCare/[id for pregnancy episode]
1181       ProbleemAnatomischeLocatie 0 .. 1 bc-DisorderOfPregnancy Condition.bodySite
1182       ProbleemLateraliteit 0 .. 1 bc-DisorderOfPregnancy Condition.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
1183       ProbleemType 0 .. 1 bc-DisorderOfPregnancy Condition.category
1184       ProbleemNaam 1 .. 1 bc-DisorderOfPregnancy Condition.code
8654       Ernst oedeem 1 .. 1 bc-DisorderOfPregnancy Condition.severity
7894       Vermoeden iuvd op basis van 1 .. 1 bc-DisorderOfPregnancy Condition.evidence.code
1185       ProbleemBeginDatum 0 .. 1 bc-DisorderOfPregnancy Condition.onsetDateTime:onsetDateTime
1186       ProbleemEindDatum 0 .. 1 bc-DisorderOfPregnancy Condition.abatementDateTime:abatementDateTime
3409       Zwangerschapsduur 1 .. 1 zib-Pregnancy-PregnancyDuration Observation.value[x]:valueQuantity
1187       ProbleemStatus 1 .. 1 bc-DisorderOfPregnancy Condition.clinicalStatus
1188       VerificatieStatus 0 .. 1 bc-DisorderOfPregnancy Condition.verificationStatus
1189       Toelichting 0 .. 1 bc-DisorderOfPregnancy Condition.note
1190    Verrichting (Zwangerschap) 0 .. * bc-ObstetricProcedure Procedure
  • GET [base]/Procedure?category=http://snomed.info/sct |386637004&context=EpisodeOfCare/[id for pregnancy episode]
1191       VerrichtingStartDatum 0 .. 1 bc-ObstetricProcedure Procedure.performed[x]:performedPeriod.start
1192       VerrichtingEindDatum 0 .. 1 bc-ObstetricProcedure Procedure.performed[x]:performedPeriod.end
3408       Zwangerschapsduur 0 .. 1 zib-Pregnancy-PregnancyDuration Observation.value[x]:valueQuantity
1193       VerrichtingAnatomischeLocatie 0 .. 1 bc-ObstetricProcedure Procedure.bodySite
1194       VerrichtingLateraliteit 0 .. 1 bc-ObstetricProcedure Procedure.bodySite.extension:ProcedureLaterality.valueCodeableConcept:valueCodeableConcept
1195       Indicatie 0 .. * bc-ObstetricProcedure Procedure.reasonReference
1207          Probleem (Zwangerschap) 0 .. 1 bc-ObstetricProcedure Procedure.reasonReference
1197       VerrichtingType 1 .. 1 bc-ObstetricProcedure Procedure.code
1198       VerrichtingMethode 0 .. * bc-ObstetricProcedure Procedure.extension:procedureMethod
1199       MedischHulpmiddel 0 .. * bc-ObstetricProcedure Procedure.focalDevice.manipulated
10433          MedischHulpmiddel 0 .. 1 zib-MedicalDeviceProduct Device
1201       Locatie 0 .. 1 bc-ObstetricProcedure Procedure.performer
1312          Zorgaanbieder 0 .. 1 bc-ObstetricProcedure Procedure.performer
1203       Uitvoerder 0 .. * bc-ObstetricProcedure Procedure.performer
1310          Zorgverlener 0 .. 1 bc-ObstetricProcedure Procedure.performer
1205       Aanvrager 0 .. * zib-ProcedureRequest ProcedureRequest.requester
1311          Zorgverlener 0 .. 1 zib-ProcedureRequest ProcedureRequest.requester
37 Bevalling 0 .. 1 bc-DeliveryProcedure Procedure
3411    Partusnummer 0 .. 1 bc-DeliveryProcedure Procedure.identifier
10694    Zwangerschapsduur 1 .. 1 zib-Pregnancy-PregnancyDuration Observation.value[x]:valueQuantity
1564    Probleem (Maternaal) 0 .. * bc-DisorderOfLaborAndDelivery Condition
  • GET [base]/Condition?category=http://snomed.info/sct |362972006&context=EpisodeOfCare/[id for pregnancy episode]
1565       ProbleemAnatomischeLocatie 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.bodySite
1566       ProbleemLateraliteit 0 .. 1 bc-DisorderOfLaborAndDelivery Condition
1567       ProbleemType 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.category
1568       ProbleemNaam 1 .. 1 bc-DisorderOfLaborAndDelivery Condition.code
7917       Vermoeden iuvd op basis van 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.evidence.code
1569       ProbleemBeginDatum 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.onsetDateTime:onsetDateTime
1570       ProbleemEindDatum 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.abatementDateTime:abatementDateTime
3412       Zwangerschapsduur 1 .. 1 zib-Pregnancy-PregnancyDuration Observation
1571       ProbleemStatus 1 .. 1 bc-DisorderOfLaborAndDelivery Condition.clinicalStatus
1572       VerificatieStatus 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.verificationStatus
1573       Toelichting 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.note
1547    Verrichting (Maternaal) 0 .. * bc-ObstetricProcedure Procedure
  • GET [base]/Procedure?context=EpisodeOfCare/[id for pregnancy episode]&part-of[delivery procedure id]
1548       VerrichtingStartDatum 0 .. 1 bc-ObstetricProcedure Procedure.performed[x]:performedPeriod.start
1549       VerrichtingEindDatum 0 .. 1 bc-ObstetricProcedure Procedure.performed[x]:performedPeriod.end
3413       Zwangerschapsduur 0 .. 1 zib-Pregnancy-PregnancyDuration Observation
