Brontekst bekijken van gz:V2.0 FHIR Pregnancy Card Obstetrics


{{DISPLAYTITLE:FHIR Implementation Guide: Pregnancy Card Obstetric Care {{VersieInfo|Geboortezorg2|namespace=MedMij|release=V2020.01}}}}

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

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

This Implementation Guide (IG) is a technical representation of the [[Gebz:V3.2_Ontwerpen|functional design]] 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
| {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/pregnancycard-clientcapabilities|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=CapabilityStatement:Receive}}
| FHIR client requirements
|-
| Healthcare provider
| The user of a XIS
| XIS
| Healthcare information system
| {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/pregnancycard-servercapabilities|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=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 Card (Dutch: gegevensdienst Integrale Zwangerschapskaart) has overlap with other standards such as the BgZ (Basisgegevensset Zorg), Medication Process, Vital Signs and Lab Results. The Pregnancy Card uses 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 woman to the (unborn) child.

=Use case: retrieve Pregnancy card - midwife care data set=
This use case covers the process of retrieving the Pregnancy Card Midwife Care Data Set in the Personal Health Record (PHR) of the (pregnant) woman.

==PHR: request message==
The PHR system requests the Pregnancy Card - midwife care data set using individual search interactions. The Pregnancy Card - midwife care data set consists of multiple FHIR resources with certain constraints. To obtain the patient's Pregnancy Card - midwife care 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 Card - midwife care data set, a client has to execute the following requests. 

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

A woman 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
GET Coverage
GET FamilyMemberHistory
GET DeviceUseStatement
GET Consent
GET RelatedPerson
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={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 CareTeam?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 Uitbreiding Verloskunde Beschikbaarstellen=
{{IssueBox|Generated code, do not change by hand}}

{{#lst:Gebz:V2.0_FHIR_IG_Dataset:V3.2_transaction_uitbreiding_verloskundegegevens|transaction}}

=FHIR profiles=

{{MedMij:V2020.01/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://nictiz.nl/fhir/StructureDefinition/nl-core-patient|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|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://nictiz.nl/fhir/StructureDefinition/nl-core-organization|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|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://nictiz.nl/fhir/StructureDefinition/nl-core-practitioner|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/nl-core-practitioner}}
|-
| nl core PractitionerRole
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-practitionerrole|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/nl-core-practitionerrole}}
|-
| zib AlcoholUse
| Observation
| [https://zibs.nl/wiki/AlcoholUse-v3.1(2017EN) AlcoholUse]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AlcoholUse|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-AlcoholUse}}
|-
| zib DrugUse
| Observation
| [https://zibs.nl/wiki/DrugUse-v3.2(2017EN) DrugUse]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-DrugUse|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20}}
|-
| zib LaboratoryTestResult-Observation
| Observation
| [https://zibs.nl/wiki/LaboratoryTestResult-v4.1(2017EN) LaboratoryTestResult]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation}}
|-
| zib MedicalDeviceProduct
| Observation
| [https://zibs.nl/wiki/MedicalDevice-v3.1(2017EN) MedicalDevice]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20}}
|-
| zib Pregnancy
| Condition
| rowspan="4" |[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-DateLastMenstruation
| Observation
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-DateLastMenstruation|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-DateLastMenstruation}}
|-
| 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}}
|-
| zib Problem
| Condition
| [https://zibs.nl/wiki/Problem-v4.1(2017EN) Problem]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-Problem}}
|-
| 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 ProcedureRequest
| ProcedureRequest
| [https://zibs.nl/wiki/PlannedCareActivityForTransfer-v3.1(2017EN) PlannedCareActivityForTransfer]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest}}
|-
| zib TobaccoUse
| Observation
| [https://zibs.nl/wiki/TobaccoUse-v3.1(2017EN) TobaccoUse]
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-TobaccoUse|nictiz.fhir.nl.stu3.zib2017|pkgVersion=2.2.20|title=http://nictiz.nl/fhir/StructureDefinition/zib-TobaccoUse}}
|-
|}

