Gebz:FHIR bc-DisorderOfPregnancy

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bc-DisorderOfPregnancy

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

Each bc-DisorderOfPregnancy must have:

  • 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-DisorderOfPregnancy may have:

  • a reference to the Pregnancy Condition (the focus of the Observation). 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-DisorderOfPregnancy

Pattern

This is a patten for pregnancy-related Conditions in Birthcare. Note that the meta.profile element should preferably include bc-DisorderOfPregnancy. Again, this may be the case for BGZ.

All FHIR instances which follow this pattern will be valid Pregnancy 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 pregnancy-related disorders in Birthcare. Note that the meta.profile element should preferably be bc-DisorderOfPregnancy.

<Condition xmlns="http://hl7.org/fhir">
    <id value="[[a unique id]]"/>
    <meta>
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy"/>
    </meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/condition-partOf">
        <valueReference>
            <reference value="[[reference to the pregnancy | Condition/wouden-zwanger1]]" />
        </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 | 235888006"/> 
            <display value="[[display | Cholestasis of pregnancy (disorder)]]"/> 
        </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. 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
CD.png 82509 Gynaecologische aandoening bc-DisorderOfPregnancy Gynaecologische aandoeningen
BL.png 82510 Bloedverlies? bc-DisorderOfPregnancy http://snomed.info/sct 131148009 Bleeding (finding)
BL.png 82511 Partiële mola? bc-DisorderOfPregnancy urn:oid:2.16.840.1.113883.2.4.4.13 MolaPartieelIntacteZw Partiële mola met intacte zwangerschap
BL.png 82512 Cervixinsufficiëntie? bc-DisorderOfPregnancy http://snomed.info/sct 17382005 Cervical incompetence (disorder)
CD.png 82513 Infectie bc-DisorderOfPregnancy Infectie
BL.png 82514 Hyperemesis gravidarum? bc-DisorderOfPregnancy http://snomed.info/sct 14094001 Excessive vomiting in pregnancy (disorder)
CD.png 82515 Hypertensieve aandoening bc-DisorderOfPregnancy Hypertensieve aandoening
BL.png 82516 Zwangerschapscholestase? bc-DisorderOfPregnancy http://snomed.info/sct 235888006 Cholestasis of pregnancy (disorder)
BL.png 82517 Diabetes gravidarum met insuline? bc-DisorderOfPregnancy http://snomed.info/sct 46894009 Gestational diabetes mellitus, class A>2< (disorder)
CD.png 82518 Afwijkende groei foetus bc-DisorderOfPregnancy Groei afwijkend
BL.png 82519 Dreigende partus immaturus? bc-DisorderOfPregnancy urn:oid:2.16.840.1.113883.2.4.4.13 PartusImmaturusDreig Partus immaturus - dreigend
BL.png 82520 Dreigende partus prematurus? bc-DisorderOfPregnancy urn:oid:2.16.840.1.113883.2.4.4.13 PartusPrematurusDreig Partus prematurus - dreigend
BL.png 82521 Abruptio placentae? bc-DisorderOfPregnancy http://snomed.info/sct 415105001 Placental abruption (disorder)
BL.png 82522 Navelstrengprolaps? bc-DisorderOfPregnancy http://snomed.info/sct 270500004 Prolapsed cord (disorder)
CD.png 82523 Liggingsafwijking bc-DisorderOfPregnancy Ligging (afwijkend)
Container.png 82268 Diagnose bc-DisorderOfPregnancy http://snomed.info/sct 439401001 Diagnosis (observable entity)
TS.png 82272    Datum bc-DisorderOfPregnancy assertedDate
CD.png 82269 Gynaecologische aandoening bc-DisorderOfPregnancy Gynaecologische aandoeningen
BL.png 82270 Bloedverlies? bc-DisorderOfPregnancy http://snomed.info/sct 131148009 Bleeding (finding)
BL.png 82286 Partiële mola? bc-DisorderOfPregnancy urn:oid:2.16.840.1.113883.2.4.4.13 MolaPartieelIntacteZw Partiële mola met intacte zwangerschap
BL.png 82271 Cervixinsufficiëntie? bc-DisorderOfPregnancy http://snomed.info/sct 17382005 Cervical incompetence (disorder)
CD.png 82273 Infectie bc-DisorderOfPregnancy Infectie
BL.png 82274 Hyperemesis gravidarum? bc-DisorderOfPregnancy http://snomed.info/sct 14094001 Excessive vomiting in pregnancy (disorder)
CD.png 82275 Hypertensieve aandoening bc-DisorderOfPregnancy Hypertensieve aandoening
BL.png 82276 Zwangerschapscholestase? bc-DisorderOfPregnancy http://snomed.info/sct 235888006 Cholestasis of pregnancy (disorder)
BL.png 82277 Diabetes gravidarum met insuline? bc-DisorderOfPregnancy http://snomed.info/sct 46894009 Gestational diabetes mellitus, class A>2< (disorder)
CD.png 82278 Afwijkende groei foetus bc-DisorderOfPregnancy Groei afwijkend
BL.png 82279 Dreigende partus immaturus? bc-DisorderOfPregnancy urn:oid:2.16.840.1.113883.2.4.4.13 PartusImmaturusDreig Partus immaturus - dreigend
BL.png 82280 Dreigende partus prematurus? bc-DisorderOfPregnancy urn:oid:2.16.840.1.113883.2.4.4.13 PartusPrematurusDreig Partus prematurus - dreigend
BL.png 82289 Abruptio placentae? bc-DisorderOfPregnancy http://snomed.info/sct 415105001 Placental abruption (disorder)
BL.png 82452 Navelstrengprolaps? bc-DisorderOfPregnancy http://snomed.info/sct 270500004 Prolapsed cord (disorder)
CD.png 82380 Liggingsafwijking bc-DisorderOfPregnancy Ligging (afwijkend)