ARCHETYPE Palpation of a fetus (per abdomen) (openEHR-EHR-CLUSTER.fetus_abdominal.v0)

Name: Palpation of a fetus (per abdomen)
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-CLUSTER.fetus_abdominal.v0
Concept	Palpation of a fetus (per abdomen)
Description	Specific findings observed during the abdominal palpation of a single fetus in utero.
Use	Use to record the specific findings observed during the abdominal 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 vaginal palpation of a fetus.
Purpose	To record the specific findings observed during the abdominal 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 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=8F58A91CABC48D8D9A84F1D1A6B9EED9, build_uid=511f33f2-8f2a-4ef9-8f51-26342cff3ef9, revision=0.0.1-alpha}
Keywords
Lifecycle	in_development
UID	6e31de2b-b33f-4c10-a165-b225814e8a89
Language used	en
Citeable Identifier	1013.1.4003
Revision Number	0.0.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Specific findings observed during the abdominal palpation of a single fetus in utero., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Lie, description=Relationship of the longitudinal axis of the fetus to the long axis of the mother., 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::Longitudinal [The fetal longitudinal axis is in alignment with the mother's longitudinal axis.] at0003::Oblique [The fetal longitudinal axis is at an oblique angle to the mother's longitudinal axis. Sometimes also referred to as 'Unstable Lie'.] at0004::Transverse [The fetal longitudinal axis is at right angles to the mother's longitudinal axis.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=Presentation, description=Identification of the presenting part of the fetus, determined by abdominal 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= at0006::Vertex [The head is the presenting part.] at0007::Breech [The buttock is the presenting part.] at0008::Shoulder [A shoulder is the presenting part.] at0009::Face [The face is the presenting part.] at0010::Brow [The forehead is the presenting part.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0011], code=at0011, itemType=ELEMENT, level=1, text=Position, description=Relationship between the fetal denominator and the maternal pelvis, determined by abdominal 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= at0012::Right Occipito-Transverse (ROT) [The fetal occiput is pointing towards the right. Also known as Right Occipito-Lateral (ROL).] at0013::Right Occipito-Anterior (ROA) [The fetal occiput is pointing anteriorly and towards the right.] at0014::Right Occipito-Posterior (ROP) [The fetal occiput is pointing posteriorly and towards the right.] at0015::Occipito-Anterior (OA) [The fetal occiput is pointing anteriorly, towards the pubic symphysis.] at0016::Occipito-Posterior (OP) [The fetal occiput is pointing posteriorly, towards the sacrum.] at0017::Left Occipito-Transverse (LOT) [The fetal occiput is pointing towards the left. Also known as Left Occcipito-Lateral (LOL).] at0018::Left Occipito-Anterior (LOA) [The fetal occiput is pointing anteriorly and towards the left.] at0019::Left Occipito-Posterior (LOP) [The fetal occiput is pointing posteriorly and towards the left.] at0020::Right Sacro-Transverse (RST) [The fetal sacrum is pointing towards the right.] at0021::Right Sacro-Anterior (RSA) [The fetal sacrum is pointing anteriorly and towards the right.] at0022::Right Sacro-Posterior (RSP) [The fetal sacrum is pointing posteriorly and towards the right.] at0023::Sacro-Anterior (SA) [The fetal sacrum is pointing anteriorly, towards the pubic symphysis.] at0024::Sacro-Posterior (SP) [The fetal sacrum is pointing posteriorly, towards the sacrum.] at0025::Left Sacro-transverse (LST) [The fetal sacrum is pointing towards the left.] at0026::Left Sacro-Anterior (LSA) [The fetal sacrum is pointing anteriorly and towards the left.] at0027::Left Sacro-Posterior (LSP) [The fetal sacrum is pointing posteriorly and towards the left.] at0028::Right Mento-Transverse (RMT) [The fetal chin is pointing towards the right.] at0029::Right Mento-Anterior (RMA) [The fetal chin is pointing anteriorly and towards the right.] at0030::Right Mento-Posterior (RMP) [The fetal chin is pointing posteriorly and towards the right.] at0031::Mento-Anterior (MA) [The fetal chin is pointing anteriorly, towards the pubic symphysis.] at0032::Mento-Posterior (MP) [The fetal chin is pointing posteriorly, towards the sacrum.] at0033::Left Mento-Transverse (LMT) [The fetal chin is pointing towards the left.] at0034::Left Mento-Anterior (LMA) [The fetal chin is pointing anteriorly and towards the left.] at0035::Left Mento-Posterior (LMP) [The fetal chin is pointing posteriorly and towards the left.