1550       VerrichtingAnatomischeLocatie 0 .. 1 bc-ObstetricProcedure Procedure.bodySite
1551       VerrichtingLateraliteit 0 .. 1 bc-ObstetricProcedure Procedure.bodySite.extension:ProcedureLaterality.valueCodeableConcept:valueCodeableConcept
1552       Indicatie 0 .. * bc-ObstetricProcedure Procedure.reasonReference
1583          Probleem (Maternaal) 0 .. 1 bc-ObstetricProcedure Procedure.reasonReference
1554       VerrichtingType 1 .. 1 bc-ObstetricProcedure Procedure.code
10280       Moment amniotomie 0 .. 1 bc-ObstetricProcedure Procedure.extension:partusPhase
1555       VerrichtingMethode 0 .. * bc-ObstetricProcedure Procedure.extension:procedureMethod
1556       MedischHulpmiddel 0 .. * bc-ObstetricProcedure Procedure.focalDevice
10434          MedischHulpmiddel 0 .. 1 zib-MedicalDeviceProduct Device
1558       Locatie 0 .. 1 bc-ObstetricProcedure Procedure.performer
10435          Zorgaanbieder 0 .. 1 nl-core-organization Organization
1560       Uitvoerder 0 .. * bc-ObstetricProcedure Procedure.performer
10436          Zorgverlener 0 .. 1 nl-core-practitioner Practitioner
1562       Aanvrager 0 .. * zib-ProcedureRequest ProcedureRequest.requester
10438          Zorgverlener 0 .. 1 nl-core-practitioner Practitioner
38    Ontsluitingsfase 0 .. 1 nvt
4084       Actieve Ontsluiting (Observatie) 1 .. 1 bc-DeliveryObservation Observation.code
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode]{&code=http://snomed.info/sct |439771001}
4085          ObservatieDatumTijd 0 .. 1 bc-DeliveryObservation Observation.effective[x]:effectiveDateTime
4087          BeginActieveOntsluitingWaarde 1 .. 1 bc-DeliveryObservation Observation.value[x]:valueDateTime
4088          ObservatieMethode 0 .. 1 bc-DeliveryObservation Observation.method
4095          Toelichting 0 .. 1 bc-DeliveryObservation Observation.comment
4096       Wijze Begin Baring (Observatie) 1 .. 1 bc-DeliveryObservation Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode]{&code=http://snomed.info/sct |249120008}
4097          ObservatieDatumTijd 0 .. 1 bc-DeliveryObservation Observation.effective[x]:effectiveDateTime
4099          BeginBaringWaarde 1 .. 1 bc-DeliveryObservation Observation.value[x]:valueCodeableConcept
4100          ObservatieMethode 0 .. 1 bc-DeliveryObservation Observation.method
4107          Toelichting 0 .. 1 bc-DeliveryObservation Observation.comment
39    Uitdrijvingsfase 0 .. *
9685       Patient 0 .. 1 bc-Child Patient
4144       Type Partus (Observatie) 1 .. 1 bc-BirthObservation Observation
4145          ObservatieDatumTijd 0 .. 1 bc-BirthObservation Observation.effective[x]:effectiveDateTime
4147          TypePartusWaarde 1 .. 1 bc-BirthObservation Observation.value[x]:valueCodeableConcept
4148          ObservatieMethode 0 .. 1 bc-BirthObservation Observation.method
4155          Toelichting 0 .. 1 bc-BirthObservation Observation.comment
4193       Werkelijke plaats baring (type locatie) (Observatie) 1 .. 1 bc-DeliveryObservation Observation
4194          ObservatieDatumTijd 0 .. 1 bc-DeliveryObservation Observation.effective[x]:effectiveDateTime
4196          WerkelijkePlaatsBaringWaarde 1 .. 1 bc-DeliveryObservation Observation.value[x]:valueCodeableConcept
4197          ObservatieMethode 0 .. 1 bc-DeliveryObservation Observation.method
4204          Toelichting 0 .. 1 bc-DeliveryObservation Observation.comment
1587       Ziekenhuis baring 0 .. 1 bc-DeliveryProcedure Procedure.performer.actor
  • GET [base]/Procedure?code=http://snomed.info/sct |236973005&context=EpisodeOfCare/[id for pregnancy episode]&_include=Procedure:performer{&performer:Organization.type=V4,V5,V6,Z4,P4}
1588          Zorgaanbieder 0 .. 1 nl-core-organization Organization
1591       Probleem (Kindspecifieke maternale problemen) 0 .. * bc-DisorderOfLaborAndDelivery Condition
  • GET [base]/Condition?category=http://snomed.info/sct |362972006&context=EpisodeOfCare/[id for pregnancy episode]
1592          ProbleemAnatomischeLocatie 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.bodySite
1593          ProbleemLateraliteit 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
1594          ProbleemType 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.category
1595          ProbleemNaam 1 .. 1 bc-DisorderOfLaborAndDelivery Condition.code
1596          ProbleemBeginDatum 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.onsetDateTime:onsetDateTime
1597          ProbleemEindDatum 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.abatementDateTime:abatementDateTime
1598          ProbleemStatus 1 .. 1 bc-DisorderOfLaborAndDelivery Condition.clinicalStatus
