| ARCHETYPE ID | openEHR-EHR-CLUSTER.gdm_registry.v1 |
|---|---|
| Concept | GDM Registry Dataset |
| Description | Initial dataset for internal discussion |
| Use | For baseline |
| Misuse | any other |
| Purpose | For the GDM Registry dataset development |
| References | |
| Copyright | © openEHR Foundation |
| Authors | Author name: Koray Atalag Organisation: NIHI Email: k.atalag@nihi.auckland.ac.nz Date originally authored: 2013-11-25 |
| Other Details Language | Author name: Koray Atalag Organisation: NIHI Email: k.atalag@nihi.auckland.ac.nz Date originally authored: 2013-11-25 |
| Other Details (Language Independent) |
|
| Keywords | |
| Lifecycle | AuthorDraft |
| Language used | en |
| Citeable Identifier | 1013.1.1593 |
| items | |
| DEMOGRAPHIC | DEMOGRAPHIC: Demographic details of the woman. |
| NHI | NHI: NZ NHI number |
| Date of birth | Date of birth: DoB |
| Ethnicity | Ethnicity: NZ Ethicities, can be multiple. Using Stats NZ level-2 list
|
| Name | Name: Full name |
| CONTACT DETAILS | CONTACT DETAILS: Contact info, should be the most recent one |
| Address | Address: Address - can be multiple (e.g. physical, postal etc.) |
| Telecom | Telecom: Telephone, fax etc. can be multiple |
| Email: Email(s) | |
| Preferred? | Preferred?: Whether this is the preferred contact; e.g. others will be used if this fails |
| CONTACT PEOPLE | CONTACT PEOPLE: People who can be contacted - can be multiple |
| Name | Name: Full name |
| Relationship | Relationship: Relationship to woman
|
| Address | Address: Address - can be multiple (e.g. physical, postal etc.) |
| Telecom | Telecom: Telephone, fax etc. can be multiple |
| Email: Email(s) | |
| PROVIDER | PROVIDER: Woman's healthcare provider (e.g. GP practice, DHB etc). Can be multiple |
| HPI | HPI: Health Provider Index |
| Designated GP | Designated GP: Woman's GP |
| Practice | Practice: Woman's GP Practice |
| Address | Address: Address - can be multiple (e.g. physical, postal etc.) |
| Telecom | Telecom: Telephone, fax etc. can be multiple |
| Email: Email(s) | |
| PERSISTENT SUMMARY | PERSISTENT SUMMARY: * |
| Date of first Diabetes Clinic appointment | Date of first Diabetes Clinic appointment: * |
| Gravida/Parity | Gravida/Parity: No of pregnancies and deliveries survived to a gestational age of 24 weeks |
| History of GDM | History of GDM: Any known Hx of GDM. This information will come from individual pregnancy based entries; collated from existing data. |
| History of prior GDM | History of prior GDM: Any known history present or not |
| Date of last GDM Diagnosis | Date of last GDM Diagnosis: Date of GDM Diagnosis |
| Treatment of GDM | Treatment of GDM: Tx of GDM episode
|
| Insulin required? | Insulin required?: Insulin required during GDM episode
|
| Comorbidities | Comorbidities: Any comorbidities
|
| Family history of diabetes | Family history of diabetes: Known family history?
