US Public Health Is Postpartum - US Public Health Profiles Library v1.0.0

US Public Health Profiles Library
1.0.0 - STU1 United States of America flag

US Public Health Profiles Library, published by HL7 Public Health Working Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/fhir-us-ph-common-library-ig/ and changes regularly. See the Directory of published versions

Resource Profile: US Public Health Is Postpartum

Official URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-is-postpartum				Version: 1.0.0
Active as of 2023-10-04				Computable Name: USPublicHealthIsPostpartum

This Observation profile represents whether or not the patient is postpartum.

The postpartum period, also known as the puerperium, refers to the time after delivery when maternal physiological changes related to pregnancy return to the nonpregnant state. There is consensus that the postpartum period begins upon delivery of the infant. The end is less well defined but is often considered the six to eight weeks after delivery because the effects of pregnancy on many systems have largely returned to the pre-pregnancy state.

Usage:

Examples for this Resource Profile: Observation/us-ph-postpartum-status-eve-everywoman

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
code	S	1..1	CodeableConcept	Type of observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 249197004
display		1..1	string	Representation defined by the system Fixed Value: Maternal condition during puerperium (observable entity)
subject	S	1..1	Reference(US Public Health Patient)	Who and/or what the observation is about
effective[x]	S	1..1	dateTime	Clinically relevant time/time-period for observation
value[x]	S	1..1	CodeableConcept	Postpartum status: the point within the postpartum period for which a postpartum status is observed. Binding: Yes No Unknown NotAsked (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.value[x]	required	YesNoUnknownNotAsked

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 249197004
display		1..1	string	Representation defined by the system Fixed Value: Maternal condition during puerperium (observable entity)
subject	SΣ	1..1	Reference(US Public Health Patient)	Who and/or what the observation is about
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for observation
value[x]	SΣC	1..1	CodeableConcept	Postpartum status: the point within the postpartum period for which a postpartum status is observed. Binding: Yes No Unknown NotAsked (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.status	required	ObservationStatus
Observation.code	example	Pattern: SNOMED CT code 249197004("Maternal condition during puerperium (observable entity)")
Observation.value[x]	required	YesNoUnknownNotAsked

Description & Constraints

Observation

C

0..*

Observation

Measurements and simple assertions

id

Σ

0..1

id

Logical id of this artifact

category

0..*

CodeableConcept

Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

code

SΣ

1..1

CodeableConcept

Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

Required Pattern: At least the following

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

coding

1..*

Coding

Code defined by a terminology system
Fixed Value: (complex)

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

system

1..1

uri

Identity of the terminology system
Fixed Value: http://snomed.info/sct

version

0..1

string

Version of the system - if relevant

code

1..1

code

Symbol in syntax defined by the system
Fixed Value: 249197004

display

1..1

string

Representation defined by the system
Fixed Value: Maternal condition during puerperium (observable entity)

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

subject

SΣ

1..1

Reference(US Public Health Patient)

Who and/or what the observation is about

focus

ΣTU

0..*

Reference(Resource)

What the observation is about, when it is not about the subject of record

encounter

Σ

0..1

Reference(Encounter)

Healthcare event during which this observation is made

effective[x]

SΣ

1..1

dateTime

Clinically relevant time/time-period for observation

issued

Σ

0..1

instant

Date/Time this version was made available

performer

Σ

0..*

Who is responsible for the observation

value[x]

SΣC

1..1

CodeableConcept

Postpartum status: the point within the postpartum period for which a postpartum status is observed.
Binding: Yes No Unknown NotAsked (required)

dataAbsentReason

C

0..1

CodeableConcept

Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

interpretation

0..*

CodeableConcept

High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

note

0..*

Annotation

Comments about the observation

bodySite

0..1

CodeableConcept

Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

method

0..1

CodeableConcept

How it was done
Binding: ObservationMethods (example): Methods for simple observations.

specimen

0..1

Reference(Specimen)

Specimen used for this observation

device

0..1

Reference(Device | DeviceMetric)

(Measurement) Device

referenceRange

C

0..*

BackboneElement

Provides guide for interpretation

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

low

C

0..1

SimpleQuantity

Low Range, if relevant

high

C

0..1

SimpleQuantity

High Range, if relevant

type

0..1

CodeableConcept

Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

appliesTo

0..*

CodeableConcept

Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.

age

0..1

Range

Applicable age range, if relevant

text

0..1

string

Text based reference range in an observation

hasMember

Σ

0..*

Reference(Observation | QuestionnaireResponse | MolecularSequence)

Related resource that belongs to the Observation group

derivedFrom

Σ

0..*

Related measurements the observation is made from

component

Σ

0..*

BackboneElement

Component results

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

code

Σ

1..1

CodeableConcept

Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

value[x]

