Gebz:FHIR bc-DeliveryObservation

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bc-DeliveryObservation

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

Each DeliveryObservation must have:

  • a subject, the pregnant woman
  • a reference to the Delivery 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-DeliveryObservation

Pattern

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

All FHIR instances which follow this pattern will be valid Delivery 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-DeliveryObservation"/>
    </meta>
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
        <valueReference>
            <reference value="[[reference to the delivery | Procedure/bevallingprocedure-wouden-zwanger1]]" />
        </valueReference>
    </extension>
    <status value="final"/>
    <code>
        <coding>
            <system value="[[system, see below | http://snomed.info/sct]]"/>
            <code value="[[code, see below | 64332008"/>
            <display value="[[display, see below | Blood loss in labour]]"/>
        </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]]
    <valueQuantity>
        <value value="600"/>
        <unit value="ml"/>
        <system value="http://unitsofmeasure.org"/>
    </valueQuantity>
    [[/observation.value]]
</Observation>

Valuation table

The FHIR profiles are independent of dataset versions, the mappings are not. Mappings for 3.1 and 3.2 will follow.

(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 Profile System Code Display FHIR element ValueSet
BL.png 82543 Conditie perineum postpartum bc-DeliveryObservation http://snomed.info/sct 364297003 Female perineum observable (observable entity) valueCodeableConcept
CD.png 82336 Geboorte placenta bc-DeliveryObservation urn:oid:2.16.840.1.113883.2.4.4.13 AfterBirthMethod Geboorte placenta valueCodeableConcept GeboortePlacenta
PQ.png 10598 Hoeveelheid bloedverlies bc-DeliveryObservation http://snomed.info/sct 364332008 Blood loss in labor (observable entity) valueQuantity
CD.png 80674 Conditie perineum postpartum bc-DeliveryObservation http://snomed.info/sct 364297003 Female perineum observable (observable entity) valueCodeableConcept Conditie perineum (2.2)
CD.png 20530 Risicostatus vóór baring bc-DeliveryObservation urn:oid:2.16.840.1.113883.2.4.3.22.1.1 PRN5102 Risicostatus vóór baring valueCodeableConcept RisicoBaring22
CD.png 20550 Wijze waarop de baring begon bc-DeliveryObservation urn:oid:2.16.840.1.113883.2.4.4.13 BeginDeliv Wijze waarop de baring begon valueCodeableConcept WijzeBaringBegin
TS.png 20590 Tijdstip begin actieve ontsluiting bc-DeliveryObservation http://snomed.info/sct 249120008 Onset of labour first stage valueDateTime
CD.png 20630 Geboorte placenta bc-DeliveryObservation urn:oid:2.16.840.1.113883.2.4.4.13 AfterBirthMethod Geboorte placenta valueCodeableConcept GeboortePlacenta
CD.png 20631 Placenta Compleet bc-DeliveryObservation http://snomed.info/sct 364343000 Completeness of placenta (observable entity) valueCodeableConcept Completeness placenta
PQ.png 20640 Hoeveelheid bloedverlies bc-DeliveryObservation http://snomed.info/sct 364332008 Blood loss in labour valueQuantity
CD.png 80673 Conditie perineum postpartum bc-DeliveryObservation http://snomed.info/sct 364297003 Female perineum observable (observable entity) valueCodeableConcept Conditie perineum (2.2)