Gebz:V1.3 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.

(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 4400 Type Partus (Observatie) 4144 bc-BirthObservation
Container.png 4108 Breken Vliezen (Observatie) bc-BirthObservation
TS.png 4109    ObservatieDatumTijd bc-BirthObservation http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effective[x]:effectiveDateTime
TS.png 4111 BrekenVliezenWaarde bc-BirthObservation http://snomed.info/sct 289251005 tijdstip waarop gebroken vliezen zijn geconstateerd (waarneembare entiteit) value[x]:valueCodeableConcept
CD.png 4112    ObservatieMethode bc-BirthObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 4119    Toelichting bc-BirthObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 4120 Aard Vruchtwater (Observatie) bc-BirthObservation
TS.png 4121    ObservatieDatumTijd bc-BirthObservation http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effective[x]:effectiveDateTime
CD.png 4123 Aard Vruchtwater Waarde bc-BirthObservation http://snomed.info/sct 366334007 bevinding betreffende vruchtwater (bevinding) value[x]:valueCodeableConcept KleurVruchtwater
CD.png 4124    ObservatieMethode bc-BirthObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 4131    Toelichting bc-BirthObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 4132 Actief Meepersen (Observatie) bc-BirthObservation
TS.png 4133    ObservatieDatumTijd bc-BirthObservation http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effective[x]:effectiveDateTime
TS.png 4135 ActiefMeepersenWaarde bc-BirthObservation value[x]:valueDateTime
CD.png 4136    ObservatieMethode bc-BirthObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 4143    Toelichting bc-BirthObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment
Container.png 4144 Type Partus (Observatie) bc-BirthObservation
TS.png 4145    ObservatieDatumTijd bc-BirthObservation http://snomed.info/sct 439771001 datum van gebeurtenis (waarneembare entiteit) effective[x]:effectiveDateTime
CD.png 4147 TypePartusWaarde bc-BirthObservation http://snomed.info/sct 364336006 soort partus (waarneembare entiteit) value[x]:valueCodeableConcept TypePartus
CD.png 4148    ObservatieMethode bc-BirthObservation http://snomed.info/sct 418775008 methode van bevinding (attribuut) method MeetMethode_GZ
ST.png 4155    Toelichting bc-BirthObservation http://loinc.org 48767-8 Annotation comment [Interpretation] Narrative comment


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