informatiestandaarden - Gebruikersbijdragen [nl]

hg:Vprepub-1 FHIR ELZ

2026-02-03T13:14:58Z

Tessa van Alphen: /* Message sections */ fix search url

__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V1|namespace=hg}} BITS].}}

__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide ELZ {{VersieInfo|ELZ|release=V1|namespace=hg}}}}

[[Bestand:Icoon_Nictiz_Cirkel_Eerstelijnszorg_Oranje.svg|link=|100px|ELZ|rechts]]

<div class="toclimit-3">__TOC__</div>

=Introduction=

This is the implementation guide for ELZ (Dutch: Eerstelijnszorg, English: Primary care). The functional specification can be found [[hg:Vprepub-1_Ontwerp_ELZ|here]] and is implemented using [https://www.hl7.org/fhir/R4/ HL7 FHIR R4]. This implementation guide assumes that the reader is familiar with both the functional specification and the FHIR standard.

This IG is inspired by the [https://build.fhir.org/ig/HL7/bser/ BSeR IG], developed and published by the HL7 Public Health work group. The goal is to align with this IG where possible and Nictiz is participating in this work group for further development and international alignment of the BSeR IG.

Apart from this document, the guidelines as specified in the [[FHIR:V1.0_FHIR_IG_R4|general FHIR Implementation Guide]] apply.

=Workflow and message structure=

==Referral use cases (version 0.2.0-beta.1)==

===Overview===
The use cases described in this IG are limited in sense of workflow: events are handled on a per use case basis where the sender does not explicitly requests a response (e.g. a status update). Future insights might contain more (use case overarching) workflow. To prepare for this workflow mechanism, the Task resource is used as the entry point for all exchanges.

===Task===
====Task requirements====
The requirements for the Task resource in the ELZ context are specified using the {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/hg-ReferralTask|nictiz.fhir.nl.r4.elz|pkgVersion=0.2.0-beta.1}} profile. This profile SHALL be used for the ELZ referral use cases.

The Task instance SHALL be hosted on the server of the sending XIS. Both the sending and the receiving XIS need to be able to update the Task. The sending XIS MAY use business rules to reject an update, for example if invalid status change is used.

Both the sending and the receiving XIS SHALL monitor the Task resource for changes. It is expected that the sending XIS will use a notification mechanism to inform the receiving XIS of creation or updates of the Task, but the receiving XIS could use a polling mechanism as well.

====Task invocations====
The receiving XIS can query the Task at the sending XIS by using the {{fhir|Task.id}} which is communicated in the notification:
GET [base]/Task/[Task.id]

'''Note''': It is up to the receiving XIS to determine if this is a new Task or an update to an existing Task, and if it is an update, what the change entails.

The receiving XIS can update a Task hosted by the sending XIS using a PUT operation:

PUT [base]/Task/[Task.id]

The body should be the original Task with the needed modifications. The sending XIS SHOULD check the update for errors and inconsistencies. If the update is rejected, the sending XIS SHALL response with an HTTP 422 status code and an OperationOutcome detailing the problem.

{{Vdraft/InformationBoxSmall|A notification/transaction mechanism for this IG is currently under a broader (international) discussion and therefore not yet specified, it is however aimed to align with this initiative.}}

===ServiceRequest===
A ServiceRequest resource is used to represent a (request for) referral. The requirements for the ServiceRequest resource in the context of this IG are specified using the {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/hg-ReferralServiceRequest|nictiz.fhir.nl.r4.elz|pkgVersion=0.2.0-beta.1}} profile. This profile SHALL be used in referral use cases.

Each referral SHALL be captured by a dedicated ServiceRequest. When a referral is sent to multiple parties, each party receives its own unique ServiceRequest. Revoking referrals after a certain period of time based on whether action is taken or not is out of scope of this IG.

The ServiceRequest is referenced from {{fhir|Task.focus}}.

====ServiceRequest invocations====
The receiving XIS MAY use the following mechanism to retrieve the ServiceRequest:
<pre>GET [base]/ServiceRequest/[ServiceRequest.id]</pre>

===Composition===
A Composition resource is used to capture relevant data that supports the referral, for instance the reason for referral or guidance noted down by the general practitioner. This data is either directly included in the Composition as unstructured text or included as referenced resources. The requirements for IG are specified using the {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/hg-ReferralComposition|nictiz.fhir.nl.r4.elz|pkgVersion=0.2.0-beta.1}} profile. This profile SHALL be used in referral use cases.

The Composition is referenced from {{fhir|ServiceRequest.supportingInfo}}.

====Composition invocations====
The receiving XIS MAY use either of the following mechanisms to retrieve the Composition and individual FHIR resources referenced in the Composition:

; As a Document: The receiving XIS uses the {{fhir|$document}} operation to retrieve both the Composition ''and'' all referenced resources as a single document Bundle.<br/><pre>GET [base]/Composition/[Composition.id]/$document</pre>'''Note''': The sending XIS SHALL produce a complete Bundle containing not only the Composition and the resources listed directly in the Composition, but all the indirectly referenced resources as well.
; Individual requests: The receiving XIS first retrieves the Composition resource:<br/><pre>GET [base]/Compositon/[Composition.id]</pre>Then the necessary other resources referenced can be fetched using <code>GET</code> interactions.

The sending XIS SHALL support both mechanisms.

====Handling unstructured text concepts====
Some concepts in the data set are of data type string, as some of the relevant data is entered manually by the referrer in the context of a specific referral. This data is often not represented as a persistent object in EHRs but more likely stored as a form or a questionnaire entry. In order to send this data within the Composition, the extension {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/ext-TextValue}} is used on {{fhir|Composition.section}}, accompanied by a distinctive code on {{fhir|Composition.section.code}}. The {{fhir|Composition.section.text}}, which provides a human-readable narrative, is mandatory when the {{fhir|Composition.section}} does not contain an entry or sub-section. Also see [http://hl7.org/fhir/R4/composition-definitions.html#Composition.section.text invariant cmp-1].

Example:
<syntaxhighlight lang="xml" style="max-height:400px; overflow: auto;">
<Composition>
...
<section>
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-TextValue">
<valueString value="paracetamol indien nodig"/>
</extension>
<title value="Ingestelde behandeling"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="108631000146107"/>
<display value="behandeling lopende (situatie)"/>
</coding>
</code>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">Ingestelde behandeling: paracetamol indien nodig</div>
</text>
</section>
...
</Composition>
</syntaxhighlight>

==Locum use cases (version 0.1.0-beta.1)==
===Retrieve (request message)===
When a locum health professional wants to obtain the locum request message. This message consists of different types of FHIR resources, which can be all or selectively retrieved by the client according to its requirements.

At the moment, only the TreamentDirective2 component of the locum request message is supported.

Retrieval of the relevant FHIR resources is done using a [http://hl7.org/fhir/R4/search.html FHIR search interaction]. The client performs a HTTP GET request against the server endpoint using the relevant FHIR resource type and search parameters:

<pre>GET [base]/[resource]/{[additional parameter(s)]}</pre>

==== Message sections ====

All search parameters listed in the table below SHALL be supported for processing by servers and MAY be supported by clients.

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Section
! style="font-weight: bold;text-align:left;" | Description
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR search parameter
! style="font-weight: bold;text-align:left;" | Search URL<ref>See [[FHIR:V1.0_FHIR_IG_R4#Search_URLs_and_search_parameters|Search URLs and search parameters]] for the interpretation of these search URLs</ref>
|-
| rowspan="2" | TreatmentDirective2
| Retrieve all Consent resources representing a Treatmentdirective2 instances.
| Consent
| {{fhir|scope}}
| <pre>GET [base]/Consent?scope=http://terminology.hl7.org/CodeSystem/consentscope|treatment</pre>
|-
| Retrieve all Consent resources representing a TreatmentDirective2 instances, and include the patient and and agreement party's in the search result.

The client may request that the server includes these resources related to the search results directly in order to reduce the overall network delay. Supporting the include of the Patient resource referenced by building blocks is required. Others (Patient, ContactPerson, PractitionerRole) are optional. However: all resources referenced per literal reference SHALL be resolvable [[FHIR:V1.0_FHIR_IG_R4#Including_referenced_resources|per the Nictiz IG]].
| Consent
| {{fhir|scope}}
{{fhir|<nowiki>_include=:</nowiki>}}
| <pre>GET [base]/Consent?scope=http://terminology.hl7.org/CodeSystem/consentscope|treatment&_include=Consent:patient&_include=Consent:actor</pre>
|}

===Serve (response message)===
The server returns an HTTP Status code appropriate to the processing outcome and returns a Bundle, with {{fhir|Bundle.type}} = {{term|searchset}}, including the resources matching the search query. The resources included in the Bundle SHALL conform to the profiles listed in [[#Locum use cases|the section 'Locum use cases']] below.

=Use cases=

==Use case: Referral from general practitioner to allied health professional (version 0.2.0-beta.1)==
This is the technical counterpart of [[hg:Vprepub-1_Ontwerp_ELZ#Usecase:_Huisarts_verwijst_naar_paramedicus]] as described in the functional design.

===Actors involved===
{| class="wikitable"
! colspan="2" | Actors
! colspan="4" | Systems
! colspan="2" | FHIR CapabilityStatements
|-
! Name
! Description
! Name
! Actor
! System role
! Description
! Name
! Description
|-
| General practitioner
| The user of a HIS
| HIS
| Sending XIS (server)
| HZP-VPS
| General practitioner information system
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/hg-Referral-GeneralPractitionerToAlliedHealthProfessional|nictiz.fhir.nl.r4.elz|pkgVersion=0.2.0-beta.1}}
| rowspan="2" | FHIR client/server requirements
|-
| Allied health professional
| The user of a PARIS
| PARIS
| Receiving XIS (client)
| HZP-VPO
| Allied health professional information system
|}

===Relations between resources===
[[Bestand:230523_Resources_verwijzing.png|1000px|link=]]

==Use case: Locum (version 0.1.0-beta.1)==
This is the technical counterpart of [[hg:Vprepub-1_Ontwerp_ELZ#Usecase:_Waarnemend_huisarts_raadpleegt_professionele_samenvatting_.28ps.29]] as described in the functional design.
===Actors involved===
{| class="wikitable"
! colspan="2" | Actors
! colspan="4" | Systems
! colspan="2" | FHIR CapabilityStatements
|-
! Name
! Description
! Name
! Actor
! System role
! Description
! Name
! Description
|-
| General practitioner
| The user of a HIS
| HIS
| Sending XIS (server)
| HZP-VPS
| General practitioner information system
| rowspan="2" | {under construction}
| rowspan="2" | FHIR client/server requirements
|-
| Allied health professional
| The user of a HAP IS
| HAP IS
| Receiving XIS (client)
| HAPIS-VPO?
| Locum practitioner information system
|}

===Relations between resources===

[[Bestand:Resources Behandelaanwijzing2.png]]

=FHIR profiles=
{{hg:Vprepub-1_NoteBoxPackage|p1=nictiz.fhir.nl.r4.elz|v1=0.2.0-beta.1|p2=nictiz.fhir.nl.r4.nl-core|v2=0.9.0-beta.1}}

{{Vdraft/InformationBoxSmall|The FHIR profiles defined for zib publication 2020 are currently in beta status. Although major changes are not to be expected, users should be aware that these profiles might be subject to incompatible changes before a stable version is reached. Therefore, these profiles should not be regarded fit for use for real-world data exchange.}}

==Referral use cases (version 0.2.0-beta.1)==
{| class="wikitable"
! Profile name
! FHIR Resource
! Canonical URL
|-
| hg-ReferralTask
| Task
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/hg-ReferralTask|nictiz.fhir.nl.r4.elz|pkgVersion=0.2.0-beta.1}}
|-
| hg-ReferralServiceRequest
| ServiceRequest
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/hg-ReferralServiceRequest|nictiz.fhir.nl.r4.elz|pkgVersion=0.2.0-beta.1}}
|-
| hg-ReferralComposition
| Composition
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/hg-ReferralComposition|nictiz.fhir.nl.r4.elz|pkgVersion=0.2.0-beta.1}}
|-
| nl-core-Patient
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|-
| nl-core-HealthProfessional-PractitionerRole
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|-
| nl-core-HealthProfessional-Practitioner
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|-
| nl-core-HealthcareProvider
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|-
| nl-core-HealthcareProvider-Organization
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|-
| nl-core-Problem
| Condition
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Problem|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|}

==Locum use cases (version 0.1.0-beta.1)==
{{Vdraft/InformationBoxSmall|The FHIR profile nl-core-ContactPerson does not support all the elements required for the Locum use cases 0.1.0-beta.1 release. The additional elements needed for Locum use cases, including the Comment extension and the EndDate mapping, are currently under consultation to determine whether they can be added to the nl-core-ContactPerson FHIR profile.}}
{| class="wikitable"
! Profile name
! FHIR Resource
! Canonical URL
|-
| nl-core-TreatmentDirective2
| Consent
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-TreatmentDirective2|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|-
| nl-core-Patient
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|-
| nl-core-ContactPerson
| RelatedPerson
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-ContactPerson|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|-
| nl-core-HealthProfessional-PractitionerRole
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|-
| nl-core-HealthProfessional-Practitioner
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|-
| nl-core-HealthcareProvider
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|-
| nl-core-HealthcareProvider-Organization
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.9.0-beta.1}}
|}

=Release notes=
Release notes can be found on the [[hg:Vprepub-1_Ontwerp_ELZ#Release_notes| functional design page]].

hg:V1 FHIR ELZ

2026-02-03T13:14:58Z

Tessa van Alphen: /* Message sections */ fix search url

imm:V2 FHIR Vaccination-Immunization alpha

2025-12-05T11:39:25Z

Tessa van Alphen: fix canonicals in tables

{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization 2.1.0-alpha.1}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:V2_Ontwerp_Vaccinatie-Immunisatie_alpha| functional design Vaccination-Immunization 2.1.0-alpha.1]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:V2_Ontwerp_Vaccinatie-Immunisatie_alpha| functional design Vaccination-Immunization 2.1.0-alpha.1]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:V2_Ontwerp_Vaccinatie-Immunisatie_alpha| functional design Vaccination-Immunization 2.1.0-alpha.1]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1=2.1.0-alpha.1|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| rowspan="2" | Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the [https://simplifier.net/packages/nictiz.fhir.nl.r4.immunization/2.1.0-alpha.1 Simplifier Immunization R4 package]

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:V2_Ontwerp_Vaccinatie-Immunisatie_alpha| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements

|- style="color: white; background-color: #eda778;"
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|- style="background-color: #fcf0e9;"
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|- style="background-color: #fcf0e9;"
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|- style="background-color: #fcf0e9;"
|style="vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="vertical-align:top;"|Retrieve vaccinations request
|style="vertical-align:top;"|Patient (using a PHR)
|style="vertical-align:top;"|Request vaccinations from the XIS
|- style="background-color: #fcf0e9;"
|style="vertical-align:top;"|Retrieve vaccinations response
|style="vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message. The request message represents an HTTP GET parameterized query from the PHR to the XIS.

