Gebz:V1.3 FHIR IG bc-PregnancyObservation

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bc-PregnancyObservation

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

Each bc-PregnancyObservation must have:

  • a subject, the pregnant woman
  • a reference to the Pregnancy Condition (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-PregnancyObservation

Pattern

This is a patten for pregnancy-related Observations in Birthcare. Not for Observations to the pregnant woman or the delivery. Note that the meta.profile element should at least include nl-core-observation and preferably bc-PregnancyObservation.

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

[Legend]

XML fragment

This is a recipe for pregnacy-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-PregnancyObservation. 

<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-PregnancyObservation"/>
    </meta>
    <extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
        <valueReference>
            <reference value="[[reference to the pregnancy | Condition/wouden-zwanger1]]" />
        </valueReference>
    </extension>
    [[! Other values than final should be avoided ]]
    <status value="final"/>
    <code>
        <coding>
            <system value="[[system, see below | http://loinc.org]]"/>
            <code value="[[code, see below | 11996-6]]"/>
            <display value="[[display, see below | Gravidity]]"/>
        </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="1"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="1"/>
    </valueQuantity>
    [[/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
Container.png 3346 ATermeDatumItems bc-PregnancyObservation
TS.png 3347 ATermeDatum bc-PregnancyObservation http://snomed.info/sct 161714006 geschatte datum van partus (waarneembare entiteit) value[x]:valueDateTime
CD.png 3348    BepalingsMethode bc-PregnancyObservation method BepalingsMethodeCodelijst
TS.png 3349    DatumBepaling bc-PregnancyObservation effective[x]:effectiveDateTime
TS.png 1729 Datum einde zwangerschap bc-PregnancyObservation http://snomed.info/sct 118951000146109 datum van einde van zwangerschap (waarneembare entiteit) value[x]:valueDateTime
Container.png 2220 Definitieve à terme datum (Observatie) bc-PregnancyObservation
TS.png 2221    Definitieve à terme DatumTijd bc-PregnancyObservation effective[x]:effectiveDateTime
TS.png 2223 Definitieve à terme Waarde bc-PregnancyObservation http://snomed.info/sct 147781000146105 definitieve uitgerekende datum van partus (waarneembare entiteit) value[x]:valueDateTime
CD.png 2224    Definitieve à terme Methode bc-PregnancyObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method.coding:aTermMethod MeetMethode_GZ
ST.png 2225    Toelichting bc-PregnancyObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 1837 Aantal foetussen (Observatie) bc-PregnancyObservation
TS.png 1838    AantalFoetussenDatumTijd bc-PregnancyObservation effective[x]:effectiveDateTime
INT.png 1840 AantalFoetussenWaarde bc-PregnancyObservation http://snomed.info/sct 246435002 aantal foetussen (waarneembare entiteit) value[x]:valueQuantity
CD.png 1841    ObservatieMethode bc-PregnancyObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 1843    Toelichting bc-PregnancyObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 1711 Meerling zwangerschap (Observatie) bc-PregnancyObservation
TS.png 1825    MeerlingZwangerschapDatumTijd bc-PregnancyObservation effective[x]:effectiveDateTime
CD.png 2231 TyperingGemellizwangerschapWaarde bc-PregnancyObservation http://snomed.info/sct 65147003 tweelingzwangerschap (aandoening) value[x]:valueCodeableConcept TweelingzwangerschapType
Container.png 1845 Aantal foetussen (Observatie) 1837 bc-PregnancyObservation
CD.png 1833    ObservatieMethode bc-PregnancyObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 1826    Toelichting bc-PregnancyObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 1734 Aantal levende kinderen (Observatie) bc-PregnancyObservation
TS.png 1735    AantalLevendeKinderenDatumTijd bc-PregnancyObservation effective[x]:effectiveDateTime
INT.png 1740 AantalLevendeKinderenWaarde bc-PregnancyObservation http://snomed.info/sct 143881000146107 aantal levende nakomelingen (waarneembare entiteit) value[x]:valueQuantity
CD.png 1736    ObservatieMethode bc-PregnancyObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 1738    Toelichting bc-PregnancyObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 1817 Fetal loss (Observatie) bc-PregnancyObservation
TS.png 1818    FetalLossDatumTijd bc-PregnancyObservation effective[x]:effectiveDateTime
INT.png 1820 FetalLossWaarde bc-PregnancyObservation http://snomed.info/sct 713651007 voorgeschiedenis met zwangerschap met abortus als resultaat (situatie) value[x]:valueQuantity
CD.png 1821    ObservatieMethode bc-PregnancyObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 1824    Toelichting bc-PregnancyObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 2134 Leven voelen (Observatie) bc-PregnancyObservation
TS.png 2135    LevenVoelenDatumTijd bc-PregnancyObservation effective[x]:effectiveDateTime
CD.png 2137 LevenVoelenWaarde bc-PregnancyObservation http://snomed.info/sct 364618000 bewegingspatroon van foetus (waarneembare entiteit) value[x]:valueCodeableConcept Leven voelen
CD.png 2138    ObservatieMethode bc-PregnancyObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 2141    Toelichting bc-PregnancyObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 2143 Actuele aantal levende foetus (Observatie) bc-PregnancyObservation
TS.png 2144    ActueleAantalLevendeFoetusDatumTijd bc-PregnancyObservation effective[x]:effectiveDateTime
PQ.png 2146 ActueelAantalLevendeFoetusWaarde bc-PregnancyObservation http://snomed.info/sct 142931000146106 aantal levende foetussen (waarneembare entiteit) value[x]:valueQuantity
CD.png 2147    ObservatieMethode bc-PregnancyObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 2150    Toelichting bc-PregnancyObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
BL.png 1847 OverlijdensIndicator bc-PregnancyObservation http://snomed.info/sct 59283008 276507005 276506001 maternale sterfte (gebeurtenis) foetale sterfte (gebeurtenis) neonatale sterfte (gebeurtenis) value[x]:valueBoolean
TS.png 1848 DatumOverlijden bc-PregnancyObservation http://snomed.info/sct 399753006 datum van overlijden (waarneembare entiteit) value[x]:valueDateTime
Container.png 4157 TOP nav prenataal onderzoek? (Observatie) bc-PregnancyObservation
TS.png 4158    ObservatieDatumTijd bc-PregnancyObservation http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effective[x]:effectiveDateTime
BL.png 4160 TOPnavPrenataalOnderzoekWaarde bc-PregnancyObservation http://snomed.info/sct 386639001 afbreken van zwangerschap (verrichting) value[x]:valueBoolean
CD.png 4161    ObservatieMethode bc-PregnancyObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 4168    Toelichting bc-PregnancyObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment


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