Gebz:V1.2 FHIR IG bc-DisorderPostPartum

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bc-DisorderPostPartum

This is a generic profile for postpartum conditions related to labor and delivery.

Each bc-DisorderPostPartum must have:

  • a fixed category, specifying that this is a postpartum 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-DisorderPostPartum may have:

  • a reference to the Delivery 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-DisorderPostPartum

Pattern

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

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

    <Condition xmlns="http://hl7.org/fhir">
        <id value="[[a unique id]]"/>
        <meta>
            <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-DisorderPostPartum"/>
        </meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/condition-partOf">
            <valueReference>
                <reference value="[[reference to 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="362973001"/> 
                <display value="Postpartum 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 | 362973001"/> 
                <display value="[[display | Disorder of puerperium (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 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
Container.png 82544 Postnatale fase http://snomed.info/sct 362973001 Disorder of puerperium (disorder) code
CD.png 82545 Pathologie vrouw code Postpartum complicatie
Container.png 82297 Diagnose/interventie postnataal http://snomed.info/sct 439401001 Diagnosis (observable entity) code
TS.png 82298    Datum assertedDate
CD.png 82209 Pathologie vrouw code Postpartum complicatie


Dataset 3.2 mappings

PWD 2.3 to FHIR
Type # Concept Reference Profile System Code Display FHIR element ValueSet
Container.png 1928 Probleem (Maternaal) 1564 bc-DisorderPostPartum
Container.png 3833 Probleem (Postpartum complicatie) 2305 bc-DisorderPostPartum
Container.png 9144 Conditie perineum en sfincter postpartum 3950 bc-DisorderPostPartum
Container.png 9661 Probleem (Postpartum complicatie) 2305 bc-DisorderPostPartum
Container.png 2305 Probleem (Postpartum complicatie) bc-DisorderPostPartum
CD.png 2306    ProbleemAnatomischeLocatie bc-DisorderPostPartum bodySite ProbleemAnatomischeLocatieCodelijst
CD.png 2307    ProbleemLateraliteit bc-DisorderPostPartum bodySite.extension:laterality ProbleemLateraliteitCodelijst
CD.png 2308    ProbleemType bc-DisorderPostPartum category ProbleemTypeCodelijst
CD.png 2309 ProbleemNaam bc-DisorderPostPartum code 2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20210413094135 20171231000000&scope=nictiz.fhir.nl.stu3.geboortezorg@1.1.0 Postpartum complicatie ProbleemNaamCodelijst
TS.png 2310    ProbleemBeginDatum bc-DisorderPostPartum onsetDateTime
TS.png 2311    ProbleemEindDatum bc-DisorderPostPartum abatementDateTime
CD.png 2312    ProbleemStatus bc-DisorderPostPartum clinicalStatus ProbleemStatusCodelijst
CD.png 2313    VerificatieStatus bc-DisorderPostPartum verificationStatus VerificatieStatusCodelijst
ST.png 2314    Toelichting bc-DisorderPostPartum http://loinc.org 48767-8 Annotation comment verificationStatus
Container.png 2844 Probleem bc-DisorderPostPartum
CD.png 2846    ProbleemLateraliteit bc-DisorderPostPartum bodysite.extension:laterality ProbleemLateraliteitCodelijst
CD.png 2847    ProbleemType bc-DisorderPostPartum category ProbleemTypeCodelijst
CD.png 2848 ProbleemNaam bc-DisorderPostPartum code Controle borsten 3.2
TS.png 2849    ProbleemBeginDatum bc-DisorderPostPartum onsetDateTime
TS.png 2850    ProbleemEindDatum bc-DisorderPostPartum abatementDateTime
CD.png 2851    ProbleemStatus bc-DisorderPostPartum clinicalStatus ProbleemStatusCodelijst
CD.png 2852    VerificatieStatus bc-DisorderPostPartum verificationStatus VerificatieStatusCodelijst
ST.png 2853    Toelichting bc-DisorderPostPartum http://loinc.org 48767-8 Annotation comment note