Gebz:V1.1 FHIR IG bc-FetusObservation

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bc-FetusObservation

This is a generic profile for observations related to a fetus.

Each bc-FetusObservation must have:

  • a subject, the pregnant woman
  • a reference to the fetus (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-FetusObservation

Pattern

This is a patten for fetus-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-FetusObservation.

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

[Legend]

XML fragment

This is a recipe for fetus-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-FetusObservation. 

<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-FetusObservation"/>
    </meta>
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
        <valueReference>
            <reference value="[[reference to the fetus | BodySite/fetusA]]" />
        </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 | 11727-5]]"/>
            <display value="[[display, see below | Fetal Body weight estimated by US ]]"/>
        </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="2200"/>
        <unit value="g"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="g"/>
    </valueQuantity>
    [[/observation.value]]
</Observation>

Valuation table

The FHIR profiles are independent of dataset versions, the mappings are not.

(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
PQ.png 60080 AC http://loinc.org 11979-2 AC valueQuantity
PQ.png 60081    AC percentiel http://loinc.org X_AC_PRCTL AC Percentiel interpretation.extension:percentile
PQ.png 60030 BPD http://loinc.org 11820-8 BPD valueQuantity
PQ.png 60031    BPD percentiel http://loinc.org X_BPD_PRCTL BPD Percentiel interpretation.extension:percentile
PQ.png 82340 EFW http://loinc.org 11727-5 Fetal Body weight estimated by US valueQuantity
PQ.png 60100 FL http://loinc.org 11963-6 Femur lengte valueQuantity
PQ.png 60101    FL percentiel http://loinc.org X_FL_PRCTL FL Percentiel interpretation.extension:percentile
PQ.png 60060 HC http://loinc.org 8288-3 11984-2 Head Occipital-frontal circumference by US HC valueQuantity
PQ.png 60061    HC percentiel http://loinc.org X_HC_PRCTL HC Percentiel interpretation.extension:percentile
PQ.png 60070 TCD http://loinc.org 11863-8 Fetal Cerebellum Diameter transverse US valueQuantity
CD.png 80944 Ligging http://snomed.info/sct 249062004 Lie of fetus (observable entity) valueCodeableConcept Ligging
Container.png 82069 Placentalokalisatie valueCodeableConcept
CD.png 80946 Placentalokalisatie http://snomed.info/sct 7381000146107 Finding of placental position (finding) valueCodeableConcept Placentalokalisatie (2.2)


