Brontekst bekijken van MedMij:V2020.01/FHIR Implementation Guide: Pregnancy Card Ultrasound

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{{DISPLAYTITLE:FHIR Implementation Guide: Pregnancy Card Ultrasound {{VersieInfo|Geboortezorg}}}}

{{IssueBox|Please note that this material is still in development}}

<!--[[Bestand:MedMij2.png |link=https://www.medmij.nl/|rechts|Naar medmij.nl]]-->

=Introduction=
This page describes the process of collecting ultrasound data related to a pregnancy in a patient's personal health record (PHR). The process is initiated by the patient (pregnant person). 

This Implementation Guide (IG) is a technical representation of the [[GZ:Integrale_Zwangerschapskaart_v2.0_FO#Use_case:_Client_vraagt_via_PGO_Integrale_Zwangerschapskaart_2.0_Echo_op | FO Integrale Zwangerschapskaart Echo]] and follows the principles of the general [[MedMij:V2020.01/FHIR_IG#Use_case_overarching_principles|use case overarching principles]].

Technical details of the FHIR resources and structure definitions described in this IG can be found in the [[Gebz:V1.3_FHIR_IG|birthcare information standard]] and the [https://simplifier.net/packages/nictiz.fhir.nl.stu3.geboortezorg/1.3.3 Simplifier Geboortezorg STU3 package]. 

The technical specifications described in this IG are based on the [https://nictiz.nl/releases/pwd-versie-3-2-3-geboortezorg-perinatologie/ PWD (Perinataal Woordenboek & Dataset) 3.2].

=Actors involved=
The table shows the relevant actors, systems and FHIR CapabilityStatements. The CapabilityStatements demonstrate the minimum conformance requirements for the described use cases.

{| class="wikitable"
! colspan="2" style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | Actors
! colspan="2" style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | Systems
! colspan="2" style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | FHIR CapabilityStatements
|-
! style="text-align:left; |Name
! style="text-align:left; |Description
! style="text-align:left; |Name
! style="text-align:left; |Description
! style="text-align:left; |Name
! style="text-align:left; |Description
|-
| Patient
| The user of a personal healthcare environment
| PHR
| Personal health record
| [https://simplifier.net/geboortezorg-stu3/pregnancycard-clientcapabilities CapabilityStatement:Receive] 
| FHIR client requirements
|-
| Healthcare provider
| The user of a XIS
| XIS
| Healthcare information system
| [https://simplifier.net/geboortezorg-stu3/pregnancycard-servercapabilities CapabilityStatement:Send] 
| FHIR server requirements
|}

=Boundaries and relationships=
[[Bestand:Afsprakenstelsel-01.png|link=https://www.medmij.nl/afsprakenstelsel/|rechts |100px|Go to Afsprakenstelsel]]

This FHIR implementation guide assumes that the PHR system is able to make a connection with the XIS and create resources. It does not provide information on finding the right XIS nor does it provide information about security. These infrastructure and interface specifications are described in the [https://www.medmij.nl/afsprakenstelsel/ 'MedMij Afsprakenstelsel'].

The Pregnancy Ultrasound Data Set is an addition to the Pregnancy Card (Dutch: gegevensdienst Integrale Zwangerschapskaart), which has overlap with other standards such as the BgZ (Basisgegevensset Zorg), Medication Process, Vital Signs and Lab Results. The Pregnancy Card and Pregnancy Ultrasound Data Set use the same HCIM based FHIR profiles for exchanging information as used in other standards extended with additional birthcare specific profiles. Most of these birthcare specific profiles are derived from the base HCIM FHIR profiles. For example, the bc-Woman is in fact a nl-core-patient with additional specifications for relating the pregnant person to the (unborn) child.

=Use case: retrieve pregnancy ultrasound data set=
This use case covers the process of retrieving the Pregnancy Ultrasound Data Set in the Personal Health Record (PHR) of the (pregnant) person.

==PHR: request message==
The PHR system requests the Pregnancy Ultrasound Data Set using individual search interactions. The Pregnancy Ultrasound Data Set consists of multiple FHIR resources with certain constraints. To obtain the patient's Pregnancy Ultrasound Data Set, the client can use multiple individual search operations based on specified [https://www.hl7.org/fhir/stu3/search.html search] queries. The interactions are performed by an HTTP GET as shown:

<code>GET [base]/[type]{?[parameters]}</code>

===List of requests===
To retrieve all known data of the Pregnancy Ultrasound Data Set, a client has to execute the following requests

