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 must 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: 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'}
        index: 0
  effective:
    choices: []
    index: 2
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema:
            choices: []
            index: 2
  performer:
    type: Reference
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-organization', 'http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner']
    index: 3
  method: {index: 4}
  related:
    index: 5
    slicing:
      rules: open
      discriminator:
      - {path: target.reference.resolve(), type: profile}
      min: null
      slices:
        fetalHeartRate:
          match: {}
          schema:
            index: 6
            elements:
              type:
                pattern: {type: Code, value: has-member}
                index: 7
              target:
                type: Reference
                refers: ['http://nictiz.nl/fhir/StructureDefinition/bc-FetalHeartRate']
                index: 8
        uterusActivity:
          match: {}
          schema:
            index: 9
            elements:
              type:
                pattern: {type: Code, value: interfered-by}
                index: 10
              target:
                type: Reference
                refers: ['http://nictiz.nl/fhir/StructureDefinition/bc-UterusActivity']
                index: 11
  component:
    index: 12
    slicing:
      rules: open
      discriminator:
      - {path: code, type: pattern}
      min: null
      slices:
        monitoringMoment:
          match: {code: null}
          schema:
            index: 13
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '160201000146101', system: 'http://snomed.info/sct'}
                    index: 14
              valueCodeableConcept:
                type: CodeableConcept
                index: 15
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, index: 15}
        basalHeartRate:
          match: {code: null}
          schema:
            index: 16
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '251670001', system: 'http://snomed.info/sct'}
                    index: 17
              valueQuantity:
                type: Quantity
                index: 18
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        type: Quantity
                        index: 18
                        elements:
                          unit: {defaultValueString: min, index: 19}
                          code: {defaultValueCode: min, index: 20}
        fetalAccelerations:
          match: {code: null}
          schema:
            index: 21
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '251676007', system: 'http://snomed.info/sct'}
                    index: 22
              valueCodeableConcept:
                type: CodeableConcept
                index: 23
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, index: 23}
        fetalDecelerations:
          match: {code: null}
          schema:
            index: 24
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '251673004', system: 'http://snomed.info/sct'}
                    index: 25
              valueCodeableConcept:
                type: CodeableConcept
                index: 26
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, index: 26}
        heartFrequencyVariability:
          match: {code: null}
          schema:
            index: 27
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '366337000', system: 'http://snomed.info/sct'}
                    index: 28
              valueCodeableConcept:
                type: CodeableConcept
                index: 29
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, index: 29}
        conclusionFIGO:
          match: {code: null}
          schema:
            index: 30
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '160211000146104', system: 'http://snomed.info/sct'}
                    index: 31
              valueCodeableConcept:
                type: CodeableConcept
                index: 32
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, index: 32}
        conclusionFisher:
          match: {code: null}
          schema:
            index: 33
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '160221000146109', system: 'http://snomed.info/sct'}
                    index: 34
              valueQuantity:
                type: Quantity
                index: 35
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        type: Quantity
                        index: 35
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                            index: 36
                          code:
                            pattern: {type: Code, value: '1'}
                            index: 37
package_version: 1.3.3-rc3
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/bc-FetalMonitoring
base: http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation
version: 1.3.2