1599          VerificatieStatus 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.verificationStatus
1600          Toelichting 0 .. 1 bc-DisorderOfLaborAndDelivery Condition.note
1603       Verrichting (Kindspecifieke maternale verrichtingen) 0 .. * bc-ObstetricProcedure Procedure
  • GET [base]/Procedure?category=http://snomed.info/sct |386637004&context=EpisodeOfCare/[id for pregnancy episode]{&part-of[birth procedure id]}
1604          VerrichtingStartDatum 0 .. 1 bc-ObstetricProcedure Procedure.performed[x]:performedPeriod.start
1605          VerrichtingEindDatum 0 .. 1 bc-ObstetricProcedure Procedure.performed[x]:performedPeriod.end
1606          VerrichtingAnatomischeLocatie 0 .. 1 bc-ObstetricProcedure Procedure.bodySite
1607          VerrichtingLateraliteit 0 .. 1 bc-ObstetricProcedure Procedure.bodySite.extension:ProcedureLaterality.valueCodeableConcept:valueCodeableConcept
1608          Indicatie 0 .. * bc-ObstetricProcedure Procedure.reasonReference
1620             Probleem (Kindspecifieke maternale problemen) 0 .. 1 bc-ObstetricProcedure Procedure.reasonReference
1610          VerrichtingType 1 .. 1 bc-ObstetricProcedure Procedure.code
7919          Beslismoment sectio caesarea 0 .. 1 bc-ObstetricProcedure Procedure.extension:decisionMoment
1611          VerrichtingMethode 0 .. * bc-ObstetricProcedure Procedure.extension:procedureMethod
1612          MedischHulpmiddel 0 .. * bc-ObstetricProcedure Procedure.focalDevice
10452             MedischHulpmiddel 0 .. 1 zib-MedicalDeviceProduct Device
1614          Locatie 0 .. 1 bc-ObstetricProcedure Procedure.performer
10453             Zorgaanbieder 0 .. 1 nl-core-organization Organization
1616          Uitvoerder 0 .. * bc-ObstetricProcedure Procedure.performer
10454             Zorgverlener 0 .. 1 nl-core-practitioner Practitioner
10455          Aanvrager 0 .. * zib-procedurerequest ProcedureRequest.requester
10457             Zorgverlener 0 .. 1 nl-core-practitioner Practitioner
1123 Medisch onderzoek 0 .. * nvt
2416    Verrichting (Onderzoek) 0 .. 1 zib-Procedure Procedure
  • GET [base]/Procedure?context=EpisodeOfCare/[id for pregnancy episode]
2417       VerrichtingStartDatum 1 .. 1 zib-Procedure Procedure.effectivePeriod.start
2418       VerrichtingEindDatum 1 .. 1 zib-Procedure Procedure.effectivePeriod.end
2419       VerrichtingAnatomischeLocatie 0 .. 1 zib-Procedure Procedure.bodySite
2420       VerrichtingLateraliteit 0 .. 1 zib-Procedure Procedure.bodySite.extension:ProcedureLaterality.value[x]:valueCodeableConcept
2421       Indicatie 0 .. 1 zib-Procedure Procedure.reasonReference
2422          Probleem 0 .. 1 zib-Problem Condition
2423       VerrichtingType 1 .. 1 bc-ObstetricProcedure Procedure.code
2424       VerrichtingMethode 0 .. 1 bc-ObstetricProcedure Procedure.extension:procedureMethod
2425       MedischHulpmiddel 0 .. 1 bc-ObstetricProcedure Procedure.focalDevice
10474          MedischHulpmiddel 0 .. 1 zib-MedicalDeviceProduct Device
2427       Locatie 0 .. 1 bc-ObstetricProcedure Procedure.performer.actor
2433          Zorgaanbieder 0 .. 1 nl-core-organization Organization
2429       Uitvoerder 0 .. 1 bc-ObstetricProcedure Procedure.performer.actor
2434          Zorgverlener 0 .. 1 nl-core-practitioner Practitioner
2431       Aanvrager 0 .. 1 zib-ProcedureRequest Procedure.Requestrequester
2435          Zorgverlener 0 .. 1 nl-core-practitioner Practitioner
1124    Maternale onderzoeksgegevens 1 .. 1 bc-MaternalObservation Observation
  • GET [base]/Observation?context=EpisodeOfCare/[id for pregnancy episode]&{category=http://snomed.info/sct |49581000146104}
1125       Urine-, bloed- en aanvullende onderzoeken 1 .. * zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://snomed.info/sct |49581000146104}
1126          PSIE 0 .. * zib-LaboratoryTestResult-Observation Observation
1128             LaboratoriumTest_Bloedgroep 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |883-9}
1129                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
1132                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueCodeableConcept
1140             LaboratoriumTest_Rhesus D 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |1305-2}
1141                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
1144                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueCodeableConcept
1152             LaboratoriumTest_Rhesus c 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |1159-3}
1153                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
1156                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueCodeableConcept
1640             LaboratoriumTest_ HBsAg 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |58452-4}