<b>Step 1: Retrieve patient data and her maternal record(s)</b>

A pregnant person may have data of one or more pregnancies. The data of each pregnancy is captured in a maternal record (EpisodeOfCare). 
Please note that the {{fhir|status}} search parameter should be set to {{term|active}} to retrieve the current, active pregnancy, or to {{term|finished}} to retrieve earlier, finished pregnancies. If the {{fhir|status}} search parameter is not used, both the active pregnancy and earlier pregnancies are retrieved.
<pre>
GET Patient?_include=RelatedPerson:link
GET Patient
GET Coverage
GET EpisodeOfCare?type=http://snomed.info/sct|364320009{&status=active|finished}&_include=EpisodeOfCare:organization&_include=EpisodeOfCare:care-manager
</pre>

<b>Step 2: Retrieve data related to each maternal record</b>

For each pregnancy, the related data should be retrieved by using the maternal record id ({{fhir|EpisodeOfCare.id}}) in the {{fhir|context}} search parameter.
<pre>
GET Condition?context=EpisodeOfCare/{episode-id}
GET Encounter?episodeofcare=EpisodeOfCare/{episode-id}&_include=Encounter:practitioner
GET Observation?context=EpisodeOfCare/{episode-id}
GET Observation?context:Encounter.episodeofcare=EpisodeOfCare/{episode-id}
GET Procedure?context=EpisodeOfCare/{episode-id}&_include=Procedure:performer&_include=Procedure:based-on
GET DiagnosticReport?context=EpisodeOfCare/{episode-id}	
GET ReferralRequest?context=EpisodeOfCare/{episode-id}
</pre>

===PWD to FHIR mapping table===

The table below shows in the first three columns the PWD 3.2 data elements, in the fifth and sixth column their mapping to the FHIR profiles. 

The mapping table below is based on the corresponding ART-DECOR transaction [...]

=Addendum MedMij Echo Beschikbaarstellen =
{{IssueBox|Generated code, do not change by hand}}

{{#lst:Gebz:V1.3_FHIR_IG_V3.2_transaction_zwangerschapsecho|transaction }}

=FHIR profiles=

{{MedMij:Vprepub-2020.01/NoteBoxPackage|p1=nictiz.fhir.nl.stu3.geboortezorg|p2=nictiz.fhir.nl.stu3.zib2017|v2Min=2.0.0|}}

==Generic HCIM profiles==

{| class="wikitable"
! style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | Profile name
! style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | FHIR Resource
! style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | HCIM EN
! style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | Canonical URL
|-
| nl core Patient
| Patient
| [https://zibs.nl/wiki/Patient-v3.1(2017EN) Patient]
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-patient|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=http://nictiz.nl/fhir/StructureDefinition/nl-core-patient}}
|-
| nl core Organization
| Organization
| [https://zibs.nl/wiki/HealthcareProvider-v3.1.1(2017EN) HealthcareProvider]
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-organization|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=http://nictiz.nl/fhir/StructureDefinition/nl-core-organization}}
|-
| nl core Practitioner
| Practitioner
| rowspan="2" | [https://zibs.nl/wiki/HealthProfessional-v3.2(2017EN) HealthProfessional]
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=http://nictiz.nl/fhir/StructureDefinition/nl-core-practitioner}}
|-
| nl core PractitionerRole
| PractitionerRole
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=http://nictiz.nl/fhir/StructureDefinition/nl-core-practitionerrole}}
|-
| zib HeadCircumference
| Observation
| [https://zibs.nl/wiki/HeadCircumference-v1.1(2017EN) HeadCircumference]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HeadCircumference|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-HeadCircumference}}
|-
| zib HeartRate
| Observation
| [https://zibs.nl/wiki/HeartRate-v3.1(2017EN) HeartRate]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HeartRate|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-HeartRate}}
|-
| zib Payer
| Coverage
| [https://zibs.nl/wiki/Payer-v3.1(2017EN) Payer]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Payer|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-Payer}}
|-
| zib Pregnancy
| Condition
| rowspan="3" | [https://zibs.nl/wiki/Pregnancy-v3.1(2017EN) Pregnancy]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy}}
|-
| zib Pregnancy-Gravidity
| Observation
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Gravidity|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Gravidity}}
|-
| zib Pregnancy-Parity
| Observation
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Parity|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Parity}}
|-
| zib Procedure
| Procedure
| [https://zibs.nl/wiki/Procedure-v4.1(2017EN) Procedure]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Procedure|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-Procedure}}
|-
| zib TextResult
| DiagnosticReport
| [https://zibs.nl/wiki/TextResult-v4.1(2017EN) TextResult]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-TextResult|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-TextResult}}
|-
|}

