Important: This is a draft IG for trial use. Click here to give feedback.

HdBe-Pregnancy

WARNING This page contains a draft CBB, as raw output from the zib export and automatic conversion to CBB. It requires thorough review and adaption to the Belgian realm. This CBB is merely added for informative use.

CBB	Description	Status
HdBe-Pregnancy	Pregnancy or gravidity is the condition in which a woman carries a fertilized egg, which grows into an embryo and then a fetus. A pregnancy of between 37 and 42 weeks is considered normal. “Term pregnancy” is 37 to 42 weeks. The term gravidity is also used for the number of times a woman has been pregnant. This and parity - the number of times a woman has given birth - provides insight into the patient’s obstetric history. Purpose If the patient is pregnant, it is important to mention this, as it requires specific attention in their care. Pregnancy can influence treatment decisions, the treatment itself and the patient’s care. Evidence Base The standard Perinatology information set was consulted in drawing up this information model.	draft

CBB

Description

Status

HdBe-Pregnancy

Pregnancy or gravidity is the condition in which a woman carries a fertilized egg, which grows into an embryo and then a fetus. A pregnancy of between 37 and 42 weeks is considered normal. “Term pregnancy” is 37 to 42 weeks. The term gravidity is also used for the number of times a woman has been pregnant. This and parity - the number of times a woman has given birth - provides insight into the patient’s obstetric history.

Purpose

If the patient is pregnant, it is important to mention this, as it requires specific attention in their care. Pregnancy can influence treatment decisions, the treatment itself and the patient’s care.

Evidence Base

The standard Perinatology information set was consulted in drawing up this information model.

draft

Pregnancy			Pregnancy	Element id Pregnancy Short description Pregnancy Definition Root concept of the Pregnancy information model. This root concept contains all data elements of the Pregnancy information model. Data type Pregnancy Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id Pregnancy.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Pregnancy.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
PregnancyDuration	I	0..1	Quantity	Element id Pregnancy.PregnancyDuration Short description PregnancyDuration Definition Duration of the pregnancy on the day on which the patient was asked. The duration can be given in days (d) or weeks (wk). Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
Parity		0..1	positiveInt	Element id Pregnancy.Parity Short description Parity Definition Number of previous pregnancies ending in partum (>= 16w 0d / 112 days). Comments 32 bit number; for values larger than this, use decimal Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
Gravidity		0..1	positiveInt	Element id Pregnancy.Gravidity Short description Gravidity Definition The number of times the woman has gotten pregnant (including this one). Comments 32 bit number; for values larger than this, use decimal Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
Comment		0..1	string	Element id Pregnancy.Comment Short description Comment Definition Comment on the pregnancy. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
EstimatedDateOfDeliveryItems		0..1	BackboneElement	Element id Pregnancy.EstimatedDateOfDeliveryItems Short description EstimatedDateOfDeliveryItems Definition Container of the EstimatedDateOfDeliveryItems concept.This container contains all data elements of the EstimatedDateOfDeliveryItems concept. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id Pregnancy.EstimatedDateOfDeliveryItems.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Pregnancy.EstimatedDateOfDeliveryItems.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Pregnancy.EstimatedDateOfDeliveryItems.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
EstimatedDateOfDelivery		0..1	dateTime	Element id Pregnancy.EstimatedDateOfDeliveryItems.EstimatedDateOfDelivery Short description EstimatedDateOfDelivery Definition The date on which the pregnancy is expected to be 40w 0d (280 days). Different due dates are used at various points in the pregnancy. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
EstimatingMethod		0..1	CodeableConceptBinding	Element id Pregnancy.EstimatedDateOfDeliveryItems.EstimatingMethod Short description EstimatingMethod Definition Method by which the delivery date is estimated. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding EstimatingMethod codes EstimatingMethod (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DateOfEstimation		0..1	dateTime	Element id Pregnancy.EstimatedDateOfDeliveryItems.DateOfEstimation Short description DateOfEstimation Definition Date on which the delivery date is estimated. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
DateLastMenstruation		0..1	dateTime	Element id Pregnancy.EstimatedDateOfDeliveryItems.DateLastMenstruation Short description DateLastMenstruation Definition The date on which the last menstruation started. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a

