description: An Observation profile derived from the fetus Observation profile describing fetal monitoring as defined by BabyConnect. Fetal monitoring is a fetus-related Observation. Fetus-related Observations are Observations about a fetus, which is the focus of the Observation (extension). Fetus identification is necessary in these Observations, especially in multiple pregnancy. There are two ways of using this profile depending on the presence of a patient / fetus record for the unborn child:\r\n1. A patient / fetus record is present. The subject of the Observation is the (unborn) child Patient. The focus extension can be left blank.\r\n2. A patient / fetus record is not present. The subject of the Observation is the woman Patient. The focus extension refers to the fetus BodySite.
package_name: rs/nictiz.fhir.nl.stu3.geboortezorg
derivation: constraint
name: bc-FetalMonitoring
type: Observation
elements:
  code:
    elements:
      coding:
        pattern:
          type: Coding
          value: {code: '281568006', system: 'http://snomed.info/sct'}
        type: Coding
        index: 0
        elements:
          system:
            pattern: {type: uri, value: 'http://snomed.info/sct'}
            type: uri
            index: 1
          code:
            pattern: {type: code, value: '281568006'}
            type: code
            index: 2
          display: {defaultValueString: monitoren van foetale hart (regime/therapie), index: 3}
  effective:
    choices: []
    index: 5
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema:
            choices: []
            index: 5
  performer:
    type: Reference
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-organization', 'http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner']
    index: 6
  method: {index: 7}
  related:
    index: 8
    slicing:
      rules: open
      discriminator:
      - {path: target.reference.resolve(), type: profile}
      min: null
      slices:
        fetalHeartRate:
          match: {}
          schema:
            index: 9
            elements:
              type:
                pattern: {type: code, value: has-member}
                type: code
                index: 10
              target:
                type: Reference
                refers: ['http://nictiz.nl/fhir/StructureDefinition/bc-FetalHeartRate']
                index: 11
        uterusActivity:
          match: {}
          schema:
            index: 12
            elements:
              type:
                pattern: {type: code, value: interfered-by}
                type: code
                index: 13
              target:
                type: Reference
                refers: ['http://nictiz.nl/fhir/StructureDefinition/bc-UterusActivity']
                index: 14
  component:
    index: 15
    slicing:
      rules: open
      discriminator:
      - {path: code.coding.code, type: value}
      min: null
      slices:
        monitoringMoment:
          match:
            code:
              coding: {code: '160201000146101'}
          schema:
            index: 16
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '160201000146101', system: 'http://snomed.info/sct'}
                    type: Coding
                    index: 17
                    elements:
                      system:
                        pattern: {type: uri, value: 'http://snomed.info/sct'}
                        type: uri
                        index: 18
                      code:
                        pattern: {type: code, value: '160201000146101'}
                        type: code
                        index: 19
                      display: {defaultValueString: periode van foetale monitoring (waarneembare entiteit), index: 20}
              valueCodeableConcept:
                type: CodeableConcept
                index: 21
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, index: 21}
        basalHeartRate:
          match:
            code:
              coding: {code: '251670001'}
          schema:
            index: 22
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '251670001', system: 'http://snomed.info/sct'}
                    type: Coding
                    index: 23
                    elements:
                      system:
                        pattern: {type: uri, value: 'http://snomed.info/sct'}
                        type: uri
                        index: 24
                      code:
                        pattern: {type: code, value: '251670001'}
                        type: code
                        index: 25
                      display: {defaultValueString: basishartfrequentie van foetus (waarneembare entiteit), index: 26}
              valueQuantity:
                type: Quantity
                index: 27
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        type: Quantity
                        index: 27
                        elements:
                          unit: {defaultValueString: min, index: 28}
                          code: {defaultValueCode: min, index: 29}
        fetalAccelerations:
          match:
            code:
              coding: {code: '251676007'}
          schema:
            index: 30
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '251676007', system: 'http://snomed.info/sct'}
                    type: Coding
                    index: 31
                    elements:
                      system:
                        pattern: {type: uri, value: 'http://snomed.info/sct'}
                        type: uri
                        index: 32
                      code:
                        pattern: {type: code, value: '251676007'}
                        type: code
                        index: 33
                      display: {defaultValueString: acceleratie van foetale hartfrequentie (bevinding), index: 34}
              valueCodeableConcept:
                type: CodeableConcept
                index: 35
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, index: 35}
        fetalDecelerations:
          match:
            code:
              coding: {code: '251673004'}
          schema:
            index: 36
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '251673004', system: 'http://snomed.info/sct'}
                    type: Coding
                    index: 37
                    elements:
                      system:
                        pattern: {type: uri, value: 'http://snomed.info/sct'}
                        type: uri
                        index: 38
                      code:
                        pattern: {type: code, value: '251673004'}
                        type: code
                        index: 39
                      display: {defaultValueString: deceleratie van foetale hartfrequentie (bevinding), index: 40}
              valueCodeableConcept:
                type: CodeableConcept
                index: 41
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, index: 41}
        heartFrequencyVariability:
          match:
            code:
              coding: {code: '366337000'}
          schema:
            index: 42
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '366337000', system: 'http://snomed.info/sct'}
                    type: Coding
                    index: 43
                    elements:
                      system:
                        pattern: {type: uri, value: 'http://snomed.info/sct'}
                        type: uri
                        index: 44
                      code:
                        pattern: {type: code, value: '366337000'}
                        type: code
                        index: 45
                      display: {defaultValueString: bevinding betreffende variabiliteit van foetale hartfrequentie (bevinding), index: 46}
              valueCodeableConcept:
                type: CodeableConcept
                index: 47
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, index: 47}
        conclusionFIGO:
          match:
            code:
              coding: {code: '160211000146104'}
          schema:
            index: 48
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '160211000146104', system: 'http://snomed.info/sct'}
                    type: Coding
                    index: 49
                    elements:
                      system:
                        pattern: {type: uri, value: 'http://snomed.info/sct'}
                        type: uri
                        index: 50
                      code:
                        pattern: {type: code, value: '160211000146104'}
                        type: code
                        index: 51
                      display: {defaultValueString: resultaat van FIGO-classificatie (waarneembare entiteit), index: 52}
              valueCodeableConcept:
                type: CodeableConcept
                index: 53
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, index: 53}
        conclusionFisher:
          match:
            code:
              coding: {code: '160221000146109'}
          schema:
            index: 54
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '160221000146109', system: 'http://snomed.info/sct'}
                    type: Coding
                    index: 55
                    elements:
                      system:
                        pattern: {type: uri, value: 'http://snomed.info/sct'}
                        type: uri
                        index: 56
                      code:
                        pattern: {type: code, value: '160221000146109'}
                        type: code
                        index: 57
                      display: {defaultValueString: Fischer-score voor foetale hartfrequentie (waarneembare entiteit), index: 58}
              valueQuantity:
                type: Quantity
                index: 59
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        type: Quantity
                        index: 59
                        elements:
                          system:
                            pattern: {type: uri, value: 'http://unitsofmeasure.org'}
                            type: uri
                            index: 60
                          code:
                            pattern: {type: code, value: '1'}
                            type: code
                            index: 61
package_version: 1.2.1
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/bc-FetalMonitoring
base: http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation
version: 1.2.1