TEMPLATE Pregnancy ecosystem testing (Pregnancy ecosystem testing)

TEMPLATE IDPregnancy ecosystem testing
ConceptPregnancy ecosystem testing
DescriptionNot Specified
PurposeNot Specified
References
Authorsname: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2022-04-14
Other Details Languagename: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2022-04-14
OtherDetails Language Independent{PARENT:MD5-CAM-1.0.1=545BE872FFC24978414237B682F6C597, original_language=ISO_639-1::en, sem_ver=1.0.0}
Language useden
Citeable Identifier1013.26.430
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.pregnancy_summary.v0, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0], code=at0000, itemType=COMPOSITION, level=0, text=Pregnancy ecosystem testing, description=Summary or persistent details about a single pregnancy., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0], code=at0000, itemType=EVALUATION, level=1, text=Pregnancy summary, description=Overview or summary record of a pregnancy and outcome, including the antenatal period, labour, birth and the immediate postnatal period., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0146], code=at0146, itemType=ELEMENT, level=3, text=Pregnancy label, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0158], code=at0158, itemType=ELEMENT, level=3, text=Pregnancy confirmed, description=Confirmation of the pregnancy., comment=Confirmation may be documented either by date, boolean selection or a link to a confirmatory test result within the health record. This data element may be used to trigger a 'Current' 'Pregnancy status' within the EVALUATION.pregnancy_status archetype., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Date/Time
  •  URI
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0094], code=at0094, itemType=ELEMENT, level=3, text=Pregnancy outcome, description=Outcome of the pregnancy as a whole., comment=Coding of the 'Pregnancy outcome' with an external terminology is recommended. This data element is redundant if 'Delivery outcome' has been recorded. If it is necessary to record outcome information per fetus post delivery use the 'Delivery outcome' data element. Please note - in some existing situations the possible value sets for 'Pregnancy outcome' and 'Delivery outcome' may overlap, and it may be necessary for the user interface in an application to present a merged value set., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0083], code=at0083, itemType=ELEMENT, level=3, text=Pregnancy synopsis, description=Narrative description about the entire pregnancy, labour and delivery, including complications., comment=This data element may be used to populate the 'Pregnancy/birth synopsis' data element within the EVALUATION.birth_details archetype in an infant health record., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0104], code=at0104, itemType=ELEMENT, level=3, text=Assisted reproduction?, description=Was the pregnancy a result of assisted reproductive technology?, comment=True, if assisted reproduction was required to achieve the pregnancy., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0105], code=at0105, itemType=ELEMENT, level=3, text=Assisted reproduction type, description=Type of assisted reproductive technology used to achieve pregnancy., comment=Coding with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=3, text=Number of fetuses, description=Number of fetuses identified in utero., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0159], code=at0159, itemType=ELEMENT, level=3, text=Pregnancy duration, description=The length of the pregnancy until the pregnancy has ended., comment=Also known as 'Gestation at birth' for pregnancies resulting in viable outcomes., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0D..P52W
Units:
  • Week
  • Day
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0008], code=at0008, itemType=ELEMENT, level=3, text=Onset of labour, description=Manner in which labour started., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • No labour 
  • Spontaneous 
  • Induced 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0096], code=at0096, itemType=ELEMENT, level=3, text=Induction method, description=Method of labour induction., comment=Coding of the 'Induction Method' with a terminology is desirable, where possible., 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=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0097], code=at0097, itemType=ELEMENT, level=3, text=Reason for induction, description=Reason for induction of labour., comment=null, 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=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0022], code=at0022, itemType=ELEMENT, level=3, text=Augmentation method, description=Method of labour augmentation., comment=Coding of the 'Augmentation Method' with a terminology is desirable, where possible., 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=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0016], code=at0016, itemType=ELEMENT, level=3, text=Total duration of labor, description=Total duration of all three stages of labour., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=PT0H
Units:
  • Day
  • Hour
  • Minute
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0118], code=at0118, itemType=ELEMENT, level=3, text=Perineum, description=Coded or narrative description about the condition of the perineum after birth, including injuries and repairs., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Coded Text
    • First degree vaginal tear 
    • Second degree vaginal tear 
    • Third degree vaginal tear 
