Gebz:FHIR bc-DisorderOfLaborAndDelivery

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Versie door Lilian Minne (overleg | bijdragen) op 20 aug 2020 om 14:16
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bc-DisorderOfLaborAndDelivery

This is a generic profile for conditions related to a pregnancy.

Each bc-DisorderOfLaborAndDelivery must have:

  • a code, specifying the condition
  • a subject, the woman in labor

Each bc-DisorderOfLaborAndDelivery may have:

  • a reference to the Delivery Procedure (using the part of extension). 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-LaborAndDelivery

Pattern

This is a patten for pregnancy-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 LaborAndDelivery disorder. Other fields from the FHIR profile may be present: this description is a minimal representation.

[Legend]

XML fragment

This is a recipe for pregnancy-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 the delivery procedure | Procedure/wouden-bevalling1]]" />
        </valueReference>
    </extension>
    [[# clinicalStatus is optional, only when known ]]
    <clinicalStatus value="[[active | recurrence | inactive | remission | resolved]]"/> 
    [[/ clinicalStatus ]]
    <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 Woman 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

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