Gebz:V1.0 FHIR IG bc-PregnancyObservation

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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 and 3.2 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
CD.png 82501 Afwijkende groei foetus http://snomed.info/sct 276604007 Fetal growth abnormality (disorder) valueCodeableConcept Groei afwijkend
Container.png 82524 Intra-uteriene vruchtdood valueBoolean
BL.png 82525 Vermoeden intra-uteriene vruchtdood? valueBoolean
CD.png 80623 Wijze einde zwangerschap urn:oid:2.16.840.1.113883.2.4.4.13 EindeZw Wijze einde zwangerschap valueCodeableConcept WijzeEindeZwangerschap
TS.png 82337 Definitieve à terme datum urn:oid:2.16.840.1.113883.2.4.4.13 EDDDef Definitieve à terme datum valueDateTime
Container.png 82314 Diagnose http://snomed.info/sct 439401001 439401001 Diagnosis (observable entity) Diagnosis (observable entity) value[X]
CD.png 82317 Gynaecologische aandoening http://snomed.info/sct 310789003 Disorder of female genital tract (disorder) valueCodeableConcept Gynaecologische aandoeningen
BL.png 82318 Bloedverlies? http://snomed.info/sct 131148009 Bleeding (finding) valueBoolean
BL.png 82320 Cervixinsufficiëntie? http://snomed.info/sct 17382005 Cervical incompetence (disorder) valueBoolean
CD.png 82321 Infectie http://snomed.info/sct 40733004 Infectious disease (disorder) valueCodeableConcept Infectie
BL.png 82322 Hyperemesis gravidarum? http://snomed.info/sct 14094001 Excessive vomiting in pregnancy (disorder) valueBoolean
CD.png 82323 Hypertensieve aandoening http://snomed.info/sct 38341003 Hypertensive disorder, systemic arterial (disorder) valueCodeableConcept Hypertensieve aandoening
BL.png 82324 Zwangerschapscholestase? http://snomed.info/sct 235888006 Cholestasis of pregnancy (disorder) valueBoolean
BL.png 82325 Diabetes gravidarum met insuline? http://snomed.info/sct 46894009 Gestational diabetes mellitus, class A>2< (disorder) valueBoolean
CD.png 82326 Afwijkende groei foetus http://snomed.info/sct 276604007 Fetal growth abnormality (disorder) valueCodeableConcept Groei afwijkend
BL.png 82327 Dreigende partus immaturus? urn:oid:2.16.840.1.113883.2.4.4.13 PartusImmaturusDreig Partus immaturus - dreigend valueBoolean
BL.png 82328 Dreigende partus prematurus? urn:oid:2.16.840.1.113883.2.4.4.13 PartusPrematurusDreig Partus prematurus - dreigend valueBoolean
BL.png 82329 Abruptio placentae? http://snomed.info/sct 415105001 Placental abruption (disorder) valueBoolean
BL.png 82214 Irregulaire antistoffen? http://snomed.info/sct 312457003 Finding of irregular blood group antibody present (finding) valueBoolean
INT.png 80617 Aantal levende kinderen http://snomed.info/sct 143881000146107 aantal levende nakomelingen (waarneembare entiteit) valueQuantity
TS.png 82160 Definitieve à terme datum urn:oid:2.16.840.1.113883.2.4.4.13 EDDDef Definitieve à terme datum valueDateTime
CD.png 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
CD.png 80746 Leven voelen http://snomed.info/sct 364618000 Pattern of fetal movement (observable entity) valueCodeableConcept Leven voelen
Container.png 80613 Intra-uteriene vruchtdood http://snomed.info/sct 59291004 Undelivered in utero fetal death
BL.png 82435 Vermoeden intra-uteriene vruchtdood? http://snomed.info/sct 139661000146100 verdenking op intra-uteriene vruchtdood (situatie) valueBoolean
CD.png 82436    Vermoeden iuvd op basis van method IUVD methode
BL.png 20670 Maternale sterfte? http://snomed.info/sct 59283008 maternale sterfte (gebeurtenis) valueBoolean
CD.png 80625 Wijze einde zwangerschap urn:oid:2.16.840.1.113883.2.4.4.13 EindeZw Wijze einde zwangerschap valueCodeableConcept WijzeEindeZwangerschap
TS.png 20540 Datum einde zwangerschap http://snomed.info/sct 118951000146109 datum van einde van zwangerschap (waarneembare entiteit) valueDateTime
BL.png 82444 Vermoeden intra-uteriene vruchtdood? valueBoolean
CD.png 82445    Vermoeden iuvd op basis van method IUVD methode
INT.png 20505 Aantal geboren kinderen http://snomed.info/sct 118861000146102 aantal geboren kinderen uit zwangerschap (waarneembare entiteit) valueQuantity


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