ARCHETYPE Assisted reproduction treatment cycle summary (openEHR-EHR-EVALUATION.art_cycle_summary.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.art_cycle_summary.v1
ConceptAssisted reproduction treatment cycle summary
DescriptionSummary or persistent information about a single cycle of assisted reproduction treatment.
UseUse to record summary or persistent information about a single cycle of assisted reproduction treatment. The start of a treatment cycle is triggered by the initiation of ovulation stimulation or monitoring. The end of a treatment cycle is triggered by identifying a 'Cycle outcome': - the cancellation of treatment for any reason; - embryo transfer; - the recognition that no embryo is suitable for transfer; - embryo freezing; or - successful harvesting of oocytes that are frozen or donated.
MisuseNot to be used to record details about a pregnancy conceived by assisted reproduction treatment beyond a week eight ultrasound scan.
PurposeTo record summary or persistent information about a single cycle of assisted reproduction treatment.
ReferencesESHRE Special Interest Group of Embryology; Alpha Scientists in Reproductive Medicine. The Vienna consensus: report of an expert meeting on the development of art laboratory performance indicators. Hum Reprod Open. 2017 Aug 4;2017(2):hox011. doi: 10.1093/hropen/hox011. PMID: 31486806; PMCID: PMC6276649.

Group, E.C.P.W., et al., The Maribor consensus: report of an expert meeting on the development of performance indicators for clinical practice in ART. Hum Reprod Open, 2021. 2021(3): p. hoab022. PMID: 34250273.

Nargund G, Fauser BC, Macklon NS, Ombelet W, Nygren K, Frydman R; Rotterdam ISMAAR Consensus Group on Terminology for Ovarian Stimulation for IVF. The ISMAAR proposal on terminology for ovarian stimulation for IVF. Hum Reprod. 2007 Nov;22(11):2801-4. doi: 10.1093/humrep/dem285. Epub 2007 Sep 12. PMID: 17855409.

Zegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, de Mouzon J, Sokol R, Rienzi L, Sunde A, Schmidt L, Cooke ID, Simpson JL, van der Poel S. The International Glossary on Infertility and Fertility Care, 2017. Fertil Steril. 2017 Sep;108(3):393-406. doi: 10.1016/j.fertnstert.2017.06.005. Epub 2017 Jul 29. PMID: 28760517.
Copyright© openEHR Foundation
AuthorsAuthor name: Peter Fedorcsak
Organisation: University of Oslo
Email: peterfe@uio.no
Date originally authored: 2022-01-11
Other Details LanguageAuthor name: Peter Fedorcsak
Organisation: University of Oslo
Email: peterfe@uio.no
Date originally authored: 2022-01-11
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=ESHRE Special Interest Group of Embryology; Alpha Scientists in Reproductive Medicine. The Vienna consensus: report of an expert meeting on the development of art laboratory performance indicators. Hum Reprod Open. 2017 Aug 4;2017(2):hox011. doi: 10.1093/hropen/hox011. PMID: 31486806; PMCID: PMC6276649. Group, E.C.P.W., et al., The Maribor consensus: report of an expert meeting on the development of performance indicators for clinical practice in ART. Hum Reprod Open, 2021. 2021(3): p. hoab022. PMID: 34250273. Nargund G, Fauser BC, Macklon NS, Ombelet W, Nygren K, Frydman R; Rotterdam ISMAAR Consensus Group on Terminology for Ovarian Stimulation for IVF. The ISMAAR proposal on terminology for ovarian stimulation for IVF. Hum Reprod. 2007 Nov;22(11):2801-4. doi: 10.1093/humrep/dem285. Epub 2007 Sep 12. PMID: 17855409. Zegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, de Mouzon J, Sokol R, Rienzi L, Sunde A, Schmidt L, Cooke ID, Simpson JL, van der Poel S. The International Glossary on Infertility and Fertility Care, 2017. Fertil Steril. 2017 Sep;108(3):393-406. doi: 10.1016/j.fertnstert.2017.06.005. Epub 2017 Jul 29. PMID: 28760517., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=09CC509268F4E20A73807CF409B4705B, build_uid=a0ed3df7-8376-4680-a873-217caf9cc948, revision=1.0.0}
KeywordsART, IVF, ICSI, reproduction, in vitro, fertilisation, insemination, infertility, reproductive
Lifecyclepublished
UID71752b17-1366-4527-8638-170b78f546d5
Language useden
Citeable Identifier1013.1.5972
Revision Number1.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Summary or persistent information about a single cycle of assisted reproduction treatment., archetypeConceptComment=null, otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Peter Fedorcsak, University of Oslo, Norway (openEHR Editor)
Heather Grain, Llewelyn Grain Informatics, Australia
Evelyn Hovenga, EJSH Consulting, Australia
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Norwegian Review Summary, Norwegian Public Hospitals, Norway
Christine Mikalsen, Regional forvaltning EPJ, Norway
John Tore Valand, Haukeland Universitetssjukehus, Norway, originalLanguage=en, translators=
  • Norwegian Bokmål: Peter Fedorcsak, Liv Laugen, Vebjørn Arntzen, University of Oslo, ​Oslo University Hospital, Norway, peterfe@uio.no, liv.laugen@ous-hf.no, varntzen@ous-hf.no

    • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[], contacts=[], details=[], description=[], content=[], provider=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Cycle sequence, description=The cycle number within a sequence of cycles., comment=For example: '2' as the second treatment cycle., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Cycle identifier, description=Identifier of the treatment cycle within the treating organisation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Identifier
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Start date, description=The date of commencement for the treatment cycle., comment=For example: the date, or date and time, when ovarian stimulation or monitoring was initiated with the intention to treat., 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=/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Description, description=Narrative description about the treatment cycle., 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]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Intent, description=The intended purpose at the onset of the treatment cycle., comment=For example: infertility treatment; fertility preservation; produce gamete for donation; prevent transmission of infectious disease; prevent transmission of genetic disease. This data element has multiple occurrences to allow for more than one intended purpose to be recorded., 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]/items[at0012], code=at0012, itemType=ELEMENT, level=2, text=Activities, description=Activity or treatment caried out during the treatment cycle., comment=This data element has multiple occurrences to allow for more than one activity to be recorded., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Intrauterine insemination
      • Conventional in vitro insemination
      • Intracytoplasmatic sperm injection (ICSI)
      • Oocyte aspiration
      • Surgical sperm collection
      • Pre-implantation genetic testing
      • Embryo transfer
      • Frozen-thawed embryo transfer
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Donation received, description=Cell or tissue type donated to the individual as part of the treatment cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • None
    • Sperm [Donated sperm were used as part of the treatment cycle.]
    • Oocyte donation [Donated oocyte/s were used as part of the treatment cycle.]
    • Embryo donation [Donated embryo/s were used as part of the treatment cycle.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0026], code=at0026, itemType=ELEMENT, level=2, text=Hormone protocol, description=Identification of the hormone protocol used during the treatment cycle., 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
      • Natural cycle
      • Modified natural cycle
      • Hormone replacement cycle
      • Mild stimulation
      • Long-term GnRH agonist, conventional simulation
      • Flare-up GnRH agonist, conventional stimulation
      • GnRH antagonist, conventional stimulation
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0072], code=at0072, itemType=ELEMENT, level=2, text=Cumulative gonadotropin dose, description=Total gonadotropin dose administered for ovarian stimulation during the treatment cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Units:
    • >=0.0 IU
    • μg
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0073], code=at0073, itemType=ELEMENT, level=2, text=Duration of gonadotropin administration, description=Number of days for gonadotropin administration during ovarian stimulation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: days
    >=0 days
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0042], code=at0042, itemType=ELEMENT, level=2, text=Number of oocytes collected, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0043], code=at0043, itemType=ELEMENT, level=2, text=Number of mature (M2) oocytes collected, description=Number of collected oocytes in metaphase 2 of the meiotic cell division., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0044], code=at0044, itemType=ELEMENT, level=2, text=Number of oocytes attempted fertilized, description=Number of oocytes subjected to conventional in vitro fertilisation (IVF) or to intracytoplasmatic sperm injection (ICSI)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0071], code=at0071, itemType=ELEMENT, level=2, text=Number of 2PN zygotes, description=Number of zygotes with two visible pronuclei., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0045], code=at0045, itemType=ELEMENT, level=2, text=Number of embryos transferred, description=Number of embryo transferred., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0046], code=at0046, itemType=ELEMENT, level=2, text=Transferred embryo quality, description=Narrative description about the quality of the embryos transferred., 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]/items[at0047], code=at0047, itemType=ELEMENT, level=2, text=Number of embryos frozen, description=Number of cryopreserved embryos., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0048], code=at0048, itemType=ELEMENT, level=2, text=Number of oocytes frozen, description=Number of cryopreserved oocytes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0049], code=at0049, itemType=ELEMENT, level=2, text=Number of embryos thawed, description=Number of embryos thawed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0050], code=at0050, itemType=ELEMENT, level=2, text=Number of embryos surviving thaw, description=Number of embryos surviving thaw., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0051], code=at0051, itemType=ELEMENT, level=2, text=Number of embryos biopsied, description=Number of embryos biopsied for preimplantation genetic test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0052], code=at0052, itemType=ELEMENT, level=2, text=Number of embryos surviving biopsy, description=Number of embryos surviving biopsy for preimplantation genetic test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0034], code=at0034, itemType=ELEMENT, level=2, text=Cycle outcome, description=Identification of the outcome of the treatment cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Embryo transfer completed
      • Cycle cancelled before oocyte aspiration
      • Cycle cancelled after oocyte aspiration
      • All embryos frozen
      • All oocytes frozen
      • Oocytes donated
      • No embryo is suitable for transfer
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0054], code=at0054, itemType=ELEMENT, level=2, text=Pregnancy test outcome, description=Outcome of pregnancy test with human chorionic gonadotropin (hCG)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Positive [The end of cycle hCG test result was positive.]
    • Negative [The end of cycle hCG test result was negative.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0053], code=at0053, itemType=ELEMENT, level=2, text=Number of viable fetuses, description=The number of fetuses with cardiac activity on the eight week ultrasound., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0057], code=at0057, itemType=CLUSTER, level=2, text=Complications, description=Details about one or more complications due to treatment or activities during the assisted reproduction treatment cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0057]/items[at0058], code=at0058, itemType=ELEMENT, level=3, text=Condition, description=Name of the condition identified as a complication of treatment., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Mild ovarian hyperstimulation syndrome
      • Moderate ovarian hyperstimulation syndrome
      • Severe ovarian hyperstimulation syndrome
      • Infection
      • Bleeding
      • Thrombosis
    •  Text
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    All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0067], code=at0067, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the treatment cycle, 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]], identities=[], other_participations=[], activities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0068]/items[at0069], code=at0069, itemType=ELEMENT, level=2, text=Last updated, description=The date this treatment cycle 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[at0068]/items[at0070], code=at0070, 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:
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