ARCHETYPE Obstetric summary (openEHR-EHR-EVALUATION.obstetric_summary.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.obstetric_summary.v0
ConceptObstetric summary
DescriptionSummary or persistent information about the obstetric history of a woman, including a overview of all pregnancies and the associated outcomes or interventions.
UseUse to record summary or persistent information about the obstetric history of a woman, including a overview of all pregnancies and the associated outcomes or interventions. The intent of this archetype is to provide a snapshot view about all of a woman's pregnancies. It may be used as a component of a current pregnancy record, as part of reporting to statutory bodies or to drive clinical decision support. Use to record the TPAL overview of an obstetric history, if required - the numbers of Term Births (T), Preterm Births (P), Abortions (A) and Living Children (L). Some variations add Gravidity (G) and number of Multiple Births (M). In many jurisdictions, the definition of some of these data elements may vary. For this reason, definitions may be included in the Protocol to ensure clarity of intent especially if the data is being exchanged between jurisdictions. Some data may be calculated or derived from individual pregnancy records if these are available.
MisuseNot for recording summary information about a single pregnancy - use EVALUATION. pregnancy_summary for this purpose. Not for recording detailed information about each of the individual pregnancies, miscarriages, terminations, or deliveries. Use the ACTION.procedure archetype for this purpose. Not to be used to record the details about findings in each antenatal visits or during labour. This data should be used recorded using appropriate archetypes for this purpose such as OBSERVATION.story together with CLUSTER.symptom_sign; OBSERVATION.blood pressure; OBSERVATION.urinalysis; or EVALUATION.problem_diagnosis.
PurposeTo record summary or persistent information about the obstetric history of a woman, including a overview of all pregnancies and the associated outcomes or interventions.
ReferencesObstetric Summary, Draft Archetype [Internet]. Australian Digital Health Agency, Australia, ADHA Clinical Knowledge Manager [2011 Aug 17]. Available from: http://dcm.nehta.org.au/ckm/OKM.html#showArchetype_1013.1.971_4 (now discontinued).
Copyright© openEHR Foundation
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2011-02-24
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2011-02-24
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Obstetric Summary, Draft Archetype [Internet]. Australian Digital Health Agency, Australia, ADHA Clinical Knowledge Manager [2011 Aug 17]. Available from: http://dcm.nehta.org.au/ckm/OKM.html#showArchetype_1013.1.971_4 (now discontinued)., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=E90A860AB6EE863FF739ECDF64BAEFA0, build_uid=25026310-0ce6-4a19-9a00-31a4271cb509, revision=0.0.1-alpha}
Keywordsobstetric, pregnancy, parity, para, gravidity, gravida, termination, miscarriage, abortions, spontaneous, live, birth, stillbirth, caesarean, ectopic, neonatal, death, tubal, living
Lifecyclein_development
UID73666d7d-d7d0-460d-87a3-ed2e68f87fad
Language useden
Citeable Identifier1013.1.1093
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Summary or persistent information about the obstetric history of a woman, including a overview of all pregnancies and the associated outcomes or interventions., archetypeConceptComment=null, otherContributors=Sheryl Alexander, NT Department of Health, Australia
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)
SB Bhattacharyya, Sudisa Consultancy Services, India
Margaret Cotter, AMSANT, Australia
Michelle Dowden, Miwatj Health Ngalkanbuy Health, Australia
Shahla Foozonkhah, Iran ministry of health and education, Iran
Tim Garden, NTG Department of Health, Australia
Heather Grain, Llewelyn Grain Informatics, Australia
Mikkel Gaup Grønmo, Helse-Nord, Norway (openEHR Editor)
Sam Heard, Ocean Informatics, Australia (Editor)
Evelyn Hovenga, EJSH Consulting, Australia
Michelle Kealy, Australia
Bernadette Lack, Deptartment of Health, NT, Australia
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Ian McNicoll, Ocean Informatics UK, United Kingdom
Paul Miller, SCIMP NHS Scotland, United Kingdom
rogerio neri, soft & solutions, Brazil
Jeremy Oats, NT Health, Australia
Andrej Orel, Marand d.o.o., Slovenia
Jayashree Panickar, Karolinska Institute, Sweden
Gary Sinclair, NT DoH, Australia
Norwegian Review Summary, Nasjonal IKT HF, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor)
Cherie Whitbread, Royal Darwin Hospital, Australia
Jo Wright, NT Dept of Health, Australia, originalLanguage=en, translators=Norwegian Bokmål: Marit Alice Venheim, Helse Vest IKT AS, marit.alice.venheim@helse-vest-ikt.no
