Gebz:V1.3 FHIR IG bc-BirthObservation

bc-BirthObservation

This is a generic profile for observations related to a childbirth.

Each Birth Observation must have:

• a subject, the woman giving birth
• a reference to the Delivery Procedure (the focus of the Observation): this Procedure will contain a reference to the child which is born
• 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-BirthObservation

Pattern

This is a patten for birth-related Observations in Birthcare. Not for observations related to the delivery. Note that the meta.profile element should at least include nl-core-observation and preferably bc-BirthObservation.

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

[Legend]

<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-BirthObservation"/>
    </meta>
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
        <valueReference>
            <reference value="[[reference to the birth | Procedure/geboorte1-wouden]]" />
        </valueReference>
    </extension>
    <status value="final"/>
    <code>
        <coding>
            <system value="[[system, see below | http://snomed.info/sct]]"/>
            <code value="[[code, see below | 364336006"/>
            <display value="[[display, see below | Pattern of delivery (observable entity)]]"/>
        </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-controle12]]"/>
        [[/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]]
    <valueCodeableConcept>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="3311000146109"/>
            <display value="Vaginale kunstverlossing"/>
        </coding>
    </valueCodeableConcept>
    [[/observation.value]]
</Observation>

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 3.2 mappings

PWD 2.3 to FHIR
Type	#	Concept	Reference	Profile	System	Code	Display	FHIR element	ValueSet
	4400	Type Partus (Observatie)	4144	bc-BirthObservation
	4108	Breken Vliezen (Observatie)		bc-BirthObservation
	4109	ObservatieDatumTijd		bc-BirthObservation	http://snomed.info/sct	439771001	datum van gebeurtenis (waarneembare entiteit)	effective[x]:effectiveDateTime
	4111	BrekenVliezenWaarde		bc-BirthObservation	http://snomed.info/sct	289251005	tijdstip waarop gebroken vliezen zijn geconstateerd (waarneembare entiteit)	value[x]:valueCodeableConcept
	4112	ObservatieMethode		bc-BirthObservation	http://snomed.info/sct	418775008	methode van bevinding (attribuut)	method	MeetMethode_GZ
	4119	Toelichting		bc-BirthObservation	http://loinc.org	48767-8	Annotation comment [Interpretation] Narrative	comment
	4120	Aard Vruchtwater (Observatie)		bc-BirthObservation
	4121	ObservatieDatumTijd		bc-BirthObservation	http://snomed.info/sct	439771001	datum van gebeurtenis (waarneembare entiteit)	effective[x]:effectiveDateTime
	4123	Aard Vruchtwater Waarde		bc-BirthObservation	http://snomed.info/sct	366334007	bevinding betreffende vruchtwater (bevinding)	value[x]:valueCodeableConcept	KleurVruchtwater
	4124	ObservatieMethode		bc-BirthObservation	http://snomed.info/sct	418775008	methode van bevinding (attribuut)	method	MeetMethode_GZ
	4131	Toelichting		bc-BirthObservation	http://loinc.org	48767-8	Annotation comment [Interpretation] Narrative	comment
	4132	Actief Meepersen (Observatie)		bc-BirthObservation
	4133	ObservatieDatumTijd		bc-BirthObservation	http://snomed.info/sct	439771001	datum van gebeurtenis (waarneembare entiteit)	effective[x]:effectiveDateTime
	4135	ActiefMeepersenWaarde		bc-BirthObservation				value[x]:valueDateTime
	4136	ObservatieMethode		bc-BirthObservation	http://snomed.info/sct	418775008	methode van bevinding (attribuut)	method	MeetMethode_GZ
	4143	Toelichting		bc-BirthObservation	http://loinc.org	48767-8	Annotation comment [Interpretation] Narrative	comment
	4144	Type Partus (Observatie)		bc-BirthObservation
	4145	ObservatieDatumTijd		bc-BirthObservation	http://snomed.info/sct	439771001	datum van gebeurtenis (waarneembare entiteit)	effective[x]:effectiveDateTime
	4147	TypePartusWaarde		bc-BirthObservation	http://snomed.info/sct	364336006	soort partus (waarneembare entiteit)	value[x]:valueCodeableConcept	TypePartus
	4148	ObservatieMethode		bc-BirthObservation	http://snomed.info/sct	418775008	methode van bevinding (attribuut)	method	MeetMethode_GZ
	4155	Toelichting		bc-BirthObservation	http://loinc.org	48767-8	Annotation comment [Interpretation] Narrative	comment