ARCHETYPE Oocyte and embryo assessment (openEHR-EHR-OBSERVATION.embryo_assessment.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.embryo_assessment.v1
ConceptOocyte and embryo assessment
DescriptionAssessment of morphological features and development of a single oocyte or embryo.
UseUse to record details about assessment of morphology and development of a single oocyte, zygote, cleavage-stage embryo or blastocyst, usually as part of assisted reproduction treatment. This OBSERVATION archetype also supports recording morphokinetic data and timed annotations obtained during time-lapse microscopy of embryo development.
MisuseNot to be used for recording details of procedures involving oocytes and embryos, like insemination, microinjection or biopsy - use specific ACTION archetype for this purpose. Not to be used for recording non-morphological assessment of single oocyte or embryo, like genetic or metabolic tests - use relevant OBSERVATION archetype for this purpose.
PurposeTo record details about the assessment of morphology and development of a single oocyte or embryo.
ReferencesAlpha Scientists in Reproductive, M. and E.S.I.G.o. Embryology, The Istanbul consensus workshop on embryo assessment: proceedings of an expert meeting. Human Reproduction, 2011. 26(6): p. 1270-1283.

Eshre Working Group on Time-lapse technology, et al., Good practice recommendations for the use of time-lapse technology. Hum Reprod Open, 2020. 2020(2): p. hoaa008.

Hardarson, T., L. Van Landuyt, and G. Jones, The blastocyst. Human Reproduction, 2012. 27(suppl_1): p. i72-i91.

Papale, L., et al., The zygote. Human Reproduction, 2012. 27(suppl_1): p. i22-i49.

Prados, F.J., et al., The cleavage stage embryo. Human Reproduction, 2012. 27(suppl_1): p. i50-i71.

Rienzi, L., et al., The oocyte. Human Reproduction, 2012. 27(suppl_1): p. i2-i21.
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2021-10-28
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2021-10-28
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=Alpha Scientists in Reproductive, M. and E.S.I.G.o. Embryology, The Istanbul consensus workshop on embryo assessment: proceedings of an expert meeting. Human Reproduction, 2011. 26(6): p. 1270-1283. Eshre Working Group on Time-lapse technology, et al., Good practice recommendations for the use of time-lapse technology. Hum Reprod Open, 2020. 2020(2): p. hoaa008. Hardarson, T., L. Van Landuyt, and G. Jones, The blastocyst. Human Reproduction, 2012. 27(suppl_1): p. i72-i91. Papale, L., et al., The zygote. Human Reproduction, 2012. 27(suppl_1): p. i22-i49. Prados, F.J., et al., The cleavage stage embryo. Human Reproduction, 2012. 27(suppl_1): p. i50-i71. Rienzi, L., et al., The oocyte. Human Reproduction, 2012. 27(suppl_1): p. i2-i21., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=582BC252D2D0A957071DDD2E092DAEEE, build_uid=499194be-296c-4b50-8452-51ca8b9ff491, revision=1.0.0}
Keywordsin vitro, fertilization, IVF, reproductive medicine, zygote, fertilised, fertilized, oocyte, egg, fertilisation, embryo, reproduction, ART, blastocyst, morphology, time-lapse
Lifecyclepublished
UID6bce9f1a-8cee-4dfc-89ad-c4c50a526906
Language useden
Citeable Identifier1013.1.5854
Revision Number1.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Assessment of morphological features and development of a single oocyte or embryo., archetypeConceptComment=null, otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Gunn Elin Blakkisrud, DIPS ASA, Norway
Peter Fedorcsak, University of Oslo, Norway (openEHR Editor)
Rosane Gotardo, Systema Ltda., Brazil
Heather Grain, Llewelyn Grain Informatics, Australia
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Manisha Mantri, C-DAC, India
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Norwegian Review Summary, Nasjonal IKT HF, Norway
John Tore Valand, Haukeland Universitetssjukehus, Norway
Julius Hreinsson, Laboratory Director at Reproductive Medicine, Sahlgrenska University Hospital, Sweden, originalLanguage=en, translators=
  • Norwegian Bokmål: Peter Fedorcsak, Vebjørn Arntzen, University of Oslo, Oslo University Hospital, peterfe@uio.no, varntzen@ous-hf.no

  • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[], identities=[], capabilities=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0004]/items[at0067], code=at0067, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0004]/items[at0005], code=at0005, itemType=SLOT, level=2, text=Device, description=Details of the device used to assess morphology and development of the oocyte or embryo., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0004]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Culture dish ID, description=The unique identifier for the culture dish containing the oocyte or embryo., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0004]/items[at0007], code=at0007, itemType=ELEMENT, level=2, text=Method, description=Method for assessment of morphology and development of the oocyte or embryo., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Manual [Morphology and development were assessed by manual microscopy.]
      • Time-lapse [Morphology and development were assessed by automated device.]
    •  Text
    , extendedValues=null]], content=[], source=[], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0066], code=at0066, itemType=POINT_EVENT, level=2, text=Oocyte collection assessment, description=Observation of the oocyte at oocyte collection., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0027], code=at0027, itemType=POINT_EVENT, level=2, text=Fertilisation assessment, description=Observation of the inseminated oocyte to assess fertilization., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0028], code=at0028, itemType=POINT_EVENT, level=2, text=Syngamy assessment, description=Observation of the inseminated oocyte to assess syngamy., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0029], code=at0029, itemType=POINT_EVENT, level=2, text=Early cleavage assessment, description=Observation of the embryo to assess early first cell cleavage., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0030], code=at0030, itemType=POINT_EVENT, level=2, text=Day-2 embryo assessment, description=Embryo observation on Day 2 post insemination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0031], code=at0031, itemType=POINT_EVENT, level=2, text=Day-3 embryo assessment, description=Embryo observation on Day 3 post insemination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0032], code=at0032, itemType=POINT_EVENT, level=2, text=Day-4 embryo assessment, description=Embryo observation on Day 4 post insemination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0033], code=at0033, itemType=POINT_EVENT, level=2, text=Day-5 embryo assessment, description=Embryo observation on Day 5 post insemination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0065], code=at0065, itemType=POINT_EVENT, level=2, text=Day-6 embryo assessment, description=Embryo observation on Day 6 post insemination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0062], code=at0062, itemType=POINT_EVENT, level=2, text=Freezing assessment, description=Oocyte or embryo observation at cryopreservation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0063], code=at0063, itemType=POINT_EVENT, level=2, text=Thawing assessment, description=Oocyte or embryo observation at thawing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0064], code=at0064, itemType=POINT_EVENT, level=2, text=Embryo transfer assessment, description=Embryo observation at embryo transfer., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null]], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Label, description=Label or name identifying an oocyte or embryo., 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=/data[at0001]/events[at0002]/data[at0003]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=ID, description=The unique identifier for the oocyte or embryo., comment=For example: the entire or applicable part of the "Single European Code” or “SEC” identifier., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Identifier
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Description, description=General description of the oocyte or embryo., 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=/data[at0001]/events[at0002]/data[at0003]/items[at0036], code=at0036, itemType=ELEMENT, level=4, text=Developmental stage, description=Developmental stage of the oocyte or embryo., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Oocyte [Oocyte stage.]
      • Pronuclear stage [Pronuclear zygote stage.]
      • 2-cell stage [2-cell stage.]
      • 4-cell stage [4-cell stage.]
      • 8-cell stage [8-cell stage.]
      • Morula [Morula stage.]
      • Blastocyst [Blastocyst stage.]
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0044], code=at0044, itemType=ELEMENT, level=4, text=Developmental event, description=Recording of a developmental event observed during time-lapse microscopy., comment=Value set drawn from the Eshre Working Group's 'Nomenclature of morphokinetic parameters'. For example: extrusion of second polar body, appearance and fading of pronuclei, cell divisions, or compaction. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Text
    •  Coded Text
      • tPB2 extrusion [The second polar body is completely detached from the oolemma.]
      • tPNa [Appearance of individual pronuclei.]
      • tPNf [Fading of pronuclei.]
      • t2 [The embryo reaches 2 blastomeres.]
      • t3 [The embryo reaches 3 blastomeres.]
      • t4 [The embryo reaches 4 blastomeres.]
      • t5 [The embryo reaches 5 blastomeres.]
      • t6 [The embryo reaches 6 blastomeres.]
      • t7 [The embryo reaches 7 blastomeres.]
      • t8 [The embryo reaches 8 blastomeres.]
      • tSC [Evidence of compaction.]
      • tM [Completion of compaction process.]
      • tSB [Initiation of blastulation.]
      • tB [Full blastocyst.]
      • tE [Initiation of expansion.]
      • tHN [Herniation.]
      • tHB [Fully hatched blastocyst.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=SLOT, level=4, text=Morphological findings, description=Structured morphological findings appropriate for the developmental stage of the oocyte or embryo., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.exam_embryo.v1 or
    openEHR-EHR-CLUSTER.exam_blastocyst.v1 or
    openEHR-EHR-CLUSTER.exam_oocyte.v1 or
    openEHR-EHR-CLUSTER.exam_zygote.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=SLOT, level=4, text=Image representation, description=Digital image, video or diagram representing morphology and development of the oocyte or embryo., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.media_file.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0023], code=at0023, itemType=ELEMENT, level=4, text=Time post-insemination, description=The duration since insemination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Interpretation, description=Clinical interpretation of the morphological and developmental assessment of the oocyte or embryo., comment=For example: 'Suitable for clinical use'; or 'Unsuitable for clinical use'. , uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0035], code=at0035, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the oocyte or embryo assessment, not captured in other fields., comment=For example: difficulties in visualisation., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], contacts=[], ism_transition=[], details=[], relationships=[], state=[], target=[], other_participations=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0004], code=at0004, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0004]/items[at0067], code=at0067, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0004]/items[at0005], code=at0005, itemType=SLOT, level=2, text=Device, description=Details of the device used to assess morphology and development of the oocyte or embryo., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0004]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Culture dish ID, description=The unique identifier for the culture dish containing the oocyte or embryo., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0004]/items[at0007], code=at0007, itemType=ELEMENT, level=2, text=Method, description=Method for assessment of morphology and development of the oocyte or embryo., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Manual [Morphology and development were assessed by manual microscopy.]
      • Time-lapse [Morphology and development were assessed by automated device.]
    •  Text
    , extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]