'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|- style="color: white; background-color: #eda778;"
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|- style="background-color: #fcf0e9;"
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query.

=====XIS: response message=====
The expected action for the XIS is that the XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources. The trigger event is the XIS completed processing of the retrieve vaccinations request message.
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

'''Message semantics'''

The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all includes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}

====Response Resources====
The returned data to the client XIS (careprovider A) should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
|Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|}

imm:V2 FHIR Vaccination-Immunization alpha

2025-12-04T14:35:48Z

Tessa van Alphen: Nieuwe usecase toegevoegd aan TO

{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization 2.1.0-alpha.1}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:V2_Ontwerp_Vaccinatie-Immunisatie_alpha| functional design Vaccination-Immunization 2.1.0-alpha.1]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:V2_Ontwerp_Vaccinatie-Immunisatie_alpha| functional design Vaccination-Immunization 2.1.0-alpha.1]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:V2_Ontwerp_Vaccinatie-Immunisatie_alpha| functional design Vaccination-Immunization 2.1.0-alpha.1]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1=2.1.0-alpha.1|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| rowspan="2" | Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the [https://simplifier.net/packages/nictiz.fhir.nl.r4.immunization/2.1.0-alpha.1 Simplifier Immunization R4 package]

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:V2_Ontwerp_Vaccinatie-Immunisatie_alpha| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements

|- style="color: white; background-color: #eda778;"
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|- style="background-color: #fcf0e9;"
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|- style="background-color: #fcf0e9;"
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|- style="background-color: #fcf0e9;"
|style="vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="vertical-align:top;"|Retrieve vaccinations request
|style="vertical-align:top;"|Patient (using a PHR)
|style="vertical-align:top;"|Request vaccinations from the XIS
|- style="background-color: #fcf0e9;"
|style="vertical-align:top;"|Retrieve vaccinations response
|style="vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message. The request message represents an HTTP GET parameterized query from the PHR to the XIS.

'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|- style="color: white; background-color: #eda778;"
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|- style="background-color: #fcf0e9;"
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query.

=====XIS: response message=====
The expected action for the XIS is that the XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources. The trigger event is the XIS completed processing of the retrieve vaccinations request message.
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

'''Message semantics'''

The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all includes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}

====Response Resources====
The returned data to the client XIS (careprovider A) should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
|Vaccination || Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion=2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
2.1.0-alpha.1}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-24T10:24:21Z

Tessa van Alphen: /* Transactions */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| rowspan="2" | Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the [https://simplifier.net/packages/nictiz.fhir.nl.r4.immunization/2.1.0-alpha.1 Simplifier Immunization R4 package]

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements

|- style="color: white; background-color: #eda778;"
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|- style="background-color: #fcf0e9;"
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|- style="background-color: #fcf0e9;"
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|- style="background-color: #fcf0e9;"
|style="vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="vertical-align:top;"|Retrieve vaccinations request
|style="vertical-align:top;"|Patient (using a PHR)
|style="vertical-align:top;"|Request vaccinations from the XIS
|- style="background-color: #fcf0e9;"
|style="vertical-align:top;"|Retrieve vaccinations response
|style="vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message. The request message represents an HTTP GET parameterized query from the PHR to the XIS.

'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|- style="color: white; background-color: #eda778;"
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|- style="background-color: #fcf0e9;"
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query.

=====XIS: response message=====
The expected action for the XIS is that the XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources. The trigger event is the XIS completed processing of the retrieve vaccinations request message.
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

'''Message semantics'''

The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all inlcudes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}
====Response Resources====
The returned data to the client XIS (careprovider A) should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
|Vaccination || Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-24T10:02:07Z

Tessa van Alphen: /* Response Resources */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| rowspan="2" | Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the [https://simplifier.net/packages/nictiz.fhir.nl.r4.immunization/2.1.0-alpha.1 Simplifier Immunization R4 package]

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message. The request message represents an HTTP GET parameterized query from the PHR to the XIS.

'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query.

=====XIS: response message=====
The expected action for the XIS is that the XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources. The trigger event is the XIS completed processing of the retrieve vaccinations request message.
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

'''Message semantics'''

The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all inlcudes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}
====Response Resources====
The returned data to the client XIS (careprovider A) should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
|Vaccination || Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-24T10:00:11Z

Tessa van Alphen: /* Use case: retrieve vaccinations in XIS */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| rowspan="2" | Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the [https://simplifier.net/packages/nictiz.fhir.nl.r4.immunization/2.1.0-alpha.1 Simplifier Immunization R4 package]

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message. The request message represents an HTTP GET parameterized query from the PHR to the XIS.

'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query.

=====XIS: response message=====
The expected action for the XIS is that the XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources. The trigger event is the XIS completed processing of the retrieve vaccinations request message.
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

'''Message semantics'''

The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all inlcudes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}
====Response Resources====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
|Vaccination || Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-24T09:55:57Z

Tessa van Alphen: /* Invocations */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| rowspan="2" | Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the [https://simplifier.net/packages/nictiz.fhir.nl.r4.immunization/2.1.0-alpha.1 Simplifier Immunization R4 package]

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message. The request message represents an HTTP GET parameterized query from the PHR to the XIS.

'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query.

=====XIS: response message=====
The expected action for the XIS is that the XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources. The trigger event is the XIS completed processing of the retrieve vaccinations request message.
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

'''Message semantics'''

The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all inlcudes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-24T09:54:38Z

Tessa van Alphen: /* Invocations */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| rowspan="2" | Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the [https://simplifier.net/packages/nictiz.fhir.nl.r4.immunization/2.1.0-alpha.1 Simplifier Immunization R4 package]

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message. The request message represents an HTTP GET parameterized query from the PHR to the XIS.

'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query.

=====XIS: response message=====
The expected action for the XIS is that the XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources. The trigger event is the XIS completed processing of the retrieve vaccinations request message.
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Message semantics=====

The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all inlcudes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-24T09:41:50Z

Tessa van Alphen: /* Invocations */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| rowspan="2" | Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the [https://simplifier.net/packages/nictiz.fhir.nl.r4.immunization/2.1.0-alpha.1 Simplifier Immunization R4 package]

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====

The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all inlcudes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-24T09:34:46Z

Tessa van Alphen: /* Message semantics */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| rowspan="2" | Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the [https://simplifier.net/packages/nictiz.fhir.nl.r4.immunization/2.1.0-alpha.1 Simplifier Immunization R4 package]

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all inlcudes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-24T09:28:40Z

Tessa van Alphen: /* Examples of FHIR instances */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| rowspan="2" | Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the [https://simplifier.net/packages/nictiz.fhir.nl.r4.immunization/2.1.0-alpha.1 Simplifier Immunization R4 package]

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all inlcudes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-24T09:19:55Z

Tessa van Alphen:

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| rowspan="2" | Vaccination || Immunization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Immunization || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event-carenetwork|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| PharmaceuticalProduct || Medication || {{Simplifier|https://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Patient || Patient || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthcareProvider || Organization || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Location || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional || PractitionerRole || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

|- style="background-color: #fcf0e9;"
| Practitioner || {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=
{{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all inlcudes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-21T14:55:33Z

Tessa van Alphen:

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all inlcudes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>
|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''XIS executes a HTTP GET/POST conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-21T14:50:10Z

Tessa van Alphen:

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Immunization endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
The XIS of careprovider A (Client) may supply, and the XIS careprovider B (Server) shall be capable of processing, all inlcudes and search parameters listed below. These includes and parameters are a selection of the defined includes and search parameters. The includes can also be combined to retrieve multiple resources.
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>

|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-21T14:30:27Z

Tessa van Alphen: /* Search parameters */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || Retrieves all Immunization resources and includes the Patient resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || Retrieves all Immunization resources and includes the Organization resource in the search results. <pre>GET [base]/Immunization?_include=Immunization:performer</pre>

|- style="background-color: #fcf0e9;"
| patient.identifier|| The client may search on patient identification number. || Immunization || The parameters are encoded in the URL or as an application/x-www-form-urlencoded submission for a POST. Retrieves all Immunizations resources of a patient with a fake BSN of 111222333. <pre>GET [base]/Immunization?patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333</pre> <pre>POST [base]/Immunization/_search {patient.identifier=http://fhir.nl/fhir/NamingSystem/bsn|111222333}</pre>
|- style="background-color: #fcf0e9;"
| patient.birthdate|| The client may search on the patient's date of birth. || Immunization || Retrieves all Immunizations resources of a patient with a date of birth 11-11-1999 <pre>GET [base]/Immunization?patient.birthdate=1999-11-11 </pre> <pre>POST [base]/Immunization/_search {patient.birthdate=1999-11-11}</pre>
|- style="background-color: #fcf0e9;"
| patient.family|| The client may search on the family name of the patient. || Immunization || Retrieves all Immunizations resources of a patient with family name de Jong<pre>GET [base]/Immunization?patient.family=de Jong </pre> <pre>POST [base]/Immunization/_search {patient.family=de Jong}</pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-21T09:13:42Z

Tessa van Alphen: /* Message semantics */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include=Immunization:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include=Immunization:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:patient </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:performer </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-21T09:11:09Z

Tessa van Alphen:

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include:patient</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:patient </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:performer </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-20T15:49:34Z

Tessa van Alphen: /* Transactions */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Transaction groups involved====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include:patient</pre>
|-
| <code>location</code>
| This will specify the resource for the location where the Immunization took place.
|
Retrieve the Immunization and Location resource:
<pre>GET [base]/Immunization?_include:location</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:patient </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:location|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the location that the immunization is carried out. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:location </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:performer </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-20T15:46:27Z

Tessa van Alphen: /* Introduction */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Use case 1: Retrieve vaccinations ====
[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

====Actors====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include:patient</pre>
|-
| <code>location</code>
| This will specify the resource for the location where the Immunization took place.
|
Retrieve the Immunization and Location resource:
<pre>GET [base]/Immunization?_include:location</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:patient </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:location|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the location that the immunization is carried out. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:location </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:performer </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-20T15:45:23Z

Tessa van Alphen: /* Introduction */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This use case describes the patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Use case 1: Retrieve vaccinations ====
[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

====Introduction====
This retrieve vaccinations transaction is used by the PHR to retrieve vaccinations from a XIS.

====Actors====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include:patient</pre>
|-
| <code>location</code>
| This will specify the resource for the location where the Immunization took place.
|
Retrieve the Immunization and Location resource:
<pre>GET [base]/Immunization?_include:location</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:patient </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:location|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the location that the immunization is carried out. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:location </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:performer </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-20T15:09:17Z

Tessa van Alphen: /* Search parameters */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This page describes patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Use case 1: Retrieve vaccinations ====
[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

====Introduction====
This retrieve vaccinations transaction is used by the PHR to retrieve vaccinations from a XIS.

====Actors====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include:patient</pre>
|-
| <code>location</code>
| This will specify the resource for the location where the Immunization took place.
|
Retrieve the Immunization and Location resource:
<pre>GET [base]/Immunization?_include:location</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:patient </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:location|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the location that the immunization is carried out. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:location </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || <pre> GET [base]/Immunization?_include=Immunization:performer </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-20T15:06:18Z

Tessa van Alphen: /* Search parameters */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This page describes patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Use case 1: Retrieve vaccinations ====
[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

====Introduction====
This retrieve vaccinations transaction is used by the PHR to retrieve vaccinations from a XIS.