==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-AbilityToTakeCareOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-AbilityToTakeCareOfChild}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-AbilityToTakeCareOfChild</nowiki>            
||An Observation profile describing the woman's ability to take care of her child as defined by BabyConnect. Patient-related Observations are about the (pregnant) woman, which is the subject of the Observation.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-AmnioticFluid|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-AmnioticFluid}}
||
||{{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-AmnioticFluid</nowiki>            
||An Observation profile describing the amniotic fluid 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-BarthelIndex|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BarthelIndex}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-BarthelIndex</nowiki>            
||An Observation profile describing self-reliance of the woman after birth as defined by BabyConnect. The subject is the woman Patient.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-Birth|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-Birth}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/Procedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Procedure}}
||Procedure
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-Birth</nowiki>            
||A Procedure profile describing the birth of a child as defined by BabyConnect. 
This groups findings and procedures related to a particular child in a delivery - important in multiple births. A pregnancy can lead to one delivery Procedure and one or multiple birth Procedures. In multiple birth, multiple birth instances point to the same delivery Procedure. A birth also provides the relation between a child and its mother: The mother Patient is the subject of the delivery Procedure and the child Patient is the subject of the birth Procedure.

A Birth has:
* A partOf extension, pointing to the Delivery
* The subject is the Child
* The context is the Maternal Record EpisodeOfCare
* The pregnancy is captured in the reasonReference
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthControl|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthControl}}
||
||{{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-BirthControl</nowiki>            
||An Observation profile describing birth control as defined by BabyConnect.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BirthObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BirthObservation}}
||[[Gebz:FHIR_bc-BirthObservation|Birth-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-BirthObservation</nowiki>            
||An Observation profile describing birth-related Observations as defined by BabyConnect. Birth-related Observations, such as parturition type, pertain to a birth, which is the focus of the Observation (extension). They are also about the mother, which still is the subject of the Observation.
* Birth-related Observations use focus extension to point to a birth
* Birth-related Observations refer to the EpisodeOfCare with Observation.context.reference


|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-BreastFindings|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-BreastFindings}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-BreastFindings</nowiki>            
||An Observation profile describing findings related to the breasts as defined by BabyConnect. The subject is the woman Patient.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-CareAgreement|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-CareAgreement}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/CarePlan|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=CarePlan}}
||CarePlan
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-CareAgreement</nowiki>            
||A CarePlan profile describing the care arrangement between a pregnant woman and her caregiver(s) as defined by BabyConnect.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-CareTeam|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-CareTeam}}
||
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-careteam|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-careteam}}
||CareTeam
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-CareTeam</nowiki>            
||A CareTeam profile describing the involvement of (other) care providers in the care of a patient and her child, such as a pediatrician.
* These care providers are included as participants in the CareTeam using the CareTeam.participant.member element. Participants may either be Practitioners or Organizations.
* Their role and period of involvement are described at the participant level (that is CareTeam.participant.role and CareTeam.participant.period).
* The reason of involvement is described in CareTeam.reasonCode
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-Child|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-Child}}
||
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-patient|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-patient}}
||Patient
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-Child</nowiki>            
||A Patient profile for the child Patient as defined by BabyConnect.
Child is a separate Patient.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||[[Gebz:FHIR_bc-ChildObservation|Child-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-ChildObservation</nowiki>            
||An Observation profile describing child-related Observations (not captured in other existing profiles), as defined by BabyConnect. Child-related Observations, such as Apgar score and birthweight, pertain to the child Patient, which is the subject of the Observation. If the child is unborn and no patient record exists for the child, bc-FetusObservation should be used instead.
- Child observations refer to the EpisodeOfCare with Observation.context.reference


|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ClinicalImpression|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ClinicalImpression}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/ClinicalImpression|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=ClinicalImpression}}
||ClinicalImpression
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-ClinicalImpression</nowiki>            
||A ClinicalImpression profile describing the caregiver's professional assessment around the woman's pregnancy as defined by BabyConnect.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryObservation}}
||[[Gebz:FHIR_bc-DeliveryObservation|Delivery-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-DeliveryObservation</nowiki>            
||An Observation profile describing delivery-related Observations, as defined by BabyConnect. 
Observations such as onset of labor or blood loss pertain to a delivery Procedure.
* Delivery-related Observations use focus extension to point to the delivery Procedure they're about.
* Delivery-related Observations refer to the EpisodeOfCare with Observation.context.reference


|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DeliveryProcedure}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/Procedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Procedure}}
||Procedure
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryProcedure</nowiki>            
||A Procedure profile describing the delivery (including uncomplicated natural births for consistency), as defined by BabyConnect. A pregnancy can lead to one delivery Procedure, even in multiple birth. The mother Patient is the subject of the delivery Procedure.
* Delivery refers to the EpisodeOfCare with Procedure.context.reference
* Delivery refers to the Pregnancy with Procedure.reasonReference.reference

