ARCHETYPE Birth summary (openEHR-EHR-CLUSTER.birth_summary.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.birth_summary.v0
ConceptBirth summary
DescriptionA 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.
UseUse 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 summary' SLOT within the EVALUATION.pregnancy_summary archetype, to capture details about an infant born to the mother; and - in the 'Birth summary' SLOT within the EVALUATION.birth_details archetype, to capture or reuse details about the birth of the individual.
PurposeTo 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
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2022-04-08
Other Details LanguageAuthor 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=650E7B9060024D405F6CB7E430DC374C, build_uid=367d5596-94c7-428c-aec3-36d8cbf9128e, revision=0.0.1-alpha}
Keywordsbirth, pregnancy, infant, newborn
Lifecyclein_development
UIDeb25e880-6a48-4ac9-a480-cbe4526ada87
Language useden
Citeable Identifier1013.1.6180
Revision Number0.0.1-alpha
AllArchetype [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=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={protocol=[], source=[], state=[], ism_transition=[], content=[], relationships=[], activities=[], description=[], 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[at0003], code=at0003, itemType=ELEMENT, level=1, text=Birth order, 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=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Gestational age, 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 postnatal gestation estimated by physical examination and/or neuromuscular assessment of newborn., 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[at0005], code=at0005, itemType=ELEMENT, level=1, text=Mode of birth, 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=DV_CODED_TEXT, bindings=null, values=
  • Unassisted [Normal, non-instrumental vaginal delivery.]
  • Assisted breech delivery [Vaginal delivery assisted by maneuvers in the delivery of the remainder of the body, arms, and head.]
  • Total breech extraction [Vaginal delivery, by which the fetal feet are grasped, and the entire fetus is extracted.]
  • Vacuum extraction [Vaginal delivery assisted by the use of vacuum extraction.]
  • Vacuum extraction with rotation [Vaginal delivery assisted by the use of vacuum extraction.]
  • Lift-out forceps [Vaginal delivery assisted by the use of lift-out forceps.]
  • Low forceps [Vaginal delivery assisted by the use of low forceps.]
  • High forceps [Vaginal delivery assisted by the use of high forceps.]
  • High forceps with rotation [Vaginal delivery assisted by the use of high forceps with rotation.]
  • Caesarean - lower uterine segment [Surgical delivery by a transverse approach in the lower uterine segment (LUSCS).]
  • Caesarean - upper uterine segment [Surgical delivery by an approach in the upper uterine segment.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0017], code=at0017, itemType=ELEMENT, level=1, text=Apgar record, description=Description about Apgar scores recorded after birth., comment=This data element may be recorded as narrative text or as a numerical score. As different countries record Apgar at different times, the timing of this data element has been left unspecified. However the data element allows 0..* occurrences to enable recording a score for one or more timed Apgar scores to be recorded. These scores can be copied or derived from the 'Total' data element within the OBSERVATION.apgar archetype recorded within the maternal health record. , uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Count
  •  Text
, extendedValues=null]], capabilities=[], other_participations=[], contacts=[], identities=[], context=[], events=[], credentials=[], data=[], provider=[], details=[], target=[]}, 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=, 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[at0003], code=at0003, itemType=ELEMENT, level=1, text=Birth order, 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=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Gestational age, 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 postnatal gestation estimated by physical examination and/or neuromuscular assessment of newborn., 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[at0005], code=at0005, itemType=ELEMENT, level=1, text=Mode of birth, 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=DV_CODED_TEXT, bindings=null, values=
  • Unassisted [Normal, non-instrumental vaginal delivery.]
  • Assisted breech delivery [Vaginal delivery assisted by maneuvers in the delivery of the remainder of the body, arms, and head.]
  • Total breech extraction [Vaginal delivery, by which the fetal feet are grasped, and the entire fetus is extracted.]
  • Vacuum extraction [Vaginal delivery assisted by the use of vacuum extraction.]
  • Vacuum extraction with rotation [Vaginal delivery assisted by the use of vacuum extraction.]
  • Lift-out forceps [Vaginal delivery assisted by the use of lift-out forceps.]
  • Low forceps [Vaginal delivery assisted by the use of low forceps.]
  • High forceps [Vaginal delivery assisted by the use of high forceps.]
  • High forceps with rotation [Vaginal delivery assisted by the use of high forceps with rotation.]
  • Caesarean - lower uterine segment [Surgical delivery by a transverse approach in the lower uterine segment (LUSCS).]
  • Caesarean - upper uterine segment [Surgical delivery by an approach in the upper uterine segment.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0017], code=at0017, itemType=ELEMENT, level=1, text=Apgar record, description=Description about Apgar scores recorded after birth., comment=This data element may be recorded as narrative text or as a numerical score. As different countries record Apgar at different times, the timing of this data element has been left unspecified. However the data element allows 0..* occurrences to enable recording a score for one or more timed Apgar scores to be recorded. These scores can be copied or derived from the 'Total' data element within the OBSERVATION.apgar archetype recorded within the maternal health record. , uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Count
  •  Text
, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]