==Birthcare specific profiles==

{| class="wikitable" 
|-
! style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | Profile
! style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | Pattern
! style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | Base profile
! style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | FHIR Resource
! style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | HCIM EN
! style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | Canonical URL
! style="text-align:left; background-color: #4AB8A7; color: white; font-weight: bold;" | Description
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||[[Gebz:V1.3_FHIR_IG_bc-DisorderOfChild|Child disorder]]
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=zib-Problem}}
||Condition
||[https://zibs.nl/wiki/Problem-v4.1(2017EN) Problem]
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfChild</nowiki>            
||A Condition profile describing child disorders as defined by BabyConnect. 
Child disorders, such as chromosomal and congenital abnormalities or other problems are disorders of the child. The subject is either the child Patient (in case the child is born or a fetal patient record is in place) or the woman Patient (in case the child is unborn and there is no fetal patient record in place). In the second case, use the bodySite reference extension to refer to the fetus.
* Child disorders can refer to the EpisodeOfCare with Condition.context.reference
* A ConceptMap is available to map verification status to accepted FHIR codes


|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||[[Gebz:V1.3_FHIR_IG_bc-DisorderOfPregnancy|Pregnancy-related disorder]]
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=zib-Problem}}
||Condition
||[https://zibs.nl/wiki/Problem-v4.1(2017EN) Problem]
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy </nowiki>           
||A Condition profile describing disorders related to a pregnancy as defined by BabyConnect. For example, Conditions such as cholestasis and hypertension do not (only) pertain to the Patient but to a particular pregnancy.
* Pregnancy-related Disorders use the partOf extension to point to the Condition they're about.
* In some cases the partOf Condition may not be available. The BGZ for instance does not relate Conditions to particular pregnancies.
* Pregnancy-related Disorders refer to the EpisodeOfCare through Condition.context.reference


|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetalHeartRate|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetalHeartRate}}
||
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-observation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-observation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-FetalHeartRate</nowiki>            
||An Observation profile describing fetal heart rate as defined by BabyConnect. The base definition is a fetus-related Observation. Fetus-related Observations are Observations about a fetus, which is the focus of the Observation (extension). Fetus identification is necessary in these Observations, especially in multiple pregnancy. There are two ways of using this profile depending on the presence of a patient / fetus record for the unborn child:
1. A patient / fetus record is present. The subject of the Observation is the (unborn) child Patient. The focus extension must be left blank.
2. A patient / fetus record is not present. The subject of the Observation is the woman Patient. The focus extension refers to the fetus BodySite.


|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-observation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-observation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation</nowiki>            
||An Observation profile describing fetus-related Observations in a pregnancy, such as movement and heart action, as defined by BabyConnect. Fetus-related Observations are Observations about a fetus, which is the focus of the Observation (extension). Fetus identification is necessary in these Observations, especially in multiple pregnancy. There are two ways of using this profile depending on the presence of a patient / fetus record for the unborn child:
1. A patient / fetus record is present. The subject of the Observation is the (unborn) child Patient. The focus extension must be left blank.
2. A patient / fetus record is not present. The subject of the Observation is the woman Patient. The focus extension refers to the fetus BodySite.


|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||[[Gebz:V1.3_FHIR_IG_bc-MaternalObservation|Patient-related Observation]]
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-observation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-observation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation</nowiki>            
||An Observation profile describing patient-related Observations, which are not captured in other existing profiles, as defined by BabyConnect. 
Patient-related Observations are findings related to the (pregnant) woman, before, during or after pregnancy childbirth. The pregnant woman is the subject, the context is the pregnancy file (EpisodeOfCare). Examples are risk status or maternal ultrasound observations. 


|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalRecord|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalRecord}}
||
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-episodeofcare}}
||EpisodeOfCare
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-MaternalRecord</nowiki>            
||An EpisodeOfCare profile describing a maternal record (or pregnancy file) as defined by BabyConnect. 
Each pregnancy is a Condition. It is also represented as an EpisodeOfCare (maternal record) for each involved Organization. The maternal record defines care responsibility for a specific period of time and groups all data related to this period of care. The maternal record has a fixed type (.type = 364320009). Additional types may be provided to indicate a specific period of care. The maternal record includes references to a managing Organization and responsible Practitioner. 

