Gebz:V1.2 FHIR IG bc-FetusObservation
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bc-FetusObservation
This is a generic profile for observations related to a fetus.
Each bc-FetusObservation must have:
- a subject, the pregnant woman
- a reference to the fetus (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-FetusObservation
Pattern
This is a patten for fetus-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-FetusObservation.
All FHIR instances which follow this pattern will be valid Fetus Observations. Other fields from the FHIR profile may be present: this description is a minimal representation.
[Legend]
XML fragment
This is a recipe for fetus-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-FetusObservation.
<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-FetusObservation"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
<valueReference>
<reference value="[[reference to the fetus | BodySite/fetusA]]" />
</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 | 11727-5]]"/>
<display value="[[display, see below | Fetal Body weight estimated by US ]]"/>
</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="2200"/>
<unit value="g"/>
<system value="http://unitsofmeasure.org"/>
<code value="g"/>
</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 2.3 mappings
PWD 2.3 to FHIR | ||||||||||||
Type | # | Concept | System | Code | Display | FHIR element | ValueSet | |||||
60080 | AC | http://loinc.org | 11979-2 | AC | valueQuantity | |||||||
60081 | AC percentiel | http://loinc.org | X_AC_PRCTL | AC Percentiel | interpretation.extension:percentile | |||||||
60030 | BPD | http://loinc.org | 11820-8 | BPD | valueQuantity | |||||||
60031 | BPD percentiel | http://loinc.org | X_BPD_PRCTL | BPD Percentiel | interpretation.extension:percentile | |||||||
82340 | EFW | http://loinc.org | 11727-5 | Fetal Body weight estimated by US | valueQuantity | |||||||
60100 | FL | http://loinc.org | 11963-6 | Femur lengte | valueQuantity | |||||||
60101 | FL percentiel | http://loinc.org | X_FL_PRCTL | FL Percentiel | interpretation.extension:percentile | |||||||
60060 | HC | http://loinc.org | 8288-3 11984-2 | Head Occipital-frontal circumference by US HC | valueQuantity | |||||||
60061 | HC percentiel | http://loinc.org | X_HC_PRCTL | HC Percentiel | interpretation.extension:percentile | |||||||
60070 | TCD | http://loinc.org | 11863-8 | Fetal Cerebellum Diameter transverse US | valueQuantity | |||||||
80944 | Ligging | http://snomed.info/sct | 249062004 | Lie of fetus (observable entity) | valueCodeableConcept | Ligging | ||||||
82069 | Placentalokalisatie | valueCodeableConcept | ||||||||||
80946 | Placentalokalisatie | http://snomed.info/sct | 7381000146107 | Finding of placental position (finding) | valueCodeableConcept | Placentalokalisatie (2.2) |
Dataset 3.2 mappings
PWD 2.3 to FHIR | ||||||||||||
Type | # | Concept | Reference | Profile | System | Code | Display | FHIR element | ValueSet | |||
4169 | Ligging kind (Observatie) | bc-FetusObservation | ||||||||||
4170 | ObservatieDatumTijd | bc-FetusObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effective[x]:effectiveDateTime | ||||||
4172 | LiggingKindWaarde | bc-FetusObservation | value[x]:valueCodeableConcept | LiggingBijGeboorte22 | ||||||||
4173 | ObservatieMethode | bc-FetusObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method | MeetMethode_GZ | |||||
4180 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
1208 | Foetusspecifieke onderzoeksgegevens | bc-FetusObservation | ||||||||||
10283 | Patient | 675 | bc-FetusObservation | subject | ||||||||
1767 | Foetale monitoring (CTG) | bc-FetusObservation | http://snomed.info/sct | 281568006 | monitoren van foetale hart (regime/therapie) | |||||||
3513 | FoetaleBuikomtrek / AC (Meting) | bc-FetusObservation | ||||||||||
3515 | ACWaarde | bc-FetusObservation | http://loinc.org | 11979-2 | Fetal Abdomen Circumference US | value[x]:valueQuantity | ||||||
3516 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
3519 | ACDatumBeginTijd | bc-FetusObservation | effective[x]:effectivePeriod.start | |||||||||
3520 | ACDatumEindTijd | bc-FetusObservation | effective[x]:effectivePeriod.end | |||||||||
3521 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
3539 | FoetaleFemurlengte / FL (Meting) | bc-FetusObservation | ||||||||||
3541 | FLWaarde | bc-FetusObservation | http://loinc.org | 11963-6 | Fetal Femur diaphysis [Length] US | value[x]:valueQuantity | ||||||
3542 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
3545 | FLDatumBeginTijd | bc-FetusObservation | effective[x]:effectivePeriod.start | |||||||||
3546 | FLDatumEindTijd | bc-FetusObservation | effective[x]:effectivePeriod.end | |||||||||
3547 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
3552 | FoetaleBipariëtaleDiameter / BPD (Meting) | bc-FetusObservation | ||||||||||
3554 | BPDWaarde | bc-FetusObservation | http://loinc.org | 11820-8 | Fetal Head Diameter.biparietal US | value[x]:valueQuantity | ||||||
3555 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
3558 | BPDDatumBeginTijd | bc-FetusObservation | effective[x]:effectivePeriod.start | |||||||||
3559 | BPDDatumEindTijd | bc-FetusObservation | effective[x]:effectivePeriod.end | |||||||||
