Gebz:V1.3 FHIR IG bc-DisorderOfPregnancy

bc-DisorderOfPregnancy

This is a generic profile for conditions related to a pregnancy.

Each bc-DisorderOfPregnancy must have:

• a fixed category, specifying that this is a pregnancy-related 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-DisorderOfPregnancy may have:

• a reference to the Pregnancy Condition (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-DisorderOfPregnancy

Pattern

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

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

<Condition xmlns="http://hl7.org/fhir">
    <id value="[[a unique id]]"/>
    <meta>
        <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-DisorderOfPregnancy"/>
    </meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/condition-partOf">
        <valueReference>
            <reference value="[[reference to the pregnancy | Condition/wouden-zwanger1]]" />
        </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="173300003"/> 
            <display value="Disorder of pregnancy (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 | 235888006"/> 
            <display value="[[display | Cholestasis of pregnancy (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.

(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
	3830	Probleem (Zwangerschap)	1180	bc-DisorderOfPregnancy
	9140	Probleem (Zwangerschap)	1180	bc-DisorderOfPregnancy
	2731	Probleem (Zwangerschap)	1180	bc-DisorderOfPregnancy
	4384	Probleem (Zwangerschap)	1180	bc-DisorderOfPregnancy
	1180	Probleem (Zwangerschap)		bc-DisorderOfPregnancy
	1181	ProbleemAnatomischeLocatie		bc-DisorderOfPregnancy				bodySite	ProbleemAnatomischeLocatieCodelijst
	1182	ProbleemLateraliteit		bc-DisorderOfPregnancy				bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept	ProbleemLateraliteitCodelijst
	1183	ProbleemType		bc-DisorderOfPregnancy				category	ProbleemTypeCodelijst
	1184	ProbleemNaam		bc-DisorderOfPregnancy				code	ProbleemNaam_Zwangerschap
	8654	Ernst oedeem		bc-DisorderOfPregnancy				severity	Ernst van de aandoening
	7894	Vermoeden iuvd op basis van		bc-DisorderOfPregnancy				evidence.code	IUVD methode
	1185	ProbleemBeginDatum		bc-DisorderOfPregnancy				onsetDateTime:onsetDateTime
	1186	ProbleemEindDatum		bc-DisorderOfPregnancy				abatementDateTime:abatementDateTime
	1187	ProbleemStatus		bc-DisorderOfPregnancy				clinicalStatus	ProbleemStatusCodelijst
	1188	VerificatieStatus		bc-DisorderOfPregnancy				verificationStatus	VerificatieStatusCodelijst
	1189	Toelichting		bc-DisorderOfPregnancy	http://loinc.org	48767-8	Annotation comment	note
	2458	Afwijking placenta		bc-DisorderOfPregnancy
	2460	Probleem		bc-DisorderOfPregnancy
	2461	ProbleemAnatomischeLocatie		bc-DisorderOfPregnancy				bodySite	ProbleemAnatomischeLocatieCodelijst
	2462	ProbleemLateraliteit		bc-DisorderOfPregnancy				bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept	ProbleemLateraliteitCodelijst
	2463	ProbleemType		bc-DisorderOfPregnancy				category	ProbleemTypeCodelijst
	2464	ProbleemNaam		bc-DisorderOfPregnancy				code	Specificatie van de afwijking van placenta en/of vliezen en/of navelstreng (2.2)
	2465	ProbleemBeginDatum		bc-DisorderOfPregnancy				onsetDateTime:onsetDateTime
	2466	ProbleemEindDatum		bc-DisorderOfPregnancy				abatementDateTime:abatementDateTime
	2467	ProbleemStatus		bc-DisorderOfPregnancy				clinicalStatus	ProbleemStatusCodelijst
	2468	VerificatieStatus		bc-DisorderOfPregnancy				verificationStatus	VerificatieStatusCodelijst
	2469	Toelichting		bc-DisorderOfPregnancy	http://loinc.org	48767-8	Annotation comment	note