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0036], code=at0036, 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 abdominal 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= at0037::Flexed [The fetus is fully flexed.] at0038::Deflexed [The fetus is not flexed.] at0039::Extended [The fetus is extended.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040], code=at0040, itemType=ELEMENT, level=1, text=Engagement description, description=Description about the engagement of the fetal head in the pelvis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0041::High and mobile [The presenting part is floating high and mobile above the pelvic brim.] at0042::At pelvic brim [The presenting part is at the pelvic brim.] at0043::Engaged [The presenting part is engaged in the pelvis.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0044], code=at0044, itemType=ELEMENT, level=1, text=Engagement estimation, description=The estimated proportion of the presenting part which is felt above the pelvic brim., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0045::0/5 [Not engaged; none of the head is below the pelvic brim.] at0046::1/5 [Approximately 20% of the head is below the pelvic brim.] at0047::2/5 [Approximately 40% of the head is below the pelvic brim.] at0048::3/5 [Approximately 60% of the head is below the pelvic brim.] at0049::4/5 [Approximately 80% of the head is below the pelvic brim.] at0050::5/5 [Fully engaged; all of the head is below the pelvic brim.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0051], code=at0051, itemType=ELEMENT, level=1, text=Relative size, description=The relative size of the baby compared to the normal for the estimated gestation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0052::Small for dates [The size of the fetus appears smaller than expected for estimated gestation.] at0053::Normal [The size of the fetus appears as expected for the estimated gestation.] at0054::Large for dates [The size of the fetus appears larger than expected for the estimated gestation.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0055], code=at0055, itemType=ELEMENT, level=1, text=Estimated weight, description=The estimated weight of the fetus on palpation., 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: Mass Units: 0.0..10.0 kg 0.0..10000.0 g , extendedValues=null]], description=[], context=[], activities=[], identities=[], capabilities=[], provider=[], protocol=[], content=[], source=[], credentials=[], events=[], data=[], contacts=[], ism_transition=[], details=[], relationships=[], state=[], target=[], other_participations=[]}, 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=Lie, description=Relationship of the longitudinal axis of the fetus to the long axis of the mother., 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::Longitudinal [The fetal longitudinal axis is in alignment with the mother's longitudinal axis.] at0003::Oblique [The fetal longitudinal axis is at an oblique angle to the mother's longitudinal axis. Sometimes also referred to as 'Unstable Lie'.] at0004::Transverse [The fetal longitudinal axis is at right angles to the mother's longitudinal axis.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=Presentation, description=Identification of the presenting part of the fetus, determined by abdominal 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= at0006::Vertex [The head is the presenting part.] at0007::Breech [The buttock is the presenting part.] at0008::Shoulder [A shoulder is the presenting part.] at0009::Face [The face is the presenting part.] at0010::Brow [The forehead is the presenting part.