Gebz:V1.3 FHIR IG bc-DisorderOfLaborAndDelivery

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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 3.2 mappings

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