2367                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
1644                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueQuantity
1649                InterpretatieVlaggen 0 .. 1 zib-LaboratoryTestResult-Observation Observation.interpretation
2356             LaboratoriumTest_HIV 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |29893-5}
2357                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
2360                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueCodeableConcept
2368             LaboratoriumTest_Lues 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |11597-2}
2369                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
2372                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueQuantity
2377                InterpretatieVlaggen 0 .. 1 zib-LaboratoryTestResult-Observation Observation.interpretation
3501             Irregulaire antistoffen (Observatie) 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://snomed.info/sct |312457003}
3502                IrregulaireAntistoffenDatumTijd 0 .. 1 zib-LaboratoryTestResult-Observation Observation.effective[x]:effectiveDateTime
3503                IrregulaireAntistoffenWaarde 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueBoolean
3504                WelkeAntistoffenWaarde 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueCodeableConcept
3505                Toelichting 0 .. 1 zib-LaboratoryTestResult-Observation Observation.comment
2379          LaboratoriumTest_Hb 0 .. * zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |93846-4}
2380             TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
2383             TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueQuantity
2401          Hb typering 0 .. * zib-LaboratoryTestResult-Observation Observation
2491             LaboratoriumTest_MCV 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |787-2}
2492                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
2495                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueQuantity
2513             LaboratoriumTest_Vitamine B12 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |14685-2}
2514                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
2517                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueQuantity
2545             LaboratoriumTest_Actief-B12 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |72160-5}
2546                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
2549                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueQuantity
2524             LaboratoriumTest_Ferritine 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |2276-4}
2525                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
2528                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueQuantity
2502             LaboratoriumTest_Foliumzuur 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |2276-4}
2503                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
2506                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueQuantity
2535             Probleem_Hb-pathie 0 .. * zib-Problem Condition
2538                ProbleemType 0 .. 1 zib-Problem Condition.category
2539                ProbleemNaam 0 .. 1 zib-Problem Condition.code
2540                ProbleemBeginDatum 0 .. 1 zib-Problem Condition.onset[x]:onsetDateTime
2541                ProbleemEindDatum 0 .. 1 zib-Problem Condition.abatement[x]:abatementDateTime
2542                ProbleemStatus 1 .. 1 zib-Problem Condition.clinicalStatus
2543                VerificatieStatus 0 .. 1 zib-Problem Condition.verificationStatus
2544                Toelichting 0 .. 1 zib-Problem Condition.note
1651          Schildklierdiagnostiek 0 .. 1 zib-LaboratoryTestResult-Observation Observation
1652             LaboratoriumTest_VrijT4, TSH & TSH receptor antistoffen 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |24348-5}
1653                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
1656                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueQuantity
1663          TORCH 0 .. 1 zib-LaboratoryTestResult-Observation Observation
2390             LaboratoriumTest_TORCH 0 .. 1 zib-LaboratoryTestResult-Observation Observation
  • GET [base]/Observation?patient=[patientid]&context=EpisodeOfCare/[id for pregnancy episode]&{code=http://loinc.org |47983-0}
2391                TestCode 1 .. 1 zib-LaboratoryTestResult-Observation Observation.code
2394                TestUitslag 1 .. 1 zib-LaboratoryTestResult-Observation Observation.value[x]:valueQuantity

