ARCHETYPE Palpation of a fetus (per vagina) (openEHR-EHR-CLUSTER.fetus_vaginal.v0)

Name: Palpation of a fetus (per vagina)
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-CLUSTER.fetus_vaginal.v0
Concept	Palpation of a fetus (per vagina)
Description	Specific findings observed during the vaginal palpation of a single fetus in utero.
Use	Use to record the specific findings observed during the vaginal palpation of a single fetus in utero. This archetype has been specifically designed to be used in the 'Examination findings' SLOT within the CLUSTER.palpation_fetus archetype, but can also be used within the OBSERVATION.exam and other OBSERVATION or CLUSTER archetypes, where clinically appropriate.
Misuse	Not to be used to record the specific findings observed during the abdominal palpation of a fetus.
Purpose	To record the specific findings observed during the vaginal palpation of a single fetus in utero.
References
Copyright	© Northern Territory Department of Health (Australia), openEHR Foundation
Authors	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2007-04-19
Other Details Language	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2007-04-19
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, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=ECF1EF7286AAA2ABED2A7078759B8C15, build_uid=603f92b6-3109-4f3f-afa8-4c495bcd6f93, revision=0.0.1-alpha}
Keywords
Lifecycle	in_development
UID	af150288-9db5-4f20-a220-fc6fcf9dfb4b
Language used	en
Citeable Identifier	1013.1.4001
Revision Number	0.0.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Specific findings observed during the vaginal palpation of a single fetus in utero., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], events=[], details=[], provider=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Presentation, description=Identification of the presenting part of the fetus, determined by vaginal palpation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0002::Vertex [The head is the presenting part.] at0003::Breech [The buttock is the presenting part.] at0004::Shoulder [A shoulder is the presenting part.] at0005::Face [The face is the presenting part.] at0006::Brow [The forehead is the presenting part.] at0007::Foot [A foot is the presenting part.] at0008::Arm [An arm is the presenting part.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0009], code=at0009, itemType=ELEMENT, level=1, text=Cord presence, description=Finding about the presence of the umbilical cord in the cervix or vagina., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0010::Present [The umbilical cord is present on palpation.] at0011::Absent [The umbilical cord is not present on palpation.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0012], code=at0012, itemType=ELEMENT, level=1, text=Position, description=Relationship between the fetal denominator and the maternal pelvis, determined by vaginal palpation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0013::Right Occipito-Transverse (ROT) [The fetal occiput is pointing towards the right. Also known as Right Occipito-Lateral (ROL).] at0014::Right Occipito-Anterior (ROA) [The fetal occiput is pointing anteriorly and towards the right.] at0015::Right Occipito-Posterior (ROP) [The fetal occiput is pointing posteriorly and towards the right.] at0016::Occipito-Anterior (OA) [The fetal occiput is pointing anteriorly, towards the pubic symphysis.] at0017::Occipito-Posterior (OP) [The fetal occiput is pointing posteriorly, towards the sacrum.] at0018::Left Occipito-Transverse (LOT) [The fetal occiput is pointing towards the left. Also known as Left Occcipito-Lateral (LOL).] at0019::Left Occipito-Anterior (LOA) [The fetal occiput is pointing anteriorly and towards the left.] at0020::Left Occipito-Posterior (LOP) [The fetal occiput is pointing posteriorly and towards the left.] at0021::Right Sacro-Transverse (RST) [The fetal sacrum is pointing towards the right.] at0022::Right Sacro-Anterior (RSA) [The fetal sacrum is pointing anteriorly and towards the right.] at0023::Right Sacro-Posterior (RSP) [The fetal sacrum is pointing posteriorly and towards the right.] at0024::Sacro-Anterior (SA) [The fetal sacrum is pointing anteriorly, towards the pubic symphysis.] at0025::Sacro-Posterior (SP) [The fetal sacrum is pointing posteriorly, towards the sacrum.] at0026::Left Sacro-transverse (LST) [The fetal sacrum is pointing towards the left.] at0027::Left Sacro-Anterior (LSA) [The fetal sacrum is pointing anteriorly and towards the left.] at0028::Left Sacro-Posterior (LSP) [The fetal sacrum is pointing posteriorly and towards the left.] at0029::Right Mento-Transverse (RMT) [The fetal chin is pointing towards the right.] at0030::Right Mento-Anterior (RMA) [The fetal chin is pointing anteriorly and towards the right.] at0031::Right Mento-Posterior (RMP) [The fetal chin is pointing posteriorly and towards the right.] at0032::Mento-Anterior (MA) [The fetal chin is pointing anteriorly, towards the pubic symphysis.] at0033::Mento-Posterior (MP) [The fetal chin is pointing posteriorly, towards the sacrum.] at0034::Left Mento-Transverse (LMT) [The fetal chin is pointing towards the left.] at0035::Left Mento-Anterior (LMA) [The fetal chin is pointing anteriorly and towards the left.] at0036::Left Mento-Posterior (LMP) [The fetal chin is pointing posteriorly and towards the left.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0037], code=at0037, itemType=ELEMENT, level=1, text=Station, description=Position of the presenting part relative to the ischial spines., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length Units: -5.0..5.0 cm Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0038], code=at0038, itemType=ELEMENT, level=1, text=Attitude, description=Description of the relationship of the fetal head and limbs to the body of the fetus, determined by vaginal palpation., comment=Record -5 to -1cm for when the presenting part is above the ischial spines; record 0 at the ischial spines; and record 1 to 5 when the presenting part is below the ischial spines., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0039::Flexed [The fetus is fully flexed.] at0040::Deflexed [The fetus is not flexed.] at0041::Extended [The fetus is extended.