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Procedure-BNet-Csec

FHIR Resource information

FHIR Resource

🌍Procedure-BNet-Csec. Based on 🌍 Procedure

Description

A procedure resource for a caesarean section.

Release status

LIVE

Cardinality

Single instance

Writing to Spine permitted

YES - for Spine Client Type (MAT)

Spine filters

None

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

* status - Status of the caesarean section. This item should be fixed to 'completed'

Summary

Status of the caesarean section. This item should be fixed to 'completed'

Mandatory

Yes

Expected type

🌍code

Write allowed

Yes

Data Dictionary item

None

* statusReason - Grade of urgency under which the Caesarean section was initiated.

Summary

Grade of urgency under which the Caesarean section was initiated.

Mandatory

Yes

Expected type

🌍codeableConcept

Write allowed

Yes

Data Dictionary item

Csec_Grade - Caesarean grade
   - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2)
   - Topic: (Caesarean) Caesarean section details

Value set used

🌍ValueSet-BNet-Preg-CaesareanGrade

category - Category of caesarean section procedure which took place.

Summary

Category of caesarean section procedure which took place.

Description

Mandatory on a response of ‘Unplanned (emergency)’ for Caesarean grade

Mandatory

No

Expected type

🌍codeableConcept

Write allowed

Yes

Data Dictionary item

Csec_Cat - Caesarean category
   - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2)
   - Topic: (Caesarean) Caesarean section details

Value set used

🌍ValueSet-BNet-Preg-CaesareanCategory

* code - Code to identify which caesarean section procedure took place

Summary

Code to identify which caesarean section procedure took place

Mandatory

Yes

Expected type

🌍codeableConcept

Write allowed

Yes

Data Dictionary item

Csec_Type - Caesarean section type
   - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2)
   - Topic: (Caesarean) Caesarean section details

Value set used

🌍ValueSet-BNet-Preg-CaesareanType

code.coding.text - String for when code for caesarean procedure is 'other'

Summary

String for when code for caesarean procedure is 'other'

Mandatory

No

Expected type

🌍string

Write allowed

Yes

Data Dictionary item

Csec_TypeOther - Caesarean section type - 'Other' - detail
   - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2)
   - Topic: (Caesarean) Caesarean section details

* reasonCode - Code to identify why caesarean section procedure took place

Summary

Code to identify why caesarean section procedure took place

Mandatory

Yes

Expected type

🌍codeableConcept

Write allowed

Yes

Data Dictionary item

Csec_Prim - Caesarean section primary indication
   - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2)
   - Topic: (Caesarean) Caesarean section details

Value set used

🌍ValueSet-BNet-Preg-CaesareanPrimaryIndication

reasonCode.text - If the reason for caesaren section is 106009009 or 106008001, the text for other is stored here

Summary

If the reason for caesaren section is 106009009 or 106008001, the text for other is stored here

Mandatory

No

Expected type

🌍string

Write allowed

Yes

Data Dictionary items

CsecPrIndication_FetalOther - Caesarean section primary indication – ‘Other fetal reason’ – detail
   - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2)
   - Topic: (Caesarean) Caesarean section details
CsecPrIndication_MatOther - Caesarean section primary indication – ‘Other maternal reason’ – detail
   - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2)
   - Topic: (Caesarean) Caesarean section details

* complication - Code to identify if any complications during the caesarean section procedure occurred

Summary

Code to identify if any complications during the caesarean section procedure occurred

Mandatory

Yes

Expected type

🌍codeableConcept

Write allowed

Yes

Data Dictionary item

Csec_Complications - Complications during Caesarean section
   - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2)
   - Topic: (Caesarean) Caesarean section details

Value set used

🌍ValueSet-BNet-Preg-CaesareanComplications

complications.text - If the complications during caesaren section is 78408007, 289618005, adherentBladder or denseadhesions, the text for other is stored here

Summary

If the complications during caesaren section is 78408007, 289618005, adherentBladder or denseadhesions, the text for other is stored here

Mandatory

No

Expected type

🌍string

Write allowed

Yes

Data Dictionary item

Csec_ComplicationsOther - Complications during Caesarean section – ‘Other’ – detail
   - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2)
   - Topic: (Caesarean) Caesarean section details

* subject - Reference back to root the mother/pregnant person resource. The root patient resource should have an ID of $“Patient/{LogicalID}”

Summary

Reference back to root the mother/pregnant person resource. The root patient resource should have an ID of $“Patient/{LogicalID}”

Mandatory

Yes

Value type

🌍Reference(Patient)

Write allowed

Yes

Data Dictionary item

None

extension.episodeOfCare - Reference to the pregnancy episode of care. Extension URL is http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare

Summary

Reference to the pregnancy episode of care. Extension URL is http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare

Mandatory

No

Value type

🌍Reference(EpisodeOfCare)

Write allowed

No

Data Dictionary item

None

Example JSON when WRITING to the Spine

JSON
{
  "resourceType": "Procedure",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare",
      "valueReference": {
        "reference": "EpisodeOfCare/pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD"
      }
    }
  ],
  "status": "completed",
  "statusReason": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "274130007",
        "display": "Unplanned (emergency)"
      }
    ]
  },
  "category": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "91771000210102",
        "display": "Category 1"
      }
    ]
  },
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "84195007",
        "display": "Classical caesarean section"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD",
    "type": "Patient"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "237320005",
          "display": "Failure to progress in first stage of labor"
        }
      ]
    }
  ],
  "complication": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "125625000",
          "display": "Bowel injury"
        }
      ]
    }
  ]
}

Example JSON when READING from the Spine

JSON
{
  "resourceType": "Procedure",
  "id": "4F62736572766174696F6E2D424E65742D4368696C642D436F6E67656E6974616C4D616C666F726D6174696F6E73",
  "meta": {
    "profile": [
      "https://fhir.clevermed.com/StructureDefinition/Procedure-BNet-Csec"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare",
      "valueReference": {
        "reference": "EpisodeOfCare/pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD"
      }
    }
  ],
  "status": "completed",
  "statusReason": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "274130007",
        "display": "Unplanned (emergency)"
      }
    ]
  },
  "category": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "91771000210102",
        "display": "Category 1"
      }
    ]
  },
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "84195007",
        "display": "Classical caesarean section"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD",
    "type": "Patient"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "237320005",
          "display": "Failure to progress in first stage of labor"
        }
      ]
    }
  ],
  "complication": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "125625000",
          "display": "Bowel injury"
        }
      ]
    }
  ]
}


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