XIS: response message

The returned data to the PHR should conform to the profiles listed in FHIR profiles.

FHIR profiles

MedMij uses the FHIR Packaging mechanism. This conveniently bundles all profiles, terminology, example material and other conformance resources you need into a single archive, which can be downloaded or installed using the appropriate FHIR tooling. This version of the information standard uses the following packages:

Note: packages use Semantic Versioning. Other versions can be used at will as long as they have the same major.minor number or a minor number higher than the stated version.

Generic HCIM profiles

Profile name FHIR Resource HCIM EN Canonical URL
nl core Patient Patient Patient http://nictiz.nl/fhir/StructureDefinition/nl-core-patient
nl core Organization Organization HealthcareProvider http://nictiz.nl/fhir/StructureDefinition/nl-core-organization
nl core Practitioner Practitioner HealthProfessional http://nictiz.nl/fhir/StructureDefinition/nl-core-practitioner
nl core PractitionerRole PractitionerRole http://nictiz.nl/fhir/StructureDefinition/nl-core-practitionerrole
zib AlcoholUse Observation AlcoholUse http://nictiz.nl/fhir/StructureDefinition/zib-AlcoholUse
zib DrugUse Observation DrugUse http://nictiz.nl/fhir/StructureDefinition/zib-DrugUse
zib LaboratoryTestResult-Observation Observation LaboratotoryTestResult http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation
zib Pregnancy Condition Pregnancy http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy
zib Pregnancy-DateLastMenstruation Observation http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-DateLastMenstruation
zib Pregnancy-Gravidity Observation http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Gravidity
zib Pregnancy-Parity Observation http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Parity
zib Problem Condition Problem http://nictiz.nl/fhir/StructureDefinition/zib-Problem
zib Procedure Procedure Procedure http://nictiz.nl/fhir/StructureDefinition/zib-Procedure
zib ProcedureRequest ProcedureRequest PlannedCareActivity http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest
zib TobaccoUse Observation TobaccoUse http://nictiz.nl/fhir/StructureDefinition/zib-TobaccoUse

Birthcare specific profiles

Profile name Pattern FHIR Resource HCIM EN Canonical URL Description
bc Fetus BodySite http://nictiz.nl/fhir/StructureDefinition/bc-Fetus A BodySite profile as defined by BabyConnect.

