ARCHETYPE Birth detail (openEHR-EHR-CLUSTER.birth_detail.v0)

Name: Birth detail
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-CLUSTER.birth_detail.v0
Concept	Birth detail
Description	A subset of persistent or summary information about the pregnancy and birth of an infant, selected for utility of use within both the maternal and infant health records.
Use	Use to record a subset of persistent or summary information about the pregnancy and birth of an infant, usually recorded as part of a maternal health record or birth report, but also able to be shared and reused to provide context about the pregnancy and birth within the newborn's health record. This archetype has been designed to be nested: - in the 'Birth detail' SLOT within the EVALUATION.pregnancy_summary archetype, to capture details about an infant born to the mother; and - in the 'Birth detail' SLOT within the EVALUATION.birth_summary archetype, to capture or reuse details about the birth of the individual.
Purpose	To record a subset of persistent or summary information about the pregnancy and birth of an infant, that may be used within both the mother's and infant's health record.
References
Copyright	© openEHR Foundation
Authors	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2022-04-08
Other Details Language	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2022-04-08
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=AFBE13A8BC3785AC196E6B6E05A75B4E, build_uid=6b328d21-98f4-4b30-8756-29a39ec38899, revision=0.0.1-alpha}
Keywords	birth, pregnancy, infant, newborn
Lifecycle	in_development
UID	2cf8a52d-0cff-48d5-86bc-8022fe025bce
Language used	en
Citeable Identifier	1013.1.6180
Revision Number	0.0.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A subset of persistent or summary information about the pregnancy and birth of an infant, selected for utility of use within both the maternal and infant health records., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators= Catalan: Laura Moral Lopez, Sistema de Salut de Catalunya, lmorallopez@gmail.com Spanish (Spain): Laura Moral Lopez, Sistema de Salut de Catalunya, lauramoral@catsalut.cat , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={activities=[], provider=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Description, description=Narrative description of the newborn, including observed congenital abnormalities., 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[at0027], code=at0027, itemType=ELEMENT, level=1, text=Birth outcome, description=Outcome of the pregnancy for the identified infant or fetus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0028::Live birth at0029::Still birth , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Birth order, description=The sequential order of the birth of the infant within a multiple birth pregnancy., comment=For example: singleton or first of a multiple birth; second; third etc., 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=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Gestation, description=The length of the pregnancy at the time of delivery of the infant., comment=The value for this data element will usually, but not always, be identical to the 'Pregnancy duration' data element within the EVALUATION.pregnancy_summary in the maternal record. It may also be derived using the 'Agreed date' data element within the EVALUATION.estimated_date_delivery archetype in the maternal record. Usually estimated by Naegele's rule or by ultrasound scan., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: weeks 0 weeks..52 weeks , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0018], code=at0018, itemType=ELEMENT, level=1, text=Gestational maturity, description=The estimated gestational maturity of the newborn at, or very near, birth., comment=Usually estimated by physical examination and/or neuromuscular assessment of the newborn., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: weeks 0 weeks..52 weeks , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0023], code=at0023, itemType=ELEMENT, level=1, text=Birth category by gestation, description=Category of birth based on the duration of the pregnancy at birth., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0024::Pre-term [Premature; delivered before 37 weeks of gestation.] at0025::Term [Delivered between 37 and 42 weeks of gestation.] at0026::Post-term [Post-mature; delivered beyond 42 weeks of gestation.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=Method of delivery, description=Method by which the newborn was delivered., comment=For example: vaginal; forceps rotation; or Caesarean Section., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Coded Text at0006::Unassisted [Normal, non-instrumental vaginal delivery.] at0007::Assisted breech delivery [Vaginal delivery assisted by maneuvers in the delivery of the remainder of the body, arms, and head.] at0008::Total breech extraction [Vaginal delivery, by which the fetal feet are grasped, and the entire fetus is extracted.] at0009::Vacuum extraction [Vaginal delivery assisted by the use of vacuum extraction.] at0010::Vacuum extraction with rotation [Vaginal delivery assisted by the use of vacuum extraction.] at0011::Lift-out forceps [Vaginal delivery assisted by the use of lift-out forceps.] at0012::Low forceps [Vaginal delivery assisted by the use of low forceps.] at0013::High forceps [Vaginal delivery assisted by the use of high forceps.] at0014::High forceps with rotation [Vaginal delivery assisted by the use of high forceps with rotation.] at0015::Caesarean - lower uterine segment [Surgical delivery by a transverse approach in the lower uterine segment (LUSCS).] at0016::Caesarean - upper uterine segment [Surgical delivery by an approach in the upper uterine segment.