gz:V1.3 FHIR IG bc-PregnancyObservation
(Doorverwezen vanaf Gebz:V1.3 FHIR IG bc-PregnancyObservation)
1 bc-PregnancyObservation[bewerken]
This is a generic profile for observations related to a pregnancy.
Each bc-PregnancyObservation must have:
- a subject, the pregnant woman
- a reference to the Pregnancy Condition (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.
1.1 Profile[bewerken]
The entire profile can be found at: bc-PregnancyObservation
1.2 Pattern[bewerken]
This is a patten for pregnancy-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-PregnancyObservation.
All FHIR instances which follow this pattern will be valid Pregnancy Observations. Other fields from the FHIR profile may be present: this description is a minimal representation.
[Legend]
1.2.1 XML fragment[bewerken]
This is a recipe for pregnacy-related Observations in Birthcare. Note that the meta.profile element should at least include nl-core-observation and preferably bc-PregnancyObservation.
<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-PregnancyObservation"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/Observation-focus-stu3">
<valueReference>
<reference value="[[reference to the pregnancy | Condition/wouden-zwanger1]]" />
</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 | 11996-6]]"/>
<display value="[[display, see below | Gravidity]]"/>
</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="1"/>
<system value="http://unitsofmeasure.org"/>
<code value="1"/>
</valueQuantity>
[[/observation.value]]
</Observation>1.3 Valuation table[bewerken]
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.)
1.3.1 Dataset 3.2 mappings[bewerken]
| PWD 2.3 to FHIR | ||||||||||||
| Type | # | Concept | Reference | Profile | System | Code | Display | FHIR element | ValueSet | |||
|
3346 | ATermeDatumItems | bc-PregnancyObservation | |||||||||
|
3347 | ATermeDatum | bc-PregnancyObservation | http://snomed.info/sct | 161714006 | geschatte datum van partus (waarneembare entiteit) | value[x]:valueDateTime | |||||
|
3348 | BepalingsMethode | bc-PregnancyObservation | method | BepalingsMethodeCodelijst | |||||||
|
|
3349 | DatumBepaling | bc-PregnancyObservation | effective[x]:effectiveDateTime | ||||||||
|
|
1729 | Datum einde zwangerschap | bc-PregnancyObservation | http://snomed.info/sct | 118951000146109 | datum van einde van zwangerschap (waarneembare entiteit) | value[x]:valueDateTime | |||||
|
|
2220 | Definitieve à terme datum (Observatie) | bc-PregnancyObservation | |||||||||
|
|
2221 | Definitieve à terme DatumTijd | bc-PregnancyObservation | effective[x]:effectiveDateTime | ||||||||
|
|
2223 | Definitieve à terme Waarde | bc-PregnancyObservation | http://snomed.info/sct | 147781000146105 | definitieve uitgerekende datum van partus (waarneembare entiteit) | value[x]:valueDateTime | |||||
|
|
2224 | Definitieve à terme Methode | bc-PregnancyObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method.coding:aTermMethod | MeetMethode_GZ | ||||
|
2225 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1711 | Meerling zwangerschap (Observatie) | bc-PregnancyObservation | |||||||||
|
|
1825 | MeerlingZwangerschapDatumTijd | bc-PregnancyObservation | effective[x]:effectiveDateTime | ||||||||
|
|
2231 | TweelingzwangerschapWaarde | bc-PregnancyObservation | http://snomed.info/sct | 65147003 | tweelingzwangerschap (bevinding) | value[x]:valueCodeableConcept | TweelingzwangerschapType | ||||
|
|
1833 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method | MeetMethode_GZ | ||||
|
|
1826 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1734 | Aantal levende kinderen (Observatie) | bc-PregnancyObservation | |||||||||
|
|
1735 | AantalLevendeKinderenDatumTijd | bc-PregnancyObservation | effective[x]:effectiveDateTime | ||||||||
|
1740 | AantalLevendeKinderenWaarde | bc-PregnancyObservation | http://snomed.info/sct | 143881000146107 | aantal levende nakomelingen (waarneembare entiteit) | value[x]:valueQuantity | |||||
|
|
1736 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method | MeetMethode_GZ | ||||
|
|
1738 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1817 | Fetal loss (Observatie) | bc-PregnancyObservation | |||||||||
|
|
1818 | FetalLossDatumTijd | bc-PregnancyObservation | effective[x]:effectiveDateTime | ||||||||
|
|
1820 | FetalLossWaarde | bc-PregnancyObservation | http://snomed.info/sct | 16216731000119106 | voorgeschiedenis met eerdere zwangerschap met intra-uteriene foetale dood (situatie) | value[x]:valueQuantity | |||||
|
|
1821 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method | MeetMethode_GZ | ||||
|
|
1824 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
2134 | Leven voelen (Observatie) | bc-PregnancyObservation | |||||||||
|
|
2135 | LevenVoelenDatumTijd | bc-PregnancyObservation | effective[x]:effectiveDateTime | ||||||||
|
|
2137 | LevenVoelenWaarde | bc-PregnancyObservation | http://snomed.info/sct | 364618000 | bewegingspatroon van foetus (waarneembare entiteit) | value[x]:valueCodeableConcept | Leven voelen | ||||
|
|
2138 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method | MeetMethode_GZ | ||||
|
|
2141 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
2143 | Actuele aantal levende foetus (Observatie) | bc-PregnancyObservation | |||||||||
|
|
2144 | ActueleAantalLevendeFoetusDatumTijd | bc-PregnancyObservation | effective[x]:effectiveDateTime | ||||||||
|
2146 | ActueelAantalLevendeFoetusWaarde | bc-PregnancyObservation | http://snomed.info/sct | 142931000146106 | aantal levende foetussen (waarneembare entiteit) | value[x]:valueQuantity | |||||
|
|
2147 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method | MeetMethode_GZ | ||||
|
|
2150 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
1847 | OverlijdensIndicator | bc-PregnancyObservation | http://snomed.info/sct | 59283008 276507005 276506001 | maternale sterfte (gebeurtenis) foetale sterfte (gebeurtenis) neonatale sterfte (gebeurtenis) | value[x]:valueBoolean | |||||
|
|
1848 | DatumOverlijden | bc-PregnancyObservation | http://snomed.info/sct | 399753006 | datum van overlijden (waarneembare entiteit) | value[x]:valueDateTime | |||||
|
|
4157 | TOP nav prenataal onderzoek? (Observatie) | bc-PregnancyObservation | |||||||||
|
|
4158 | ObservatieDatumTijd | bc-PregnancyObservation | http://snomed.info/sct | 439771001 | datum van gebeurtenis (waarneembare entiteit) | effective[x]:effectiveDateTime | |||||
|
|
4160 | TOPnavPrenataalOnderzoekWaarde | bc-PregnancyObservation | http://snomed.info/sct | 386639001 | afbreken van zwangerschap (verrichting) | value[x]:valueBoolean | |||||
|
|
4161 | ObservatieMethode | bc-PregnancyObservation | http://snomed.info/sct | 418775008 | methode van bevinding (attribuut) | method | MeetMethode_GZ | ||||
|
|
4168 | Toelichting | bc-PregnancyObservation | http://loinc.org | 48767-8 | Annotation comment [Interpretation] Narrative | comment | |||||
|
|
1845 | Aantal foetussen (Observatie) | 1837 | bc-PregnancyObservation | ||||||||