Observation-BNet-Preg-LabourComplications

FHIR Resource information

FHIR Resource	🌍Observation-BNet-Preg-LabourComplications. Based on 🌍 Observation
Description	Type of complications experienced during the first stage of labour.
Release status	LIVE
Cardinality	Multiple instances
Writing to Spine permitted	YES - for Spine Client Type (MAT)
Spine filters	None

FHIR Observation resource details

Observation details

Code	45757002 (🌍 snomed)
Display	Labor problem
Value type	🌍CodeableConcept
Resource Element	valueCodeableConcept
Mandatory	Yes
Uses effectiveDateTime	No
Data Dictionary items	Lab1st_Complications - Labour 1st Stage - Complications - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2) - Topic: (LabourBirth) Labour and birth Lab2nd_Complications - Labour 2nd Stage - Complications - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2) - Topic: (LabourBirth) Labour and birth
Valueset used	Value set: 🌍ValueSet-BNet-Preg-LabComplications

Key FHIR Resource elements used

* id - Unique resource identifier

Summary	Unique resource identifier
Mandatory	Yes
Expected type	🌍string
Write allowed	No
Data Dictionary item	None

valueCodeableConcept.text - String for when the complication is 'other'

Summary	String for when the complication is 'other'
Mandatory	No
Expected type	🌍string
Write allowed	Yes
Data Dictionary items	Lab1st_ComplicationsOther - Labour 1st Stage - Complications 'Other' - detail - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2) - Topic: (LabourBirth) Labour and birth Lab2nd_ComplicationsOther - Labour 2nd Stage - Complications 'Other' - detail - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2) - Topic: (LabourBirth) Labour and birth

* component.code - Fixed code for labour finding

Summary	Fixed code for labour finding
Mandatory	Yes
Expected type	🌍CodableConcept
Write allowed	Yes
Data Dictionary item	None
Fixed value	Fixed value expected

* component.valueCodeableConcept - To determine which stage of labour this observation is applicable

Summary	To determine which stage of labour this observation is applicable
Mandatory	Yes
Expected type	🌍CodableConcept
Write allowed	Yes
Data Dictionary item	None
Value set used	🌍ValueSet-BNet-Preg-LabStage

* status - Fixed code for the status of this observation

Summary	Fixed code for the status of this observation
Mandatory	Yes
Expected type	🌍code
Write allowed	No
Data Dictionary item	None
Fixed value	Fixed code value of 'final' should be used.

subject - Reference to the mother/pregnant person

Summary	Reference to the mother/pregnant person
Mandatory	No
Value type	🌍Reference(Patient)
Write allowed	Yes
Data Dictionary item	None

encounter - Reference to the labour and birth encounter

Summary	Reference to the labour and birth encounter
Mandatory	No
Value type	🌍Reference(Encounter)
Write allowed	Yes
Data Dictionary item	None

Example JSON when WRITING to the Spine

JSON

{
  "resourceType": "Observation",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare",
      "valueReference": {
        "reference": "pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD",
        "display": "Patient"
      }
    }
  ],
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "45757002",
        "display": "Labour problem"
      }
    ]
  },
  "subject": {
    "reference": "pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD",
    "display": "Patient"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "398254007",
        "display": "Pre-eclampsia"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "118216002",
            "display": "Labour finding (finding)"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "6893006",
            "display": "First stage of labour"
          }
        ]
      }
    }
  ]
}

Example JSON when READING from the Spine

JSON

{
  "resourceType": "Observation",
  "id": "4F62736572766174696F6E2D424E65742D4368696C642D436F6E67656E6974616C4D616C666F726D6174696F6E73",
  "meta": {
    "profile": [
      "https://fhir.clevermed.com/StructureDefinition/Observation-BNet-Preg-LabourComplications"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare",
      "valueReference": {
        "reference": "pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD",
        "display": "Patient"
      }
    }
  ],
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "45757002",
        "display": "Labour problem"
      }
    ]
  },
  "subject": {
    "reference": "pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD",
    "display": "Patient"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "398254007",
        "display": "Pre-eclampsia"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "118216002",
            "display": "Labour finding (finding)"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "6893006",
            "display": "First stage of labour"
          }
        ]
      }
    }
  ]
}

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