====Actors====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include:patient</pre>
|-
| <code>location</code>
| This will specify the resource for the location where the Immunization took place.
|
Retrieve the Immunization and Location resource:
<pre>GET [base]/Immunization?_include:location</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:patient </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:location|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the location that the immunization is carried out. || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:location </pre>
|- style="background-color: #fcf0e9;"
| _include=Immunization:performer|| The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the performer (organization) by whom the immunization was carried out. || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:performer </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-20T14:40:13Z

Tessa van Alphen: /* Involved actors */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This page describes patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Use case 1: Retrieve vaccinations ====
[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

====Introduction====
This retrieve vaccinations transaction is used by the PHR to retrieve vaccinations from a XIS.

====Actors====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include:patient</pre>
|-
| <code>location</code>
| This will specify the resource for the location where the Immunization took place.
|
Retrieve the Immunization and Location resource:
<pre>GET [base]/Immunization?_include:location</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || XIS careprovider A (Client) || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || XIS careprovider B (Server) || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}

====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:patient </pre>
|- style="background-color: #fcf0e9;"
| <FHIR Search Parameter 2> || <Description of FHIR Search Parameter 2> || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:location </pre>
|- style="background-color: #fcf0e9;"
| <FHIR Search Parameter 3> || <Description of FHIR Search Parameter 3> || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:performer </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-20T14:34:48Z

Tessa van Alphen: /* Introduction */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This page describes patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Use case 1: Retrieve vaccinations ====
[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

====Introduction====
This retrieve vaccinations transaction is used by the PHR to retrieve vaccinations from a XIS.

====Actors====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include:patient</pre>
|-
| <code>location</code>
| This will specify the resource for the location where the Immunization took place.
|
Retrieve the Immunization and Location resource:
<pre>GET [base]/Immunization?_include:location</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || Client || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || Server || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}
====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:patient </pre>
|- style="background-color: #fcf0e9;"
| <FHIR Search Parameter 2> || <Description of FHIR Search Parameter 2> || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:location </pre>
|- style="background-color: #fcf0e9;"
| <FHIR Search Parameter 3> || <Description of FHIR Search Parameter 3> || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:performer </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-20T14:34:11Z

Tessa van Alphen: /* Use case: retrieve vaccinations in XIS */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This page describes patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Use case 1: Retrieve vaccinations ====
[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

====Introduction====
The retrieve vaccinations transaction is used by the PHR to retrieve vaccinations from a XIS.

====Actors====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include:patient</pre>
|-
| <code>location</code>
| This will specify the resource for the location where the Immunization took place.
|
Retrieve the Immunization and Location resource:
<pre>GET [base]/Immunization?_include:location</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===
This retrieve vaccinations transaction is used by a XIS (careprovider A) to retrieve vaccinations from another XIS (careprovider B).
====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || Client || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || Server || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}
====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:patient </pre>
|- style="background-color: #fcf0e9;"
| <FHIR Search Parameter 2> || <Description of FHIR Search Parameter 2> || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:location </pre>
|- style="background-color: #fcf0e9;"
| <FHIR Search Parameter 3> || <Description of FHIR Search Parameter 3> || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:performer </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-18T14:54:57Z

Tessa van Alphen: /* Search parameters */

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This page describes patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Use case 1: Retrieve vaccinations ====
[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

====Introduction====
The retrieve vaccinations transaction is used by the PHR to retrieve vaccinations from a XIS.

====Actors====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include:patient</pre>
|-
| <code>location</code>
| This will specify the resource for the location where the Immunization took place.
|
Retrieve the Immunization and Location resource:
<pre>GET [base]/Immunization?_include:location</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===

====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || Client || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || Server || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}
====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Immunization

|- style="background-color: #fcf0e9;"
| _include=Immunization:patient || The client may request that the server returns resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This will specify the resource for the patient that the immunization is performed on. || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:patient </pre>
|- style="background-color: #fcf0e9;"
| <FHIR Search Parameter 2> || <Description of FHIR Search Parameter 2> || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:location </pre>
|- style="background-color: #fcf0e9;"
| <FHIR Search Parameter 3> || <Description of FHIR Search Parameter 3> || Immunization || <pre> <HTTP Method> [base]/Immunization?_include=Immunization:performer </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-18T13:20:54Z

Tessa van Alphen: usecase 2 involved actors

{{IssuePaginaWaarschuwing|Nictiz-26747|imm:V2_FHIR_Vaccination-Immunization}}
__NOINDEX__
{{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. For questions and change requests regarding this IG, please create a ticket in [{{VersieInfo|BITS|release=V2|namespace=imm}} BITS].}}
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:FHIR Implementation Guide: Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}}}

[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]
[[Bestand:Icoon_Nictiz_Cirkel_Informatiestandaard_Vaccinatie.svg|link=|87px|Vaccinatie-Immunisatie]]

==Introduction==
This is the technical design (TO) for the information standard (IS) Vaccination-Immunization. This TO must be used together with the IS functional design [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]]. The data exchange format used in this version is: HL7 FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]].

=== Prerequisite knowledge ===
This TO assumes that the reader is familiar with the following:
* The [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design Vaccination-Immunization {{VersieInfo|Vaccinatie-Immunisatie|release=V2}}]] accompanying this TO.
* This information standard uses the data exchange formats HL7 FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]]
** [[FHIR:V1.0_FHIR_IG_R4#Overarching_principles|use case overarching principles]]
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]].

==Components==
HL7 FHIR R4 is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

===HL7 FHIR R4===
{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

===Artifacts===
The artifacts of the information standard are presented in the following table:

{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib !! FHIR resource !! FHIR profile

|- style="background-color: #fcf0e9;"
| <zib 1> || <FHIR resource 1> || <nowiki>{{Simplifier|<canonical 1>|(package)(|pkgVersion=<package version 1>)(|title=<Simplifier page title 1>)}}</nowiki>

|- style="background-color: #fcf0e9;"
| <zib 2> || <FHIR resource 2> || <nowiki>{{Simplifier|<canonical 2>|(package)(|pkgVersion=<package version 2>)(|title=<Simplifier page title 2>)}}</nowiki>
|}

===Examples of FHIR instances===
You can find examples of FHIR-instances (filled-in FHIR profiles) in the ..... : <link>

==Transactions==
===Use case: retrieve vaccinations in a personal health environment===

====Introduction====
This page describes patient's use case for the retrieval of vaccination results, in a personal health environment (PHR) context. Functional specifications are described at the [[imm:Vprepub-2_Ontwerp_Vaccinatie-Immunisatie| functional design wiki page]]. This use case consists of enabling a patient to view his own administered vaccinations in a PHR. The technical specification is described here. HL7 FHIR R4 is used for this purpose. Vaccinations are represented by the Immunization resource in FHIR. A transaction will retrieve all administered vaccinations from the XIS.

'''Note''': This implementation guide builds on the general guidelines described in the [[MedMij:IG:V1/FHIR_IG#Overarching principles|use case overarching principles]].

====Actors involved====
{| class="wikitable"
! colspan="2" style="text-align:left;font-weight: bold;" | Actors
! colspan="2" style="text-align:left;font-weight: bold;" | Systems
! colspan="2" style="text-align:left;font-weight: bold;" | FHIR CapabilityStatements
|-
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
| style="text-align:left;font-weight: bold;" |Name
| style="text-align:left;font-weight: bold;" |Description
|-
| Patient
| The user of a personal healthcare environment.
| PHR
| Personal health record
| rowspan="2" | {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}
| rowspan="2" | FHIR client/server requirements
|-
| (Healthcare) provider
| The user of a XIS
| XIS
| (Healthcare) information system
|}

====Use case 1: Retrieve vaccinations ====
[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]
{{FHIR-IG-Afsprakenstelsel-Note}}

====Introduction====
The retrieve vaccinations transaction is used by the PHR to retrieve vaccinations from a XIS.

====Actors====
{| class="wikitable" "cellpadding="10"
! style="text-align:left;font-weight: bold;"| '''Transaction group'''
! style="text-align:left;font-weight: bold;"| '''Transaction'''
! style="text-align:left;font-weight: bold;"| '''Actor'''
! style="text-align:left;font-weight: bold;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve vaccinations(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vaccinations from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vaccinations response
|style="background-color: white;vertical-align:top;"|(Healthcare) provider (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vaccinations to the PHR
|}

====Invocations====
=====PHR: request message=====
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

=====Trigger events=====
When the patient (PHR) wants to obtain vaccinations, it issues a retrieve vaccinations request message.

=====Message semantics=====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTful] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Immunization{?[includes]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all inlcudes listed below. These includes are a selection of the defined includes. The includes can also be combined to retrieve multiple resources.

{| class="wikitable"
! colspan="3" style="font-weight: bold;text-align:left;" | Immunization
|-
| style="font-weight: bold;text-align:left;" | Name
| style="font-weight: bold;text-align:left;" | Description
| style="font-weight: bold;text-align:left;" | Example
|-
| <code>patient</code>
| This will specify the resource for the patient that the immunization is performed on.

|
Retrieve the Immunization and Patient resource:
<pre>GET [base]/Immunization?_include:patient</pre>
|-
| <code>location</code>
| This will specify the resource for the location where the Immunization took place.
|
Retrieve the Immunization and Location resource:
<pre>GET [base]/Immunization?_include:location</pre>
|-
| <code>performer</code>
| This will specify the resource for the healthcareprovider who performed the immunization on the patient.
|
Retrieve the Immunization and Practitioner or Organization resource:
<pre>GET [base]/Immunization?_include:performer</pre>
|}

At this point in time, there are no use cases for filter parameters on the query. The stated query will return a Bundle with all known administered immunizations. Each immunization is conveyed in an Immunization resource. The Immunization resource will contain references to actors such as the patient (Patient resource), the health professional (PractitionerRole and Practitioner resources) and the organization (Organization resource). The client SHALL be able to resolve there referenced resources, as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{NoteBox|(*) The vaccination location, may or may not be a fully specified address and may or may not be a location of a healthcare provider. It is conceivable that it is as vague as "Germany" when a parent informs the registry of a having received a vaccination "in Germany" without any further info. In these cases it might be unreasonable to assume a full Location resource which is separately accessible. FHIR has a mechanism {{fhir|contained}} for information that only makes sense in the context of some parent resource. The {{fhir|reference}} simply starts with a point sign '#', signalling that the target is internal to the resource. In this case {{fhir|Immunization.contained.Location}}.

It is the prerogative of the source system whether or not {{fhir|Location}} is an independent object. The expectation is that healthcare provider locations are independent {{fhir|Location}} resources. Receiving systems should expect normal FHIR rules for resolving references, which include resolving contained references.

'''Example fragment'''

{{Collapse top|XML Example of Immunization.contained}}
<syntaxhighlight lang="xml">
<Immunization xmlns="http://hl7.org/fhir">
...
<contained>
<Location>
<id value="locatie1"/>
<address>
<country value="Duitsland">
<extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Duitsland"/>
</coding>
</valueCodeableConcept>
</extension>
</country>
</address>
</Location>
</contained>
...
<location>
<reference value="#locatie1"/>
<type value="Location"/>
<display value="Adres: Duitsland."/>
</location>
...
</performer>
</Immunization>
</syntaxhighlight>
{{Collapse bottom}}
}}

=====Expected actions=====
The XIS SHALL process the query to retrieve patient's Immunization resources and the referenced resources.

=====XIS: response message=====
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching information.

=====Trigger events=====
The XIS completed processing of the retrieve vaccinations request message.

=====Message semantics=====
The returned data to the PHR should conform to the profiles listed in the table below. The resources in the response message SHALL conform to the requirements as described in the [[MedMij:IG:V1/FHIR_IG#Profile_use_and_declaration|MedMij FHIR R4 Implementation Guide]].

{{imm:Vprepub-2_NoteBoxPackage|p1=nictiz.fhir.nl.r4.immunization|v1={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|p2=nictiz.fhir.nl.r4.nl-core|v2={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}

{| class="wikitable"
! style="font-weight: bold;text-align:left;" | Building block (EN)
! style="font-weight: bold;text-align:left;" | Building block (NL)
! style="font-weight: bold;text-align:left;" | FHIR resource
! style="font-weight: bold;text-align:left;" | FHIR profile
|-
| Vaccination
| Vaccinatie
| Immunization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-Vaccination-event|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| PharmaceuticalProduct
| FarmaceutischProduct
| Medication
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}}}
|-
| Patient
| Patiënt
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthProfessional
| rowspan="2" | Zorgverlener
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| rowspan="2" | HealthcareProvider
| rowspan="2" | Zorgaanbieder
| Location
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.nl-core|release=V2|namespace=imm}}}}
|-
|}

=====Expected actions=====
The PHR processes the results according to application-defined rules.

