Gebz:V1.1 FHIR IG bc-DisorderOfLaborAndDelivery
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bc-DisorderOfLaborAndDelivery
This is a generic profile for conditions related to labor and delivery.
Each bc-DisorderOfLaborAndDelivery must have:
- a fixed category, specifying that this is a delivery-and-birth-related condition
- a code, specifying the condition
- a subject, the pregnant woman
- performer should be provided if known (this may not always be the case for historical data). performer is the responsible care professional.
Each bc-DisorderOfLaborAndDelivery may have:
- a reference to the Delivery or Birth Procedure (the Condition is part of). 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-DisorderOfLaborAndDelivery
Pattern
This is a patten for delivery-and-birth-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 Birth and Delivery 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 delivery-and-birth-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 either the birth or delivery | Procedure/wouden-bevalling1]]" />
</valueReference>
</extension>
[[# clinicalStatus is optional, only when known ]]
<clinicalStatus value="[[active | recurrence | inactive | remission | resolved]]"/>
[[/ clinicalStatus ]]
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="362972006"/>
<display value="Disorder of labor / delivery (disorder)"/>
</coding>
</category>
<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 Mother 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
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 | |||||
|
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 | ||||||
Dataset 3.2 mappings
