{
  "resourceType": "StructureDefinition",
  "id": "bc-FetalMonitoring",
  "url": "http://nictiz.nl/fhir/StructureDefinition/bc-FetalMonitoring",
  "version": "1.3.3",
  "name": "bc-FetalMonitoring",
  "title": "bc-FetalMonitoring",
  "status": "active",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "email",
          "value": "geboortezorg@nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "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.",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "gebz-peri-v3.2",
      "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"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/bc-FetusObservation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "mapping": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-3896",
            "comment": "Foetale monitoring (CTG)"
          },
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-1767",
            "comment": "Foetale monitoring (CTG)"
          }
        ]
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "patternCoding": {
          "system": "http://snomed.info/sct",
          "code": "281568006"
        }
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "mapping": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-1768",
            "comment": "TijdsInterval"
          },
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-11025",
            "comment": "TijdsInterval"
          }
        ]
      },
      {
        "id": "Observation.effective[x]:effectiveDateTime",
        "path": "Observation.effective[x]",
        "sliceName": "effectiveDateTime"
      },
      {
        "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": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-3907",
            "comment": "Beoordelaar"
          }
        ]
      },
      {
        "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": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-3915",
            "comment": "FoetaleMonitoringMethode"
          }
        ]
      },
      {
        "id": "Observation.related",
        "path": "Observation.related",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "target.reference.resolve()"
            }
          ],
          "rules": "open"
        }
      },
      {
        "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": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-3899",
            "comment": "EffectOpFoetaleHartslag"
          }
        ]
      },
      {
        "id": "Observation.component:monitoringMoment",
        "path": "Observation.component",
        "sliceName": "monitoringMoment",
        "max": "1"
      },
      {
        "id": "Observation.component:monitoringMoment.code.coding",
        "path": "Observation.component.code.coding",
        "patternCoding": {
          "system": "http://snomed.info/sct",
          "code": "160201000146101"
        }
      },
      {
        "id": "Observation.component:monitoringMoment.value[x]",
        "path": "Observation.component.value[x]",
        "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": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-3916",
            "comment": "FoetaleMonitoringMoment"
          }
        ]
      },
      {
        "id": "Observation.component:basalHeartRate",
        "path": "Observation.component",
        "sliceName": "basalHeartRate"
      },
      {
        "id": "Observation.component:basalHeartRate.code.coding",
        "path": "Observation.component.code.coding",
        "patternCoding": {
          "system": "http://snomed.info/sct",
          "code": "251670001"
        }
      },
      {
        "id": "Observation.component:basalHeartRate.value[x]",
        "path": "Observation.component.value[x]",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-3909",
            "comment": "BasisHartFrequentie"
          }
        ]
      },
      {
        "id": "Observation.component:basalHeartRate.value[x].unit",
        "path": "Observation.component.value[x].unit",
        "defaultValueString": "min"
      },
      {
        "id": "Observation.component:basalHeartRate.value[x].code",
        "path": "Observation.component.value[x].code",
        "defaultValueCode": "min"
      },
      {
        "id": "Observation.component:fetalAccelerations",
        "path": "Observation.component",
        "sliceName": "fetalAccelerations",
        "max": "1"
      },
      {
        "id": "Observation.component:fetalAccelerations.code.coding",
        "path": "Observation.component.code.coding",
        "patternCoding": {
          "system": "http://snomed.info/sct",
          "code": "251676007"
        }
      },
      {
        "id": "Observation.component:fetalAccelerations.value[x]",
        "path": "Observation.component.value[x]",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "v2 Yes/no Indicator",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/v2-0136"
        },
        "mapping": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-3910",
            "comment": "FoetaleAcceleraties"
          }
        ]
      },
      {
        "id": "Observation.component:fetalDecelerations",
        "path": "Observation.component",
        "sliceName": "fetalDecelerations",
        "max": "1"
      },
      {
        "id": "Observation.component:fetalDecelerations.code.coding",
        "path": "Observation.component.code.coding",
        "patternCoding": {
          "system": "http://snomed.info/sct",
          "code": "251673004"
        }
      },
      {
        "id": "Observation.component:fetalDecelerations.value[x]",
        "path": "Observation.component.value[x]",
        "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": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-3911",
            "comment": "FoetaleDeceleraties"
          }
        ]
      },
      {
        "id": "Observation.component:heartFrequencyVariability",
        "path": "Observation.component",
        "sliceName": "heartFrequencyVariability",
        "max": "1"
      },
      {
        "id": "Observation.component:heartFrequencyVariability.code.coding",
        "path": "Observation.component.code.coding",
        "patternCoding": {
          "system": "http://snomed.info/sct",
          "code": "251671002"
        }
      },
      {
        "id": "Observation.component:heartFrequencyVariability.value[x]",
        "path": "Observation.component.value[x]",
        "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": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-3912",
            "comment": "FoetaleHartFrequentieVariabiliteit"
          }
        ]
      },
      {
        "id": "Observation.component:conclusionFIGO",
        "path": "Observation.component",
        "sliceName": "conclusionFIGO",
        "max": "1"
      },
      {
        "id": "Observation.component:conclusionFIGO.code.coding",
        "path": "Observation.component.code.coding",
        "patternCoding": {
          "system": "http://snomed.info/sct",
          "code": "160211000146104"
        }
      },
      {
        "id": "Observation.component:conclusionFIGO.value[x]",
        "path": "Observation.component.value[x]",
        "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": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-3913",
            "comment": "ConclusieFIGO"
          }
        ]
      },
      {
        "id": "Observation.component:conclusionFisher",
        "path": "Observation.component",
        "sliceName": "conclusionFisher",
        "max": "1"
      },
      {
        "id": "Observation.component:conclusionFisher.code.coding",
        "path": "Observation.component.code.coding",
        "patternCoding": {
          "system": "http://snomed.info/sct",
          "code": "160221000146109"
        }
      },
      {
        "id": "Observation.component:conclusionFisher.value[x]",
        "path": "Observation.component.value[x]",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "gebz-peri-v3.2",
            "map": "peri32-dataelement-3914",
            "comment": "ConclusieFisher"
          }
        ]
      },
      {
        "id": "Observation.component:conclusionFisher.value[x].system",
        "path": "Observation.component.value[x].system",
        "fixedUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.component:conclusionFisher.value[x].code",
        "path": "Observation.component.value[x].code",
        "fixedCode": "1"
      }
    ]
  }
}