Pregnancy		0..*
Pregnancy.PregnancyDuration	Quantity	0..1
Pregnancy.Parity	positiveInt	0..1
Pregnancy.Gravidity	positiveInt	0..1
Pregnancy.Comment	string	0..1
Pregnancy.EstimatedDateOfDeliveryItems	BackboneElement	0..1
Pregnancy.EstimatedDateOfDeliveryItems.EstimatedDateOfDelivery	dateTime	0..1
Pregnancy.EstimatedDateOfDeliveryItems.EstimatingMethod	CodeableConcept	0..1
Pregnancy.EstimatedDateOfDeliveryItems.DateOfEstimation	dateTime	0..1
Pregnancy.EstimatedDateOfDeliveryItems.DateLastMenstruation	dateTime	0..1

Pregnancy
Definition	Root concept of the Pregnancy information model. This root concept contains all data elements of the Pregnancy information model.
Cardinality	0...*
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Pregnancy.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Pregnancy.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
Pregnancy.PregnancyDuration
Definition	Duration of the pregnancy on the day on which the patient was asked. The duration can be given in days (d) or weeks (wk).
Cardinality	0...1
Type	Quantity
Comments	The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()`
Mappings	rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
Pregnancy.Parity
Definition	Number of previous pregnancies ending in partum (>= 16w 0d / 112 days).
Cardinality	0...1
Type	positiveInt
Comments	32 bit number; for values larger than this, use decimal
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Pregnancy.Gravidity
Definition	The number of times the woman has gotten pregnant (including this one).
Cardinality	0...1
Type	positiveInt
Comments	32 bit number; for values larger than this, use decimal
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Pregnancy.Comment
Definition	Comment on the pregnancy.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Pregnancy.EstimatedDateOfDeliveryItems
Definition	Container of the EstimatedDateOfDeliveryItems concept.This container contains all data elements of the EstimatedDateOfDeliveryItems concept.
Cardinality	0...1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Pregnancy.EstimatedDateOfDeliveryItems.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Pregnancy.EstimatedDateOfDeliveryItems.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
Pregnancy.EstimatedDateOfDeliveryItems.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
Pregnancy.EstimatedDateOfDeliveryItems.EstimatedDateOfDelivery
Definition	The date on which the pregnancy is expected to be 40w 0d (280 days). Different due dates are used at various points in the pregnancy.
Cardinality	0...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Pregnancy.EstimatedDateOfDeliveryItems.EstimatingMethod
Definition	Method by which the delivery date is estimated.
Cardinality	0...1
Type	CodeableConcept
Binding	EstimatingMethod codes EstimatingMethod (extensible)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Pregnancy.EstimatedDateOfDeliveryItems.DateOfEstimation
Definition	Date on which the delivery date is estimated.
Cardinality	0...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Pregnancy.EstimatedDateOfDeliveryItems.DateLastMenstruation
Definition	The date on which the last menstruation started.
Cardinality	0...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a

Example instances

[CBB name]
[Concept name ]	[example value]

// example of NameInformation

## Example instances

| NameInformation      |                   |
|----------------------|-------------------|
| FirstNames | Johanna Petronella Maria   
| Initials | J.P.M. 
| GivenName | Jo 
| NameUsage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| LastName.Prefix | van
| LastName.LastName | Putten
| LastNamePartner.PartnerPrefix | van der
| LastNamePartner.PartnerLastName | Giessen
| Titles |

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Concept	Category	Description
`[element.path]`	[category of change]	[Description of change]([Reference to ticket/issue/zulip chat using MarkDown link])

Terminology Bindings

Path	Name	Strength	URL
EstimatedDateOfDeliveryItems.EstimatingMethod	EstimatingMethod	extensible	https://fhir.healthdata.be/ValueSet/EstimatingMethod