Gebz:V1.3 FHIR IG bc-DisorderOfLaborAndDelivery

bc-DisorderOfLaborAndDelivery

This is a generic profile for conditions related to labor and delivery.

Each bc-DisorderOfLaborAndDelivery must have:

• a fixed category, specifying that this is a delivery-and-birth-related condition
• a code, specifying the condition
• a subject, the pregnant woman
• performer should be provided if known (this may not always be the case for historical data). performer is the responsible care professional.

Each bc-DisorderOfLaborAndDelivery may have:

• a reference to the Delivery or Birth Procedure (the Condition is part of). The preferred option for birthcare systems is to include this, but this cannot be guaranteed for external data (such as BGZ).

Profile

The entire profile can be found at: bc-DisorderOfLaborAndDelivery

Pattern

This is a patten for delivery-and-birth-related Conditions in Birthcare. Note that the meta.profile element should preferably include bc-DisorderOfLaborAndDelivery. Again, this may be the case for BGZ.

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

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XML fragment

This is a recipe for delivery-and-birth-related disorders in Birthcare. Note that the meta.profile element should preferably be bc-DisorderOfLaborAndDelivery.

<Condition xmlns="http://hl7.org/fhir">
    <id value="[[a unique id]]"/>
    <meta>
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfLaborAndDelivery"/>
    </meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/condition-partOf">
        <valueReference>
            <reference value="[[reference to either the birth or delivery | Procedure/wouden-bevalling1]]" />
        </valueReference>
    </extension>
    [[# clinicalStatus is optional, only when known ]]
    <clinicalStatus value="[[active | recurrence | inactive | remission | resolved]]"/> 
    [[/ clinicalStatus ]]
    <category>
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="362972006"/> 
            <display value="Disorder of labor / delivery (disorder)"/> 
        </coding> 
    </category> 
    <code>
        <coding> 
            <system value="[[system, preferably from | http://snomed.info/sct]]"/> 
            <code value="[[code, to be taken from the relevant valuesets in ART-DECOR | 237320005]]"/> 
            <display value="[[display | Failure to progress in first stage of labor (finding)]]"/> 
        </coding> 
    </code> 
    <subject>
        <reference value="[[reference to the Mother Patient | 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>
</Condition>

Valuation table

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

(The values in column 'Code' can be found on Simplifier as a binding on the code on this profile.)

Dataset 2.3 mappings

PWD 2.3 to FHIR
Type	#	Concept	System	Code	Display	FHIR element	ValueSet
	82530	PPROM?	http://snomed.info/sct	312974005	Preterm premature rupture of membranes (disorder)	code
	82531	PROM?	http://snomed.info/sct	44223004	Premature rupture of membranes (disorder)	code
	82532	Koorts?	http://snomed.info/sct	386661006	Fever (finding)	code
	82533	Niet vorderende ontsluiting?	http://snomed.info/sct	237320005	Failure to progress in first stage of labor (finding)	code
	82534	Niet vorderende uitdrijving?	http://snomed.info/sct	249166003	Failure to progress in second stage of labor (finding)	code
	82535	Verdenking foetale nood?	http://snomed.info/sct	609415007:246090004=12867002	Suspected fetal distress affecting management of mother (situation)	code
	82536	Intra-uteriene vruchtdood				code
	82537	Vermoeden intra-uteriene vruchtdood?				code
	82541	Vastzittende placenta?	http://snomed.info/sct	109894007	Retained placenta (disorder)	code
	82542	Fluxus postpartum?	http://snomed.info/sct	47821001	Postpartum hemorrhage (disorder)	code
	82291	Diagnose bevalling	http://snomed.info/sct	439401001	Diagnosis (observable entity)	code
	82381	Datum				assertedDate
	82338	PPROM?	http://snomed.info/sct	312974005	Preterm premature rupture of membranes (disorder)	code
	82290	PROM?	http://snomed.info/sct	44223004	Premature rupture of membranes (disorder)	code
	82292	Koorts?	http://snomed.info/sct	386661006	Fever (finding)	code
	82293	Niet vorderende ontsluiting?	http://snomed.info/sct	237320005	Failure to progress in first stage of labor (finding)	code
	82294	Niet vorderende uitdrijving?	http://snomed.info/sct	249166003	Failure to progress in second stage of labor (finding)	code
	82296	Verdenking foetale nood?	http://snomed.info/sct	609415007:246090004=12867002	Suspected fetal distress affecting management of mother (situation)	code
	82295	Vastzittende placenta?	http://snomed.info/sct	109894007	Retained placenta (disorder)	code
	82398	Fluxus postpartum?	http://snomed.info/sct	47821001	Postpartum hemorrhage (disorder)	code

