Profiles

bc-AbilityToTakeCareOfChild

• Removed pattern on Observation.method.coding
• Removed the binding to ValueSet MeetMethode_GZ from Observation.method

bc-AmnioticFluid

• Changed the pattern level from code.coding to code in the Observation components
• Corrected the level of binding to ValueSet BeoordelingBevindingen of component amnioticFluidCompartment
• Updated the binding to the new version of ValueSet BeoordelingBevindingen
• Added guidance for representing a value that was not determined using code UNK

bc-BarthelIndex

• Changes in slicing in order to fix validation errors

bc-Birth

• Added pattern and discriminator specifications to Procedure.code.coding
• Added mapping of dataset elements Aanpakker kind and Supervisor (peri32-dataelement-1624, -1625, -1626, -1627, -11029) to bc-Birth

bc-BirthObservation

• Removed slicing from Observation.method
• Removed the binding to ValueSet MeetMethode_GZ from Observation.method
• Added mapping of dataset element DuurUitdrijvingWaarde to Observation.component.value[x]
• Added extensible binding of Observation.component.code to ValueSet bc-BirthObservation-code
• Corrected the birth extension to use valueReference

bc-BreastFindings

• Changed the pattern level from code.coding to code in the Observation components and Observation.code

bc-CareAgreement

• Remodelled author extensions for contributor and coordinator
• Corrected slicing for .category and .author
• Added author mapping to dataset element peri32-dataelement-3856, Zorgverlener

bc-CareTeam

• Added a reference to bc-Woman in CareTeam.subject

bc-Child

• Removed slicing from multiple elements
• Removed the fetalStatus extension
• Removed obsolete slicing on language proficiency and identifier elements
• Corrected validation issues in the profile

bc-ChildBirthAssistance

• Removed element under Encounter.participant.type.coding:childBirthAssistance-type
• Added element under Encounter.participant.extension:timeWhenCalled.valueDateTime:valueDateTime.value
• Changed mapping of element peri32-dataelement-10716 from Encounter.participant.period.start to Encounter.period.start
• Changed mapping of element peri32-dataelement-10717 from Encounter.participant.period.end to Encounter.period.end
• Removed mapping of dataset elements Aanpakker kind and Supervisor (peri32-dataelement-1624, -1625, -1626, -1627, -11029)

bc-ChildObservation

• Replaced extension bc-observation-laterality with zib2017 extension BodySite-Qualifier

bc-ClinicalImpression

• Added slicing on ClinicalImpression.code.coding

bc-DeliveryProcedure

• Added slicing to Procedure.code and changed the level of fixedCoding
• Changed fixedCoding to patternCoding under Procedure.code.coding to allow for display

bc-DeliveryObservation

• Changed the placement of extension period-duration to value[x]:valueString
• Added mapping of dataset element DuurActieveOntsluitingWaarde to Observation.component.value[x]
• Added extensible binding of Observation.component.code to ValueSet bc-DeliveryObservation-code
• Renamed mappings from Breken Vliezen to Gebroken Vliezen
• Renamed mappings from Aard Vruchtwater to Aard Aflopend Vruchtwater
• Corrected the delivery extension to use valueReference
• Corrected the profile description and link to the Delivery-related Observation pattern page

bc-DisorderOfChild

• Removed redundant mapping of Condition.severity on an unrelated dataset element

bc-DisorderOfLaborAndDelivery

• Corrected the profile description
• Added a link to the Delivery-related Condition pattern page

bc-DisorderPostPartum

• Added a link to the Postpartum Condition pattern page

bc-Encounter

• Added mapping of dataset element peri32-dataelement-11065 Contact to Encounter

bc-ExcretionUrine

• Changed the pattern level from code.coding to code in the Observation component

bc-FamilyMemberHistory

• Removed redundant mapping of Probleem infectieziekte(n) Gezin; this information is now mapped using bc-MaternalObservation

bc-FamilySituation

• Added new profile bc-FamilySituation based on zib-FamilySituation
• Updated Geboortezorg 3.2 mappings to use bc-FamilySituation
• Added mapping for dataset element DatumOverlijden
• Added extension bc-familysituation-deceaseddatetime
• Corrected the deceased date/time extension to use valueDateTime

bc-FamilySituationChild

• Added new profile bc-FamilySituationChild
• Updated Geboortezorg 3.2 mappings to use bc-FamilySituationChild instead of zib-FamilySituationChild
• Added mapping for the parent/carer
• Added mapping from the parent/carer woman to bc-Woman
• Added mapping for DatumOverlijdenZusBroer
• Corrected reference and date/time extension paths

bc-FeedingPatternInfant

• Fixed handling of dataset element peri32-dataelement-10506 Bijvoeding? by applying extension observation-component-valueBooleanSTU3
• Added extension bc-feedingpatterninfant-feedingdatetime
• Added mandatory feedingDateTime and feedingMethod extensions to the FeedingType component
• Made the value of FeedingType mandatory
• Removed the separate FeedingFrequency component
• Updated the example
• Corrected Observation.effective[x] to Observation.effectiveDateTime