The maternal record defines care responsibility for a specific period of time and groups all data related to this period of care:
1. The maternal record groups all data related to one pregnancy for the managing Organization 
2. The groupIdentifier (.extension:groupIdentifier) is a unique identifier of the pregnancy which can be used to group all data related to one pregnancy across Organizations

Relations between the pregnancy (Condition) and the maternal record (EpisodeOfCare):
* Condition points to the EpisodeOfCare through a EpisodeOfCare.context.reference element. 
* EpisodeOfCare points to the Condition through a EpisodeOfCare.diagnosis.condition element.
* Condition and EpisodeOfCare both point to the Patient with .subject.reference
* Condition.clinicalStatus and EpisodeOfCare.status must be 'active' for ongoing pregnancies 
* Condition.clinicalStatus must be 'inactive' and EpisodeOfCare.status must be 'finished' for past pregnancies


|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Procedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=zib-Procedure}}
||Procedure
||[https://zibs.nl/wiki/Procedure-v4.1(2017EN) Procedure]
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure</nowiki>            
||A Procedure profile describing obstetric procedures, as defined by BabyConnect. 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

|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PlacentaLocalization|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PlacentaLocalization}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-PlacentaLocalization</nowiki>            
||An Observation profile describing the localization of the placenta as defined by BabyConnect. Fetus-related Observations are Observations about a fetus, which is the focus of the Observation (extension). Fetus identification is necessary in these Observations, especially in multiple pregnancy. There are two ways of using this profile depending on the presence of a patient / fetus record for the unborn child:
1. A patient / fetus record is present. The subject of the Observation is the (unborn) child Patient. The focus extension can be left blank.
2. A patient / fetus record is not present. The subject of the Observation is the woman Patient. The focus extension refers to the fetus BodySite.

|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||[[Gebz:V1.3_FHIR_IG_bc-PregnancyObservation|Pregnancy-related Observation]]
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-observation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-observation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation</nowiki>            
||An Observation profile describing pregnancy-related Observations, as defined by BabyConnect. 
Observations such as gravidity and parity do not (only) pertain to the Patient but also to a particular pregnancy.
* Pregnancy-related Observations use the focus extension to point to the Condition they are about. Without this, all gravidities would only be Observations about a Patient.
* Pregnancy-related Observations refer to the EpisodeOfCare with Observation.context.reference


|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyUltraSound|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyUltraSound}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/DiagnosticReport|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=DiagnosticReport}}
||DiagnosticReport
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyUltraSound</nowiki>            
||A DiagnosticReport profile describing a pregnancy ultrasound as defined by BabyConnect. The ultrasound DiagnosticReport groups Observations related to the pregnancy ultrasound. The woman Patient is the subject of the report.
* This report refers to the EpisodeOfCare with DiagnosticReport.context.reference

|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyUltraSoundGeneralFindings|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyUltraSoundGeneralFindings}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetusObservation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyUltraSoundGeneralFindings</nowiki>            
||An Observation profile describing general ultrasound findings for the fetus as defined by BabyConnect. Fetus-related Observations are Observations about a fetus, which is the focus of the Observation (extension). Fetus identification is necessary in these Observations, especially in multiple pregnancy. There are two ways of using this profile depending on the presence of a patient / fetus record for the unborn child:
1. A patient / fetus record is present. The subject of the Observation is the (unborn) child Patient. The focus extension can be left blank.
2. A patient / fetus record is not present. The subject of the Observation is the woman Patient. The focus extension refers to the fetus BodySite.

|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ReferralRequest|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ReferralRequest}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/ReferralRequest|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ReferralRequest}}
||ReferralRequest
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-ReferralRequest</nowiki>            
||A ReferralRequest profile describing referral details as defined by BabyConnect.
Referral details (such as type of referral, reason code, referrer and target of the referral) are described in ReferralRequest. The pregnant woman is the subject, the context is the pregnancy file (EpisodeOfCare).

|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-UmbilicalCord|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-UmbilicalCord}}
||
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-observation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-observation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-UmbilicalCord</nowiki>            
||An Observation profile describing the umbilical cord a as defined by BabyConnect. Fetus-related Observations are Observations about a fetus, which is the focus of the Observation (extension). Fetus identification is necessary in these Observations, especially in multiple pregnancy. There are two ways of using this profile depending on the presence of a patient / fetus record for the unborn child:
1. A patient / fetus record is present. The subject of the Observation is the (unborn) child Patient. The focus extension can be left blank.
2. A patient / fetus record is not present. The subject of the Observation is the woman Patient. The focus extension refers to the fetus BodySite.

|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-Woman|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-Woman}}
||
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-patient|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-patient}}
||Patient
||[https://zibs.nl/wiki/Patient-v3.1(2017EN) Patient]
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-Woman</nowiki>            
||A Patient profile describing the woman who is or was pregnant as defined by BabyConnect.
The pregnant woman, a FHIR patient, is the core of each pregnancy.

|}

=Release notes=
Release notes can be found on the [[GZ:Integrale_Zwangerschapskaart_v2.0_FO#Release_Notes|functional design page]].

=Support=
For questions and change requests regarding the information on
this page, a ticket can be created in [https://nictiz.atlassian.net/servicedesk/customer/portal/4 the Servicedesk Portal].