Brontekst bekijken van Gebz:FHIR bc-FetusObservation

=bc-FetusObservation=
This is a generic profile for observations related to a fetus.

Each Fetus Observation must have:
* a reference to the fetus BodySite, only in case there is no Patient record for the unborn fetus, this is the focus of the Observation
* a subject, either the child Patient, or the woman Patient in case there is no Patient record for the unborn fetus
* 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:
[https://simplifier.net/geboortezorg-stu3/bc-birthobservation bc-FetusObservation]

==Pattern==
This is a pattern for fetus-related Observations in Birthcare. Not for observations related to the born child. Note that the meta.profile element should at least include nl-core-observation and preferably bc-FetusObservation.

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

[[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 focus, optional, only when subject is mother Patient and no child Patient record exists]]
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
        <valueReference>
            <reference value="[[reference to the fetus | BodySite/fetus]]" />
        </valueReference>
    </extension>
   [[/extension focus]]
    <status value="final"/>
    <code>
        <coding>
            <system value="[[system, see below | http://snomed.info/sct]]"/>
            <code value="[[code, see below | 249062004"/>
            <display value="[[display, see below | Lie of fetus (observable entity)]]"/>
        </coding>
    </code>
    <subject>
        <reference value="[[reference to the Child Patient or the Mother Patient in case no Child Patient record exists | Patient/XXX-VDWOUDEN" />
        <display value="[[display of reference | Patient van der Wouden]]" />
    </subject>
    <context>
        <reference value="[[reference to the EpisodeOfCare | EpisodeOfCare/wouden-dossier-zwanger1]]"/>
    </context>
    <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]]
    <valueCodeableConcept>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="70028003"/>
            <display value="Vertex presentation (finding)"/>
        </coding>
    </valueCodeableConcept>
    [[/observation.value]]
</Observation>   
</syntaxhighlight>

==Valuation table==
{{#lst:Gebz:V2.3_FHIR_mapping_addendum|bc-FetusObservation }}