A delivery Procedure is related to one or more birth Procedures. The child Patient is the subject of the birth Procedure. In case of multiple birth, multiple birth Procedures will point to the same delivery Procedure.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DigitalVaginalExamination|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DigitalVaginalExamination}}
||
||{{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-DigitalVaginalExamination</nowiki>            
||A DiagnosticReport profile describing a digital vaginal examination as defined by BabyConnect. 
The digital vaginal examination DiagnosticReport groups Observations related to the digital vaginal examination. 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-DisorderOfChild|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfChild}}
||[[Gebz:FHIR_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
||
||<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-DisorderOfLaborAndDelivery|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfLaborAndDelivery}}
||[[Gebz:FHIR_bc-DisorderOfLaborAndDelivery|Labor- and Delivery-related Disorder]]
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=zib-Problem}}
||Condition
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery</nowiki>            
||A Condition profile describing disorders and complications related to labor and delivery as defined by BabyConnect. These disorders are part of the delivery, which is defined in the part of extension.
* Delivery-related Disorders use partOf extension to point to (birth or delivery) Procedure they're about.
* Delivery-related Disorders refer to the EpisodeOfCare through Condition.context.reference
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderOfPregnancy}}
||[[Gebz:FHIR_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
||
||<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-DisorderPostPartum|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DisorderPostPartum}}
||[[Gebz:FHIR_bc-DisorderPostPartum|Post partum-related disorder]]
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=zib-Problem}}
||Condition
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum</nowiki>            
||A Condition profile describing post partum disorders or complications as defined by BabyConnect. Post partum disorders, such as post partum depression, occur after delivery and are related to the Delivery Procedure. 
* A partOf extension is used to point to the Delivery.
* The context is the Maternal Record or an Encounter.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-Donor|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-Donor}}
||
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-relatedperson}}
||RelatedPerson
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-Donor</nowiki>            
||A RelatedPerson profile describing donor characteristics as defined by BabyConnect.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-DonorObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-DonorObservation}}
||[[Gebz:FHIR_bc-DonorObservation|Donor-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-DonorObservation</nowiki>            
||An Observation profile describing donor-related Observations, as defined by BabyConnect. 
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