===Use case: retrieve vaccinations in XIS===

====Involved actors====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code || FHIR CapabilityStatement

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve vaccinations(PULL)
| Retrieve vaccinations request || Client || IMM-VAR-FHIR || rowspan="2" |{{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/imm-RetrieveServe|nictiz.fhir.nl.r4.immunization|pkgVersion={{VersieInfo|nictiz.fhir.nl.r4.immunization|release=V2|namespace=imm}}|title=CapabilityStatement: Retrieve Serve}}

|- style="background-color: #fcf0e9;"
| Retrieve vaccinations response || Server || IMM-VAB-FHIR

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: IMM-VAR = Immunisatie-vaccinatie raadplegend (systeem), IMM-VAB = Immunisatie-vaccinatie beschikbaarstellend (systeem).''
|}
====Search parameters====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter !! Description !! FHIR Resource !! Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | <Functional building block 1>

|- style="background-color: #fcf0e9;"
| <FHIR Search Parameter 1> || <Description of FHIR Search Parameter 1> || <FHIR Resource 1> || <pre> <HTTP Method> [base]/<FHIR resource>?_include=<FHIR resource>:<Search parameters> </pre>

|- style="color: white; background-color: #eda778;"
! colspan="4" | <Functional building block 2>

|- style="background-color: #fcf0e9;"
| <FHIR Search Parameter 2> || <Description of FHIR Search Parameter 2> || <FHIR Resource 2> || <pre> <HTTP Method> [base]/<FHIR resource>?_include=<FHIR resource>:<Search parameters> </pre>

|- style="color: white; background-color: #eda778;"
! colspan="4" | <Functional building block 3>

|- style="background-color: #fcf0e9;"
| <FHIR Search Parameter 3> || <Description of FHIR Search Parameter 3> || <FHIR Resource 3> || <pre> <HTTP Method> [base]/<FHIR resource>?_include=<FHIR resource>:<Search parameters> </pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Use this caption for extra notes, abbreviations, etc.''
|}

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-14T11:16:38Z

Tessa van Alphen: applied TO template

imm:Vissue-Nictiz-26747 FHIR Vaccination-Immunization

2025-11-13T13:28:04Z

Tessa van Alphen: Clone of V2 production page for issue Nictiz-26747

Gebz:FHIR bc-ChildObservation

2025-10-31T14:54:35Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-ChildObservation]]

Gebz:FHIR bc-BirthObservation

2025-10-31T14:54:08Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-BirthObservation]]

Gebz:FHIR bc-DeliveryObservation

2025-10-31T14:53:30Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-DeliveryObservation]]

Gebz:FHIR bc-ProcedureObservation

2025-10-31T14:52:57Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-ProcedureObservation]]

Gebz:FHIR bc-PregnancyObservation

2025-10-31T14:52:26Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-PregnancyObservation]]

Gebz:FHIR bc-ObstetricProcedure

2025-10-31T14:51:44Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-ObstetricProcedure]]

Gebz:FHIR bc-MaternalObservation

2025-10-31T14:51:10Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-MaternalObservation]]

Gebz:FHIR bc-FetusObservation

2025-10-31T14:50:30Z

Tessa van Alphen: Doorverwijzingsdoel gewijzigd van Gebz:V3.0 FHIR IG bc-FetusObservation naar Gebz:V2.0 FHIR IG bc-FetusObservation

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-FetusObservation]]

Gebz:FHIR bc-DonorObservation

2025-10-31T14:50:05Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-DonorObservation]]

Gebz:FHIR bc-DisorderPostPartum

2025-10-31T14:49:30Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-DisorderPostPartum]]

Gebz:FHIR bc-DisorderOfPregnancy

2025-10-31T14:48:56Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-DisorderOfPregnancy]]

Gebz:FHIR bc-DisorderOfLaborAndDelivery

2025-10-31T14:48:28Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-DisorderOfLaborAndDelivery]]

Gebz:FHIR bc-DisorderOfChild

2025-10-31T14:47:50Z

Tessa van Alphen: edit redirect link

#DOORVERWIJZING [[Gebz:V2.0 FHIR IG bc-DisorderOfChild]]

Gebz:V2.0 FHIR IG bc-FetusObservation

2025-10-31T14:27:11Z

Tessa van Alphen: /* Dataset 3.2 mappings */ updated table version

=bc-FetusObservation=
This is a generic profile for observations related to a fetus. If a patient record is available for the (to be born) child, use bc-ChildObservation instead.

Each FetusObservation must have:
* a subject, the mother
* a fetus, the focal element 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:
{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-fetusobservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}

==Pattern==
This is a patten for fetus-related Observations in Birthcare.

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

[[https://informatiestandaarden.nictiz.nl/wiki/Gebz:FHIR_Guidelines#Pattern_legend Legend]]

<syntaxhighlight lang="xml" heading="XML fragment">
<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 pregnancy | BodySite/fetus1]]" />
<display value="Foetus 1 vd Wouden"/>
</valueReference>
</extension>
[[! Other values than final should be avoided ]]
<status value="final"/>
<code>
<coding>
<system value="[[several values possible, see below]]"/>
<code value="[[several values possible, see below]]"/>
<display value="[[several values possible, see below]]"/>
</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>
[[several values possible, see below]]
</Observation>
</syntaxhighlight>

==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 3.2 mappings===
{{#lst:Gebz:V2.0_Dataset:V3.2_FHIR_mapping_addendum|bc-FetusObservation }}

Gebz:V2.0 FHIR IG bc-DonorObservation

2025-10-31T14:26:46Z

Tessa van Alphen: /* Dataset 3.2 mappings */ updated table version

=bc-DonorObservation=
This is a generic profile for observations related to a donor.
These are observations about the donor, such as their age.

* Donor-related Observations use the focus extension to point to the RelatedPerson (donor) they are about
* Donor-related Observations refer to the EpisodeOfCare with Observation.context.reference

==Profile==
The entire profile can be found at:
{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DonorObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DonorObservation}}

==Pattern==
This is a patten for donor-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-DonorObservation.

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

[[https://informatiestandaarden.nictiz.nl/wiki/Gebz:FHIR_Guidelines#Pattern_legend Legend]]

<syntaxhighlight lang="xml" heading="XML fragment">
<Observation xmlns="http://hl7.org/fhir">
<id value="[[a unique id]]"/>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/bc-DonorObservation"/>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-observation"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/observation-focusSTU3">
<valueReference>
<reference value="[[reference to the RelatedPerson| RelatedPerson/donor-van-vrouw1]]"/>
<display value="(eiceldonor (persoon)) van Vrouw1"/>
</valueReference>
</extension>
<status value="final"/>
<code>
<coding>
<system value="[[system, see below | http://snomed.info/sct]]"/>
<code value="[[code, see below | 424144002]]"/>
<display value="[[display, see below |huidige chronologische leeftijd (waarneembare entiteit)]]"/>
</coding>
</code>
<subject>
<reference value="[[reference to the Woman Patient | Patient/Vrouw1]]"/>
<display value="[[display of reference | Vrouw 1]]"/>
</subject>
<context>
<reference value="[[reference to the EpisodeOfCare | EpisodeOfCare/vrouw1-zwanger1]]"/>
</context>
[[#observation.value, see below]]
<valueQuantity>
<value value="25"/>
<unit value="a"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</valueQuantity>
[[/observation.value]]
</Observation>
</syntaxhighlight>

==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 3.2 mappings===
{{#lst:Gebz:V2.0_Dataset:V3.2_FHIR_mapping_addendum|bc-DonorObservation }}

Gebz:V2.0 FHIR IG bc-ProcedureObservation

2025-10-31T14:26:11Z

Tessa van Alphen: /* Dataset 3.2 mappings */ updated table version

=bc-ProcedureObservation=
This is a generic profile for observations related to a procedure. For example, in an embryo transfer this could be an observation about the embryo being frozen or not.
Each bc-ProcedureObservation must have:
* a subject, the pregnant woman
* a reference to the Procedure (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:
{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-procedureobservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ProcedureObservation}}

==Pattern==
This is a pattern for procedure-related Observations in Birthcare. Not for Observations to the pregnant woman. Note that the meta.profile element should at least include nl-core-observation and preferably bc-ProcedureObservation.

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

[[https://informatiestandaarden.nictiz.nl/wiki/Gebz:FHIR_Guidelines#Pattern_legend Legend]]

===XML fragment===
This is a recipe for procedure-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-ProcedureObservation.

<syntaxhighlight lang="xml" heading="XML fragment">
<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-ProcedureObservation"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
<valueReference>
<reference value="[[reference to the procedure | Procedure/wouden-embryoterugplaatsing]]" />
</valueReference>
</extension>
[[! Other values than final should be avoided ]]
<status value="final"/>
<code>
<coding>
<system value="[[system, see below | http://snomed.info/sct]]"/>
<code value="[[code, see below | 236894009]]"/>
<display value="[[display, see below | transfer van ingevroren embryo (verrichting) ]]"/>
</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-contact1]]"/>
[[/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]]
<valueBoolean value="true"/>
[[/observation.value]]
</Observation>
</syntaxhighlight>

==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 3.2 mappings===
{{#lst:Gebz:V2.0_Dataset:V3.2_FHIR_mapping_addendum|bc-ProcedureObservation }}

Gebz:V2.0 FHIR IG bc-PregnancyObservation

2025-10-31T14:25:44Z

Tessa van Alphen: /* Dataset 3.2 mappings */ updated table version

=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:
{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-pregnancyobservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=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.

[[https://informatiestandaarden.nictiz.nl/wiki/Gebz:FHIR_Guidelines#Pattern_legend 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-PregnancyObservation.

<syntaxhighlight lang="xml" heading="XML fragment">
<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>
</syntaxhighlight>

==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 3.2 mappings===
{{#lst:Gebz:V2.0_Dataset:V3.2_FHIR_mapping_addendum|bc-PregnancyObservation }}

Gebz:V2.0 FHIR IG bc-ObstetricProcedure

2025-10-31T14:24:46Z

Tessa van Alphen: /* Valuation table */ updated table version

=bc-ObstetricProcedure=
This is a generic profile describing obstetric procedures.
Obstetric procedures are procedures related to pregnancy, birth and delivery, such as vacuum delivery.
* For obstetric procedures related to the pregnancy, use Procedure.reasonReference
* For obstetric procedures related to birth and delivery, use the (optional) partOf extension to point to the Delivery (maternal data) or the Birth (child-specific data)
* The context is the Maternal Record or an Encounter

Each bc-ObstetricProcedure must have:
* a subject, the Patient bc-woman
* a category code that classifies the procedure for searching, sorting and display purposes.

==Profile==
The entire profile can be found at:
{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}

==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 3.2 mappings===
{{#lst:Gebz:V2.0_Dataset:V3.2_FHIR_mapping_addendum|bc-ObstetricProcedure }}

Gebz:V2.0 Dataset:V3.2 FHIR mapping addendum

2025-10-31T14:23:26Z

Tessa van Alphen: addendum fhirmapping - updated table

=Addendum FHIR mapping=
{{IssueBox|Generated code, do not change by hand}}

=bc-BirthObservation=
<section begin=bc-BirthObservation />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4400
||Type Partus (Observatie)
||4144
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4394
||Werkelijke plaats baring (type locatie) (Observatie)
||4193
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4132
||Actief Meepersen (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4133
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4135
||ActiefMeepersenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://snomed.info/sct
||249163006
||begin van persen tijdens partus (waarneembare entiteit)
||value[x]:valueDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4136
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4143
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4144
||Type Partus (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4145
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4147
||TypePartusWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://snomed.info/sct
||364336006
||soort partus (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.182--20200811153819|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=TypePartus}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4148
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4155
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4193
||Werkelijke plaats baring (type locatie) (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4194
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4196
||WerkelijkePlaatsBaringWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://snomed.info/sct
||366344009
||bevinding betreffende locatie van partus
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.321--20201117110614|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Werkelijke plaats baring 3.2}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4197
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4204
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|}