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0019], code=at0019, itemType=ELEMENT, level=1, text=Delivery urgency, description=The level of urgency identified at or around the time of delivery., 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 at0020::Routine/Elective [The delivery, induction or Caesarean Section did not require any unexpected or urgent intervention.] at0021::Urgent [Recognition of an increasing risk situation required the delivery to be expedited.] at0022::Emergency [Recognition of a high risk situation required the delivery to be expedited as an emergency.] Text , extendedValues=null]], source=[], content=[], events=[], data=[], context=[], details=[], credentials=[], identities=[], protocol=[], state=[], target=[], ism_transition=[], relationships=[], contacts=[], capabilities=[], description=[], 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=Description, description=Narrative description of the newborn, including observed congenital abnormalities., 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[at0027], code=at0027, itemType=ELEMENT, level=1, text=Birth outcome, description=Outcome of the pregnancy for the identified infant or fetus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0028::Live birth at0029::Still birth , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Birth order, description=The sequential order of the birth of the infant within a multiple birth pregnancy., comment=For example: singleton or first of a multiple birth; second; third etc., 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=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Gestation, description=The length of the pregnancy at the time of delivery of the infant., comment=The value for this data element will usually, but not always, be identical to the 'Pregnancy duration' data element within the EVALUATION.pregnancy_summary in the maternal record. It may also be derived using the 'Agreed date' data element within the EVALUATION.estimated_date_delivery archetype in the maternal record. Usually estimated by Naegele's rule or by ultrasound scan., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: weeks 0 weeks..52 weeks , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0018], code=at0018, itemType=ELEMENT, level=1, text=Gestational maturity, description=The estimated gestational maturity of the newborn at, or very near, birth., comment=Usually estimated by physical examination and/or neuromuscular assessment of the newborn., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: weeks 0 weeks..52 weeks , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0023], code=at0023, itemType=ELEMENT, level=1, text=Birth category by gestation, description=Category of birth based on the duration of the pregnancy at birth., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0024::Pre-term [Premature; delivered before 37 weeks of gestation.] at0025::Term [Delivered between 37 and 42 weeks of gestation.] at0026::Post-term [Post-mature; delivered beyond 42 weeks of gestation.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=Method of delivery, description=Method by which the newborn was delivered., comment=For example: vaginal; forceps rotation; or Caesarean Section., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Coded Text at0006::Unassisted [Normal, non-instrumental vaginal delivery.] at0007::Assisted breech delivery [Vaginal delivery assisted by maneuvers in the delivery of the remainder of the body, arms, and head.] at0008::Total breech extraction [Vaginal delivery, by which the fetal feet are grasped, and the entire fetus is extracted.] at0009::Vacuum extraction [Vaginal delivery assisted by the use of vacuum extraction.] at0010::Vacuum extraction with rotation [Vaginal delivery assisted by the use of vacuum extraction.] at0011::Lift-out forceps [Vaginal delivery assisted by the use of lift-out forceps.] at0012::Low forceps [Vaginal delivery assisted by the use of low forceps.] at0013::High forceps [Vaginal delivery assisted by the use of high forceps.] at0014::High forceps with rotation [Vaginal delivery assisted by the use of high forceps with rotation.] at0015::Caesarean - lower uterine segment [Surgical delivery by a transverse approach in the lower uterine segment (LUSCS).] at0016::Caesarean - upper uterine segment [Surgical delivery by an approach in the upper uterine segment.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0019], code=at0019, itemType=ELEMENT, level=1, text=Delivery urgency, description=The level of urgency identified at or around the time of delivery., 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 at0020::Routine/Elective [The delivery, induction or Caesarean Section did not require any unexpected or urgent intervention.] at0021::Urgent [Recognition of an increasing risk situation required the delivery to be expedited.] at0022::Emergency [Recognition of a high risk situation required the delivery to be expedited as an emergency.] Text , extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]