|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-Encounter|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-Encounter}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Encounter|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=zib-Encounter}}
||Encounter
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-Encounter</nowiki>            
||An Encounter profile describing birthcare related encounters as defined by BabyConnect. The woman Patient is the subject of the Encounter.
* Encounter.type specifies the type of encounter, e.g. prenatal visit, postnatal follow up or counseling.
* Encounter.episodeOfCare points to the maternal record that is the context of the Encounter
* Encounter.diagnosis points to the pregnancy (and optional other Conditions)
* Encounter.serviceProvider points to the responsible Organization for the Encounter
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ExcretionFeces|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ExcretionFeces}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-ExcretionFeces</nowiki>            
||An Observation profile describing a newborn's fecal excretion as defined by BabyConnect.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ExcretionUrine|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ExcretionUrine}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-ExcretionUrine</nowiki>            
||An Observation profile describing a newborn's urine excretion as defined by BabyConnect.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FamilyMemberHistory|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FamilyMemberHistory}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=FamilyMemberHistory}}
||FamilyMemberHistory
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-FamilyMemberHistory</nowiki>            
||A FamilyMemberHistory profile as defined by BabyConnect describing the relevant family history of a pregnant woman.
* FamilyMemberHistory.patient points to the woman Patient
* FamilyMemberHistory.relationship describes the relation (e.g. father or sister) of the family member to the woman Patient
* FamilyMemberHistory.condition points to the (significant) condition(s) of the family member. The optional contributedToDeath extension can be used to indicate if a specific condition caused death
* FamilyMemberHistory.deceased[x] indicates whether the family member has deceased. This can either be a boolean (true/false) or more specific information can be provided like age. If an age is present, it implies that the family member is deceased and in this case the boolean value should be left out.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FamilySituationAssessment|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FamilySituationAssessment}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-FamilySituationAssessment</nowiki>            
||An Observation profile as defined by BabyConnect describing the assessment of the family situation of a pregnant woman. Indications for additional care may be based on this assessment.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-FeedingPatternInfant|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FeedingPatternInfant}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FeedingPatternInfant|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=zib-FeedingPatternInfant}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-FeedingPatternInfant</nowiki>            
||An Observation profile describing the infant's feeding pattern as defined by BabyConnect.
|-
||{{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-FetalMonitoring|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-FetalMonitoring}}
||
||{{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-FetalMonitoring</nowiki>            
||An Observation profile derived from the fetus Observation profile describing fetal monitoring as defined by BabyConnect. Fetal monitoring 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-Fetus|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-Fetus}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/BodySite|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=BodySite}}
||BodySite
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-Fetus</nowiki>            
||A BodySite profile as defined by BabyConnect. 
This BodySite profile refers to the unborn fetus in case no fetal record (yet) exists. In case a fetal record is created the unborn fetus will be registered as a (child) Patient.
|-
||{{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-IndividualCarePlan-Goal|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-IndividualCarePlan-Goal}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=zib-TreatmentObjective}}
||Goal
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-IndividualCarePlan-Goal</nowiki>            
||A Goal profile describing the goal(s) of an individual care plan of a pregnant woman as defined by BabyConnect.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-IndividualCareplan|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-IndividualCareplan}}
||
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-careplan|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-careplan}}
||CarePlan
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-IndividualCareplan</nowiki>            
||A CarePlan profile describing the individual care plan of a pregnant woman as defined by BabyConnect.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-LegalSituation-LegalStatus|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-LegalSituation-LegalStatus}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/Condition|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Condition}}
||Condition
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-LegalSituation-LegalStatus</nowiki>            
||A Condition profile describing legal status as defined by BabyConnect. The legal status indicates the basis on which the patient is staying in a healthcare organization. This can be either voluntary or involuntary, however the legal status is always determined by a judge.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-LegalSituation-Representation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-LegalSituation-Representation}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/Condition|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Condition}}
||Condition
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-LegalSituation-Representation</nowiki>            
||A Condition profile describing legal representation as defined by BabyConnect. Representation is important in situations where a person is legally not competent to give permission and/or factually (partly) incapable of doing so. A representative supports and takes decisions in the interest of the representee when they cannot do so themselves (temporarily or permanently).
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||[[Gebz:FHIR_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-MotherOf|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MotherOf}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/RelatedPerson|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=RelatedPerson}}
||RelatedPerson
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-MotherOf</nowiki>            
||A RelatedPerson profile describing the relation between mother and child as defined by BabyConnect. 
The RelatedPerson is the mother, which is a related person of the child Patient.
* The RelatedPerson.patient refers to the child Patient
* The RelatedPerson.link refers to the mother Patient, RelatedPerson.link.type is set to seealso
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MultidisciplinaryTeamMeeting|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MultidisciplinaryTeamMeeting}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/Encounter|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Encounter}}
||Encounter
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-MultidisciplinaryTeamMeeting</nowiki>            
||An Encounter profile describing a team care conference as defined by BabyConnect. In a team care conference caregivers discuss patient cases in absence or presence of the patient.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MultidisciplinaryTeamMeeting-Plan|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MultidisciplinaryTeamMeeting-Plan}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/CarePlan|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=CarePlan}}
||CarePlan
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-MultidisciplinaryTeamMeeting-Plan</nowiki>            
||A CarePlan profile related to the multidisciplinary team meeting as defined by BabyConnect.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ObstetricProcedure}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/Procedure|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Procedure}}
||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
The profile would have been derived from the zib-Procedure profile in zib2017 2.3.0 but that profile disallows Procedure.report.reference(DiagnosticReport) which prevents bc-PregnancyUltraSound. For now this profile is a full copy of the profile with Birth Care additions
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PerinatalDeath|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PerinatalDeath}}
||
||{{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-PerinatalDeath</nowiki>            
||An Observation profile describing perinatal and (early) neonatal death as defined by BabyConnect. The subject may be either an unborn, stillborn or living born child. In case of an unborn or stillborn child, a patient or fetus record may not be present. In this case the subject is the woman Patient. Use the focus extension to refer to the fetus BodySite. In all other cases the subject is the child Patient and the focus extension can be left blank.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PerinealAssessment|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PerinealAssessment}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-PerinealAssessment</nowiki>            
||An Observation profile describing the perineal assessment as defined by BabyConnect.
|-
||{{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-PractitionerRole|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PractitionerRole}}
||
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-practitionerrole}}
||PractitionerRole
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-PractitionerRole</nowiki>            
||A PractitionerRole profile describing the role of a practitioner as defined by BabyConnect.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-PregnancyObservation}}
||[[Gebz:FHIR_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-ProcedureObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ProcedureObservation}}
||[[Gebz:FHIR_bc-ProcedureObservation|Procedure-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-ProcedureObservation</nowiki>            
||An Observation profile describing procedure-related Observations as defined by BabyConnect. Procedure-related Observations are Observations about a procedure, which is the focus of the Observation (extension). They are also about the mother, which still is the subject of the Observation. For example, embryo transfer date and oocyte retrieval date are observations related to an IVF/ICSI procedure.
* Procedure-related Observations use focus extension to point to a birth
* Procedure-related Observations refer to the EpisodeOfCare with Observation.context.reference


