Gebz:V1.1 FHIR IG bc-DisorderPostPartum

bc-DisorderPostPartum

This is a generic profile for postpartum conditions related to labor and delivery.

Each bc-DisorderPostPartum must have:

• a fixed category, specifying that this is a postpartum 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-DisorderPostPartum may have:

• a reference to the Delivery 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-DisorderPostPartum

Pattern

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

All FHIR instances which follow this pattern will be valid postpartum 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 postpartum disorders in Birthcare. Note that the meta.profile element should preferably be bc-DisorderPostPartum.

    <Condition xmlns="http://hl7.org/fhir">
        <id value="[[a unique id]]"/>
        <meta>
            <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum"/>
        </meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/condition-partOf">
            <valueReference>
                <reference value="[[reference to 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="362973001"/> 
                <display value="Postpartum 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 | 362973001"/> 
                <display value="[[display | Disorder of puerperium (disorder)]]"/> 
            </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
	82544	Postnatale fase	http://snomed.info/sct	362973001	Disorder of puerperium (disorder)	code
	82545	Pathologie vrouw				code	Postpartum complicatie
	82297	Diagnose/interventie postnataal	http://snomed.info/sct	439401001	Diagnosis (observable entity)	code
	82298	Datum				assertedDate
	82209	Pathologie vrouw				code	Postpartum complicatie

Dataset 3.2 mappings

PWD 2.3 to FHIR
Type	#	Concept	Reference	Profile	System	Code	Display	FHIR element	ValueSet
	1928	Probleem (Maternaal)	1564	bc-DisorderPostPartum
	3833	Probleem (Postpartum complicatie)	2305	bc-DisorderPostPartum
	9144	Conditie perineum en sfincter postpartum	3950	bc-DisorderPostPartum
	9661	Probleem (Postpartum complicatie)	2305	bc-DisorderPostPartum
	2305	Probleem (Postpartum complicatie)		bc-DisorderPostPartum
	2306	ProbleemAnatomischeLocatie		bc-DisorderPostPartum				bodySite	ProbleemAnatomischeLocatieCodelijst
	2307	ProbleemLateraliteit		bc-DisorderPostPartum				bodySite.extension:laterality	ProbleemLateraliteitCodelijst
	2308	ProbleemType		bc-DisorderPostPartum				category	ProbleemTypeCodelijst
	2309	ProbleemNaam		bc-DisorderPostPartum				code	2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20210413094135 20171231000000&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 Postpartum complicatie ProbleemNaamCodelijst
	2310	ProbleemBeginDatum		bc-DisorderPostPartum				onsetDateTime
	2311	ProbleemEindDatum		bc-DisorderPostPartum				abatementDateTime
	2312	ProbleemStatus		bc-DisorderPostPartum				clinicalStatus	ProbleemStatusCodelijst
	2313	VerificatieStatus		bc-DisorderPostPartum				verificationStatus	VerificatieStatusCodelijst
	2314	Toelichting		bc-DisorderPostPartum	http://loinc.org	48767-8	Annotation comment	verificationStatus
	2844	Probleem		bc-DisorderPostPartum
	2846	ProbleemLateraliteit		bc-DisorderPostPartum				bodysite.extension:laterality	ProbleemLateraliteitCodelijst
	2847	ProbleemType		bc-DisorderPostPartum				category	ProbleemTypeCodelijst
	2848	ProbleemNaam		bc-DisorderPostPartum				code	Controle borsten 3.2
	2849	ProbleemBeginDatum		bc-DisorderPostPartum				onsetDateTime
	2850	ProbleemEindDatum		bc-DisorderPostPartum				abatementDateTime
	2851	ProbleemStatus		bc-DisorderPostPartum				clinicalStatus	ProbleemStatusCodelijst
	2852	VerificatieStatus		bc-DisorderPostPartum				verificationStatus	VerificatieStatusCodelijst
	2853	Toelichting		bc-DisorderPostPartum	http://loinc.org	48767-8	Annotation comment	note