Dataset 3.2 mappings

PWD 2.3 to FHIR
Type # Concept Reference Profile System Code Display FHIR element ValueSet
Container.png 4048 Fundusstand (Meting) bc-FetusObservation
CD.png 4050 FundusstandWaarde bc-FetusObservation http://snomed.info/sct 364265003 hoogte van uterus gravidus (waarneembare entiteit) valueCodeableConcept 2.16.840.1.113883.2.4.3.11.60.90.77.11.246--20161216162923 20191028105919&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 Fundusstand (2.2) Fundusstand Kraamzorg
CD.png 4051    MeetMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method 2.16.840.1.113883.2.4.3.11.60.40.2.21.1.1--20200526172902 20200901000000&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 MeetMethode_GZ MeetMethodeCodelijst
TS.png 4054    MeetDatumBeginTijd bc-FetusObservation effectivePeriod.start
TS.png 4055    MeetDatumEindTijd bc-FetusObservation effectivePeriod.end
ST.png 4056    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 4057    AnatomischeLocatieMeting bc-FetusObservation http://snomed.info/sct 405813007 directe locatie van verrichting (attribuut) bodySite
CD.png 4058    Locatie bc-FetusObservation http://snomed.info/sct 363698007 locatie van bevinding (attribuut) bodySite 2.16.840.1.113883.2.4.3.11.60.40.2.20.7.3--20200901000000 20200901000000&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 LocatieCodelijst LocatieICD-O-3Codelijst
Container.png 10522 Bevindingen Foetus bc-FetusObservation
Container.png 4060 LiggingFoetus (Meting) bc-FetusObservation
CD.png 4062 LiggingFoetusWaarde bc-FetusObservation http://snomed.info/sct 249062004 ligging van foetus (waarneembare entiteit) valueCodeableConcept Ligging
CD.png 4063    MeetMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method 2.16.840.1.113883.2.4.3.11.60.40.2.21.1.1--20200526172902 20200901000000&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 MeetMethode_GZ MeetMethodeCodelijst
TS.png 4066    MeetDatumBeginTijd bc-FetusObservation effectivePeriod.start
TS.png 4067    MeetDatumEindTijd bc-FetusObservation effectivePeriod.end
ST.png 4068    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 4069    AnatomischeLocatieMeting bc-FetusObservation http://snomed.info/sct 405813007 directe locatie van verrichting (attribuut) bodySite
CD.png 4070    Locatie bc-FetusObservation http://snomed.info/sct 363698007 locatie van bevinding (attribuut) bodySite LocatieCodelijst
Container.png 4072 IndalingFoetus(Meting) bc-FetusObservation
CD.png 4074 IndalingFoetusWaarde bc-FetusObservation http://snomed.info/sct 364611006 indaling van foetus ten opzichte van spinae ischiadicae (waarneembare entiteit) valueCodeableConcept Indaling (3.2)
CD.png 4075    MeetMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method 2.16.840.1.113883.2.4.3.11.60.40.2.21.1.1--20200526172902 20200901000000&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 MeetMethode_GZ MeetMethodeCodelijst
TS.png 4078    MeetDatumBeginTijd bc-FetusObservation effectivePeriod.start
TS.png 4079    MeetDatumEindTijd bc-FetusObservation effectivePeriod.end
ST.png 4080    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 4081    AnatomischeLocatieMeting bc-FetusObservation http://snomed.info/sct 405813007 directe locatie van verrichting (attribuut) bodySite
CD.png 4082    Locatie bc-FetusObservation http://snomed.info/sct 363698007 locatie van bevinding (attribuut) bodySite LocatieCodelijst
Container.png 4169 Ligging kind (Observatie) bc-FetusObservation
TS.png 4170    ObservatieDatumTijd bc-FetusObservation http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effectiveDateTime
CD.png 4172 LiggingKindWaarde bc-FetusObservation valueCodeableConcept LiggingBijGeboorte22
CD.png 4173    ObservatieMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
ST.png 4180    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 1208 Foetusspecifieke onderzoeksgegevens bc-FetusObservation
Container.png 10283    Patient 675 bc-FetusObservation subject
Container.png 1767 Foetale monitoring (CTG) bc-FetusObservation http://snomed.info/sct 281568006 monitoren van foetale hart (regime/therapie)
Container.png 3513 FoetaleBuikomtrek / AC (Meting) bc-FetusObservation
PQ.png 3515 ACWaarde bc-FetusObservation http://loinc.org 11979-2 Fetal Abdomen Circumference US value
CD.png 3516    MeetMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
TS.png 3519    ACDatumBeginTijd bc-FetusObservation period.start
TS.png 3520    ACDatumEindTijd bc-FetusObservation period.end
ST.png 3521    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 3539 FoetaleFemurlengte / FL (Meting) bc-FetusObservation
PQ.png 3541 FLWaarde bc-FetusObservation http://loinc.org 11963-6 Fetal Femur diaphysis [Length] US value
CD.png 3542    MeetMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
TS.png 3545    FLDatumBeginTijd bc-FetusObservation period.start
