Gebz:V1.2 FHIR IG bc-ProcedureObservation

bc-ProcedureObservation

This is a generic profile for observations related to a procedure. For example, in an embryo transfer this could be an observation about the embryo being frozen or not. Each bc-ProcedureObservation must have:

• a subject, the pregnant woman
• a reference to the Procedure (the focus of the Observation)
• performer should be provided if known (this may not always be the case for historical data). performer is the responsible care professional.

Profile

The entire profile can be found at: bc-ProcedureObservation

Pattern

This is a pattern for procedure-related Observations in Birthcare. Not for Observations to the pregnant woman. Note that the meta.profile element should at least include nl-core-observation and preferably bc-ProcedureObservation.

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

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XML fragment

This is a recipe for procedure-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-ProcedureObservation.

<Observation xmlns="http://hl7.org/fhir">
    <id value="[[a unique id]]"/>
    <meta>
        <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-observation"/>
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-ProcedureObservation"/>
    </meta>
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
        <valueReference>
            <reference value="[[reference to the procedure | Procedure/wouden-embryoterugplaatsing]]" />
        </valueReference>
    </extension>
    [[! Other values than final should be avoided ]]
    <status value="final"/>
    <code>
        <coding>
            <system value="[[system, see below | http://snomed.info/sct]]"/>
            <code value="[[code, see below | 236894009]]"/>
            <display value="[[display, see below | transfer van ingevroren embryo (verrichting) ]]"/>
        </coding>
    </code>
    <subject>
        <reference value="[[reference to the Mother Patient | Patient/XXX-VDWOUDEN" />
        <display value="[[display of reference | Patient van der Wouden]]" />
    </subject>
    <context>
        [[#context]]
        <reference value="[[reference to the EpisodeOfCare | EpisodeOfCare/wouden-dossier-zwanger1]]"/>
        OR
        <reference value="[[reference to the Encounter | Encounter/wouden-contact1]]"/>
        [[/context]]
    </context>
    <performer>
        <reference value="[[reference to the performer should be included if known | Practitioner/nl-core-practitioner-01]]" />
        <display value="[[display of reference | Vera de Los]]" />
    </performer>
    [[#observation.value, see below]]
    <valueBoolean value="true"/>
    [[/observation.value]]
</Observation>

Valuation table

The FHIR profiles are independent of dataset versions, the mappings are not. Mappings for 3.1 will follow.

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

Dataset 3.2 mappings

PWD 2.3 to FHIR
Type	#	Concept	Reference	Profile	System	Code	Display	FHIR element	ValueSet
	7891	Eicelextractiedatum		bc-ProcedureObservation	http://snomed.info/sct	177037000	eicelaspiratie (verrichting)	value[x]:valueDateTime
	7892	Cryo embryo		bc-ProcedureObservation	http://snomed.info/sct	236894009	transfer van ingevroren embryo (verrichting)	value[x]:valueBoolean
	7893	Embryotransferdatum		bc-ProcedureObservation	http://snomed.info/sct	75456002	embryotransfer (verrichting)	value[x]:valueDateTime