    • Fourth degree vaginal tear 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0157], code=at0157, itemType=ELEMENT, level=3, text=Episiotomy, description=Was an episiotomy performed?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0119], code=at0119, itemType=ELEMENT, level=3, text=Estimated blood loss, description=Estimation of total maternal blood loss during birth and immediately postpartum., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units: ml, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.exam-placenta.v0], code=at0000.1, itemType=CLUSTER, level=3, text=Examination of a placenta, description=Findings observed during the physical examination of a placenta., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.exam-placenta.v0]/items[at0001.1], code=at0001.1, itemType=ELEMENT, level=4, text=System or structure examined, description=Identification of the examined body system or anatomical structure., comment=Coding of the system or structure examined with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Placenta 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.exam-placenta.v0]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Body site, description=Identification of the area of the body under examination., comment=If the body site has been fully identified in the 'System or structure examined' data element, this data element becomes redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.exam-placenta.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Clinical description, description=Narrative description of the overall findings observed during the physical examination., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.exam-placenta.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Clinical interpretation, description=Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings., comment=For example: 'No abnormality detected' or 'Moderate inflammation present'. Coding of the 'Clinical interpretation' with a terminology is preferred, where possible., 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=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.exam-placenta.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the physical examination findings, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0065], code=at0065, itemType=CLUSTER, level=3, text=Maternal complication, description=Details about pregnancy complications or birth complications affecting the mother., comment=Maternal complications recorded within this maternal 'Pregnancy summary' archetype may be used to populate EVALUATION.problem_diagnosis or ACTION.procedure archetypes as part of a maternal Problem list, or similar. Alternatively these complications may be derived from relevant entries previously documented in the maternal health record using EVALUATION.problem_diagnosis or ACTION.procedure archetypes., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0065]/items[at0066], code=at0066, itemType=ELEMENT, level=4, text=Complication, description=Identification of the complication., comment=Coding of the 'Complication' with a terminology is desirable, where possible. For example, post partum haemorrhage or pre-eclampsia., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0065]/items[at0068], code=at0068, itemType=ELEMENT, level=4, text=Description, description=Narrative description of the maternal complication., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0065]/items[at0067], code=at0067, itemType=ELEMENT, level=4, text=Date/Time of onset, description=Date of onset of complication, as assessed by a clinician., comment=If only a partial date is available, this is acceptable., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028], code=at0028, itemType=CLUSTER, level=3, text=Per newborn, description=Information about an single newborn infant., comment=These data elements may be used to record details about live births or stillborn infants., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0036], code=at0036, itemType=ELEMENT, level=4, text=Label/name, description=Identification of the newborn., comment=Identification might be by the name of the neonate or a label given to a non-viable fetus., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0163], code=at0163, itemType=ELEMENT, level=4, text=Delivery outcome, description=Description of the outcome delivery per newborn infant., comment=Coding of the 'Delivery outcome' with an external terminology is recommended. For example: 'Live birth'; 'Stillbirth'; or 'Neonatal death'. This data element is redundant if 'Pregnancy outcome' has been recorded. Please note - in some existing situations the possible value sets for 'Delivery outcome' and 'Pregnancy outcome' may overlap, and it may be necessary for the user interface in an application to present a merged value set., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0029], code=at0029, itemType=ELEMENT, level=4, text=Date/time of delivery, description=Date and time of delivery for the newborn., comment=This data element may be used to populate the newborn's health record using the 'Date of birth' data element within the EVALUATION.birth_details archetype., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0037], code=at0037, itemType=ELEMENT, level=4, text=Assigned sex, description=Sex of the newborn assigned at, or near delivery, by direct observation of external genitalia., comment=Coding with a terminology is preferred, where possible. For example: Male; female; intersex; indeterminate. Indeterminate is to be used in the situation where the infant has ambiguous external genitalia. This data element may be used to populate the newborn health record using the 'Sex assigned at birth' data element within the EVALUATION.gender archetype., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Male 
  • Female 
  • Indeterminate 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.birth_summary.v0], code=at0000, itemType=CLUSTER, level=4, text=Birth summary, 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., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Description, description=Narrative description of the newborn, including observed congenital abnormalities., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Birth order, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=5, 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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0W..P52W Week, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0018], code=at0018, itemType=ELEMENT, level=5, 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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0W..P52W Week, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Mode of birth, description=Method by which the newborn was delivered., comment=For example: vaginal; forceps rotation; or Caesarean Section., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Unassisted 
  • Assisted breech delivery 
  • Total breech extraction 
  • Vacuum extraction 
  • Vacuum extraction with rotation 
  • Lift-out forceps 
  • Low forceps 
  • High forceps 
  • High forceps with rotation 
  • Caesarean - lower uterine segment 