TS.png 3546    FLDatumEindTijd bc-FetusObservation period.end
ST.png 3547    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 3552 FoetaleBipariëtaleDiameter / BPD (Meting) bc-FetusObservation
PQ.png 3554 BPDWaarde bc-FetusObservation http://loinc.org 11820-8 Fetal Head Diameter.biparietal US value
CD.png 3555    MeetMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
TS.png 3558    BPDDatumBeginTijd bc-FetusObservation period.start
TS.png 3559    BPDDatumEindTijd bc-FetusObservation period.end
ST.png 3560    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 3564 FoetaalLongitudinaleBlaasDiameter / LBD (Meting) bc-FetusObservation
PQ.png 3566 LBDWaarde bc-FetusObservation http://loinc.org 11815-8 Fetal Urinary bladder Diameter US value
CD.png 3567    MeetMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
TS.png 3570    LBDDatumBeginTijd bc-FetusObservation period.start
TS.png 3571    LBDDatumEindTijd bc-FetusObservation period.end
ST.png 3572    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 3576 FoetaleKruinRompLengte / CRL (Meting) bc-FetusObservation
PQ.png 3578 CRLWaarde bc-FetusObservation http://loinc.org 11957-8 Fetal Crown Rump length US value
CD.png 3579    MeetMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
TS.png 3582    CRLDatumBeginTijd bc-FetusObservation period.start
TS.png 3583    CRLDatumEindTijd bc-FetusObservation period.end
ST.png 3584    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 3589 FoetaleTranscerebellarDiameter / TCD (Meting) bc-FetusObservation
PQ.png 3591 TCDWaarde bc-FetusObservation http://loinc.org 11863-8 Fetal Cerebellum Diameter transverse US value
CD.png 3592    MeetMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
TS.png 3595    TCDDatumBeginTijd bc-FetusObservation period.start
TS.png 3596    TCDDatumEindTijd bc-FetusObservation period.end
ST.png 3597    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 3602 FoetaleNekplooidikte / NT (Meting) bc-FetusObservation
PQ.png 3604 NTWaarde bc-FetusObservation http://loinc.org 12146-7 Fetal Nuchal fold Thickness US value
CD.png 3605    MeetMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
TS.png 3608    NTDatumBeginTijd bc-FetusObservation period.start
TS.png 3609    NTDatumEindTijd bc-FetusObservation period.end
ST.png 3610    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 3614 FoetaalGeschatGewicht / EFW (Meting) bc-FetusObservation
PQ.png 3616 EFWWaarde bc-FetusObservation http://loinc.org 11727-5 Fetal Body weight estimated by US valueQuantity
CD.png 3617    MeetMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
TS.png 3620    EFWDatumBeginTijd bc-FetusObservation period.start
TS.png 3621    EFWDatumEindTijd bc-FetusObservation period.end
ST.png 3622    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 2451 Bevindingen bc-FetusObservation
Container.png 7789 LiggingFoetus (Meting) 4060 bc-FetusObservation
Container.png 2404 Beweging foetus (Observatie) bc-FetusObservation
TS.png 2405    BewegingFoetusDatumTijd bc-FetusObservation effectiveDateTime
CD.png 2407 BewegingFoetusWaarde bc-FetusObservation http://snomed.info/sct 364619008 meetbare observatie betreffende foetale bewegingen (waarneembare entiteit) valueCodeableConcept Beweging
CD.png 2408    ObservatieMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
ST.png 2409    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
CD.png 2448    OstiumWaarde bc-FetusObservation http://snomed.info/sct 7381000146107 bevinding betreffende positie van placenta (bevinding) component.valueCodeableConcept Ostium
CD.png 2441    ObservatieMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
ST.png 2442    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 7836 OrgaansysteemFoetus (Observatie) bc-FetusObservation
TS.png 7837    OrgaansysteemFoetusDatumTijd bc-FetusObservation http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effectiveDateTime
CD.png 7887 ObservatieNaam bc-FetusObservation code OrgaansysteemFoetus
CD.png 7839 OrgaansysteemFoetusWaarde bc-FetusObservation valueCodeableConcept Beoordeling Bevindingen
CD.png 7840    ObservatieMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
ST.png 7845    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 7847 Sonomarkers (Observatie) bc-FetusObservation
TS.png 7848    ObservatieDatumTijd bc-FetusObservation http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effectiveDateTime
CD.png 7886 ObservatieNaam bc-FetusObservation code Sonomarkers 3.2
CD.png 7850 ObservatieWaarde bc-FetusObservation valueCodeableConcept Beoordeling Sonomarkers
CD.png 7851    ObservatieMethode bc-FetusObservation http://snomed.info/sct 260686004 methode (attribuut) method MeetMethode_GZ
ST.png 7856    Toelichting bc-FetusObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment


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