Gebz:FHIR bc-DisorderOfLaborAndDelivery

bc-DisorderOfLaborAndDelivery

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

Each bc-DisorderOfLaborAndDelivery must have:

• a code, specifying the condition
• a subject, the woman in labor

Each bc-DisorderOfLaborAndDelivery may have:

• a reference to the Delivery Procedure (using the part of extension). The preferred option for birthcare systems is to include this, but this cannot be guaranteed for external data (such as BGZ).

Profile

The entire profile can be found at: bc-LaborAndDelivery

Pattern

This is a patten for pregnancy-related Conditions in Birthcare. Note that the meta.profile element should preferably include bc-DisorderOfLaborAndDelivery. Again, this may be the case for BGZ.

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

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XML fragment

This is a recipe for pregnancy-related disorders in Birthcare. Note that the meta.profile element should preferably be bc-DisorderOfLaborAndDelivery.

<Condition xmlns="http://hl7.org/fhir">
    <id value="[[a unique id]]"/>
    <meta>
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery"/>
    </meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/condition-partOf">
        <valueReference>
            <reference value="[[reference to the delivery procedure | Procedure/wouden-bevalling1]]" />
        </valueReference>
    </extension>
    [[# clinicalStatus is optional, only when known ]]
    <clinicalStatus value="[[active | recurrence | inactive | remission | resolved]]"/> 
    [[/ clinicalStatus ]]
    <code>
        <coding> 
            <system value="[[system, preferably from | http://snomed.info/sct]]"/> 
            <code value="[[code, to be taken from the relevant valuesets in ART-DECOR | 237320005"/> 
            <display value="[[display | Failure to progress in first stage of labor (finding)]]"/> 
        </coding> 
    </code> 
    <subject>
        <reference value="[[reference to the Woman Patient | Patient/XXX-VDWOUDEN" />
        <display value="[[display of reference | Patient van der Wouden]]" />
    </subject>
    <context>
        <reference value="[[reference to the EpisodeOfCare | EpisodeOfCare/wouden-dossier-zwanger1]]"/>
    </context>
</Condition>

Valuation table

PWD 2.3 to FHIR
Type	#	Concept	System	Code	Display	FHIR element	ValueSet
	82530	PPROM?	http://snomed.info/sct	312974005	Preterm premature rupture of membranes (disorder)	code
	82531	PROM?	http://snomed.info/sct	44223004	Premature rupture of membranes (disorder)	code
	82532	Koorts?	http://snomed.info/sct	386661006	Fever (finding)	code
	82533	Niet vorderende ontsluiting?	http://snomed.info/sct	237320005	Failure to progress in first stage of labor (finding)	code
	82534	Niet vorderende uitdrijving?	http://snomed.info/sct	249166003	Failure to progress in second stage of labor (finding)	code
	82535	Verdenking foetale nood?	http://snomed.info/sct	609415007:246090004=12867002	Suspected fetal distress affecting management of mother (situation)	code
	82536	Intra-uteriene vruchtdood				code
	82537	Vermoeden intra-uteriene vruchtdood?				code
	82541	Vastzittende placenta?	http://snomed.info/sct	109894007	Retained placenta (disorder)	code
	82542	Fluxus postpartum?	http://snomed.info/sct	47821001	Postpartum hemorrhage (disorder)	code
	82291	Diagnose bevalling	http://snomed.info/sct	439401001	Diagnosis (observable entity)	code
	82381	Datum				assertedDate
	82338	PPROM?	http://snomed.info/sct	312974005	Preterm premature rupture of membranes (disorder)	code
	82290	PROM?	http://snomed.info/sct	44223004	Premature rupture of membranes (disorder)	code
	82292	Koorts?	http://snomed.info/sct	386661006	Fever (finding)	code
	82293	Niet vorderende ontsluiting?	http://snomed.info/sct	237320005	Failure to progress in first stage of labor (finding)	code
	82294	Niet vorderende uitdrijving?	http://snomed.info/sct	249166003	Failure to progress in second stage of labor (finding)	code
	82296	Verdenking foetale nood?	http://snomed.info/sct	609415007:246090004=12867002	Suspected fetal distress affecting management of mother (situation)	code
	82295	Vastzittende placenta?	http://snomed.info/sct	109894007	Retained placenta (disorder)	code
	82398	Fluxus postpartum?	http://snomed.info/sct	47821001	Postpartum hemorrhage (disorder)	code