| ARCHETYPE ID | openEHR-EHR-SECTION.antenatal.v1 |
|---|---|
| Concept | Antenatal |
| Description | A section of a record devoted to antenatal assessment. |
| Use | In event summaries and consultation records when the person is pregnant. |
| Purpose | To structure antenatal visit records to promote consistency of organisation and aid interpretation. |
| References | NT Pregnancy Health Record Queensland Government Pregnancy Health Record |
| Copyright | © openEHR Foundation |
| Authors | Author name: Sam Heard Organisation: NT mEHR Project Email: sam.heard@oceaninformatics.com Date originally authored: 2012-01-03 |
| Other Details Language | Author name: Sam Heard Organisation: NT mEHR Project Email: sam.heard@oceaninformatics.com Date originally authored: 2012-01-03 |
| Other Details (Language Independent) |
|
| Keywords | antenatal, visit, prenatal |
| Lifecycle | AuthorDraft |
| Language used | en |
| Citeable Identifier | 1013.1.1417 |
| items | |
| History | History: Any history that is relevant. |
| Patient's story | Patient's story: Any complaints or concerns expressed by the patient. Include: All not explicitly excluded archetypes |
| Findings | Findings: Findings at the consultation. |
| BP | BP: Blood pressure measurement(s). Include: openEHR-EHR-OBSERVATION.blood_ Exclude: All not explicitly included archetypes |
| Gestation | Gestation: Estimation of gestation of the pregnancy. Include: All not explicitly excluded archetypes |
| Fetal movement | Fetal movement: Observation of fetal movements. Include: openEHR-EHR-OBSERVATION.fetal_ Exclude: All not explicitly included archetypes |
| Fundal height and presentation | Fundal height and presentation: Findings of uterine height and the presentation of the fetus(es). Include: openEHR-EHR-OBSERVATION.exam.v1 Exclude: All not explicitly included archetypes |
| Urinalysis | Urinalysis: Findings on urinalysis. Include: All not explicitly excluded archetypes |
| Notes | Notes: Other records relating to the visit. |
| Assessment | Assessment: Findings summarising the clinicians assessment of the situation. Include: openEHR-EHR-EVALUATION.clinical_ |
| Next visit | Next visit: Information about the next visit(s). |
| Followup | Followup: Instructions about the next followup. Include: All not explicitly excluded archetypes |
| Other contributors | |
| Translators |