Birth And Fetal Death (BFDR) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-bfdr/ and changes regularly. See the Directory of published versions
Mappings for the Observation-fetal-presentation resource profile.
This table maps profile elements to U.S. Standard Report of Fetal Death (rev. 2003)
This table maps profile elements to U.S. Standard Certificate of Live Birth (rev. 2003)
| ObservationFetalPresentation |
| Observation | < 363787002 |Observable entity| |
| status | < 445584004 |Report by finality status| |
| code | < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure| |
| value[x] | < 441742003 |Evaluation finding| |
| interpretation | < 260245000 |Findings values| |
| bodySite | < 123037004 |Body structure| |
| specimen | < 123038009 |Specimen| |
| device | < 49062001 |Device| |
| referenceRange | |
| type | < 260245000 |Findings values| OR
< 365860008 |General clinical state finding|
OR
< 250171008 |Clinical history or observation findings| OR
< 415229000 |Racial group| OR
< 365400002 |Finding of puberty stage| OR
< 443938003 |Procedure carried out on subject| |
| appliesTo | < 260245000 |Findings values| OR
< 365860008 |General clinical state finding|
OR
< 250171008 |Clinical history or observation findings| OR
< 415229000 |Racial group| OR
< 365400002 |Finding of puberty stage| OR
< 443938003 |Procedure carried out on subject| |
| component | |
| code | < 363787002 |Observable entity| OR
< 386053000 |Evaluation procedure| |
| value[x] | 363714003 |Interprets| < 441742003 |Evaluation finding| |
| interpretation | < 260245000 |Findings values| |
| ObservationFetalPresentation |
| Observation | OBX |
| identifier | OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4. |
| basedOn | ORC |
| partOf | Varies by domain |
| status | OBX-11 |
| code | OBX-3 |
| subject | PID-3 |
| focus | OBX-3 |
| encounter | PV1 |
| effective[x] | OBX-14, and/or OBX-19 after v2.4 (depends on who observation made) |
| issued | OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made) |
| performer | OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO' |
| value[x] | OBX.2, OBX.5, OBX.6 |
| dataAbsentReason | N/A |
| interpretation | OBX-8 |
| note | NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX) |
| bodySite | OBX-20 |
| method | OBX-17 |
| specimen | SPM segment |
| device | OBX-17 / PRT -10 |
| referenceRange | OBX.7 |
| low | OBX-7 |
| high | OBX-7 |
| type | OBX-10 |
| appliesTo | OBX-10 |
| text | OBX-7 |
| hasMember | Relationships established by OBX-4 usage |
| derivedFrom | Relationships established by OBX-4 usage |
| component | containment by OBX-4? |
| code | OBX-3 |
| value[x] | OBX.2, OBX.5, OBX.6 |
| dataAbsentReason | N/A |
| interpretation | OBX-8 |
| referenceRange | OBX.7 |
| ObservationFetalPresentation |
| Observation | Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN] |
| text | Act.text? |
| contained | N/A |
| extension | N/A |
| modifierExtension | N/A |
| identifier | id |
| basedOn | .inboundRelationship[typeCode=COMP].source[moodCode=EVN] |
| partOf | .outboundRelationship[typeCode=FLFS].target |
| status | status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise" |
| category | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code |
| code | code |
| subject | participation[typeCode=RTGT] |
| focus | participation[typeCode=SBJ] |
| encounter | inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN] |
| effective[x] | effectiveTime |
| issued | participation[typeCode=AUT].time |
| performer | participation[typeCode=PRF] |
| value[x] | value |
| dataAbsentReason | value.nullFlavor |
| interpretation | interpretationCode |
| note | subjectOf.observationEvent[code="annotation"].value |
| bodySite | targetSiteCode |
| method | methodCode |
| specimen | participation[typeCode=SPC].specimen |
| device | participation[typeCode=DEV] |
| referenceRange | outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| low | value:IVL_PQ.low |
| high | value:IVL_PQ.high |
| type | interpretationCode |
| appliesTo | interpretationCode |
| age | outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value |
| text | value:ST |
| hasMember | outBoundRelationship |
| derivedFrom | .targetObservation |
| component | outBoundRelationship[typeCode=COMP] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| code | code |
| value[x] | value |
| dataAbsentReason | value.nullFlavor |
| interpretation | interpretationCode |
| referenceRange | outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN] |
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