  • Caesarean - upper uterine segment 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0017], code=at0017, itemType=ELEMENT, level=5, 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=
  •  Count
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0045], code=at0045, itemType=ELEMENT, level=4, text=Presenting part, description=Presenting part of the newborn at delivery., comment=The clinical context for recording this data element is only presentation at delivery, not at any other phase of labour., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Vertex 
  • Breech 
  • Face 
  • Brow 
  • Foot 
  • Arm 
  • Shoulder 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0149], code=at0149, itemType=ELEMENT, level=4, text=Position, description=Position of the newborn at delivery., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left occiput anterior/transverse 
  • Right occiput anterior/transverse 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0038], code=at0038, itemType=ELEMENT, level=4, text=Weight, description=Weight of the newborn at delivery., comment=This data element may be used to populate the newborn health record using both the 'Weight' data element and 'Birth' EVENT within the OBSERVATION.body_weight archetype., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000; 0..10
Units:
  • g
  • kg
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0109], code=at0109, itemType=ELEMENT, level=4, text=Feeding, description=Narrative description about feeding of the newborn., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0061], code=at0061, itemType=CLUSTER, level=4, text=Newborn complication, description=Details about any complications affecting the newborn., comment=Newborn complications recorded within this maternal 'Pregnancy summary' archetype may be used to populate EVALUATION.problem_diagnosis or ACTION.procedure archetypes to initiate a Problem list, or similar, within a newborn health record., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0061]/items[at0062], code=at0062, itemType=ELEMENT, level=5, text=Complication, description=Identification of the complication after birth., comment=Coding of the 'Complication' with a terminology is desirable, where possible. For example, neonatal hypoglycaemia or hypothermia., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0061]/items[at0064], code=at0064, itemType=ELEMENT, level=5, text=Description, description=Narrative description of complication., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0061]/items[at0063], code=at0063, itemType=ELEMENT, level=5, text=Date/time of onset, description=Date and/or time of onset of the complication., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/protocol[at0081], code=at0081, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/protocol[at0081]/items[at0082], code=at0082, itemType=ELEMENT, level=3, text=Last updated, description=The date/time the pregnancy summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0], code=at0000, itemType=EVALUATION, level=1, text=Breast feeding summary, description=Summary or persistent information about the all breastfeeding experience of an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Status, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Currently breastfeeding 
  • Previous breastfeeding 
  • Never breastfed 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0]/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Description, description=Narrative description about the overall breastfeeding history for an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0]/data[at0001]/items[at0007], code=at0007, itemType=CLUSTER, level=3, text=Per episode, description=Detail about a discrete episode of breastfeeding activity., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0]/data[at0001]/items[at0007]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Episode label, description=Identification of an episode of breastfeeding - either as a number in a sequence and/or a named event., comment=For example: '2' as the second episode within a sequence of episodes; or 'James' if describing the breastfeeding after the birth of an infant named James., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0]/data[at0001]/items[at0007]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Episode description, description=Narrative description about breastfeeding during the identified episode., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0]/data[at0001]/items[at0007]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Start date, description=The date when the episode of breastfeeding commenced., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0]/data[at0001]/items[at0007]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Stop date, description=The date when the episode of breastfeeding ceased., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0]/data[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about all breastfeeding not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0]/protocol[at0013], code=at0013, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.breast_feeding_summary.v0]/protocol[at0013]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Last updated, description=The date when the breast feeding summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0], code=at0000, itemType=OBSERVATION, level=1, text=Pregnancy finding, description=An assertion about the current pregnant condition of an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=3, text=Current status, description=The current state of pregnancy for the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Finding, description=Is there a pregnancy present?, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pregnant 
  • Possible pregnancy 
  • Not pregnant 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=Evidence, description=Description of the evidence identified., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • On history 
    • Urine test 
    • Blood test 
    • Abdominal palpation 
    • Vaginal examination 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0015], code=at0015, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the pregnancy, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0016], code=at0016, itemType=EVENT, level=3, text=Any event, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0016]/data[at0003 and name/value='Tree'], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0016]/data[at0003 and name/value='Tree']/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Finding, description=Is there a pregnancy present?, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pregnant 
