Procedure-BNet-Preg-Induction

FHIR Resource information

FHIR Resource	🌍Procedure-BNet-Preg-Induction. Based on 🌍 Procedure
Description	Induction of labour.
Release status	LIVE
Cardinality	Single Instance
Writing to Spine permitted	YES - for Spine Client Type (MAT) Should be sent to Spine if available.
Spine filters	None

Key FHIR Resource elements used

* status - Fixed code for status of the procedure

Summary	Fixed code for status of the procedure
Mandatory	Yes
Expected type	🌍code
Write allowed	Yes
Data Dictionary item	None
Fixed value	Fixed code value of 'Completed' should be used.

* category - Fixed code to define that this is an induction of labour procedure.

Summary	Fixed code to define that this is an induction of labour procedure.
Mandatory	Yes
Expected type	🌍codeableConcept
Write allowed	Yes
Data Dictionary item	None
Fixed value	Fixed code value: '236958009', CodeSystem: 'snomed'', Display: 'Induction of labor (procedure)'

performedDateTime - This element defines the date and time induction of labour was commenced

Summary	This element defines the date and time induction of labour was commenced
Mandatory	No
Expected type	🌍dateTime
Write allowed	Yes
Data Dictionary item	Induction_datetime - Induction date and time - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2) - Topic: (Induction) Induction of labour

* code - Method(s) by which the labour was induced. Four instances of this field may be recorded.

Summary

Method(s) by which the labour was induced. Four instances of this field may be recorded.

Description

Clients should note that the following options are exclusive options:

Prostaglandin (177136006)

Dinoprostone (dinoprostone)

Mifepristone (71721000210107)

Misoprostol (71731000210109)

Misoprostol vaginally (misoprostol_vaginal)

Gemeprost (PG1) (gemeprost)

Clients cannot sent these options with a performedDateTime that matches any other instance of Procedure-BNet-Preg-Induction.

Mandatory

Yes

Expected type

🌍codeableConcept

Write allowed

Yes

Data Dictionary item

Induction_method - Induction method(s)
- DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2)
- Topic: (Induction) Induction of labour

Value set used

🌍ValueSet-BNet-Preg-InductionMethod

code.text - String to contain other method

Summary	String to contain other method
Mandatory	No
Expected type	🌍string
Write allowed	Yes
Data Dictionary item	Induction_methodother - Induction method(s) - other - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2) - Topic: (Induction) Induction of labour

reasonCode - Reason for the induction of labour. Five instances of this field may be recorded.

Summary	Reason for the induction of labour. Five instances of this field may be recorded.
Description	Where an array is sent for this element, the first reason will be considered the main reason.
Mandatory	No
Expected type	🌍codeableConcept
Write allowed	Yes
Data Dictionary item	Induction_reason - Induction reason - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2) - Topic: (Induction) Induction of labour
Value set used	🌍ValueSet-BNet-Preg-InductionReason

reasonCode.text - String to record other reason for induction.

Summary	String to record other reason for induction.
Mandatory	No
Expected type	🌍string
Write allowed	Yes
Data Dictionary item	Induction_reasonother - Induction reason - other - DataSet: (NZHISOMAT2) New Zealand HISO Maternity data set (Phase 2) - Topic: (Induction) Induction of labour

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

Summary	Reference back to root the baby patient 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

extension:recorded - When the procedure was first captured in the subject's record

Summary	When the procedure was first captured in the subject's record
Description	The extension URL is: https://fhir.clevermed.com/StuctureDefinition/Procedure-recordedDateTime
Mandatory	No
Expected type	🌍dateTime
Write allowed	Yes
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",
  "category": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "236958009",
        "display": "Induction of Labour (procedure)"
      }
    ]
  },
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "177135005",
        "display": "Oxytocin infusion"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD",
    "type": "Patient"
  },
  "performedDateTime": "2022-05-01T22:01:00+01:00",
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "10750551000119100",
          "display": "Obesity"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "416413003",
          "display": "Advanced maternal age"
        }
      ]
    }
  ]
}

Example JSON when READING from the Spine

JSON

{
  "resourceType": "Procedure",
  "id": "4F62736572766174696F6E2D424E65742D4368696C642D436F6E67656E6974616C4D616C666F726D6174696F6E73",
  "meta": {
    "profile": [
      "https://fhir.clevermed.com/StructureDefinition/Procedure-BNet-Preg-Induction"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare",
      "valueReference": {
        "reference": "EpisodeOfCare/pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD"
      }
    }
  ],
  "status": "completed",
  "category": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "236958009",
        "display": "Induction of Labour (procedure)"
      }
    ]
  },
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "177135005",
        "display": "Oxytocin infusion"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD",
    "type": "Patient"
  },
  "performedDateTime": "2022-05-01T22:01:00+01:00",
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "10750551000119100",
          "display": "Obesity"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "416413003",
          "display": "Advanced maternal age"
        }
      ]
    }
  ]
}

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