ARCHETYPE Pregnancy assertion (openEHR-EHR-OBSERVATION.pregnancy_assertion.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.pregnancy_assertion.v0
ConceptPregnancy assertion
DescriptionA statement made by a clinician confirming the presence or confirmed absence of pregnancy at a specific point in time, considered accurate only at the date and time it is made.
Use

Use to record a clinician’s point-in-time assertion of confirmed presence or confirmed absence of a pregnancy. Assumed values and expressions of uncertainty are intentionally excluded.

The assertion applies only at the time it is made and may be supported by a clinical ‘Justification’ documenting the evidence on which the assertion is based, such as relevant test results, documented organ inventory, or past diagnoses and procedures.

Confirmation that pregnancy is present or absent is critical to safe clinical decision-making because it may alter diagnostic and management approaches. For example:

  • the evaluation of abdominal pain may differ between pregnant and non-pregnant individuals;
  • standard treatment protocols may require modification during pregnancy to avoid harm to the fetus; and
  • some treatment options may be contraindicated during pregnancy but available once pregnancy has been excluded.
MisuseNot to be used to record summary information about a current or past pregnancy. Use the EVALUATION.pregnancy_summary archetype for this purpose. Not to be used to record the current pregnancy care context, including pregnancy being possible. Use the EVALUATION.pregnancy_care_context for this purpose. Not to be used to record details about procedures performed related to a pregnancy, for example terminations or instrumental deliveries. Use the ACTION.procedure for this purpose. Not to be used in the context of questionnaire-style representations, such as self-reported data with questions like 'Are you currently pregnant?' The need for a specific archetype for this purpose is acknowledged but had not yet been developed at the time of publication of this archetype. Not to be used to record absence of known pregnancy history. The need for a specific archetype for this purpose is acknowledged but had not yet been developed at the time of publication of this archetype.
PurposeTo record a clinician’s assertion of the presence or absence of pregnancy at a specific point in time, typically to support clinical decision-making.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Marit Alice Venheim
Organisation: Helse Vest IKT AS
Email: marit.alice.venheim@helse-vest-ikt-no
Date originally authored: 2020-05-05
Other Details LanguageAuthor name: Marit Alice Venheim
Organisation: Helse Vest IKT AS
Email: marit.alice.venheim@helse-vest-ikt-no
Date originally authored: 2020-05-05
Other Details (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:
  • Original Namespace: org.openehr
  • Original Publisher: openEHR Foundation
  • Custodian Namespace: org.openehr
  • MD5-CAM-1.0.1: 9409248B4B5D5ACFC096765A48638600
  • Build Uid: cdff7f21-b72a-4e36-9916-e38a517b4bd5
  • Ip Acknowledgements: This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org.
  • Revision: 0.0.1-alpha
Keywordspregnancy, pregnant, exclusion, confirmation
Lifecyclein_development
UID752bdebc-9c67-4190-b872-db5361dab992
Language useden
Citeable Identifier1013.1.4720
Revision Number0.0.1-alpha
events
Any point in time eventAny point in time event: Default, unspecified point in time event which may be explicitly defined in a template or at run-time.
data
Pregnancy assertionPregnancy assertion: A statement made by a clinician confirming the presence or confirmed absence of pregnancy at a specific point in time.
This assertion is considered accurate only at the date and time it is made and typically to support safe clinical decision-making. Assumed values and expressions of uncertainty are intentionally excluded.
JustificationJustification: Narrative description of the clinical evidence supporting the assertion.
Clinical evidenceClinical evidence: Structured clinical evidence supporting the assertion.
For example: examination findings; test results; organ inventory; diagnoses or past procedures.
Include:
openEHR-EHR-CLUSTER.clinical_evidence.v1 and specialisations
CommentComment: Additional narrative about the pregnancy assertion, not captured in other fields.
protocol
ExtensionExtension: Additional information required to extend the model with local content or to align with other reference models or formalisms.
For example: local information requirements; or additional metadata to align with FHIR.
Include:
All not explicitly excluded archetypes
Other contributorsMarit Alice Venheim, Helse Vest IKT, Norway
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Sparked AU, CSIRO, Australia
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Tara Bonet Chinillach, Catalan Health Service, Spain
Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor)
Grete Hovde Bøe, Sykehuspartner HF, Norway (openEHR Editor)
Michelle Currie, SavantSolutions4HIT, LLC, United States
Inger Elise Engelund, Fagsenter for pasientrapporterte data, Helse Bergen HF, Norway
Aleksander Furnes, Helse Nord IKT, Norway (openEHR Editor)
Ciprian Gerstenberger, Helse Nord IKT, Norway (openEHR Editor)
William Goossen, Results 4 Care, Netherlands
Heather Grain, Llewelyn Grain Informatics, Australia
Atle Hansen, Universitetssykehuset Nord-Norge, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Henri Huttunen, UNA Oy, Finland
Juliette Jager, Tietoevry, Norway
June Marie Nepstad Knappskog, Helse Nord IKT AS, Norway (openEHR Editor), Norway (openEHR Editor)
Elin Kristiansen, Sykehuspartner HF, Norway (openEHR Editor)
Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)
Jörgen Kuylenstierna, eWeave AB, Sweden
Eli Larsen, UNN, Norway (openEHR Editor)
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Darin Leonhardt, PLRI für medizinische Informatik/ Medizinische Hochschule, Germany
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
June Marie Knappskog, Helse Nord IKT AS, Norway (openEHR Norway redaktør), Norway
Cecilia Mascia, CRS4, Italy
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
Martin Milde, Helse Vest IKT, Norway (openEHR Editor)
Olha Nikolaieva, University Hospital Basel, Switzerland
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Bjørn Næss, DIPS ASA, Norway
Jayashree Panickar, India
Ana Pascual Segura, Catsalut, Spain
Anton Pichugin, GKU IAC at Department of Information Technologies of the city of Moscow (DIT Moscow), Russia
Marlene Pérez Colman, Digital Health and Care Wales, United Kingdom
Bipinkumar Rathod, NHS, United Kingdom
Terje Sagmyr, Helse Vest IKT, Norway (openEHR Editor)
Videha Sharma, University of Manchester, United Kingdom
Norwegian Review Summary, Norwegian Public Hospitals, Norway
Nyree Taylor, CSIRO, Australia
John Tore Valand, Helse Vest IKT, Norway (openEHR Editor)
Marte Vassli Gullesen, HNIKT, Norway
Wouter Zanen, Eurotranplant, Netherlands
Karsten Øvretveit, Helse Vest IKT, Norway (openEHR Editor)
Translators
  • German: Sarah Ballout, Natalia Strauch, Darin Leonhardt, MHH-Hannover, Medizinische Hochschule Hannover, PLRI für medizinische Informatik/ Medizinische Hochschule, ballout.sarah@mh-hannover.de, Strauch.Natalia@mh-hannover.de, leonhardt.darin@mh-hannover.de
  • Norwegian Bokmål: Eli Larsen, Liv Laugen, Vebjørn Arntzen, John Tore Valand, Universitetssykehuset Nord-Norge, ​Oslo University Hospital, Norway, Helse Vest IKT, eli.larsen@unn.no, liv.laugen@ous-hf.no, varntzen@ous-hf.no, john.tore.valand@helse-vest-ikt.no