  • Possible pregnancy 
  • Not pregnant 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0016]/data[at0003 and name/value='Tree']/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=Evidence, description=Description of the evidence identified., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • On history 
    • Urine test 
    • Blood test 
    • Abdominal palpation 
    • Vaginal examination 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0016]/data[at0003 and name/value='Tree']/items[at0015], code=at0015, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the pregnancy, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0016]/data[at0003 and name/value='Tree'], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0016]/data[at0003 and name/value='Tree']/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Finding, description=Is there a pregnancy present?, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pregnant 
  • Possible pregnancy 
  • Not pregnant 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0016]/data[at0003 and name/value='Tree']/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=Evidence, description=Description of the evidence identified., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • On history 
    • Urine test 
    • Blood test 
    • Abdominal palpation 
    • Vaginal examination 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.pregnancy_finding.v0]/data[at0001]/events[at0016]/data[at0003 and name/value='Tree']/items[at0015], code=at0015, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the pregnancy, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0], code=at0000.1, itemType=OBSERVATION, level=1, text=Pregnancy test result, description=The result of a diagnostic test performed on a specimen in a non-laboratory environment., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, 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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005.1], code=at0005.1, itemType=ELEMENT, level=5, text=Test name, description=Name of the test carried out on nvestigation performed on the specimen(s)., comment=It is strongly recommended that 'Test name' be coded with a terminology, for example LOINC or SNOMED CT. For example: 'Glucometer blood sugar'; or 'COVID-19 rapid antigen test'. The name may sometimes include specimen type and/or patient state, such as 'Fasting glucometer blood sugar' or 'Oral COVID-19 RAT'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Urine pregnancy test 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0133], code=at0133, itemType=ELEMENT, level=5, text=Specimen, description=Simple description about the specimen tested., comment=For example: nasal swab; blood; or urine., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0123], code=at0123, itemType=ELEMENT, level=5, text=Result, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Quantity
  •  Coded Text
    • Negative 
    • Positive 
    • Indeterminate 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0101], code=at0101, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the test result not captured in other fields., comment=null, 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=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0]/data[at0001]/events[at0002]/state[at0132], code=at0132, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=State, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0]/data[at0001]/events[at0002]/state[at0132]/items[at0130], code=at0130, itemType=ELEMENT, level=5, text=Fasting, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0]/protocol[at0004], code=at0004, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-OBSERVATION.self_test_result-pregnancy.v0]/protocol[at0004]/items[at0121], code=at0121, itemType=ELEMENT, level=3, text=Method, description=Description about the method used to carry out the test., comment=For example: manual finger prick. Coding with a terminology is desirable, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_status.v0], code=at0000, itemType=EVALUATION, level=1, text=Pregnancy status, description=Pregnancy status, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_status.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_status.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Status, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Current 
  • Previous 
  • Never 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_status.v0]/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Comment, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_status.v0]/protocol[at0007], code=at0007, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.pregnancy_status.v0]/protocol[at0007]/items[at0008], code=at0008, itemType=ELEMENT, level=3, text=Last updated, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0], code=at0000, itemType=EVALUATION, level=1, text=Birth details, description=birth details, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Date of birth, description=The date/time of birth of the individual., comment=May also be used to record the assumed or agreed date/time of birth for operational purposes, if the actual date/time is not formally recorded. Possible alternatives for the date/time of birth of the individual can be recorded using the CLUSTER.DOB_alternative archetype 'Date of birth details' SLOT., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.dob_alternative.v0], code=at0000, itemType=CLUSTER, level=3, text=Date of birth alternative, description=Date of birth details, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.dob_alternative.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Possible date/time of birth, description=*, comment=Partial dates are allowed...XXX, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.dob_alternative.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Source, description=Source of information about the possible date of birth., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.dob_alternative.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Comment, description=Additional information about the possible date/time of birth, not captured in other data elements., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Country of birth, description=The country of birth of the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Place of birth, description=Simple representation of the place of birth, comment=This data element provides the opportunity for simple detail about the place of birth, such as the city, region, town, or suburb within the identified 'Country of birth'. For example: Kingston (Jamaica); Manhattan (USA); or Box Hill (Australia)., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Pregnancy/birth synopsis, description=Narrative description about the entire pregnancy, labour and delivery, including maternal and infant complications., comment=This data element may be derived from the 'Pregnancy synopsis' data element within the EVALUATION.pregnancy_summary archetype in the maternal health record., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=3, text=Birth plurality, description=Term representing the total number of live births and stillbirths resulting from the pregnancy., comment=Coding of the 'birth plurality' term is recommended. For example: singleton; twins; triplets; or quadruplets.The definition of 'stillbirth' may vary in different locations., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.birth_summary.v0], code=at0000, itemType=CLUSTER, level=3, text=Birth summary, 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., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Description, description=Narrative description of the newborn, including observed congenital abnormalities., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Birth order, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=4, 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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0W..P52W Week, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0018], code=at0018, itemType=ELEMENT, level=4, 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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0W..P52W Week, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Mode of birth, description=Method by which the newborn was delivered., comment=For example: vaginal; forceps rotation; or Caesarean Section., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Unassisted 
  • Assisted breech delivery 
  • Total breech extraction 
  • Vacuum extraction 
  • Vacuum extraction with rotation 
  • Lift-out forceps 
  • Low forceps 
  • High forceps 
  • High forceps with rotation 
  • Caesarean - lower uterine segment 
  • Caesarean - upper uterine segment 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.birth_summary.v0]/items[at0017], code=at0017, itemType=ELEMENT, level=4, 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=
  •  Count
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/protocol[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.birth_details.v0]/protocol[at0009]/items[at0010], code=at0010, itemType=ELEMENT, level=3, text=Last updated, description=The date/time the birth details were last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0], code=at0000, itemType=EVALUATION, level=1, text=Estimated date of delivery, description=Estimated date of delivery for a pregnancy., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/data[at0002], code=at0002, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/data[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=By date of conception, description=The EDD calculated from a known date of conception., comment=The date of conception will be recorded elsewhere in the health record, for example as part of the record for an IVF procedure., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/data[at0002]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=By cycle, description=The EDD estimated from an LNMP and characteristics of the menstrual cycle., comment=The details about the menstrual cycle will be recorded elsewhere in the health record, usually captured using the OBSERVATION.menstruation archetype., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/data[at0002]/items[at0006], code=at0006, itemType=CLUSTER, level=3, text=By ultrasound, description=Details about an EDD estimated from the findings on a pregnancy ultrasound., comment=Each ultrasound and estimated gestation pair will be captured as a separate instance of this CLUSTER., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/data[at0002]/items[at0006]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Date of ultrasound, description=The date on which the ultrasound was carried out., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/data[at0002]/items[at0006]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Gestation by scan, description=The gestation estimated from the scan., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/data[at0002]/items[at0006]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Estimated date by ultrasound, description=Details about an EDD estimated from the findings on a pregnancy ultrasound., comment=Only one 'Agreed EDD' is appropriate at any one time. If the agreed EDD needs to be revised then this should be captured in a new revision of this archetype within a health record., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/data[at0002]/items[at0009], code=at0009, itemType=CLUSTER, level=3, text=Agreed EDD, description=Details about the agreed EDD which is used as the basis for clinical decision-making during the pregnancy., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/data[at0002]/items[at0009]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Agreed date, description=The EDD which is to be used as the basis for clinical decision-making., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/data[at0002]/items[at0009]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Rationale, description=The rationale which explains why the 'Agreed date' has been selected., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/protocol[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.pregnancy_summary.v0]/content[openEHR-EHR-EVALUATION.estimated_date_delivery.v0]/protocol[at0001]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=Last updated, description=The date any EDD was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null]], templateType=normal]