Portuguese (Brazil): Marivan Abrahão, Gabriela Alves, Adriana Kitajima e Maria Ângela Scatena, Core Consulting, contato@coreconsulting.com.br, Hospital Alemão Oswaldo Cruz (HAOC)
Spanish (Colombia): Francisco Ramirez ante, SITIS SAS, framirez74@gmail.com, Ingeniero de Sistemas
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Parity, description=Number of times a woman has given birth., comment=Parity is not regarded as the same as the number of infants born - for example, twins would be recorded as one birth event. The value recorded for parity should be equal to the sum of 'Term births (T)' and 'Preterm births (P)', if these additional fields are recorded. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0015], code=at0015, itemType=ELEMENT, level=2, text=Term births (T), description=Number of infants born at term., comment=The definition of a term birth can be recorded in the Protocol., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016], code=at0016, itemType=ELEMENT, level=2, text=Preterm births (P), description=Number of infants born before term., comment=The definition of a preterm birth can be recorded in the Protocol., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0017], code=at0017, itemType=ELEMENT, level=2, text=Abortions (A), description=Number of non-viable pregnancies from all causes and at any gestation, including miscarriages, induced terminations and ectopic pregnancies., comment=The value recorded for 'Abortions (A)' should be equal to the sum of 'Miscarriages', 'Terminations' and 'Ectopic pregnancies', if these additional fields are recorded., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Miscarriages, description=Number of times a woman has had a miscarriage., comment=The definition of a miscarriage can be recorded in the Protocol., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Terminations, description=Number of times a woman has had a pregnancy terminated, regardless of gestation., comment=The definition of a Termination can be recorded in the Protocol., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Ectopic pregnancies, description=Number of ectopic pregnancies., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <10

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=2, text=Stillbirths, description=Number of stillbirths., comment=The definition of a stillbirth can be recorded in the Protocol., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Live births, description=Number of infants born alive., comment=The definition of a live birth can be recorded in the Protocol., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Caesarean sections, description=Number of Caesarean sections performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0018], code=at0018, itemType=ELEMENT, level=2, text=Multiple births (M), description=Number of birth events in which more than one fetus has been born., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=2, text=Living children (L), description=Number of children who are alive., comment=The definition of a living child can be recorded in the Protocol. The value for this data element should be accurate at the time of recording, captured using the 'Last updated' data element., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0026], code=at0026, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the obstetric history, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], relationships=[], state=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Date updated, description=The date this summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0022], code=at0022, itemType=ELEMENT, level=2, text=Parity definition, description=The definition of parity that is used in the data collection., comment=Maybe useful to record when comparing data from different regions as definitions of parity may vary., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0019], code=at0019, itemType=ELEMENT, level=2, text=Preterm birth definition, description=The definition of a preterm birth that is used in the data collection., comment=Maybe useful to record when comparing data from different regions as definitions of a preterm birth may vary., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0020], code=at0020, itemType=ELEMENT, level=2, text=Term birth definition, description=The definition of a term birth that is used in the data collection., comment=Maybe useful to record when comparing data from different regions as definitions of a term birth may vary., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Miscarriage definition, description=The definition of miscarriage that is used in the data collection., comment=Depending on local definitions, missed abortions may be captured in this data element. 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