Dataset 3.2 mappings

PWD 2.3 to FHIR
Type	#	Concept	Reference	Profile	System	Code	Display	FHIR element	ValueSet
	9882	Probleem (Kindspecifieke maternale problemen)	1591	bc-DisorderOfLaborAndDelivery
	3196	Probleem (Maternaal)	1564	bc-DisorderOfLaborAndDelivery
	1564	Probleem (Maternaal)		bc-DisorderOfLaborAndDelivery
	1565	ProbleemAnatomischeLocatie		bc-DisorderOfLaborAndDelivery				bodySite	ProbleemAnatomischeLocatieCodelijst
	1566	ProbleemLateraliteit		bc-DisorderOfLaborAndDelivery					ProbleemLateraliteitCodelijst
	1567	ProbleemType		bc-DisorderOfLaborAndDelivery				category	ProbleemTypeCodelijst
	1568	ProbleemNaam		bc-DisorderOfLaborAndDelivery				code	ProbleemNaam_Maternaal
	7917	Vermoeden iuvd op basis van		bc-DisorderOfLaborAndDelivery				evidence.code	IUVD methode
	1569	ProbleemBeginDatum		bc-DisorderOfLaborAndDelivery				onsetDateTime:onsetDateTime
	1570	ProbleemEindDatum		bc-DisorderOfLaborAndDelivery				abatementDateTime:abatementDateTime
	1571	ProbleemStatus		bc-DisorderOfLaborAndDelivery				clinicalStatus	ProbleemStatusCodelijst
	1572	VerificatieStatus		bc-DisorderOfLaborAndDelivery				verificationStatus	VerificatieStatusCodelijst
	1573	Toelichting		bc-DisorderOfLaborAndDelivery	http://loinc.org	48767-8	Annotation comment	note
	1591	Probleem (Kindspecifieke maternale problemen)		bc-DisorderOfLaborAndDelivery
	1592	ProbleemAnatomischeLocatie		bc-DisorderOfLaborAndDelivery				bodySite	ProbleemAnatomischeLocatieCodelijst
	1593	ProbleemLateraliteit		bc-DisorderOfLaborAndDelivery				bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept	ProbleemLateraliteitCodelijst
	1594	ProbleemType		bc-DisorderOfLaborAndDelivery				category	ProbleemTypeCodelijst
	1595	ProbleemNaam		bc-DisorderOfLaborAndDelivery				code	ProbleemNaam_KindspecifiekMaternaal
	1596	ProbleemBeginDatum		bc-DisorderOfLaborAndDelivery				onsetDateTime:onsetDateTime
	1597	ProbleemEindDatum		bc-DisorderOfLaborAndDelivery				abatementDateTime:abatementDateTime
	1598	ProbleemStatus		bc-DisorderOfLaborAndDelivery				clinicalStatus	ProbleemStatusCodelijst
	1599	VerificatieStatus		bc-DisorderOfLaborAndDelivery				verificationStatus	VerificatieStatusCodelijst
	1600	Toelichting		bc-DisorderOfLaborAndDelivery	http://loinc.org	48767-8	Annotation comment	note