bc-FetalHeartRate

• Changed the pattern level from code.coding to code in Observation.code
• Changed the binding of ValueSet Hartactie_op_basis_van under Observation.method.coding:heartActionBasedOn from extensible to required
• Added mapping of the fetus reference
• Added Geboortezorg 3.2 mappings for heart rate date/time, value, interpretation, measurement method, regularity and comment
• Corrected the fetus extension to use valueReference

bc-FetalMonitoring

• Changed the SNOMED code of the pattern on component:heartFrequencyVariability.code.coding
• Changed the pattern level from code.coding to code in the Observation components and Observation.code
• Fixed handling of dataset concept peri32-dataelement-3910 FoetaleAcceleraties using extension observation-component-valueBooleanSTU3
• Added mapping of dataset element peri32-dataelement-1767
• Added mapping of the fetus reference
• Corrected the fetus extension to use valueReference
• Removed an unnecessary effectiveDateTime slice

bc-Fetus

• Added extension bc-bodysite-legalstatusVOTS
• Added mapping for VOTS
• Added mappings for the fetus identifier
• Added mappings linking the fetus to bc-Woman and bc-Child
• Added support for distinguishing fetuses in multiple pregnancies using BodySite.description
• Corrected extension paths for boolean and reference values

bc-FetusObservation

• Changed the placement of extension bc-observation-valuereference to value[x]:valueQuantity
• Removed outdated mapping of dataset element peri32-dataelement-1767
• Added mapping of the fetus reference
• Added mappings for the kindspecific observation Tijdstip Gebroken Vliezen
• Added mappings for the kindspecific observation Aard Vruchtwater
• Added mappings for observation date/time, observation method and comment
• Extended ValueSet bc-FetusObservation-code with codes for TijdstipGebrokenVliezen and AardVruchtwaterWaarde
• Added guidance for representing OrgaansysteemFoetusWaarde using UNK
• Corrected the fetus extension to use valueReference

bc-IndividualCareplan

• Removed CarePlan.isCoordinator and added CarePlan.author.extension(isCasemanager)
• Removed Goal.extension:carePlan and added use of Goal.target.dueDate.value to fix the relation between ZorgAfspraak and IndividueelZorgplan
• Changed target profile in CarePlan.activity.detail.goal from bc-Goal to bc-IndividualCarePlan-Goal

bc-IndividualCarePlan-Goal

• Added CarePlan.basedOn to fix the relation between ZorgAfspraak and IndividueelZorgplan

bc-LegalSituation-LegalStatus

• Added bc-Child reference type in subject

bc-LegalSituation-Representation

• Added bc-Child reference type in subject

bc-MaternalObservation

• Changed the placement of extension bc-observation-valuereference to value[x]:valueDateTime
• Replaced bodySite laterality extension with the nl-core extension
• Added mappings to support Sectiowond, Perineumwond and Aantal kraamverbanden Observations
• Added additional guidance for WondInfectie
• Replaced extension bc-observation-laterality with zib2017 extension BodySite-Qualifier
• Changed mapping of dataset element peri32-dataelement-2279 from Observation.value[x]:valueCodeableConcept to Observation
• Added mappings for urine observations, including observation date/time, urgency, colour, amount, frequency and comment
• Added mapping for Infectieziekte(n) Gezin
• Added mappings for observation method and related values of Infectieziekte(n) Gezin
• Added extensible binding of coded component values to bc-MaternalObservation-value
• Corrected multiple STU3 choice-element definitions

bc-MotherOf

• Updated the profile description to clarify the relationship between bc-MotherOf, the child Patient and bc-Woman

bc-MultidisciplinaryTeamMeeting-Plan

• Changed discriminator type and path at CarePlan.category

bc-ObstetricProcedure

• Added an explicit slice to allow performedDateTime as a temporary fix for errors in ConformanceLab
• Decoupled from zib-Procedure because of issues with using .report
• Added mappings of dataset elements relating to Verrichting (Algemene anamnese)
• Added mappings of dataset elements relating to Verrichting (Maternaal onderzoek)
• Added additional mappings for maternal and neonatal examination procedures
• Added mappings relating to medical devices
• Corrected STU3 choice-element definitions

bc-PerinatalDeath

• Changed the pattern level from code.coding to code in the Observation components
• Changed mapping of Observation.subject from peri32-dataelement-10283 to peri32-dataelement-1378
• Fixed terminology binding for deceasedDateTime

bc-PerinealAssessment

• Changed the pattern level from code.coding to code in the Observation components
• Corrected component valueCodeableConcept paths to use Observation.component.value[x]

bc-PlacentaLocalization

• Changed level of pattern discriminator at component slices from code.coding to code