<section end=bc-BirthObservation />

=bc-ChildObservation=
<section begin=bc-ChildObservation />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4399
||Perinatale sterfte (Observatie)
||1756
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8644
||Kind in leven (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8645
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8647
||KindInLevenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||value[x]:valueString
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8648
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8653
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4402
||Geboortegewicht (Lichaamsgewicht)
||1418
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4403
||Bevindingen
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4404
||Algemene indruk
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10665
||Oorzaak overlijden (Probleem)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||value[x]:valueCodeableConcept
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1418
||Geboortegewicht (Lichaamsgewicht)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1419
||GewichtWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||8339-4 29463-7
||Lichaamsgewicht^bij geboorte [massa] d.m.v. meting Lichaamsgewicht [massa]
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1423
||   PercentielGeboortegewicht
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||301334000
||geboortegewichtpercentiel (waarneembare entiteit)
||interpretation
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1420
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment
||comment
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1421
||   GewichtDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1422
||   Kleding
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||component:clothing.value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.1.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=KledingCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1765
||Bevindingen
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2706
||Algemene indruk
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2966
||Huid
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2967
||Huid (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2940
||   HuidDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2941
||HuidWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||364528001
||observatie betreffende huid (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.305--20200921120509|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ObservatieKind_Huid}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3057
||   AnatomischeLocatie
||3054
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||bodySite
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2942
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2943
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2968
||Hoofd/Hals
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2969
||Hoofd/Hals (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2970
||   HoofdHalsDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2971
||HoofdHalsWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||364403006
||observatie betreffende hoofd-halsregio (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.326--20201201113630|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ObservatieKind_Hoofd-Hals}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2972
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2973
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2974
||Thorax
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2975
||Thorax (observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2978
||   ThoraxDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2979
||ThoraxWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||364434005
||aspect van thorax (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.328--20201201152903|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ObservatieKind_Thorax}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2980
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2981
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2984
||Abdomen
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3070
||Abdomen (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3071
||   AbdomenDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3072
||AbdomenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||364446009
||algemene kenmerken van abdomen (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.337--20201207162228|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ObservatieKind_Abdomen}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3073
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3074
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3005
||Rug
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3075
||Rug (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3076
||   RugDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3077
||RugWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||364415005
||observatie betreffende wervelkolom (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.338--20201208102213|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ObservatieKind_Rug}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3078
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3079
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3016
||Extremiteiten
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3080
||Extremiteiten (observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3081
||   ExtremiteitenDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3082
||ExtremiteitenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||363799009
||kenmerk van extremiteit (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.339--20201208105521|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ObservatieKind_Extremiteiten}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3083
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3084
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3027
||Genitalia
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3049
||Genitalia (observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3050
||   GenitaliaDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3051
||GenitaliaWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||364204002
||observatie betreffende geslachtsorgaan (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.335--20201203120002|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ObservatieKind_Genitalia}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4305
||   AnatomischeLocatie
||3054
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||bodySite
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3052
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3053
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3038
||Neurologie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3085
||Neurologie (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3086
||   NeurologieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3087
||NeurologieWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||363820009
||observatie betreffende neurologie (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.340--20201208121209|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ObservatieKind_Neurologie}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3088
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3089
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8689
||ROP Screening (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8690
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8691
||ObservatieNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||code
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8692
||ROPScreeningAfgeslotenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||180601000146101
||screening op prematurenretinopathie afgesloten
||value[x]:valueCodeableConcept
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8693
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8694
||   ObservatieSpecimen
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||123038009
||monster (monster)
||specimen
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8695
||   AnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||123037004
||lichaamsstructuur (lichaamsstructuur)
||bodySite
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8696
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.3--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieICD-O-3Codelijst}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8697
||   Lateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||272741003
||lateraliteit (attribuut)
||bodySite.extension:laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8698
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8717
||AABR (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||413083006
||Automated auditory brainstem response test (procedure)
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8718
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8719
||ObservatieNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||code
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8720
||AABRAfwijkendWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||413083006 442618008
||Automated auditory brainstem response test (procedure) Abnormal finding on evaluation procedure (finding)
||value[x]:valueCodeableConcept
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8721
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8722
||   ObservatieSpecimen
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||123038009
||monster (monster)
||specimen
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8723
||   AnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||123037004
||lichaamsstructuur (lichaamsstructuur)
||bodySite
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8724
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.3--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieICD-O-3Codelijst}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8725
||   Lateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||272741003
||lateraliteit (attribuut)
||bodySite.extension:laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8726
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8727
||BERA (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||252616000
||Auditory brainstem electric response audiometry (procedure)
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8728
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8729
||ObservatieNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||code
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8730
||BERAAfwijkendWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||252616000 442618008
||Auditory brainstem electric response audiometry (procedure) Abnormal finding on evaluation procedure (finding)
||value[x]:valueCodeableConcept
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8731
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8732
||   ObservatieSpecimen
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||123038009
||monster (monster)
||specimen
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8733
||   AnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||123037004
||lichaamsstructuur (lichaamsstructuur)
||bodySite
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8734
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.3--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieICD-O-3Codelijst}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8735
||   Lateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||272741003
||lateraliteit (attribuut)
||bodySite.extension:laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8736
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9733
||ROP Screening (Observatie)
||8689
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9732
||AABR (Observatie)
||8717
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9878
||BERA (Observatie)
||8727
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9738
||Opleiding moeder
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||160271000146108
||opleiding van moeder (waarneembare entiteit)
||value[x]:valueCodeableConcept
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9737
||Opleiding
||2581
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9739
||Opleiding vader
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||160261000146102
||opleiding van vader (waarneembare entiteit)
||value[x]:valueCodeableConcept
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9740
||Opleiding
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9741
||Schooltype
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||105421008
||opleidingsniveau (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.10.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=SchooltypeCodelijst}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.10.2--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=SchooltypeCBSCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9742
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9745
||Neurologie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9751
||Neurologie (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9761
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9763
||NeurologieWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||363820009
||observatie betreffende neurologie (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.391--20240906071339|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Neurologie follow up}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9764
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9769
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9781
||Gehoor (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9782
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9784
||GehoorWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||47078008
||gehoorfunctie (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.388--20240327094808|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Gehoor Follow up}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9785
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9790
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9791
||Gezondheidstoestand (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9792
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9794
||GezondheidstoestandWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||278844005
||algemene klinische toestand (waarneembare entiteit)
||value[x]:valueString
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.389--20240522092529|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=GezondheidstoestandWaarde Follow up}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9795
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9800
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9960
||Ademhaling (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9961
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9963
||AdemhalingWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||364062005
||observatie betreffende ademhaling (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.285--20200616133418|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Ademhaling}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9964
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9969
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9886
||Navelstomp (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9887
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9889
||NavelstompWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||364595007
||aspect van navelstrengstomp (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.279--20191118174055|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ControleNavelstomp}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9890
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9895
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9896
||Slaappatroon (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9897
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9899
||SlaappatroonWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||404950004
||gedrag omtrent slaap (waarneembare entiteit)
||value[x]:valueString
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9900
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9905
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9906
||Huilgedrag (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9907
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9909
||HuilgedragWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||28263002
||huilen (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.274--20200512160326|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Huilgedrag baby}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9910
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9915
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4356
||Controle huid
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9959
||Huid (Observatie)
||2967
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9916
||Spugen (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9917
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9919
||SpugenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||300359004
||bevinding betreffende braken (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.284--20200103125137|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=SpugenCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9920
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9925
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9926
||Schedel (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9927
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9929
||SchedelWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||248369007
||bevinding betreffende schedel (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.370--20220221143159|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=SchedelCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9930
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9935
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10727
||Tonus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10728
||Neurologie (Observatie)
||3085
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10003
||Gehoortest (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10004
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10006
||GehoortestWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||252957005
||gehoortest bij kind (verrichting)
||value[x]:valueBoolean
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10007
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10012
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10013
||Hielprik (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10014
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10016
||HielprikWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||77262006
||hielprik (verrichting)
||value[x]:valueBoolean
||
|-style="font-style: italic;"
|[[Bestand:II.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10025
||   SetnummerHielprikWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||396278008
||identificatienummer (waarneembare entiteit)
||identifier
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10017
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10022
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10023
||DatumGehoortestWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439272007
||datum van verrichting (waarneembare entiteit)
||value[x]:valueDateTime
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10024
||DatumHielprikWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||value[x]:valueDateTime
||
|}

<section end=bc-ChildObservation />

=bc-DeliveryObservation=
<section begin=bc-DeliveryObservation />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9144
||Inspectie perineum/ sfincter/ vrouwelijke geslachtsorganen (Observatie)
||3951
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9172
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9174
||HoeveelheidBloedverliesWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||249212004
||hoeveelheid lochia (waarneembare entiteit)
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9175
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9180
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7863
||Wijze Begin Baring (Observatie)
||4096
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4395
||Ziekenhuis baring
||1587
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10677
||Inspectie perineum/ sfincter/ vrouwelijke geslachtsorganen (Observatie)
||3951
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4390
||Hoeveelheid bloedverlies (Observatie)
||3967
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7865
||Wijze Geboorte Placenta (Observatie)
||4218
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4084
||Actieve Ontsluiting (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4085
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4087
||BeginActieveOntsluitingWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||160621000146107
||datum van begin van eerste fase van partus (waarneembare entiteit)
||value[x]:valueDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4088
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4095
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4096
||Wijze Begin Baring (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4097
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4099
||BeginBaringWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||160611000146102
||manier waarop eerste fase van partus is begonnen (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.308--20210126165826|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=WijzeBeginBaring_32}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4100
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4107
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4108
||Breken Vliezen (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4109
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4111
||BrekenVliezenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||289251005
||tijdstip waarop gebroken vliezen zijn geconstateerd (waarneembare entiteit)
||value[x]:valueDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4112
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4119
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4120
||Aard Vruchtwater (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4121
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4123
||Aard Vruchtwater Waarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||168089007
||aspect van vruchtwater (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.20--20210222094051|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=KleurVruchtwater}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4124
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4131
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4218
||Wijze Geboorte Placenta (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4219
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4221
||WijzeGeboortePlacentaWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||236994008
||geboorte van placenta (verrichting)
||
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.313--20210210164932|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Geboorte Placenta 3.2}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4222
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4229
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4230
||Geboorte Placenta (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4231
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4233
||GeboortePlacentaWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||136311000146100
||datum en tijd van geboorte van placenta (waarneembare entiteit)
||value[x]:valueDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4234
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4241
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4242
||Placenta Compleet (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4243
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4245
||PlacentaCompleetWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||364343000
||compleetheid van placenta (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.342--20210225121553|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=PlacentaCompleet (3.2)}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4246
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4253
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4254
||Placenta PA? (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4255
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4257
||PlacentaPAWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||168123008
||monster ingestuurd voor onderzoek (situatie)
||value[x]:valueBoolean
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4258
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4265
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4266
||Testuitslag PA (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4267
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4269
||TestuitslagPAWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||726566009
||Pathology biopsy report (record artifact)
||value[x]:valueString
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4270
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4277
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4278
||Compleetheid Vliezen (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4279
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4281
||CompleetheidVliezenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||364351002
||compleetheid van vruchtvliezen (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.230--20170201162016|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Compleetheid vliezen}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4282
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4289
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4290
||Navelstreng Vaten (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4291
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4293
||NavelstrengVatenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||249191003
||aantal bloedvaten in navelstreng (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.231--20170201164126|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Navelstreng vaten}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4294
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4301
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3967
||Hoeveelheid bloedverlies (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3968
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1751
||HoeveelheidBloedverliesWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||364332008
||bloedverlies durante partu (waarneembare entiteit)
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3969
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3970
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|}