|-
||{{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-RelatedPerson|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-RelatedPerson}}
||
||{{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=nl-core-relatedperson}}
||RelatedPerson
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-RelatedPerson</nowiki>            
||A RelatedPerson profile as defined by BabyConnect to describe a related person (e.g. partner) of the woman Patient:
* RelatedPerson.extension:role defines the role of the contact in relation to the woman Patient, for partner use the code 1 Eerste relatie/contactpersoon
* RelatedPerson.extension:ethnicity defines the ethnicity of the related person
* RelatedPerson.patient points to the woman Patient
* RelatedPerson.relationship describes the relation to the woman Patient, for partner use the code DOMPART Partner
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-TreatmentDirective|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-TreatmentDirective}}
||
||{{Simplifier|http://hl7.org/fhir/StructureDefinition/Consent|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=Consent}}
||Consent
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-TreatmentDirective</nowiki>            
||A Consent profile as defined by BabyConnect. This profile is based on the zib 2020 and is a preadopt of the R4 zib 2020 package.
A treatment directive contains a joint decision between a health professional (for example a general practitioner) and a patient or his representative(s) about the desirability of performing a certain treatment, such as resuscitation, before this treatment becomes (acute) necessary.
When the need arises and the treatment cannot be discussed with the patient or representative (s), that decision is an important indication for the treating health professional (for example an ER doctor).
The term treatment limit is a synonym of the term treatment directive.
|-
||{{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-UterusActivity|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-UterusActivity}}
||
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-MaternalObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-MaternalObservation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-UterusActivity</nowiki>            
||An Observation profile derived from the maternal Observation profile describing uterus activity as defined by BabyConnect. Uterus activity is a patient-related Observation. Patient-related Observations are about the (pregnant) woman, which is the subject of the Observation.
|-
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-VitaminKAdministration|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-VitaminKAdministration}}
||[[Gebz:FHIR_bc-ChildObservation|Child-related Observation]]
||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bc-ChildObservation|nictiz.fhir.nl.stu3.geboortezorg|pkgVersion=1.3.3|title=bc-ChildObservation}}
||Observation
||
||<nowiki>http://nictiz.nl/fhir/StructureDefinition/bc-VitaminKAdministration</nowiki>            
||An Observation profile describing the administration of vitamin K to a newborn as defined by BabyConnect. The base definition is a child-related Observation. Child-related Observations pertain to the child Patient, which is the subject of the Observation. Child observations refer to the EpisodeOfCare with Observation.context.reference


|-
||{{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
||
||<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 [[Gebz:V3.2_Ontwerpen#Release_notes| functional design page]].

=Support=
For questions and change requests regarding this IG, please create a ticket in [https://bits.nictiz.nl/projects/GZ BITS].