ARCHETYPE Obstetric summary (openEHR-EHR-EVALUATION.obstetric_summary.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.obstetric_summary.v1
ConceptObstetric summary
DescriptionAn overview of the obstetric history of a woman, including a summary of all pregnancies and the associated outcomes or interventions.
UseUse to record an overview of the obstetric history of a woman, including a summary of all pregnancies and the associated outcomes or interventions. Use this summary as the basis of statutory reporting regarding births. Use to record the TPAL overview of an obstetric history, if required - the numbers of Term Births (T), Preterm Births (P), Abortions (A) and Living Children (L). Some variations add Gravidity (G) and number of Multiple Births (M). Some data may be calculated or derived from individual pregnancy records if these are available.
MisuseNot for recording summary information about a specific pregnancy - use EVALUATION. pregnancy_summary for this purpose. Not for recording detailed information about each of the individual pregnancies, miscarriages, terminations, or deliveries. This information will be recorded using other specific archetypes as event-based data.
PurposeTo record an overview about the obstetric history of a woman for purposes of: providing a snapshot of her obstetric history, reporting to statutory bodies or supporting clinical decision support.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2011-02-24
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2011-02-24
OtherDetails Language Independent{MD5-CAM-1.0.1=5861E68BB323792892A45055A9EC5EDC}
Keywordsobstetric, pregnancy, parity, gravida, para, terminations, miscarriages, abortions, spontaneous, live, births, stillbirths, caesarean, ectopic, neonatal, tubal, living, multiple, neonatal death
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.1312
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=An overview of the obstetric history of a woman, including a summary of all pregnancies and the associated outcomes or interventions., archetypeConceptComment=null, otherContributors=Sheryl Alexander, NT Department of Health, Australia
Rita Apelt, Department of Health,NT, Australia
Stephen Chu, NEHTA, Australia
Margaret Cotter, AMSANT, Australia
Michelle Dowden, Miwatj Health Ngalkanbuy Health, Australia
Tim Garden, NTG Department of Health, Australia
Tanya Gardner, CAAC, Australia
Sam Heard, Ocean Informatics, Australia (Editor)
Oliver Hosking, Remote Health NT, Australia
Michelle Kealy, Australia
Bernadette Lack, Department of Health, Australia
Heather Leslie, Ocean Informatics, Australia (Editor)
Hugh Leslie, Ocean Informatics, Australia
Chunlan Ma, Ocean Informatics, Australia
Ian McNicoll, Ocean Informatics UK, United Kingdom
Jeremy Oats, NT Health, Australia
Steven Schatz, Department of Health (Northern Territory), Australia
Rosalie Schultz, Anyinginyi Health Aboriginal Corporation, Australia
Gary Sinclair, NT DoH, Australia
Cherie Whitbread, Royal Darwin Hospital, Australia
Jo Wright, NT Dept of Health, Australia (Editor), originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], activities=[], credentials=[], state=[], capabilities=[], items=[], events=[], provider=[], content=[], target=[], contacts=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Date Updated, description=The date this summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Stillbirth Definition, description=Definition of stillbirth., comment=Maybe useful to record when comparing data from different regions as, as definitions of stillbirth may vary. For example, in Australia a stillborn baby will have a gestation greater than 20 weeks or, if gestation is unknown, weigh more than 400 grams., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], other_participations=[], relationships=[], ism_transition=[], description=[], source=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Pregnancies, description=Number of times a woman has been pregnant, including a current pregnancy. May also be referred to as Gravidity., comment=Using the GTPALM approach, this data element corresponds to Gravidity - 'G'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <100

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Births, description=Number of times a woman has given birth after 20 weeks gestation, to one or more babies. May also be referred to as Parity., comment=Late terminations of pregnancy (after 20 weeks of gestation) are not included. When both 'Term Births (T)' and 'Preterm Births (P)' are recorded, 'Parity' should be equal to their sum. Note: Parity is not the equivalent to the number of infants born - for example, birth of twins would be recorded in this data point as one birth event., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0015], code=at0015, itemType=ELEMENT, level=2, text=Term Births, description=Number of birth events in which the babies are born on or after 37 weeks of gestation., comment=Using the GTPALM approach, this data element corresponds to Term Births - 'T'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016], code=at0016, itemType=ELEMENT, level=2, text=Preterm Births, description=Number of birth events in which the babies are born at less than 37 weeks of gestation., comment=Using the GTPALM approach, this data element corresponds to Preterm Births - 'P'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0018], code=at0018, itemType=ELEMENT, level=2, text=Multiple Births, description=Number of birth events in which more than one baby has been born., comment=Using the GTPALM approach, this data element corresponds to Multiple Births - 'M'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0017], code=at0017, itemType=ELEMENT, level=2, text=Abortions, description=Number of non-viable pregnancies from all causes and at any gestation, including spontaneous miscarriages, induced terminations and ectopic pregnancies., comment=When all of 'Miscarriages', 'Terminations' and 'Ectopic Pregnancies' are recorded, this number should be equal to their sum. Using the GTPALM approach, this data element corresponds to Abortions - 'A'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Miscarriages, description=Number of times a woman has had a spontaneous miscarriage at less than 20 weeks of gestation., comment=Including missed abortions., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Terminations, description=Number of times a woman has had an induced pregnancy termination, regardless of gestation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Ectopic Pregnancies, description=Number of ectopic pregnancies., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Caesarean Sections, description=Number of Caesarean sections performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=2, text=Stillborn, description=Number of stillborn babies from all birth events., comment=Note: The definition of Stillbirth may be optionally captured in specific data element in Protocol., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Liveborn, description=Number of liveborn babies from all birth events., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=2, text=Living Children, description=Number of children who remain alive at the time of data recording., comment=Using the GTPALM approach, this data element corresponds to Living Children - 'L'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0020], code=at0020, itemType=ELEMENT, level=2, text=Adopted Children, description=Number of children who have been adopted., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0019], code=at0019, itemType=ELEMENT, level=2, text=Clinical Description, description=Narrative description about the obstetric history, including significant aspects that might be useful for sharing or for triggering further investigation., comment=For example, complications, delivery interventions, IVF treatment etc., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], context=[], details=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0008], code=at0008, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Date Updated, description=The date this summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Stillbirth Definition, description=Definition of stillbirth., comment=Maybe useful to record when comparing data from different regions as, as definitions of stillbirth may vary. For example, in Australia a stillborn baby will have a gestation greater than 20 weeks or, if gestation is unknown, weigh more than 400 grams., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]