<section end=bc-DeliveryObservation />

=bc-DisorderOfChild=
<section begin=bc-DisorderOfChild />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1985
||   Kind
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||subject
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1981
||Probleem (Kindspecifieke maternale problemen)
||1591
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1983
||Probleem (ProblematiekKind)
||1503
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8781
||Probleem (Geboortetrauma)
||1493
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8782
||Probleem (Congenitale aandoeningen)
||1514
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8783
||Probleem_Huid
||3059
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8784
||Probleem_Hoofd/Hals
||2954
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8785
||Probleem_Thorax
||2995
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8786
||Probleem_Abdomen
||2985
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8787
||Probleem_Rug
||3006
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8788
||Probleem_Extremiteiten
||3017
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8789
||Probleem_Genitalia
||3028
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8790
||Probleem_Neurologie
||3039
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10683
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10684
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10685
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10686
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.369--20220214141440|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Opname Indicatie Kind (3.2)}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10687
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10688
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10689
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10690
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10691
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2696
||Probleem (Pediatrische betrokkenheid)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2697
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2698
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2699
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2700
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.341--20210225105013|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=BetrokkenheidKinderarts}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2701
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2702
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2703
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2704
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2705
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4406
||Problematiek kind
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10680
||Probleem (ProblematiekKind)
||1503
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10681
||Probleem (Geboortetrauma)
||1493
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4408
||Probleem (Congenitale aandoeningen)
||1514
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1489
||Problematiek kind
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1503
||Probleem (ProblematiekKind)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||22925008
||neonatale aandoening (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1504
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1505
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1506
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1507
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.325--20210518104806|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_Probleem Kind (Kraam)}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.324--20210518101158|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_Probleem Kind (Obstetrie)}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.295--20200810122858|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_Problematiek Kind (Pediatrie)}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1508
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1509
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1510
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1511
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1512
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3632
||   Aanvang
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||extension:onsetInstitution
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.265--20230613115107|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieHierOfElders}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7896
||   MicroorganismeSepsisMeningitis
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||extension:causativeAgent
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.249--20230524101339|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MicroorganismeSepsisMeningCodelijst_LNR}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7897
||   MicroorganismeCongenitaleInfectie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||extension:causativeAgent
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.226--20180816141641|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MicroorganismeCongInfectCodelijst_LNR}}
|-style="font-style: italic;"
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7899
||   Lijnsepsis?
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||736152001
||bloedbaaninfectie gelijktijdig met en door centraal veneuze katheter in situ (aandoening)
||extension:lineSepsis
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7898
||   Onset
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||extension:onsetPeriod
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.283--20200101130352|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=OnsetCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1490
||Geboortetrauma
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1493
||Probleem (Geboortetrauma)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||56110009
||geboortetrauma (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1494
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1495
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1496
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1497
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.327--20210518144535|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_Geboortetrauma (Kraam)}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.326--20210518125239|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_Geboortetrauma (Obstetrie)}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.296--20200811105755|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_Geboortetrauma (Pediatrie)}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1498
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1499
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1500
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1501
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1502
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1513
||Congenitale aandoeningen
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1514
||Probleem (Congenitale aandoeningen)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||66091009
||congenitale ziekte (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1515
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1516
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1517
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1518
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.299--20200824154514|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam CongenitaleAfwijking Kraam}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.328--20210520161536|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_Congenitale Afwijking Obstetrie}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.298--20200824133956|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam CongenitaleAfwijking Pediatrie}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1519
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1520
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1521
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1522
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1523
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8777
||Probleem (ProblematiekKind)
||1503
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8778
||Probleem (Congenitale aandoeningen)
||1514
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9706
||Zintuigen
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||59061000146101
||gedeelte betreffende sensoriek in status (gegevensobject)
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9721
||Probleem (Zintuigen)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||60981000146109
||aandoening van zintuiglijke functies (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9722
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9723
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9724
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9725
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.231--20220120134819|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_Zintuigen (Neonatologie)}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9726
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9727
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9728
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9729
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9730
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9771
||Probleem (Neurologie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||118940003
||aandoening van zenuwstelsel (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9772
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9773
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9774
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9775
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaamCodelijst}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.337--20210628164200|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_AcuteOverdracht}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9776
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9777
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9778
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9779
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9780
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3920
||Probleem (Hart & perifeer vaatstelsel)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||49601007
||cardiovasculaire aandoening (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3921
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3922
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3923
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3924
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.260--20200407134908|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Bevinding_Hart}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3925
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3926
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3927
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3928
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3929
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3930
||Probleem (Hersenen, hersenstructuren, intracranieel)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||81308009
||encefalopathie (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3931
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3932
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3933
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3934
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.253--20200401105232|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Verdenking Afwijking Hersenen}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3935
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3936
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3937
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3938
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3939
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3940
||Probleem (Wervelkolom, ruggenmerg)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||699699005
||aandoening van wervelkolom (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3941
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3942
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3943
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3944
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.283--20200527093520|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Verdenking Afwijking Wervelkolom Ruggemerg}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3945
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3946
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3947
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3948
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3949
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10570
||Probleem (Aangezicht)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||118930001
||aandoening van aangezicht (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10571
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10572
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10573
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10574
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.359--20220131105223|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Verdenking Afwijking Aangezicht}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10575
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10576
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10577
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10578
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10579
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10580
||Probleem (Nek / huid)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||128044005
||aandoening van huid en/of subcutaan weefsel van hals (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10581
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10582
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10583
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10584
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.360--20220131110025|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Verdenking Afwijking Nek/Huid}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10585
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10586
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10587
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10588
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10589
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10590
||Probleem (ThoraxLuchtwegen)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||50043002
||respiratoire aandoening (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10591
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10592
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10593
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10594
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.361--20220131110815|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Verdenking Afwijking ThoraxLuchtwegen}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10595
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10596
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10597
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10598
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10599
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10600
||Probleem (Diafragma)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||118928003
||aandoening van buikwand (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10601
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10602
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10603
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10604
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.362--20220131111328|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Verdenking Afwijking Diafragma}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10605
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10606
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10607
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10608
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10609
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10610
||Probleem (Buikwand)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10611
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10612
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10613
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10614
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.363--20220131112406|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Verdenking Afwijking Buikwand}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10615
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10616
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10617
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10618
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10619
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10620
||Probleem (MaagDarm)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||119292006
||gastro-intestinale aandoening (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10621
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10622
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10623
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10624
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.364--20220131113252|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Verdenking Afwijking MaagDarm}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10625
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10626
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10627
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10628
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10629
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10630
||Probleem (NierenBlaasUrogenitalis)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||42030000
||aandoening van urogenitaal stelsel (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10631
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10632
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10633
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10634
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.365--20220131114808|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Verdenking Afwijking NierenBlaasUrogenitalis}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10635
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10636
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10637
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10638
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10639
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10640
||Probleem (SkeletSpierstelsel)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||928000
||aandoening van bewegingsapparaat (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10641
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10642
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10643
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10644
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.366--20220131115327|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Verdenking_Afwijking_SkeletSpierstelsel}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10645
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10646
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10647
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10648
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10649
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10650
||Probleem (Extremiteiten)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://snomed.info/sct
||128605003
||aandoening van extremiteit (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10651
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10652
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10653
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10654
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.367--20220131120004|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Verdenking Afwijking Extremiteiten}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10655
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10656
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10657
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10658
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10659
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|}

<section end=bc-DisorderOfChild />

=bc-DisorderOfLaborAndDelivery=
<section begin=bc-DisorderOfLaborAndDelivery />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9882
||Probleem (Kindspecifieke maternale problemen)
||1591
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3196
||Probleem (Maternaal)
||1564
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1564
||Probleem (Maternaal)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||http://snomed.info/sct
||362972006
||aandoening durante partu (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1565
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1566
||ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1567
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1568
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.289--20200127101358|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_Maternaal}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7917
||   Vermoeden iuvd op basis van
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||evidence.code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.223--20161202162349|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=IUVD methode}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1569
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1570
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1571
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1572
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1573
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1591
||Probleem (Kindspecifieke maternale problemen)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1592
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1593
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1594
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1595
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.304--20200213111855|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_KindspecifiekMaternaal}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1596
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1597
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1598
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1599
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1600
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|}

<section end=bc-DisorderOfLaborAndDelivery />

=bc-DisorderOfPregnancy=
<section begin=bc-DisorderOfPregnancy />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3830
||Probleem (Zwangerschap)
||1180
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9140
||Probleem (Zwangerschap)
||1180
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2731
||Probleem (Zwangerschap)
||1180
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4384
||Probleem (Zwangerschap)
||1180
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1180
||Probleem (Zwangerschap)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||http://snomed.info/sct
||173300003
||zwangerschapsstoornis (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1181
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1182
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1183
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1184
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.302--20200211092928|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaam_Zwangerschap}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8654
||   Ernst oedeem
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||severity
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.251--20181119182547|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Ernst van de aandoening}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7894
||   Vermoeden iuvd op basis van
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||evidence.code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.223--20161202162349|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=IUVD methode}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1185
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1186
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1187
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1188
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1189
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2458
||Afwijking placenta
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2460
||Probleem
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||http://snomed.info/sct
||125586008
||aandoening van placenta (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2461
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2462
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2463
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2464
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.214--20160125115042|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Specificatie van de afwijking van placenta en/of vliezen en/of navelstreng (2.2)}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2465
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2466
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2467
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2468
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2469
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|}

<section end=bc-DisorderOfPregnancy />

=bc-DisorderPostPartum=
<section begin=bc-DisorderPostPartum />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1928
||Probleem (Maternaal)
||1564
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3833
||Probleem (Postpartum complicatie)
||2305
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9661
||Probleem (Postpartum complicatie)
||2305
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2305
||Probleem (Postpartum complicatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||http://snomed.info/sct
||80113008
||complicatie van kraamperiode (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2306
||   ProbleemAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2307
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2308
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2309
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.34--20210413094135|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Postpartum complicatie}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemNaamCodelijst}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2310
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2311
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2312
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2313
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2314
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||http://loinc.org
||48767-8
||Annotation comment
||verificationStatus
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10800
||Probleem (Postpartum complicatie)
||2305
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2844
||Probleem
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||http://snomed.info/sct
||79604008
||aandoening van mamma (aandoening)
||
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2846
||   ProbleemLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemLateraliteitCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2847
||   ProbleemType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||category
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemTypeCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2848
||ProbleemNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.322--20201124115905|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Controle borsten 3.2}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2849
||   ProbleemBeginDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||onsetDateTime:onsetDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2850
||   ProbleemEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||abatementDateTime:abatementDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2851
||   ProbleemStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||clinicalStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ProbleemStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2852
||   VerificatieStatus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||
||
||
||verificationStatus
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerificatieStatusCodelijst}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2853
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||http://loinc.org
||48767-8
||Annotation comment
||note
||
|}

<section end=bc-DisorderPostPartum />

=bc-DonorObservation=
<section begin=bc-DonorObservation />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7890
||Leeftijd eiceldonor
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DonorObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DonorObservation}}
||http://snomed.info/sct
||424144002
||huidige chronologische leeftijd (waarneembare entiteit)
||value[x]:valueQuantity
||
|}

<section end=bc-DonorObservation />

=bc-FetusObservation=
<section begin=bc-FetusObservation />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4169
||Ligging kind (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4170
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4172
||LiggingKindWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||271692001
||presenterend deel van foetus (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.393--20250425085943|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LiggingKind32}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4173
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4180
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1208
||Foetusspecifieke onderzoeksgegevens
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10283
||   Patient
||675
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||subject
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1767
||Foetale monitoring (CTG)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||281568006
||monitoren van foetale hart (regime/therapie)
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3513
||FoetaleBuikomtrek / AC (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3515
||ACWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||11979-2
||Omtrek [afmeting] in abdomen^foetus d.m.v. echografische bepaling
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3516
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3519
||   ACDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3520
||   ACDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3521
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3539
||FoetaleFemurlengte / FL (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3541
||FLWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||11963-6
||Fetal Femur diaphysis [Length] US
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3542
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3545
||   FLDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3546
||   FLDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3547
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3552
||FoetaleBipariëtaleDiameter / BPD (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3554
||BPDWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||11820-8
||Fetal Head Diameter.biparietal US
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3555
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3558
||   BPDDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3559
||   BPDDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3560
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3564
||FoetaalLongitudinaleBlaasDiameter / LBD (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3566
||LBDWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||11815-8
||Diameter [afmeting] in blaas^foetus d.m.v. echografische bepaling
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3567
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3570
||   LBDDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3571
||   LBDDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3572
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3576
||FoetaleKruinRompLengte / CRL (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3578
||CRLWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||11957-8
||Fetal Crown Rump length US
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3579
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3582
||   CRLDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3583
||   CRLDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3584
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3589
||FoetaleTranscerebellarDiameter / TCD (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3591
||TCDWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||11863-8
||Fetal Cerebellum Diameter transverse US
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3592
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3595
||   TCDDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3596
||   TCDDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3597
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3602
||FoetaleNekplooidikte / NT (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3604
||NTWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||12146-7
||Fetal Nuchal fold Thickness US
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3605
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3608
||   NTDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3609
||   NTDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3610
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3614
||FoetaalGeschatGewicht / EFW (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3616
||EFWWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||11727-5
||Fetal Body weight estimated by US
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3617
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3620
||   EFWDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3621
||   EFWDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3622
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2451
||Bevindingen
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7789
||LiggingFoetus (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2404
||Beweging foetus (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2405
||   BewegingFoetusDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2407
||BewegingFoetusWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||364619008
||meetbare observatie betreffende foetale bewegingen (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.264--20200409090337|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Beweging}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2408
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2409
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10846
||Diameter vruchtzak (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10848
||DiameterVruchtzakWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||441742003
||beoordeling van bevinding (bevinding)
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10849
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10852
||   MeetDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10853
||   MeetDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10854
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7836
||OrgaansysteemFoetus (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7837
||   OrgaansysteemFoetusDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7887
||ObservatieNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.322--20210506140617|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=OrgaansysteemFoetus}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7839
||OrgaansysteemFoetusWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.23--20240906075853|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Beoordeling Bevindingen}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7840
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7845
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7847
||Sonomarkers (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7848
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7886
||SonomarkerNaam
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.323--20210506154515|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Sonomarkers 3.2}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7850
||SonomarkerWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||
||
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.22--20140904000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Beoordeling Sonomarkers}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7851
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7856
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|}