This BodySite profile refers to the unborn fetus in case no fetal record (yet) exists. In case a fetal record is created the unborn fetus will be registered as a (child) Patient.

bc DisorderOfChild Child disorder Condition Problem http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild A Condition profile describing child disorders as defined by BabyConnect.

Child disorders, such as chromosomal and congenital abnormalities or other problems are disorders of the child. The subject is either the child Patient (in case the child is born or a fetal patient record is in place) or the woman Patient (in case the child is unborn and there is no fetal patient record in place). In the second case, use the bodySite reference extension to refer to the fetus.

  • Child disorders can refer to the EpisodeOfCare with Condition.context.reference
  • A ConceptMap is available to map verification status to accepted FHIR codes
bc DisorderOfLaborAndDelivery Delivery-and-birth-related disorder Condition Problem http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery A Condition profile describing disorders and complications related to labor and delivery as defined by BabyConnect. These disorders are part of the delivery, which is defined in the part of extension.
  • Delivery-related Disorders use partOf extension to point to Condition they're about.
  • Delivery-related Conditions refer to the EpisodeOfCare with Observation.context.reference
bc DisorderOfPregnancy Pregnancy-related disorder Condition Problem http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy A Condition profile describing disorders related to a pregnancy as defined by BabyConnect. For example, Conditions such as cholestasis and hypertension do not (only) pertain to the Patient but to a particular pregnancy.
  • Pregnancy-related Observations use partOf extension to point to Condition they're about.
  • In some cases the partOf Condition may not be available. The BGZ for instance does not relate Conditions to particular pregnancies.
  • Pregnancy-related Conditions refer to the EpisodeOfCare with Observation.context.reference
bc DisorderPostPartum Post partum disorder Condition Problem http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum A Condition profile describing post partum disorders or complications as defined by BabyConnect. Post partum disorders, such as post partum depression, occur after delivery and are related to the Delivery Procedure.
  • A partOf extension is used to point to the Delivery.
  • The context is the Maternal Record or an Encounter.
bc Encounter Encounter Encounter http://nictiz.nl/fhir/StructureDefinition/bc-Encounter An Encounter profile describing birthcare related encounters as defined by BabyConnect. The woman Patient is the subject of the Encounter.
  • Encounter.type specifies the type of encounter, e.g. prenatal visit, postnatal follow up or counseling.
  • Encounter.episodeOfCare points to the maternal record that is the context of the Encounter
  • Encounter.diagnosis points to the pregnancy (and optional other Conditions)
  • Encounter.serviceProvider points to the responsible Organization for the Encounter
bc MaternalRecord EpisodeOfCare http://nictiz.nl/fhir/StructureDefinition/bc-MaternalRecord An EpisodeOfCare profile describing a maternal record (or pregnancy file) as defined by BabyConnect.

Each pregnancy is a Condition. It is also represented as an EpisodeOfCare (maternal record) for each involved Organization. The maternal record defines care responsibility for a specific period of time and groups all data related to this period of care. It includes references to an Organization and responsible Practitioner.

The maternal record defines care responsibility for a specific period of time and groups all data related to this period of care:

  1. The (overarching) maternal record groups all data related to one pregnancy (.type = 364320009)
  2. A sub record groups all data related to a specific perinatal period within the pregnancy (.type contains a code for the perinatal period and .partOf contains a reference to the overarching maternal record)

Relations between the pregnancy (Condition) and the overarching maternal record (EpisodeOfCare):

  • Condition points to the EpisodeOfCare through a EpisodeOfCare.context.reference element. (Note: different providers may each have their own Condition resource.)
  • EpisodeOfCare points to the Condition through a EpisodeOfCare.diagnosis.condition element.
  • Condition points to the Patient with Condition.subject.reference
  • Condition.status must be 'active' for ongoing pregnancies and 'inactive' for past ones.
bc DeliveryObservation Delivery-related observation Observation http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation An Observation profile describing delivery-related Observations, as defined by BabyConnect.

Observations such as onset of labor or blood loss pertain to a delivery Procedure.