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0011], code=at0011, itemType=ELEMENT, level=1, text=Position, description=Relationship between the fetal denominator and the maternal pelvis, determined by abdominal 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= at0012::Right Occipito-Transverse (ROT) [The fetal occiput is pointing towards the right. Also known as Right Occipito-Lateral (ROL).] at0013::Right Occipito-Anterior (ROA) [The fetal occiput is pointing anteriorly and towards the right.] at0014::Right Occipito-Posterior (ROP) [The fetal occiput is pointing posteriorly and towards the right.] at0015::Occipito-Anterior (OA) [The fetal occiput is pointing anteriorly, towards the pubic symphysis.] at0016::Occipito-Posterior (OP) [The fetal occiput is pointing posteriorly, towards the sacrum.] at0017::Left Occipito-Transverse (LOT) [The fetal occiput is pointing towards the left. Also known as Left Occcipito-Lateral (LOL).] at0018::Left Occipito-Anterior (LOA) [The fetal occiput is pointing anteriorly and towards the left.] at0019::Left Occipito-Posterior (LOP) [The fetal occiput is pointing posteriorly and towards the left.] at0020::Right Sacro-Transverse (RST) [The fetal sacrum is pointing towards the right.] at0021::Right Sacro-Anterior (RSA) [The fetal sacrum is pointing anteriorly and towards the right.] at0022::Right Sacro-Posterior (RSP) [The fetal sacrum is pointing posteriorly and towards the right.] at0023::Sacro-Anterior (SA) [The fetal sacrum is pointing anteriorly, towards the pubic symphysis.] at0024::Sacro-Posterior (SP) [The fetal sacrum is pointing posteriorly, towards the sacrum.] at0025::Left Sacro-transverse (LST) [The fetal sacrum is pointing towards the left.] at0026::Left Sacro-Anterior (LSA) [The fetal sacrum is pointing anteriorly and towards the left.] at0027::Left Sacro-Posterior (LSP) [The fetal sacrum is pointing posteriorly and towards the left.] at0028::Right Mento-Transverse (RMT) [The fetal chin is pointing towards the right.] at0029::Right Mento-Anterior (RMA) [The fetal chin is pointing anteriorly and towards the right.] at0030::Right Mento-Posterior (RMP) [The fetal chin is pointing posteriorly and towards the right.] at0031::Mento-Anterior (MA) [The fetal chin is pointing anteriorly, towards the pubic symphysis.] at0032::Mento-Posterior (MP) [The fetal chin is pointing posteriorly, towards the sacrum.] at0033::Left Mento-Transverse (LMT) [The fetal chin is pointing towards the left.] at0034::Left Mento-Anterior (LMA) [The fetal chin is pointing anteriorly and towards the left.] at0035::Left Mento-Posterior (LMP) [The fetal chin is pointing posteriorly and towards the left.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0036], code=at0036, 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 abdominal 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= at0037::Flexed [The fetus is fully flexed.] at0038::Deflexed [The fetus is not flexed.] at0039::Extended [The fetus is extended.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040], code=at0040, itemType=ELEMENT, level=1, text=Engagement description, description=Description about the engagement of the fetal head in the pelvis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0041::High and mobile [The presenting part is floating high and mobile above the pelvic brim.] at0042::At pelvic brim [The presenting part is at the pelvic brim.] at0043::Engaged [The presenting part is engaged in the pelvis.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0044], code=at0044, itemType=ELEMENT, level=1, text=Engagement estimation, description=The estimated proportion of the presenting part which is felt above the pelvic brim., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0045::0/5 [Not engaged; none of the head is below the pelvic brim.] at0046::1/5 [Approximately 20% of the head is below the pelvic brim.] at0047::2/5 [Approximately 40% of the head is below the pelvic brim.] at0048::3/5 [Approximately 60% of the head is below the pelvic brim.] at0049::4/5 [Approximately 80% of the head is below the pelvic brim.] at0050::5/5 [Fully engaged; all of the head is below the pelvic brim.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0051], code=at0051, itemType=ELEMENT, level=1, text=Relative size, description=The relative size of the baby compared to the normal for the estimated gestation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0052::Small for dates [The size of the fetus appears smaller than expected for estimated gestation.] at0053::Normal [The size of the fetus appears as expected for the estimated gestation.] at0054::Large for dates [The size of the fetus appears larger than expected for the estimated gestation.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0055], code=at0055, itemType=ELEMENT, level=1, text=Estimated weight, description=The estimated weight of the fetus on palpation., 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: Mass Units: 0.0..10.0 kg 0.0..10000.0 g , extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]