<section end=bc-FetusObservation />

=bc-MaternalObservation=
<section begin=bc-MaternalObservation />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2581
||Opleiding
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2583
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment
||comment
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10898
||Gebruik LMWH?
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||443464003
||behandelen met laagmoleculairgewicht heparine (verrichting)
||value[x]:valueBoolean
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3407
||Consanguïniteit (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||842009
||consanguiniteit (bevinding)
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3500
||   ConsanguïniteitDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3499
||ConsanguïniteitWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||842009
||consanguiniteit (bevinding)
||value[x]:valueBoolean
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3497
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3498
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1728
||Metingen
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3427
||Body Mass Index (BMI) (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3429
||BMIWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||39156-5
||Body mass index (BMI) [Ratio]
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3430
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3433
||   BMIDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3434
||   BMIDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3435
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2913
||SociaalNetwerk
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||365469004
||bevinding betreffende netwerk van gezin, familie en ondersteuners (bevinding)
||value[x]:valueBoolean
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1742
||Foliumzuurgebruik (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||792807003
||intake van foliumzuur (waarneembare entiteit)
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1743
||   FoliumzuurgebruikDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1745
||FoliumzuurgebruikWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||792807003
||intake van foliumzuur (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.227--20170201134622|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Foliumzuur gebruik}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1746
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1749
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4367
||Kinkhoestvaccinatie (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4368
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4370
||KinkhoestvaccinatieWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||39343008
||vaccinatie tegen kinkhoest (verrichting)
||value[x]:valueBoolean
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4371
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4378
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10270
||Trisomie in de anamnese? (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10271
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10273
||TrisomieAnamneseWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||390281000146101
||voorgeschiedenis met trisomie en partiële trisomie van autosoom (situatie)
||value[x]:valueBoolean
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10274
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10279
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1712
||Voornemens vrouw
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2252
||Voorgenomen plaats baring tijdens zwangerschap (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueCodeableConcept
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2253
||   VoorgenomenPlaatsBaringDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2255
||VoorgenomenPlaatsBaringWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||142961000146102
||voorkeur voor locatie van bevalling (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.319--20201112122448|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VoorgenomenPlaatsBaring (3.2)}}
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2938
||Voorkeursziekenhuis
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||55621000146103
||voorkeurslocatie voor zorg (waarneembare entiteit)
||value[x].extension:valueReference
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2256
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2257
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3336
||Voorgenomen echelon eindverantwoordelijke (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3838
||   VoorgenomenEchelonDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3337
||VoorgenomenEchelonWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||159821000146107
||lijn in gezondheidszorg (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.321--20210412154013|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Echelon_3.2}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3839
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3840
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2279
||Voorgenomen voeding (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueCodeableConcept
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3872
||   VoorgenomenVoedingDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2281
||VoorgenomenVoedingWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||268467002
||voorgenomen voeding van zuigeling (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.331--20210607115708|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VoedingSoort_GZ}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3873
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3874
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2272
||Voorgenomen achternaam (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueString
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3875
||   VoorgenomenAchternaamDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2275
||VoorgenomenAchternaamWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||142981000146105
||voorgenomen achternaam voor neonaat
||value[x]:valueString
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3876
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3877
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2269
||Kraamzorg aangevraagd (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueBoolean
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3878
||   KraamzorgAangevraagdDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2277
||KraamzorgAangevraagdWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||147771000146108
||zorgafnemer heeft kraamzorg aangevraagd (situatie)
||value[x]:valueBoolean
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2270
||Zorgaanbieder
||956
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x].extension:valueReference
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3879
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3880
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10740
||GeïndiceerdAantalUurKraamzorg (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10744
||GeïndiceerdAantalUurKraamzorgDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueDateTime
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10745
||GeïndiceerdAantalUurKraamzorgWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||160631000146109
||geïndiceerd aantal uur kraamzorg (waarneembare entiteit)
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10748
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10741
||WenstVrouwMinderKraamzorg? (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10747
||WenstVrouwMinderKraamzorgDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10746
||WenstVrouwMinderKraamzorgWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueBoolean
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10749
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10521
||Bevindingen Moeder
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3415
||Fundushoogte (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3417
||FundushoogteWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||11881-0
||Fundushoogte [afmeting] in uterus d.m.v. meetlint
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3418
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.21.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethodeCodelijst}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3421
||   MeetDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3422
||   MeetDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3423
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3424
||   AnatomischeLocatieMeting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||405813007
||directe locatie van verrichting (attribuut)
||bodySite
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3425
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||363698007
||locatie van bevinding (attribuut)
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4048
||Fundusstand (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4050
||FundusstandWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||364265003
||hoogte van uterus gravidus (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.226--20161216162923|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Fundusstand (2.2)}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.246--20191028105919|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Fundusstand Kraamzorg}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4051
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.21.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethodeCodelijst}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4054
||   MeetDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4055
||   MeetDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4056
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4057
||   AnatomischeLocatieMeting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||405813007
||directe locatie van verrichting (attribuut)
||bodySite
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4058
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||363698007
||locatie van bevinding (attribuut)
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieCodelijst}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.3--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieICD-O-3Codelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10522
||Bevindingen Foetus
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4060
||LiggingFoetus (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4062
||LiggingFoetusWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||249062004
||ligging van foetus (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.188--20140102000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Ligging}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4063
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.21.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethodeCodelijst}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4066
||   MeetDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4067
||   MeetDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4068
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4069
||   AnatomischeLocatieMeting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||405813007
||directe locatie van verrichting (attribuut)
||bodySite
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4070
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||363698007
||locatie van bevinding (attribuut)
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4072
||IndalingFoetus(Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4074
||IndalingFoetusWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||364611006
||indaling van foetus ten opzichte van spinae ischiadicae (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.320--20201112155937|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Indaling (3.2)}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4075
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.21.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethodeCodelijst}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4078
||   MeetDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4079
||   MeetDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4080
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4081
||   AnatomischeLocatieMeting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||405813007
||directe locatie van verrichting (attribuut)
||bodySite
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4082
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||363698007
||locatie van bevinding (attribuut)
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LocatieCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1846
||Maternale sterfte
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3635
||Cervixlengte (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3637
||CervixlengteWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||248918004
||lengte van cervix uteri (waarneembare entiteit)
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3638
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.21.1.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethodeCodelijst}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3641
||   CervixlengteDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3642
||   CervixlengteDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3643
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1124
||Maternale onderzoeksgegevens
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3678
||Portio/ P (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3680
||PortioWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||249021005
||verstrijking van cervix uteri (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.158--20201210134951|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Cervix Effacement}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3681
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3684
||   PortioDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3685
||   PortioDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3686
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3691
||PositiePortio/ P (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3693
||PositiePortioWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||248920001
||positie van cervix uteri (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.213--20160425122048|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Positie portio (2.2)}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3694
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3697
||   PositiePortioDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3698
||   PositiePortioDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3699
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3703
||Ontsluiting/ O (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3705
||OntsluitingWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||289761004
||bevinding betreffende ontsluiting (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.175--20201210140135|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Cervical dilatation}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3706
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3709
||   OntsluitingDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3710
||   OntsluitingDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3711
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3715
||Vliezen/ V (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3717
||VliezenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||112074005
||bevinding betreffende foetaal membraan (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.173--20201210140520|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Vliezen}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3718
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3721
||   VliezenDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3722
||   VliezenDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3723
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3727
||IndalingHodge/ I (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3729
||IndalingHodgeWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||364611006
||indaling van foetus ten opzichte van spinae ischiadicae (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.159--20210621112616|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Hodge Planes}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3730
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3733
||   IndalingHodgeDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3734
||   IndalingHodgeDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3735
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3739
||AardVoorliggendDeel/ A (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3741
||AardVoorliggendDeelWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||364612004
||voorliggend deel palpabel bij vaginaal toucher (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.172--20201210141721|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Presentation of fetus}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3742
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3745
||   AardVoorliggendDeelDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3746
||   AardVoorliggendDeelDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3747
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3751
||Stand/ S (Meting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3753
||StandWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||289388006
||bevinding betreffende palpabel voorliggend deel bij vaginaal toucher (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.174--20151019205620|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Stand}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3754
||   MeetMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||260686004
||methode (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3757
||   StandDatumBeginTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3758
||   StandDatumEindTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectivePeriod.end
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3759
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10896
||NIPT
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||7751000146103
||niet-invasieve prenatale test (verrichting)
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10897
||Keuze ouders NIPT
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||1186606009
||observatie betreffende verzoek van patiënt (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.266--20200414155952|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=KeuzeTest}}
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10774
||UrinatieGeweest?
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||249278006
||vermogen tot mictie (waarneembare entiteit)
||value[x]:valueBoolean
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10775
||DefecatieGeweest?
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||111989001
||defecatie (waarneembare entiteit)
||value[x]:valueBoolean
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3108
||Lochia (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||249211006
||bevinding betreffende lochia (bevinding)
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3109
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3111
||Bloedverlies kraambed (lochia) (Waarde)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||366299003
||bevinding betreffende hoeveelheid lochia (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.287--20200619144804|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Lochia}}
|-
|[[Bestand:INT.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3113
||Aantal kraamverbanden (Waarde)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||570931000146101
||hoeveelheid gebruikte kraamverbanden (waarneembare entiteit)
||value[x]:valueCodeableConcept
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3115
||Lochia foetide / riekend? (Waarde)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||276375002
||stinkende lochia (bevinding)
||value[x]:valueBoolean
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3117
||Grote stolsels in lochia (Waarde)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||146381000146107
||grote bloedstolsels in lochia (bevinding)
||value[x]:valueBoolean
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3118
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3119
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3120
||Sectiowond (Wond)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||31781000146105
|| wond na sectio caesarea (afwijkende morfologie)
||
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10661
||Sectiowond normaal
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueBoolean
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3123
||WondInfectie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||405009004
||infectiestatus (waarneembare entiteit)
||value[x]:valueBoolean
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3124
||WondVochtigheid
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||298007001
||vochtigheid van verwonding (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.3--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=WondVochtigheidCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3125
||WondRand
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||449747006
||bevinding betreffende rand van wond (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=WondRandCodelijst}}
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3126
||Wondlengte
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||401238003
||lengte van verwonding (waarneembare entiteit)
||value[x]:valueQuantity
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3127
||Wondbreedte
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||401239006
||breedte van verwonding (waarneembare entiteit)
||value[x]:valueQuantity
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3128
||Wonddiepte
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||425094009
||diepte van verwonding (waarneembare entiteit)
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3129
||   AnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||363698007
||locatie van bevinding (attribuut)
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=WondAnatomischeLocatieCodelijst}}
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3131
||WondOntstaansdatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueDateTime
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3132
||DatumLaatsteVerbandwissel
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueDateTime
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3150
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9860
||Fundusstand (Meting)
||4048
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3182
||Zelfredzaamheid kraamvrouw
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10732
||ZelfredzaamheidAndersDanVerwachting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueBoolean
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2842
||Controle borsten
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2864
||Controle benen
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2865
||Bevindingen benen (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2866
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2867
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2868
||   Lateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||272741003
||lateraliteit (attribuut)
||bodySite.extension:laterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=LateraliteitCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2869
||ObservatieWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||116312005
||bevinding betreffende onderste extremiteit (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.324--20201124152403|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Controle benen 3.2}}
|-style="font-style: italic;"
|[[Bestand:INT.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2870
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9837
||Controle perineum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2824
||Controle perineum (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2826
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2825
||   ControlePerineumWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||124734007
||bevinding betreffende perineum (bevinding)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.290--20200622000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Controle perineum}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2828
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2827
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2871
||Perineumwond (Wond)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||210484005
||wond van perineum (aandoening)
||
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10662
||Perineumwond normaal
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||449891003
||genezende wond van perineum (bevinding)
||value[x]:valueBoolean
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2873
||WondWeefsel
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||148641000146109
||observatie betreffende wondweefsel (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=WondWeefselWCSCodelijst}}
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2874
||WondInfectie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||405009004
||infectiestatus (waarneembare entiteit)
||value[x]:valueBoolean
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2875
||WondVochtigheid
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||298007001
||vochtigheid van verwonding (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.3--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=WondVochtigheidCodelijst}}
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2876
||WondRand
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||449747006
||bevinding betreffende rand van wond (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.5--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=WondRandCodelijst}}
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2877
||Wondlengte
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||401238003
||lengte van verwonding (waarneembare entiteit)
||value[x]:valueQuantity
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2878
||Wondbreedte
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||401239006
||breedte van verwonding (waarneembare entiteit)
||value[x]:valueQuantity
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2879
||Wonddiepte
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||425094009
||diepte van verwonding (waarneembare entiteit)
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2880
||   AnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||363698007
||locatie van bevinding (attribuut)
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=WondAnatomischeLocatieCodelijst}}
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2882
||WondOntstaansdatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||value[x]:valueDateTime
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2883
||DatumLaatsteVerbandwissel
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||value[x]:valueDateTime
||
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2901
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9826
||Gezin
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10220
||Voorlichting veilig slapen (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10221
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10223
||VoorlichtingVeiligSlapenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||1263932002
||voorlichten over slaap (verrichting)
||value[x]:valueString
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10224
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10229
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10230
||Voorlichting vitamine D (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10231
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10233
||VoorlichtingVitamineDWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||118791000146100
||voorlichten over toedienen van vitamine D (verrichting)
||value[x]:valueString
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10234
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10239
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7973
||Vloeien (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7974
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7976
||VloeienWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||249211006
||bevinding betreffende lochia (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.249--20181119171103|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Vloeien}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7977
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7982
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7983
||Menstruatie (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7984
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7986
||MenstruatieWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||276319003
||bevinding betreffende menstruatie (bevinding)
||value[x]:valueBoolean
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7987
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7992
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7970
||Continentie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-
|ordinal
||7971
||UrineContinentie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||129009001
||blaascontrole (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.14.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=UrineContinentieCodelijst}}
|-
|ordinal
||7972
||FecesContinentie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||129008009
||darmcontrole (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=FecesContinentieCodelijst}}
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10675
||Flatusincontinentie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||249508009
||flatusincontinentie (bevinding)
||value[x]:valueBoolean
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7950
||Conditie perineum (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7951
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7953
||ConditiePerineumWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||364297003
||observatie betreffende perineum van vrouw (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.368--20220210155748|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Conditie Perineum Observatie}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7954
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7959
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7960
||Sectiowond (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7961
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7963
||SectiowondWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||31781000146105
||wond na sectio caesarea (afwijkende morfologie)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.248--20181119170402|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Wond}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7964
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7969
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|}