|
| Smoking status | Smoking status: SNOMED smoking status valueset AND two ex-smoker added
|
| Attended group educational sessions? | Attended group educational sessions?: Whether they attended group educational session that we run. |
| PREGNANCY | PREGNANCY: * |
| Clinical Information | Clinical Information: Clinical information |
| Date of GDM diagnosis | Date of GDM diagnosis: Date of GDM Dx for a particular pregnancy |
| Gestation at diagnosis | Gestation at diagnosis: Duration in weeks |
| Gravida/Parity | Gravida/Parity: No of pregnancies and deliveries survived to a gestational age of 24 weeks |
| Comorbidities | Comorbidities: Any comorbidities
|
| Weight at presentation | Weight at presentation: Body weight Property: Mass Units:
|
| Height at presentation | Height at presentation: Height Property: Length Units:
|
| BMI at presentation | BMI at presentation: BMI Property: Mass per area Units: kg/m² |
| First antenatal blood date of request | First antenatal blood date of request: First antenatal blood date of request |
| Laboratory | Laboratory: Lab results |
| OGTT result (fasting) | OGTT result (fasting): fasting OGTT result Property: Concentration Units: mmol/l |
| OGTT result (2 hour) | OGTT result (2 hour): 2 hr OGTT result Property: Concentration Units: mmol/l |
| Polycose result | Polycose result: * Property: Concentration Units: mmol/l |
| HbA1c at diagnosis | HbA1c at diagnosis: Routinely done - using International Federation of Clinical Chemistry (IFCC) unit (mmol/mol) Property: Amount (mole) Units: mmol/mol |
| Urine microalbumin | Urine microalbumin: amount of albumin in urine Property: Concentration Units: mg/l |
| Protein creatinine ratio | Protein creatinine ratio: urine protein/creatinine ratio - mg/mmol Property: Proportion |
| Serum creatinine | Serum creatinine: Routine once referred to clinic. 14682-9 LOINC Property: Concentration Units:
|
| Management | Management: Management of GDM |
| Treatment of GDM | Treatment of GDM: Tx of GDM episode
|
| Insulin required? | Insulin required?: Insulin required during GDM episode
|
| Description | Description: Description of management details of GDM episode |
| End of pregnancy | End of pregnancy: End of pregnancy data |
| Gestation at delivery | Gestation at delivery: gestation at delivery - in weeks |
| Delivery outcome | Delivery outcome: Outcome of delivery
|
| Pre-eclampsia | Pre-eclampsia: Pre-eclampsia present? |
| Mode of delivery | Mode of delivery: Mode of delivery
|
| Neonatal weight at delivery | Neonatal weight at delivery: Neonatal weight at delivery Property: Mass Units: g |
| 6 week OGTT result | 6 week OGTT result: 6 week OGTT result Property: Concentration Units:
|
| HbA1c within 3 months of delivery | HbA1c within 3 months of delivery: HbA1c within 3 months of delivery Property: Amount (mole) Units: mmol/mol |
| Newborn(s) | Newborn(s): Information about the baby |
| NHI | NHI: NZ NHI number |
| Post-natal death | Post-natal death: Death after birth? |
| Neonate ICU admission | Neonate ICU admission: kids frequently get admitted for hypoglycaemia due to maternal hyperinsulinemia |
| Death date | Death date: Date of death |
| Death reason | Death reason: Reason for death |
| Followup | Followup: Any follow-up info |
| Administrative | Administrative: Admin info |
| ICD Codes at discharge | ICD Codes at discharge: ICD Codes at discharge - can be multiple |
| ONGOING | ONGOING: Data to be collected on an ongoing basis |
| Annual HbA1c result | Annual HbA1c result: Annual HbA1c result Property: Amount (mole) Units: mmol/mol |
| CASE MANAGEMENT | CASE MANAGEMENT: Case management functionality information |
| Contact | Contact: For each contact data will be captured longitudinally |
| Contact info used | Contact info used: * |
| Address | Address: Address - can be multiple (e.g. physical, postal etc.) |
| Telecom | Telecom: Telephone, fax etc. can be multiple |
| Email: Email(s) | |
| Person contacted | Person contacted: Person contacted, woman or other |
| Contact reason | Contact reason: Reason of contact |
| Contact date | Contact date: Contact date |
| Contact type | Contact type: Type of contact
|
| Case status | Case status: Whether case is open (e.g. patient did not respond etc.) or closed
|
| Case priority | Case priority: Case priority
|
| Outcome | Outcome: Description of correspondence and outcome |
| Follow-up | Follow-up: flag for future consideration / important |
| Contacting personnel | Contacting personnel: Personnel who made contact - from list of Registry users |
| Follow-up notes | Follow-up notes: Free text notes - can be multiple |
| INTERVENTION | INTERVENTION: Details of interventions and outcome |
| Date of intervention | Date of intervention: Date intervention was made |
| Type of intervention | Type of intervention: Type of intervention |
| Mode of delivery | Mode of delivery: How intervention was delivered; e.g. TXT, mail etc. |
| Intervention details | Intervention details: Free text details of intervention |
| Other contributors | GDM Registry development team |
| Translators |