Pregnancy


Parameter Case Report Form and Response Options

Is the patient currently pregnant? Yes No Unknown
Pregnancy

This profile of a FHIR Observation is based on the Pregnancy status-profile of the International Patient Summary (IPS).


Profile - Pregnancy Status

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pregnancy-status

Snapshot

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionC0..*Extension
modifierExtension?! C0..*Extension
identifierΣ0..*Identifier
basedOnΣ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusΣ ?!1..1codeBinding
category0..*CodeableConceptBinding
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemΣ1..1uriAuto ValuePattern
versionΣ0..1string
codeΣ1..1codeAuto ValuePattern
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ1..1Reference(Patient)
focusΣ0..*Reference(Resource)
encounterΣ0..1Reference(Encounter)
id0..1string
dataAbsentReasonS C0..1Extension(code)
value0..1System.DateTime
issuedΣ0..1instant
performerΣ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionC0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
dataAbsentReasonC0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..0CodeableConcept
method0..1CodeableConcept
specimen0..0Reference(Specimen)
device0..0Reference(Device | DeviceMetric)
id0..1string
extensionC0..*Extension
referenceΣ C1..1string
typeΣ0..1uriBinding
identifierΣ0..1Identifier
displayΣ0..1string
derivedFromΣ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)


ValueSets

The valueset is provided with LOINC and SNOMED-CT codes. The IPS uses LOINC answer codes and should be prefered. SNOMED-CT codes can be used in addition.


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/pregnancy-status

This value set includes codes from the following code systems:

  • The following codes from system: SNOMED_CT

    CodeDisplay
    77386006Pregnant (finding)
    60001007Not pregnant (finding)
    261665006Unknown (qualifier value)
  • The following codes from system: http://loinc.org

    CodeDisplay
    LA15173-0Pregnant
    LA26683-5Not pregnant
    LA4489-6Unknown


Examples

Pregnancy Status Pregnant
Example observation

{
"resourceType": "Observation",
"id": "pregnancy-status-pregnant",
"meta": {
"profile": [
"https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pregnancy-status"
]
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "82810-3",
"display": "Pregnancy status"
}
],
"text": "Pregnancy status"
},
"coding": [
{
"system": "http://loinc.org",
"code": "LA15173-0",
"display": "Pregnant"
},
{
"code": "77386006",
"system": "http://snomed.info/sct",
"display": "Pregnant (finding)"
}
]
},
{
"type": {
"coding": [
{
"code": "OBI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
}
]
},
"system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
"value": "82810-3_PregnancyDtatus",
"reference": "Organization/Charité"
}
}
],
"status": "final",
{
"coding": [
{
"code": "social-history",
"system": "http://terminology.hl7.org/CodeSystem/observation-category"
}
]
}
],
"subject": {
"reference": "Patient/gecco-patient"
},
"effectiveDateTime": "2020-10-02"
}


Pregnancy Status Not Pregnant
Example observation

{
"resourceType": "Observation",
"id": "pregnancy-status-not-pregnant",
"meta": {
"profile": [
"https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pregnancy-status"
]
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "82810-3",
"display": "Pregnancy status"
}
],
"text": "Pregnancy status"
},
"coding": [
{
"system": "http://loinc.org",
"code": "LA26683-5",
"display": "Not pregnant"
},
{
"code": "60001007",
"system": "http://snomed.info/sct",
"display": "Not pregnant (finding)"
}
]
},
{
"type": {
"coding": [
{
"code": "OBI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
}
]
},
"system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
"value": "82810-3_PregnancyDtatus",
"reference": "Organization/Charité"
}
}
],
"status": "final",
{
"coding": [
{
"code": "social-history",
"system": "http://terminology.hl7.org/CodeSystem/observation-category"
}
]
}
],
"subject": {
"reference": "Patient/gecco-patient"
},
"effectiveDateTime": "2020-10-02"
}


Pregnancy Status Unknown
Example observation

{
"resourceType": "Observation",
"id": "pregnancy-status-unknown",
"meta": {
"profile": [
"https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pregnancy-status"
]
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "82810-3",
"display": "Pregnancy status"
}
],
"text": "Pregnancy status"
},
"coding": [
{
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
},
{
"code": "261665006",
"system": "http://snomed.info/sct",
"display": "Unknown (qualifier value)"
}
]
},
{
"type": {
"coding": [
{
"code": "OBI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
}
]
},
"system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
"value": "82810-3_PregnancyDtatus",
"reference": "Organization/Charité"
}
}
],
"status": "final",
{
"coding": [
{
"code": "social-history",
"system": "http://terminology.hl7.org/CodeSystem/observation-category"
}
]
}
],
"subject": {
"reference": "Patient/gecco-patient"
},
"effectiveDateTime": "2020-10-02"
}