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# System prepended metadata

title: Obgyn FHIR SR Review List
tags: [fhir-project]

---

---
title: Obgyn FHIR SR Review Item List
tags: fhir-project 
---

<font color="red">FHIR</font> SR Obgyn - Review Item List
===
## Categori 1: Terminology Code
If there are any irrelevant or additional standard code use in the practical, please input in the comment section, thank you.

1. 胎兒數	Number of fetus

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| SNOMED     | 246435002     | Number of fetuses   ||
| WHO ANC Terminology     | ANC.B8.DE109     | Number of fetuses ||

::: info
Comment:
- Format: [Name]-[Institution]: [Comment]
:::

2. 胎兒週數	Fetal age (week)

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| LOINC     | 18185-9     | Gestational age   ||
| WHO ANC Terminology     | ANC.B6.DE17    | Gestational age||

::: info
Comment:
- Format: [Name]-[Institution]: [Comment]
:::

3. 頭臂距 (CRL)	Crown-Rump Length (CRL)

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| LOINC     | 11957-8     | Fetal Crown Rump length US||

::: info
Comment:
- Format: [Name]-[Institution]: [Comment]
:::

4. 鼻樑骨 (NB)	Nasal Bone (NB)

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| LOINC     | 96426-2     | Fetal Nasal bone||

::: info
Comment:
- Format: [Name]-[Institution]: [Comment]
:::

5. 預產期	Estimated date of delivery (EDD)

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| LOINC     | 11781-2     | Delivery date US composite estimate||

::: info
Comment:
- Format: [Name]-[Institution]: [Comment]
:::

6. 頸部透明帶 (NT)	Nuchal Translucency (NT)

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| LOINC     | 33069-6     | Fetal nuchal translucency measured by US||

::: info
Comment:
- Format: [Name]-[Institution]: [Comment]
:::

7. 胎兒外觀	Fetal appearence

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| Internal Customized   | fetal-appearence     | Fetal appearence||

::: info
Comment:
- Victoria-TCU: Currently we don't find any relevant standard, thus we use internal customized code 
:::

Value set for fetal appearance option item
| Value (CH) | Value (EN)  |Terminology System | Code | Display |Notes|
| -------- | -------- | -------- | -------- | -------- |-------- |
| 目前正常 | Currently normal  | SNOMED | 169221005 |  Ultrasound obstetric scan normal |
| 尚未定論 | Undetermined  || http://terminology.hl7.org/<br>CodeSystem/v3-<br>ObservationInterpretation | E |  Equivocal |
| 結構異常 | Abnormal structure  | SNOMED | 169255008 | Ultrasound scan abnormal  |
| 多胞胎 | Multiple births  | SNOMED | 370386005 |  Ultrasound scan - multiple fetus |
| 脅迫性流產 | Threatened abortion| SNOMED | 54048003 |  Threatened abortion |
| 過期流產 | Missed miscarriage| SNOMED | 16607004 | Missed abortion  |
| 胎兒水腫 | Fetal hydrops/ fetus edema| SNOMED | 276508000 | Hydrops fetalis  |
| 無腦症 | Anencephaly| SNOMED | 609417004 |  Fetal anencephaly |

::: info
Comment:
- Richard Holman: Alternative code for  "Currently normal" value is SNOMED-Antenatal ultrasound scan normal and appropriate for dates-169663003
- Richard Holman: Alternative code for  "Multiple births" value is SNOMED-Multiple pregnancy-16356006

:::

8. 游離乙型人類絨毛膜性腺激素 (IU/L)	Free β-hCG in IU/L

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| LOINC   | 25373-2| Choriogonadotropin.beta subunit free \[Mass/volume\] in Serum or Plasma
||

::: info
Comment:
- Format: [Name]-[Institution]: [Comment]
:::

9. 妊娠相關血漿蛋白 (IU/L)	PAPP-A in IU/L 

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| LOINC   | 32046-5
| Pregnancy associated plasma protein A \[Units/volume\] in Serum or Plasma||

::: info
Comment:
- Format: [Name]-[Institution]: [Comment]
:::

10. 妊娠相關血漿蛋白 (MoM) PAPP-A in MoM

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| LOINC   | 32123-2| Pregnancy associated plasma protein A \[Multiple of the median\] in Serum or Plasma||

::: info
Comment:
- Format: [Name]-[Institution]: [Comment]
:::

11. 唐氏症背景風險	Down syndrome background risk ratio and 唐氏症調整風險	Down syndrome adjusted risk ratio

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| LOINC   | 73966-4| Fetal Aneuploidy - Trisomy 21||

::: info
Comment:
- Richard Holman: Alternative code for "Down syndrome background risk ratio" is LOINC-Trisomy 21 risk [Likelihood] in Fetus-43995-0
:::

12. 愛德華氏症背景風險	Edwards syndrome background risk ratio and 愛德華氏症調整風險	Edwards syndrome adjusted risk ratio

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| LOINC   | 73825-2| Fetal Aneuploidy - Trisomy 18||

::: info
Comment:
- Richard Holman: Alternative code for "Edwards syndrome adjusted risk ratio" is LOINC-Trisomy 18 risk [Likelihood] in Fetus-43994-3
:::

13. 帕陶氏症背景風險	Patau symdrome background risk ratio and 帕陶氏症調整風險	Patau syndrome adjusted risk ratio

| Terminology System | Code | Display |Notes|
| -------- | -------- | -------- |-------- |
| LOINC   | 73824-5| Fetal Aneuploidy - Trisomy 13||

::: info
Comment:
- Richard Holman: Alternative code for "Patau syndrome adjusted risk ratio" is LOINC-Trisomy 13 risk [Likelihood] in Fetus-58769-1
:::

See also
- [[DRAFT] FHIR SR - Obstetric Report System](https://hackmd.io/@misac/fhir-sr-obstetric)