Σ

0..1

Actual component result

valueQuantity

valueCodeableConcept

valueString

valueBoolean

valueInteger

valueRange

valueRatio

valueSampledData

valueTime

valueDateTime

valuePeriod

0..1

Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

interpretation

0..*

CodeableConcept

High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

referenceRange

0..*

See referenceRange (Observation)

Provides guide for interpretation of component result

Documentation for this format

Terminology Bindings

Path

Conformance

ValueSet / Code

Observation.language

preferred

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

Observation.status

required

ObservationStatus

Observation.category

preferred

ObservationCategoryCodes

Observation.code

example

Pattern: SNOMED CT code 249197004("Maternal condition during puerperium (observable entity)")

Observation.value[x]

required

YesNoUnknownNotAsked

Observation.dataAbsentReason

extensible

DataAbsentReason

Observation.interpretation

extensible

ObservationInterpretationCodes

Observation.bodySite

example

SNOMEDCTBodyStructures

Observation.method

example

ObservationMethods

Observation.referenceRange.type

preferred

ObservationReferenceRangeMeaningCodes

Observation.referenceRange.appliesTo

example

ObservationReferenceRangeAppliesToCodes

Observation.component.code

example

LOINCCodes (a valid code from LOINC)

Observation.component.dataAbsentReason

extensible

DataAbsentReason

Observation.component.interpretation

extensible

ObservationInterpretationCodes

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
code	S	1..1	CodeableConcept	Type of observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 249197004
display		1..1	string	Representation defined by the system Fixed Value: Maternal condition during puerperium (observable entity)
subject	S	1..1	Reference(US Public Health Patient)	Who and/or what the observation is about
effective[x]	S	1..1	dateTime	Clinically relevant time/time-period for observation
value[x]	S	1..1	CodeableConcept	Postpartum status: the point within the postpartum period for which a postpartum status is observed. Binding: Yes No Unknown NotAsked (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.value[x]	required	YesNoUnknownNotAsked

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 249197004
display		1..1	string	Representation defined by the system Fixed Value: Maternal condition during puerperium (observable entity)
subject	SΣ	1..1	Reference(US Public Health Patient)	Who and/or what the observation is about
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for observation
value[x]	SΣC	1..1	CodeableConcept	Postpartum status: the point within the postpartum period for which a postpartum status is observed. Binding: Yes No Unknown NotAsked (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.status	required	ObservationStatus
Observation.code	example	Pattern: SNOMED CT code 249197004("Maternal condition during puerperium (observable entity)")
Observation.value[x]	required	YesNoUnknownNotAsked

Snapshot View

Description & Constraints

Observation

C

0..*

Observation

Measurements and simple assertions

id

Σ

0..1

id

Logical id of this artifact

category

0..*

CodeableConcept

Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

code

SΣ

1..1

CodeableConcept

Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

Required Pattern: At least the following

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

coding

1..*

Coding

Code defined by a terminology system
Fixed Value: (complex)

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

system

1..1

uri

Identity of the terminology system
Fixed Value: http://snomed.info/sct

version

0..1

string

Version of the system - if relevant

code

1..1

code

Symbol in syntax defined by the system
Fixed Value: 249197004

display

1..1

string

Representation defined by the system
Fixed Value: Maternal condition during puerperium (observable entity)

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

subject

SΣ

1..1

Reference(US Public Health Patient)

Who and/or what the observation is about

focus

ΣTU

0..*

Reference(Resource)

What the observation is about, when it is not about the subject of record

encounter

Σ

0..1

Reference(Encounter)

Healthcare event during which this observation is made

effective[x]

SΣ

1..1

dateTime

Clinically relevant time/time-period for observation

issued

Σ

0..1

instant

Date/Time this version was made available

performer

Σ

0..*

Who is responsible for the observation

value[x]

SΣC

1..1

CodeableConcept

Postpartum status: the point within the postpartum period for which a postpartum status is observed.
Binding: Yes No Unknown NotAsked (required)

dataAbsentReason

C

0..1

CodeableConcept

Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

interpretation

0..*

CodeableConcept

High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

note

0..*

Annotation

Comments about the observation

bodySite

0..1

CodeableConcept

Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

method

0..1

CodeableConcept

How it was done
Binding: ObservationMethods (example): Methods for simple observations.

specimen

0..1

Reference(Specimen)

Specimen used for this observation

device

0..1

Reference(Device | DeviceMetric)

(Measurement) Device

referenceRange

C

0..*

BackboneElement

Provides guide for interpretation

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

low

C

0..1

SimpleQuantity

Low Range, if relevant

high

C

0..1

SimpleQuantity

High Range, if relevant

type

0..1

CodeableConcept

Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

appliesTo

0..*

CodeableConcept

Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.

age

0..1

Range

Applicable age range, if relevant

text

0..1

string

Text based reference range in an observation

hasMember

Σ

0..*

Reference(Observation | QuestionnaireResponse | MolecularSequence)