<section end=bc-MaternalObservation />

=bc-ObstetricProcedure=
<section begin=bc-ObstetricProcedure />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3835
||Verrichting (Zwangerschap)
||1190
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1970
||Verrichting (Maternaal)
||1547
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3837
||Verrichting (Postpartum complicatie)
||2315
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1982
||Verrichting (Kindspecifieke maternale verrichtingen)
||1603
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8791
||Verrichting (Ondersteuning opvang)
||3091
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8792
||Chirurgische ingrepen (Verrichting)
||8699
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8793
||Verrichting (Problematiek kind)
||7900
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9143
||Verrichting (Algemene anamnese)
||1080
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9880
||Verrichting (Zwangerschap)
||1190
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9881
||Verrichting (Maternaal)
||1547
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9883
||Verrichting (Kindspecifieke maternale verrichtingen)
||1603
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9884
||Verrichting (Postpartum complicatie)
||2315
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4387
||Verrichting (Maternaal)
||1547
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7866
||Verrichting (Kindspecifieke maternale verrichtingen)
||1603
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1190
||Verrichting (Zwangerschap)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||71388002
||verrichting (verrichting)
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1191
||   VerrichtingStartDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1192
||   VerrichtingEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.end
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1193
||   VerrichtingAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1194
||   VerrichtingLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite.extension:ProcedureLaterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingLateraliteitCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1195
||   Indicatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||363702006
||heeft focus (attribuut)
||reasonReference
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1207
||   Probleem (Zwangerschap)
||1180
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||reasonReference
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1197
||VerrichtingType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.375--20220321094419|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingTypeGeboortezorgCodelijst}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.307--20200226094046|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingType_Zwangerschap}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1198
||   VerrichtingMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||extension:procedureMethod
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingMethodeCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1199
||   MedischHulpmiddel
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||405815000
||hulpmiddel voor verrichting (attribuut)
||focalDevice.manipulated
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1201
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1312
||   Zorgaanbieder
||956
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1203
||   Uitvoerder
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1310
||   Zorgverlener
||978
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1547
||Verrichting (Maternaal)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||71388002
||verrichting (verrichting)
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1548
||   VerrichtingStartDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1549
||   VerrichtingEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.end
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1550
||   VerrichtingAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1551
||   VerrichtingLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite.extension:ProcedureLaterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingLateraliteitCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1552
||   Indicatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||363702006
||heeft focus (attribuut)
||reasonReference
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1583
||   Probleem (Maternaal)
||1564
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||reasonReference
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1554
||VerrichtingType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.303--20200213102349|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingType_Maternaal}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.375--20220321094419|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingTypeGeboortezorgCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||10280
||   Moment amniotomie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||extension:partusPhase
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.19--20141222113040|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=AmniotomieMoment}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1555
||   VerrichtingMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||extension:procedureMethod
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingMethodeCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1556
||   MedischHulpmiddel
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||405815000
||hulpmiddel voor verrichting (attribuut)
||focalDevice
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1558
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1560
||   Uitvoerder
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1603
||Verrichting (Kindspecifieke maternale verrichtingen)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||71388002
||verrichting (verrichting)
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1604
||   VerrichtingStartDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1605
||   VerrichtingEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.end
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1606
||   VerrichtingAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1607
||   VerrichtingLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite.extension:ProcedureLaterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingLateraliteitCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1608
||   Indicatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||363702006
||heeft focus (attribuut)
||reasonReference
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1620
||   Probleem (Kindspecifieke maternale problemen)
||1591
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||reasonReference
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1610
||VerrichtingType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.288--20200123134654|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingType_Kindspecifiek}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.375--20220321094419|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingTypeGeboortezorgCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7919
||   Beslismoment sectio caesarea
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||extension:decisionMoment
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.376--20220321133443|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=BesluitSectio}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1611
||   VerrichtingMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||extension:procedureMethod
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingMethodeCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1612
||   MedischHulpmiddel
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||405815000
||hulpmiddel voor verrichting (attribuut)
||focalDevice
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1614
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1616
||   Uitvoerder
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8699
||Chirurgische ingrepen (Verrichting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||71388002
||verrichting (verrichting)
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8700
||   VerrichtingStartDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8701
||   VerrichtingEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.end
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8702
||   VerrichtingAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8703
||   VerrichtingLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite.extension:ProcedureLaterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingLateraliteitCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8704
||   Indicatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||363702006
||heeft focus (attribuut)
||reasonReference
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8716
||   Probleem (Congenitale aandoeningen)
||1514
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||reasonReference
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8706
||VerrichtingType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.333--20210615102522|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingType_ChirurgischeIngrepen_3.2}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8707
||   VerrichtingMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||extension:procedureMethod
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingMethodeCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8708
||   MedischHulpmiddel
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||405815000
||hulpmiddel voor verrichting (attribuut)
||focalDevice
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8710
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8712
||   Uitvoerder
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7900
||Verrichting (Problematiek kind)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||71388002
||verrichting (verrichting)
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7901
||   VerrichtingStartDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7902
||   VerrichtingEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.end
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7903
||   VerrichtingAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7904
||   VerrichtingLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite.extension:ProcedureLaterality.valueCodeableConcept:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingLateraliteitCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7905
||   Indicatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||363702006
||heeft focus (attribuut)
||reasonReference
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8686
||   Probleem (ProblematiekKind)
||1503
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||reasonReference
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8687
||   Probleem (Geboortetrauma)
||1493
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||reasonReference
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8688
||   Probleem (Congenitale aandoeningen)
||1514
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||reasonReference
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7907
||VerrichtingType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.329--20210525162006|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingType_ProblematiekKind}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7908
||   VerrichtingMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||extension:procedureMethod
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingMethodeCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7909
||   MedischHulpmiddel
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||405815000
||hulpmiddel voor verrichting (attribuut)
||focalDevice
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7911
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7913
||   Uitvoerder
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8760
||Ondersteuning bij ontslag naar huis (Verrichting)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||71388002
||verrichting (verrichting)
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8761
||   VerrichtingStartDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.start
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8762
||   VerrichtingEindDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performed[x]:performedPeriod.end
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8763
||   VerrichtingAnatomischeLocatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingAnatomischeLocatieCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8764
||   VerrichtingLateraliteit
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||bodySite.extension:ProcedureLaterality
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingLateraliteitCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8765
||   Indicatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||363702006
||heeft focus (attribuut)
||reasonReference
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8767
||VerrichtingType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.229--20230802100559|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Ondersteuning_Ontslag_Huis}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8768
||   VerrichtingMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||extension:procedureMethod
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingMethodeCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8769
||   MedischHulpmiddel
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||405815000
||hulpmiddel voor verrichting (attribuut)
||usedReference
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8771
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||8773
||   Uitvoerder
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||9707
||Verrichting (Problematiek kind)
||7900
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7870
||   Verrichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||363714003
||Interprets
||report
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7875
||Verrichting (Maternaal onderzoek)
||2416
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2423
||VerrichtingType
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||code
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.255--20200406115120|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Onderzoektype}}{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.375--20220321094419|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingTypeGeboortezorgCodelijst}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2424
||   VerrichtingMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||extension:procedureMethod
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=VerrichtingMethodeCodelijst}}
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2425
||   MedischHulpmiddel
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||http://snomed.info/sct
||405815000
||hulpmiddel voor verrichting (attribuut)
||focalDevice
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2427
||   Locatie
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer.actor
||
|-style="vertical-align:top; background-color: #E3E3E3;font-style: italic;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2429
||   Uitvoerder
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||
||
||performer.actor
||
|}

<section end=bc-ObstetricProcedure />

=bc-PregnancyObservation=
<section begin=bc-PregnancyObservation />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3346
||ATermeDatumItems
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3347
||ATermeDatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||161714006
||geschatte datum van partus (waarneembare entiteit)
||value[x]:valueDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3348
||   BepalingsMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.14.1--20200901000000|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=BepalingsMethodeCodelijst}}
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||3349
||   DatumBepaling
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1729
||Datum einde zwangerschap
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||118951000146109
||datum van einde van zwangerschap (waarneembare entiteit)
||value[x]:valueDateTime
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2220
||Definitieve à terme datum (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2221
||   Definitieve à terme DatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2223
||Definitieve à terme Waarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||147781000146105
||definitieve uitgerekende datum van partus (waarneembare entiteit)
||value[x]:valueDateTime
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2224
||   Definitieve à terme Methode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method.coding:aTermMethod
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2225
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1711
||Meerling zwangerschap (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1825
||   MeerlingZwangerschapDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2231
||TweelingzwangerschapWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||65147003
||tweelingzwangerschap (bevinding)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.310--20201006145809|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=TweelingzwangerschapType}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1833
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1826
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1734
||Aantal levende kinderen (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1735
||   AantalLevendeKinderenDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:INT.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1740
||AantalLevendeKinderenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||143881000146107
||aantal levende nakomelingen (waarneembare entiteit)
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1736
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1738
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1817
||Fetal loss (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1818
||   FetalLossDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:INT.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1820
||FetalLossWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||16216731000119106
||voorgeschiedenis met eerdere zwangerschap met intra-uteriene foetale dood (situatie)
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1821
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1824
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2134
||Leven voelen (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2135
||   LevenVoelenDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2137
||LevenVoelenWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||364618000
||bewegingspatroon van foetus (waarneembare entiteit)
||value[x]:valueCodeableConcept
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.207--20201112144120|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Leven voelen}}
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2138
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2141
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2143
||Actuele aantal levende foetus (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2144
||   ActueleAantalLevendeFoetusDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:PQ.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2146
||ActueelAantalLevendeFoetusWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||142931000146106
||aantal levende foetussen (waarneembare entiteit)
||value[x]:valueQuantity
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2147
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||2150
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1847
||OverlijdensIndicator
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||59283008
||maternale sterfte (gebeurtenis)
||value[x]:valueBoolean
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1848
||DatumOverlijden
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||399753006
||datum van overlijden (waarneembare entiteit)
||value[x]:valueDateTime
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4157
||TOP nav prenataal onderzoek? (Observatie)
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||
||
|-style="font-style: italic;"
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4158
||   ObservatieDatumTijd
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||439771001
||datum van gebeurtenis (waarneembare entiteit)
||effective[x]:effectiveDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4160
||TOPnavPrenataalOnderzoekWaarde
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||386639001
||afbreken van zwangerschap (verrichting)
||value[x]:valueBoolean
||
|-style="font-style: italic;"
|[[Bestand:CD.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4161
||   ObservatieMethode
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://snomed.info/sct
||418775008
||methode van bevinding (attribuut)
||method
||{{Simplifier|http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.282--20200526172902|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=MeetMethode_GZ}}
|-style="font-style: italic;"
|[[Bestand:ST.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||4168
||   Toelichting
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||http://loinc.org
||48767-8
||Annotation comment [Interpretation] Narrative
||comment
||
|-style="vertical-align:top; background-color: #E3E3E3;"
|[[Bestand:Container.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||1845
||Aantal foetussen (Observatie)
||1837
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||
||
||
||
||
|}

<section end=bc-PregnancyObservation />

=bc-ProcedureObservation=
<section begin=bc-ProcedureObservation />
{| class="wikitable"
| style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="13" | PWD 2.3 to FHIR
|-style="background-color: #1F497D;; color: white; text-align:left;"
|style="width:30px;"| Type
|style="width:10px;"| #
|| Concept
|| Reference
|| Profile
|| System
|| Code
|| Display
|| FHIR element
|| ValueSet
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7891
||Eicelextractiedatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ProcedureObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ProcedureObservation}}
||http://snomed.info/sct
||177037000
||eicelaspiratie (verrichting)
||value[x]:valueDateTime
||
|-
|[[Bestand:BL.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7892
||Cryo embryo
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ProcedureObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ProcedureObservation}}
||http://snomed.info/sct
||236894009
||transfer van ingevroren embryo (verrichting)
||value[x]:valueBoolean
||
|-
|[[Bestand:TS.png|16px|link=Beschrijving_en_gebruik_datatypes]]
||7893
||Embryotransferdatum
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ProcedureObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ProcedureObservation}}
||http://snomed.info/sct
||75456002
||embryotransfer (verrichting)
||value[x]:valueDateTime
||
|}

<section end=bc-ProcedureObservation />

Gebz:V2.0 FHIR IG bc-FetusObservation

2025-10-31T13:36:39Z

Tessa van Alphen: bc-FetusObservation pagina voor package 1.3.3

=bc-FetusObservation=
This is a generic profile for observations related to a fetus. If a patient record is available for the (to be born) child, use bc-ChildObservation instead.

Each FetusObservation must have:
* a subject, the mother
* a fetus, the focal element 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:
{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-fetusobservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}

==Pattern==
This is a patten for fetus-related Observations in Birthcare.

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

[[https://informatiestandaarden.nictiz.nl/wiki/Gebz:FHIR_Guidelines#Pattern_legend Legend]]

<syntaxhighlight lang="xml" heading="XML fragment">
<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 pregnancy | BodySite/fetus1]]" />
<display value="Foetus 1 vd Wouden"/>
</valueReference>
</extension>
[[! Other values than final should be avoided ]]
<status value="final"/>
<code>
<coding>
<system value="[[several values possible, see below]]"/>
<code value="[[several values possible, see below]]"/>
<display value="[[several values possible, see below]]"/>
</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>
[[several values possible, see below]]
</Observation>
</syntaxhighlight>

==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 3.2 mappings===
{{#lst:Gebz:V3.0_Dataset:V3.2_FHIR_mapping_addendum|bc-FetusObservation }}