bc-PractitionerRole

• Added Geboortezorg 3.2 mappings to PractitionerRole
• Updated specialty handling to use ValueSet ZorgverlenerType (3.2)
• Added separate specialty slices for SNOMED CT and NullFlavor
• Changed the binding strength of the perinatology specialty slices to extensible

bc-PregnancyObservation

• Added and removed mappings of peri32 dataset elements

bc-PregnancyUltraSound

• Changed discriminator path from code to $this
• Removed extension Comment
• Updated mappings to peri32 dataset elements

bc-RelatedPerson

• Added extension bc-patient-genderIdentity

bc-TreatmentDirective

• Added mapping for consentingParty
• Added dataAbsentReason

bc-UmbilicalCord

• Updated the binding to the new version of ValueSet BeoordelingBevindingen
• Added guidance for representing a value that was not determined using code UNK
• Corrected the fetus reference definition

bc-UterusActivity

• Changed the pattern level from code.coding to code in the Observation components and Observation.code
• Added and removed mappings of peri32 dataset elements
• Added an explicit effectivePeriod slice
• Corrected choice-element paths for frequency, duration, intensity, Montevideo Units, regularity and conclusion
• Corrected paths for units and codes of Quantity values

bc-VitaminKAdministration

• Added and removed mappings of peri32 dataset elements

bc-Woman

• Added extensible binding to Patient.extension:genderIdentity.value[x]
• Added ValueSet gender-identity
• Removed obsolete slicing definitions
• Corrected validation issues in the profile

Changes affecting multiple profiles

• Changes in profile files after resave in Forge and manual corrections for Forge-generated issues
• Solved snapshot generation and slicing issues in multiple profiles, resulting in changes in slicing definitions
• Added information in profile descriptions about referencing the relevant Encounter or EpisodeOfCare in Observation.context.reference
• Corrected STU3 choice-element paths (value[x]) and datatype-specific paths in multiple profiles
• Corrected reference extensions to use valueReference
• Corrected date/time extensions to use valueDateTime
• Fixed bake and validation errors across multiple profiles
• Updated package and resource version information for the 3.0.0 beta release

Extensions

• Fixed path and sliceName in bc-careplan-coordinator to match datatype valueBoolean
• Added extension bc-careplan-contributor
• Added extension bc-bodysite-legalstatusVOTS for use in bc-Fetus
• Added RelatedPerson as context of bc-patient-genderIdentity, updated the fixedUri and explicitly assigned cardinality 0 to Extension.extension
• Resolved slicing errors and removed slices from Extension.value[x]:valueCodeableConcept
• Added Encounter as context for extensions bc-encounter-arrival and bc-childbirthassistance-timecalled
• Removed extension bc-observation-laterality from the package
• Added extension bc-feedingpatterninfant-feedingdatetime
• Added extension bc-familysituation-deceaseddatetime
• Added extension bc-familysituationchild-bcwoman

ValueSets

• All -code ValueSets are automatically generated and contain information about the corresponding dataset elements
• Added missing and removed redundant concept codes in bc-ChildObservation-code, bc-FetusObservation-code, bc-MaternalObservation-code and bc-PregnancyObservation-code
• Added missing and removed redundant concept codes in MeetMethode_GZ and ZorgverlenerType_32
• Added ValueSet VerrichtingType_kraambed
• Updated concept codes and/or display values in Huilgedrag_baby, KeuzeTest, MeetMethode_GZ, Navelstreng_vaten and RolZorgverlener22
• Updated concept codes and/or display values in bc-DeliveryObservation-code
• Updated included systems in ProbleemNaamCodelijst
• Included additional ValueSets in bc-MaternalObservation-value
• Fixed refset inclusion syntax in VerrichtingTypeGeboortezorgCodelijst
• Fixed postcoordination expression in ValueSet Sonomarkers_32
• Removed ValueSets bc-ChildBirthAssistance-type and LanguageAbilityProficiency2
• Added ValueSet AardVoorliggendDeel
• Removed the generic ValueSet Stand and replaced it with StandVoorhoofd, StandAchterhoofdEnKruin and StandVolkomenStuitEnOnvolkomenStuit
• Added the new fetal position ValueSets to bc-MaternalObservation-value
• Added ValueSets UrineKleur (3.2) and UrineHoeveelheid (3.2)
• Updated ValueSet BeoordelingBevindingen and included the new version in the applicable profiles
• Added UNK to BeoordelingBevindingen for information that was not determined
• Added ValueSet gender-identity
• Updated ValueSet Ostium
• Updated ValueSet KeuzeTest
• Updated ValueSet ZorgverlenerType_32
• Added problem ValueSets for Misbruik, Psychiatrie and Sociale Problemen
• Updated bc-FetusObservation-value
• Updated bc-MaternalObservation-code and bc-MaternalObservation-value
• Updated the Dutch display for SNOMED CT code 726566009 in bc-DeliveryObservation-code to pathologieverslag van biopsie (gegevensobject)
• Removed redundant automatically generated ValueSets