3560 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
3564 | FoetaalLongitudinaleBlaasDiameter / LBD (Meting) | bc-FetusObservation | ||||||||||
3566 | LBDWaarde | bc-FetusObservation | http://loinc.org | 11815-8 | Fetal Urinary bladder Diameter US | value[x]:valueQuantity | ||||||
3567 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
3570 | LBDDatumBeginTijd | bc-FetusObservation | effective[x]:effectivePeriod.start | |||||||||
3571 | LBDDatumEindTijd | bc-FetusObservation | effective[x]:effectivePeriod.end | |||||||||
3572 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
3576 | FoetaleKruinRompLengte / CRL (Meting) | bc-FetusObservation | ||||||||||
3578 | CRLWaarde | bc-FetusObservation | http://loinc.org | 11957-8 | Fetal Crown Rump length US | value[x]:valueQuantity | ||||||
3579 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
3582 | CRLDatumBeginTijd | bc-FetusObservation | effective[x]:effectivePeriod.start | |||||||||
3583 | CRLDatumEindTijd | bc-FetusObservation | effective[x]:effectivePeriod.end | |||||||||
3584 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
3589 | FoetaleTranscerebellarDiameter / TCD (Meting) | bc-FetusObservation | ||||||||||
3591 | TCDWaarde | bc-FetusObservation | http://loinc.org | 11863-8 | Fetal Cerebellum Diameter transverse US | value[x]:valueQuantity | ||||||
3592 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
3595 | TCDDatumBeginTijd | bc-FetusObservation | effective[x]:effectivePeriod.start | |||||||||
3596 | TCDDatumEindTijd | bc-FetusObservation | effective[x]:effectivePeriod.end | |||||||||
3597 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
3602 | FoetaleNekplooidikte / NT (Meting) | bc-FetusObservation | ||||||||||
3604 | NTWaarde | bc-FetusObservation | http://loinc.org | 12146-7 | Fetal Nuchal fold Thickness US | value[x]:valueQuantity | ||||||
3605 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
3608 | NTDatumBeginTijd | bc-FetusObservation | effective[x]:effectivePeriod.start | |||||||||
3609 | NTDatumEindTijd | bc-FetusObservation | effective[x]:effectivePeriod.end | |||||||||
3610 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
3614 | FoetaalGeschatGewicht / EFW (Meting) | bc-FetusObservation | ||||||||||
3616 | EFWWaarde | bc-FetusObservation | http://loinc.org | 11727-5 | Fetal Body weight estimated by US | value[x]:valueQuantity | ||||||
3617 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
3620 | EFWDatumBeginTijd | bc-FetusObservation | effective[x]:effectivePeriod.start | |||||||||
3621 | EFWDatumEindTijd | bc-FetusObservation | effective[x]:effectivePeriod.end | |||||||||
3622 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
2451 | Bevindingen | bc-FetusObservation | ||||||||||
7789 | LiggingFoetus (Meting) | 4060 | bc-FetusObservation | |||||||||
2404 | Beweging foetus (Observatie) | bc-FetusObservation | ||||||||||
2405 | BewegingFoetusDatumTijd | bc-FetusObservation | effective[x]:effectiveDateTime | |||||||||
2407 | BewegingFoetusWaarde | bc-FetusObservation | http://snomed.info/sct | 364619008 | meetbare observatie betreffende foetale bewegingen (waarneembare entiteit) | value[x]:valueCodeableConcept | Beweging | |||||
2408 | ObservatieMethode | bc-FetusObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method | MeetMethode_GZ | |||||
2409 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
10846 | Diameter vruchtzak (Meting) | bc-FetusObservation | ||||||||||
10848 | DiameterVruchtzakWaarde | bc-FetusObservation | http://snomed.info/sct | 441742003 | beoordeling van bevinding (bevinding) | value[x]:valueQuantity | ||||||
10849 | MeetMethode | bc-FetusObservation | http://snomed.info/sct | 260686004 | methode (attribuut) | method | MeetMethode_GZ | |||||
10852 | MeetDatumBeginTijd | bc-FetusObservation | effective[x]:effectivePeriod.start | |||||||||
10853 | MeetDatumEindTijd | bc-FetusObservation | effective[x]:effectivePeriod.end | |||||||||
10854 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
7836 | OrgaansysteemFoetus (Observatie) | bc-FetusObservation | ||||||||||
7837 | OrgaansysteemFoetusDatumTijd | bc-FetusObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effective[x]:effectiveDateTime | ||||||
7887 | ObservatieNaam | bc-FetusObservation | code | OrgaansysteemFoetus | ||||||||
7839 | OrgaansysteemFoetusWaarde | bc-FetusObservation | value[x]:valueCodeableConcept | Beoordeling Bevindingen | ||||||||
7840 | ObservatieMethode | bc-FetusObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method | MeetMethode_GZ | |||||
7845 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | ||||||
7847 | Sonomarkers (Observatie) | bc-FetusObservation | ||||||||||
7848 | ObservatieDatumTijd | bc-FetusObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effective[x]:effectiveDateTime | ||||||
7886 | SonomarkerNaam | bc-FetusObservation | code | Sonomarkers 3.2 | ||||||||
7850 | SonomarkerWaarde | bc-FetusObservation | value[x]:valueCodeableConcept | Beoordeling Sonomarkers | ||||||||
7851 | ObservatieMethode | bc-FetusObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method | MeetMethode_GZ | |||||
7856 | Toelichting | bc-FetusObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment |