ARCHETYPE Pregnancy summary (openEHR-EHR-EVALUATION.pregnancy.v1)

ARCHETYPE ID	openEHR-EHR-EVALUATION.pregnancy.v1
Concept	Pregnancy summary
Description	Recordings related to a single human pregnancy which may include more than one fetus or offspring.
Use	*
Misuse	*
Purpose	A summary statement about a pregnancy. It includes a state attribute which allows software to test if the pregnancy is still active, viable or breast feeding is taking place.
References
Copyright	© openEHR Foundation
Authors	Author name: Sam Heard Organisation: Ocaen Informatics, Australia Email: sam.heard@oceaninformatics.com Date originally authored: 2009-01-01
Other Details Language	Author name: Sam Heard Organisation: Ocaen Informatics, Australia Email: sam.heard@oceaninformatics.com Date originally authored: 2009-01-01
Other Details (Language Independent)	MD5-CAM-1.0.1: 97D5CFBB64F80F587B48F6D6AD2B3BE1
Keywords	breast feeding, labour
Lifecycle	AuthorDraft
Language used	en
Citeable Identifier	1013.1.177
data
Maternity states	Maternity states: The state of this pregnancy enabling computational decision support. at0003::Active - viable [The pregnancy is continuing and at least one fetus is viable.] at0004::Active - non-viable [The pregnancy is active but there is no fetal viability.] at0005::Breast feeding [The pregnancy has completed, the mother is currently breast feeding.] at0006::Completed [The pregnancy is complete and the mother is not currently breast feeding.]
Conception	Conception: Details of conception or the beginning of pregnancy.
Date of LMP	Date of LMP: The date of the last menstrual period if known.
Date of conception	Date of conception: The date of conception if known.
Previous pregnancies	Previous pregnancies: Details of previous pregnancies.
Any prior pregnancy	Any prior pregnancy: True if there have been no prior pregnancies.
Number of prior pregnancies	Number of prior pregnancies: The number of pregnancies prior to this pregnancy.
Parity	Parity: Number of previous pregnancies of more than 20 weeks.
Miscarriages	Miscarriages: Number of miscarriages prior to this pregnancy.
Terminations of pregnancy	Terminations of pregnancy: The number of terminations of pregnancy prior to this pregnancy. min: >=0
Current pregnancy	Current pregnancy: Details of this pregnancy.
Expected date of birth	Expected date of birth: The expected date of birth or delivery (EDD).
Basis for estimated date of birth	Basis for estimated date of birth: The basis for the estimated date of birth.
Number of fetuses	Number of fetuses: The number of fetuses at a given gestation.
Number of fetuses	Number of fetuses: The number of fetuses in this pregnancy at a particular gestation.
Gestation	Gestation: The gestation at the time of estimation of the number of fetuses. Allowed values: weeks
Planned model of care	Planned model of care: The model of care planned for birth.
Model of care at delivery	Model of care at delivery: The model of care at the time of birth.
Labour or delivery	Labour or delivery: Details of labour (can be mulitple in unusual circumstances).
Comments	Comments: Any comments on the labour.
Onset	Onset: Details of onset.
Type	Type: Type of onset. at0045::Spontaneous [Onset without intervention.] at0046::Induced [Onset through intervention.] at0070::No labour [Labour did not take place.]
Time of onset	Time of onset: The beginning of stage 1 of labour.
Rupture of membranes	Rupture of membranes: Information about the rupture of membranes.
Type	Type: The type of amniotic membrane rupture. at0045::Spontaneous [Onset without intervention.] at0047::Amniotomy [Rupture of the membranes by procedure.]
Time of rupture	Time of rupture: The time of the rupture of the membranes.
Duration of ruptured membranes	Duration of ruptured membranes: The time between rupture of the membranes and birth. Allowed values: days, hours, minutes
Decription of liquor	Decription of liquor: Description of the liquor during labour and delivery.
Augmentation	Augmentation: Augmentation of labour apart from rupture of membranes.
Type	Type: Type of augmentation.
Time of augmentation	Time of augmentation: The date and time of beginning augmentation of labour.
