Gebz:V1.1 FHIR IG bc-BirthObservation

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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. Mappings for 3.1 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 System Code Display FHIR element ValueSet
CD.png 80624 Type partus http://snomed.info/sct 364336006 Pattern of delivery (observable entity) valueCodeableConcept TypePartus
BL.png 40280 Perinatale sterfte? http://snomed.info/sct 10588007 perinatale sterfte (gebeurtenis) valueBoolean
CD.png 40290 Fase perinatale sterfte urn:oid:2.16.840.1.113883.2.4.4.13 FasePerinataleSterfte Fase perinatale sterfte valueCodeableConcept Fase Perinatale Sterfte (2.2)
TS.png 40300 Datum/tijd vaststelling perinatale sterfte http://snomed.info/sct 398299004 399753006 overlijdenstijd (waarneembare entiteit) datum van overlijden (waarneembare entiteit) valueDateTime
TS.png 80619 Tijdstip breken vliezen http://snomed.info/sct 289251005 Time rupture of membranes detected valueDateTime
CD.png 20610 Kleur en consistentie vruchtwater http://loinc.org 38386-9 Color of Amniotic fluid valueCodableConcept KleurVruchtwater
TS.png 30030 Tijdstip actief meepersen urn:oid:2.16.840.1.113883.2.4.3.22.1.1 PRN530401 Tijdstip actief meepersen valueDateTime
BL.png 82089 Ruggeprik gewenst, niet gekregen? urn:oid:2.16.840.1.113883.2.4.4.13 RuggeprikGewNGekr Ruggeprik gewenst niet gekregen valueBoolean
CD.png 80626 Type partus http://snomed.info/sct 364336006 Pattern of delivery (observable entity) valueCode TypePartus
CD.png 40140 Ligging bij geboorte urn:oid:2.16.840.1.113883.2.4.3.22.1.1 LigGbrt Ligging bij geboorte valueCodeableConcept LiggingBijGeboorte22


Dataset 3.2 mappings

PWD 3.2 to FHIR
Type # Concept System Code Display FHIR element ValueSet
Container.png 4144 Type Partus (Observatie)
TS.png 4145    ObservatieDatumTijd http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effectiveDateTime
CD.png 4147 TypePartusWaarde http://snomed.info/sct 364336006 soort partus (waarneembare entiteit) valueCodeableConcept TypePartus
CD.png 4148    ObservatieMethode http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 4155    Toelichting http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment