Gebz:V1.1 FHIR IG 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 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
BL.png 82543 Conditie perineum postpartum http://snomed.info/sct 364297003 Female perineum observable (observable entity) valueCodeableConcept
CD.png 82336 Geboorte placenta urn:oid:2.16.840.1.113883.2.4.4.13 AfterBirthMethod Geboorte placenta valueCodeableConcept GeboortePlacenta
PQ.png 10598 Hoeveelheid bloedverlies http://snomed.info/sct 364332008 Blood loss in labor (observable entity) valueQuantity
CD.png 80674 Conditie perineum postpartum http://snomed.info/sct 364297003 Female perineum observable (observable entity) valueCodeableConcept Conditie perineum (2.2)
CD.png 20530 Risicostatus vóór baring 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 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 http://snomed.info/sct 249120008 Onset of labour first stage valueDateTime
CD.png 20630 Geboorte placenta urn:oid:2.16.840.1.113883.2.4.4.13 AfterBirthMethod Geboorte placenta valueCodeableConcept GeboortePlacenta
CD.png 20631 Placenta Compleet http://snomed.info/sct 364343000 Completeness of placenta (observable entity) valueCodeableConcept Completeness placenta
PQ.png 20640 Hoeveelheid bloedverlies http://snomed.info/sct 364332008 Blood loss in labour valueQuantity
CD.png 80673 Conditie perineum postpartum http://snomed.info/sct 364297003 Female perineum observable (observable entity) valueCodeableConcept Conditie perineum (2.2)


Dataset 3.2 mappings

PWD 3.2 to FHIR
Type # Concept System Code Display FHIR element ValueSet
Container.png 4084 Actieve Ontsluiting (Observatie) code
TS.png 4085    ObservatieDatumTijd http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effectiveDateTime
TS.png 4087 BeginActieveOntsluitingWaarde http://snomed.info/sct 249120008 begin van eerste fase van partus (waarneembare entiteit) valueDateTime
CD.png 4088    ObservatieMethode http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 4095    Toelichting http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 4096 Wijze Begin Baring (Observatie)
TS.png 4097    ObservatieDatumTijd http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effectiveDateTime
CD.png 4099 BeginBaringWaarde valueCodeableConcept WijzeBeginBaring_32
CD.png 4100    ObservatieMethode http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 4107    Toelichting http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 4181 Aantal Geboren Kinderen (Observatie) code
TS.png 4182    ObservatieDatumTijd http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effectiveDateTime
INT.png 4184 AantalGeborenKinderenWaarde http://snomed.info/sct 118861000146102 aantal geboren kinderen uit zwangerschap (waarneembare entiteit) valueQuantity
CD.png 4185    ObservatieMethode http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 4192    Toelichting http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 4193 Werkelijke plaats baring (type locatie) (Observatie)
TS.png 4194    ObservatieDatumTijd http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effectiveDateTime
CD.png 4196 WerkelijkePlaatsBaringWaarde http://snomed.info/sct 169812000 geboorteplaats (waarneembare entiteit) valueCodeableConcept Werkelijke plaats baring 3.2
CD.png 4197    ObservatieMethode http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 4204    Toelichting http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
PQ.png 1751 HoeveelheidBloedverliesWaarde http://snomed.info/sct 364332008 bloedverlies durante partu (waarneembare entiteit) valueQuantity