{ "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.", "_filename": "bc-FetalMonitoring.json", "package_name": "nictiz.fhir.nl.stu3.geboortezorg", "date": null, "derivation": "constraint", "publisher": "Nictiz", "fhirVersion": "3.0.2", "name": "bc-FetalMonitoring", "mapping": [ { "uri": "https://decor.nictiz.nl/art-decor/decor-datasets--peri20-?id=2.16.840.1.113883.2.4.3.11.60.90.77.1.6&effectiveDate=2016-09-08T00%3A00%3A00&conceptId=2.16.840.1.113883.2.4.3.11.60.90.77.2.6.40050&conceptEffectiveDate=2016-09-08T00%3A00%3A00", "name": "Geboortezorg 3.2", "identity": "gebz-peri-v3.2" } ], "abstract": false, "copyright": "CC0", "type": "Observation", "experimental": null, "resourceType": "StructureDefinition", "title": "bc-FetalMonitoring", "package_version": "1.3.3-rc1", "status": "active", "id": "db8210be-b085-4168-915d-cd2c74535839", "kind": "resource", "url": "http://nictiz.nl/fhir/StructureDefinition/bc-FetalMonitoring", "version": "1.3.2", "differential": { "element": [ { "id": "Observation", "path": "Observation", "mapping": [ { "map": "peri32-dataelement-3896", "comment": "Foetale monitoring (CTG)", "identity": "gebz-peri-v3.2" } ] }, { "id": "Observation.code.coding", "path": "Observation.code.coding", "patternCoding": { "code": "281568006", "system": "http://snomed.info/sct" } }, { "id": "Observation.effective[x]:effectivePeriod", "path": "Observation.effective[x]", "mapping": [ { "map": "peri32-dataelement-1768", "comment": "TijdsInterval", "identity": "gebz-peri-v3.2" } ], "sliceName": "effectivePeriod" }, { "id": "Observation.performer", "path": "Observation.performer", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" } ], "mapping": [ { "map": "peri32-dataelement-3907", "comment": "Beoordelaar", "identity": "gebz-peri-v3.2" } ] }, { "id": "Observation.method", "path": "Observation.method", "binding": { "strength": "extensible", "description": "FoetaleMonitoringMethode", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.298--20200129160647" } }, "mapping": [ { "map": "peri32-dataelement-3915", "comment": "FoetaleMonitoringMethode", "identity": "gebz-peri-v3.2" } ] }, { "id": "Observation.related", "path": "Observation.related", "slicing": { "rules": "open", "discriminator": [ { "path": "target.reference.resolve()", "type": "profile" } ] } }, { "id": "Observation.related:fetalHeartRate", "path": "Observation.related", "sliceName": "fetalHeartRate" }, { "id": "Observation.related:fetalHeartRate.type", "path": "Observation.related.type", "fixedCode": "has-member" }, { "id": "Observation.related:fetalHeartRate.target", "path": "Observation.related.target", "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/bc-FetalHeartRate" } ] }, { "id": "Observation.related:uterusActivity", "path": "Observation.related", "sliceName": "uterusActivity" }, { "id": "Observation.related:uterusActivity.type", "path": "Observation.related.type", "fixedCode": "interfered-by" }, { "id": "Observation.related:uterusActivity.target", "path": "Observation.related.target", "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/bc-UterusActivity" } ], "mapping": [ { "map": "peri32-dataelement-3899", "comment": "EffectOpFoetaleHartslag", "identity": "gebz-peri-v3.2" } ] }, { "id": "Observation.component", "path": "Observation.component", "slicing": { "rules": "open", "discriminator": [ { "path": "code", "type": "pattern" } ] } }, { "id": "Observation.component:monitoringMoment", "max": "1", "path": "Observation.component", "sliceName": "monitoringMoment" }, { "id": "Observation.component:monitoringMoment.code.coding", "path": "Observation.component.code.coding", "patternCoding": { "code": "160201000146101", "system": "http://snomed.info/sct" } }, { "id": "Observation.component:monitoringMoment.value[x]:valueCodeableConcept", "path": "Observation.component.valueCodeableConcept", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "extensible", "description": "FoetaleMonitoringMoment", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.299--20200129162827" } }, "mapping": [ { "map": "peri32-dataelement-3916", "comment": "FoetaleMonitoringMoment", "identity": "gebz-peri-v3.2" } ], "sliceName": "valueCodeableConcept" }, { "id": "Observation.component:basalHeartRate", "path": "Observation.component", "sliceName": "basalHeartRate" }, { "id": "Observation.component:basalHeartRate.code.coding", "path": "Observation.component.code.coding", "patternCoding": { "code": "251670001", "system": "http://snomed.info/sct" } }, { "id": "Observation.component:basalHeartRate.value[x]:valueQuantity", "path": "Observation.component.valueQuantity", "type": [ { "code": "Quantity" } ], "mapping": [ { "map": "peri32-dataelement-3909", "comment": "BasisHartFrequentie", "identity": "gebz-peri-v3.2" } ], "sliceName": "valueQuantity" }, { "id": "Observation.component:basalHeartRate.value[x]:valueQuantity.unit", "path": "Observation.component.valueQuantity.unit", "defaultValueString": "min" }, { "id": "Observation.component:basalHeartRate.value[x]:valueQuantity.code", "path": "Observation.component.valueQuantity.code", "defaultValueCode": "min" }, { "id": "Observation.component:fetalAccelerations", "max": "1", "path": "Observation.component", "sliceName": "fetalAccelerations" }, { "id": "Observation.component:fetalAccelerations.code.coding", "path": "Observation.component.code.coding", "patternCoding": { "code": "251676007", "system": "http://snomed.info/sct" } }, { "id": "Observation.component:fetalAccelerations.value[x]:valueCodeableConcept", "path": "Observation.component.valueCodeableConcept", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "extensible", "description": "v2 Yes/no Indicator", "valueSetUri": "http://hl7.org/fhir/ValueSet/v2-0136" }, "mapping": [ { "map": "peri32-dataelement-3910", "comment": "FoetaleAcceleraties", "identity": "gebz-peri-v3.2" } ], "sliceName": "valueCodeableConcept" }, { "id": "Observation.component:fetalDecelerations", "max": "1", "path": "Observation.component", "sliceName": "fetalDecelerations" }, { "id": "Observation.component:fetalDecelerations.code.coding", "path": "Observation.component.code.coding", "patternCoding": { "code": "251673004", "system": "http://snomed.info/sct" } }, { "id": "Observation.component:fetalDecelerations.value[x]:valueCodeableConcept", "path": "Observation.component.valueCodeableConcept", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "extensible", "description": "DeceleratiesCodelijst", "valueSetUri": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.295--20200129154254" }, "mapping": [ { "map": "peri32-dataelement-3911", "comment": "FoetaleDeceleraties", "identity": "gebz-peri-v3.2" } ], "sliceName": "valueCodeableConcept" }, { "id": "Observation.component:heartFrequencyVariability", "max": "1", "path": "Observation.component", "sliceName": "heartFrequencyVariability" }, { "id": "Observation.component:heartFrequencyVariability.code.coding", "path": "Observation.component.code.coding", "patternCoding": { "code": "366337000", "system": "http://snomed.info/sct" } }, { "id": "Observation.component:heartFrequencyVariability.value[x]:valueCodeableConcept", "path": "Observation.component.valueCodeableConcept", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "extensible", "description": "FoetaleHartslagVariabiliteit", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.296--20200129155035" } }, "mapping": [ { "map": "peri32-dataelement-3912", "comment": "FoetaleHartFrequentieVariabiliteit", "identity": "gebz-peri-v3.2" } ], "sliceName": "valueCodeableConcept" }, { "id": "Observation.component:conclusionFIGO", "max": "1", "path": "Observation.component", "sliceName": "conclusionFIGO" }, { "id": "Observation.component:conclusionFIGO.code.coding", "path": "Observation.component.code.coding", "patternCoding": { "code": "160211000146104", "system": "http://snomed.info/sct" } }, { "id": "Observation.component:conclusionFIGO.value[x]:valueCodeableConcept", "path": "Observation.component.valueCodeableConcept", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "extensible", "description": "FIGO_ScoreCodelijst", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.297--20200129155847" } }, "mapping": [ { "map": "peri32-dataelement-3913", "comment": "ConclusieFIGO", "identity": "gebz-peri-v3.2" } ], "sliceName": "valueCodeableConcept" }, { "id": "Observation.component:conclusionFisher", "max": "1", "path": "Observation.component", "sliceName": "conclusionFisher" }, { "id": "Observation.component:conclusionFisher.code.coding", "path": "Observation.component.code.coding", "patternCoding": { "code": "160221000146109", "system": "http://snomed.info/sct" } }, { "id": "Observation.component:conclusionFisher.value[x]:valueQuantity", "path": "Observation.component.valueQuantity", "type": [ { "code": "Quantity" } ], "mapping": [ { "map": "peri32-dataelement-3914", "comment": "ConclusieFisher", "identity": "gebz-peri-v3.2" } ], "sliceName": "valueQuantity" }, { "id": "Observation.component:conclusionFisher.value[x]:valueQuantity.system", "path": "Observation.component.valueQuantity.system", "fixedUri": "http://unitsofmeasure.org" }, { "id": "Observation.component:conclusionFisher.value[x]:valueQuantity.code", "path": "Observation.component.valueQuantity.code", "fixedCode": "1" } ] }, "contact": [ { "name": "Nictiz", "telecom": [ { "use": "work", "value": "geboortezorg@nictiz.nl", "system": "email" } ] } ], "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation" }