  • Delivery-related Observations use focus extension to point to the delivery Procedure they're about.
  • Delivery-related Observations refer to the EpisodeOfCare with Observation.context.reference
bc FetalHeartRate Observation http://nictiz.nl/fhir/StructureDefinition/bc-FetalHeartRate An Observation profile describing fetal heart rate as defined by BabyConnect. The base definition is a fetus-related Observation. Fetus-related Observations are Observations about a fetus, which is the focus of the Observation (extension). Fetus identification is necessary in these Observations, especially in multiple pregnancy. There are two ways of using this profile depending on the presence of a patient / fetus record for the unborn child:
  1. A patient / fetus record is present. The subject of the Observation is the (unborn) child Patient. The focus extension can be left blank.
  2. A patient / fetus record is not present. The subject of the Observation is the woman Patient. The focus extension refers to the fetus BodySite.
bc FetusObservation Fetus-related observation Observation http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation An Observation profile describing fetus-related Observations in a pregnancy, such as movement and heart action, as defined by BabyConnect. Fetus-related Observations are Observations about a fetus, which is the focus of the Observation (extension). Fetus identification is necessary in these Observations, especially in multiple pregnancy. There are two ways of using this profile depending on the presence of a patient / fetus record for the unborn child:
  1. A patient / fetus record is present. The subject of the Observation is the (unborn) child Patient. The focus extension can be left blank.
  2. A patient / fetus record is not present. The subject of the Observation is the woman Patient. The focus extension refers to the fetus BodySite.
bc-Maternal Observation Patient-related Observation Observation http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation An Observation profile describing patient-related Observations, which are not captured in other existing profiles, as defined by BabyConnect.

Patient-related Observations are findings related to the (pregnant) woman, before, during or after pregnancy childbirth. The pregnant woman is the subject, the context is the pregnancy file (EpisodeOfCare). Examples are risk status or maternal ultrasound observations.

bc Pregnancy PregnancyDuration Observation Pregnancy http://nictiz.nl/fhir/StructureDefinition/bc-Pregnancy-PregnancyDuration An Observation profile describing pregnancy duration as defined by BabyConnect.

Pregnancy duration does not (only) pertain to the Patient but also to a particular pregnancy.

  • Use the focus extension to point to the Condition it is about. Without this, pregnancy durations would only be Observations about a Patient
  • Use Observation.context.reference to point to the EpisodeOfCare
  • Use the supportingInfo extension to point to other problems and procedures that are relevant in the context of the pregnancy duration
bc PregnancyObservation Pregnancy-related Observation Observation http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation An Observation profile describing pregnancy-related Observations, as defined by BabyConnect.

Observations such as gravidity and parity do not (only) pertain to the Patient but also to a particular pregnancy.

  • Pregnancy-related Observations use the focus extension to point to the Condition they are about. Without this, all gravidities would only be Observations about a Patient.
  • Pregnancy-related Observations refer to the EpisodeOfCare with Observation.context.reference
bc Woman Patient Patient http://nictiz.nl/fhir/StructureDefinition/bc-Woman A Patient profile describing the woman who is or was pregnant as defined by BabyConnect.

The pregnant woman, a FHIR patient, is the core of each pregnancy.

bc PractitionerRole PractitionerRole HealthProfessional http://nictiz.nl/fhir/StructureDefinition/bc-PractitionerRole A PractitionerRole profile describing the role of a practitioner as defined by BabyConnect.
bc DeliveryProcedure Procedure Procedure http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryProcedure A Procedure profile describing the delivery (including uncomplicated natural births for consistency), as defined by BabyConnect. A pregnancy can lead to one delivery Procedure, even in multiple birth. The mother Patient is the subject of the delivery Procedure.
  • Delivery refers to the EpisodeOfCare with Procedure.context.reference
  • Delivery refers to the Pregnancy with Procedure.reasonReference.reference

A delivery Procedure is related to one or more birth Procedures. The child Patient is the subject of the birth Procedure. In case of multiple birth, multiple birth Procedures will point to the same delivery Procedure.

bc ObstetricProcedure Procedure Procedure http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure A Procedure profile describing obstetric procedures, as defined by BabyConnect. Obstetric procedures are procedures related to pregnancy, birth and delivery, such as vacuum delivery.
  • For obstetric procedures related to the pregnancy, use Procedure.reasonReference
  • For obstetric procedures related to birth and delivery, use the (optional) partOf extension to point to the Delivery (maternal data) or the Birth (child-specific data)
  • The context is the Maternal Record or an Encounter

Release notes

Release notes can be found on the functional design page.

Support

For questions and change requests regarding this IG, please create a ticket in BITS.

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