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0042], code=at0042, itemType=ELEMENT, level=1, text=Caput, description=Narrative description about the caput on the fetal head., 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], ResourceSimplifiedHierarchyItem [path=/items[at0043], code=at0043, itemType=ELEMENT, level=1, text=Moulding, description=Narrative description about the moulding of the fetal head., 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], ResourceSimplifiedHierarchyItem [path=/items[at0044], code=at0044, itemType=ELEMENT, level=1, text=Asynclitism, description=Narrative description about the asynclitism on the fetal head., 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]], description=[], protocol=[], ism_transition=[], context=[], data=[], activities=[], relationships=[], credentials=[], target=[], source=[], state=[], content=[], contacts=[], capabilities=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Presentation, description=Identification of the presenting part of the fetus, determined by vaginal palpation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0002::Vertex [The head is the presenting part.] at0003::Breech [The buttock is the presenting part.] at0004::Shoulder [A shoulder is the presenting part.] at0005::Face [The face is the presenting part.] at0006::Brow [The forehead is the presenting part.] at0007::Foot [A foot is the presenting part.] at0008::Arm [An arm is the presenting part.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0009], code=at0009, itemType=ELEMENT, level=1, text=Cord presence, description=Finding about the presence of the umbilical cord in the cervix or vagina., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0010::Present [The umbilical cord is present on palpation.] at0011::Absent [The umbilical cord is not present on palpation.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0012], code=at0012, itemType=ELEMENT, level=1, text=Position, description=Relationship between the fetal denominator and the maternal pelvis, determined by vaginal palpation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0013::Right Occipito-Transverse (ROT) [The fetal occiput is pointing towards the right. Also known as Right Occipito-Lateral (ROL).] at0014::Right Occipito-Anterior (ROA) [The fetal occiput is pointing anteriorly and towards the right.] at0015::Right Occipito-Posterior (ROP) [The fetal occiput is pointing posteriorly and towards the right.] at0016::Occipito-Anterior (OA) [The fetal occiput is pointing anteriorly, towards the pubic symphysis.] at0017::Occipito-Posterior (OP) [The fetal occiput is pointing posteriorly, towards the sacrum.] at0018::Left Occipito-Transverse (LOT) [The fetal occiput is pointing towards the left. Also known as Left Occcipito-Lateral (LOL).] at0019::Left Occipito-Anterior (LOA) [The fetal occiput is pointing anteriorly and towards the left.] at0020::Left Occipito-Posterior (LOP) [The fetal occiput is pointing posteriorly and towards the left.] at0021::Right Sacro-Transverse (RST) [The fetal sacrum is pointing towards the right.] at0022::Right Sacro-Anterior (RSA) [The fetal sacrum is pointing anteriorly and towards the right.] at0023::Right Sacro-Posterior (RSP) [The fetal sacrum is pointing posteriorly and towards the right.] at0024::Sacro-Anterior (SA) [The fetal sacrum is pointing anteriorly, towards the pubic symphysis.] at0025::Sacro-Posterior (SP) [The fetal sacrum is pointing posteriorly, towards the sacrum.] at0026::Left Sacro-transverse (LST) [The fetal sacrum is pointing towards the left.] at0027::Left Sacro-Anterior (LSA) [The fetal sacrum is pointing anteriorly and towards the left.] at0028::Left Sacro-Posterior (LSP) [The fetal sacrum is pointing posteriorly and towards the left.] at0029::Right Mento-Transverse (RMT) [The fetal chin is pointing towards the right.] at0030::Right Mento-Anterior (RMA) [The fetal chin is pointing anteriorly and towards the right.] at0031::Right Mento-Posterior (RMP) [The fetal chin is pointing posteriorly and towards the right.] at0032::Mento-Anterior (MA) [The fetal chin is pointing anteriorly, towards the pubic symphysis.] at0033::Mento-Posterior (MP) [The fetal chin is pointing posteriorly, towards the sacrum.] at0034::Left Mento-Transverse (LMT) [The fetal chin is pointing towards the left.] at0035::Left Mento-Anterior (LMA) [The fetal chin is pointing anteriorly and towards the left.] at0036::Left Mento-Posterior (LMP) [The fetal chin is pointing posteriorly and towards the left.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0037], code=at0037, itemType=ELEMENT, level=1, text=Station, description=Position of the presenting part relative to the ischial spines., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length Units: -5.0..5.0 cm Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0038], code=at0038, itemType=ELEMENT, level=1, text=Attitude, description=Description of the relationship of the fetal head and limbs to the body of the fetus, determined by vaginal palpation., comment=Record -5 to -1cm for when the presenting part is above the ischial spines; record 0 at the ischial spines; and record 1 to 5 when the presenting part is below the ischial spines., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0039::Flexed [The fetus is fully flexed.] at0040::Deflexed [The fetus is not flexed.] at0041::Extended [The fetus is extended.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0042], code=at0042, itemType=ELEMENT, level=1, text=Caput, description=Narrative description about the caput on the fetal head., 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], ResourceSimplifiedHierarchyItem [path=/items[at0043], code=at0043, itemType=ELEMENT, level=1, text=Moulding, description=Narrative description about the moulding of the fetal head., 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], ResourceSimplifiedHierarchyItem [path=/items[at0044], code=at0044, itemType=ELEMENT, level=1, text=Asynclitism, description=Narrative description about the asynclitism on the fetal head., 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]], minIndents={}, termBindingRetrievalErrorMessage=null]