Duration of augmentation	Duration of augmentation: The duration of augmentation of labour. Allowed values: hours
Duration	Duration: The duration of labour. Allowed values: days, hours, minutes
Offspring	Offspring: Information about the baby or fetus.
Outcome	Outcome: The outcome of the pregnancy. at0081::Live birth [Pregnancy resulted in a live baby.] at0082::Neonatal death [The baby was born alive but lived less than 28 days.] at0083::Still birth [The baby was not alive when born.] at0084::Miscarriage [The foetus miscarried.] at0085::Termination [The pregnancy was terminated.]
Name	Name: The name of the child.
Date of delivery	Date of delivery: The date of birth of this baby or fetus.
Gender	Gender: The gender of the offspring. at0028::Boy [Baby is a boy.] at0029::Girl [Baby is a girl.] at0030::Indeterminant [The gender of the baby or fetus cannot be determined at this point.] at0052::Unknown [The gender is unknown.]
Birth weight	Birth weight: The weight of this baby or fetus at birth. Property: Mass Units: gm >=0.0 kg
Duration of second stage	Duration of second stage: The duration of the second stage of labour. Allowed values: hours, minutes
Place of birth	Place of birth: The place of birth.
Mode of birth	Mode of birth: The means by which the baby was born. at0045::Spontaneous [Onset without intervention.] at0058::Assisted [Birth was assisted by forceps or vacuum extraction.] at0059::Caesarian section [Abdominal delivery of baby.]
Presenting part at birth	Presenting part at birth: The presenting part at birth. at0095::Vertex [Vertex presentation.] at0096::Breech - extended [Breech presentation with legs extended, hips flexed.] at0097::Breech - flexed [Breech presentation with hips and legs flexed.] at0098::Transverse [Fetus lying transverse in the abdomen.] at0099::Breech - footling [Breech with one or both legs and hips extended.] at0100::Oblique [Fetus lying obliquely in the uterus.] at0101::Brow [Forehead presenting.] at0102::Face [Face presenting.]
Interventions	Interventions: Interventions made during birth.
Intervention	Intervention: More detailed information about intervention(s) leading to birth.
Type	Type: Type of intervention. at0062::Low forceps [Forceps applied to the head low in pelvis.] at0063::High forceps [Forceps applied to the head high in the pelvis.] at0064::Rotational forceps [Forceps applied to the head and rotated prior to traction.] at0065::Low Ventouse [Ventouse applied to the head low in the pelvis.] at0074::LSCS [Lower segment caesarian section.] at0075::Classical CS [Classical caesarian section.] at0093::Shoulder manouvre [Manouvre to assist birth of shoulders.]
Status	Status: The nature of the intervention. at0068::Emergency [Unplanned and arising as a result of clinical course.] at0069::Elective [Planned in advance and undertaken prior to situation arising.]
Successful	Successful: Did the intervention lead to birth.
Indication	Indication: The indication for the intervention.
Description	Description: Description of the intervention.
Description of birth	Description of birth: Details of the birth.
Estimated gestational age	Estimated gestational age: The estimated age of the baby from LMP at the time of birth. Allowed values: weeks, days
Feeding	Feeding: Details of neonate feeding.
Description of feeding	Description of feeding: Description of feeding.
Breast fed	Breast fed: True if the baby was breast fed.
Date ceased breast feeding	Date ceased breast feeding: The date the mother stopped breastfeeding this baby.
Age ceased breast feeding	Age ceased breast feeding: The age of the baby when breastfeeding ceased (duration). Allowed values: years, months, weeks, days
Age of onset of breast feeding	Age of onset of breast feeding: The age of the child at first breast feed. Allowed values: years, months, weeks, days, hours, minutes
Details of the offspring	Details of the offspring: Information about the offspring.
Fetal or Neontal complications	Fetal or Neontal complications: Grouping of neonatal complications, if any.
Fetal or Neonatal complication	Fetal or Neonatal complication: The name of the fetal or neonatal complications.
Date of onset	Date of onset: Date of onset of neonatal complications.
Clinical description	Clinical description: Clinical description of the neonatal complications.
Complications	Complications: The complications of this pregnancy.
Complication	Complication: A specific complication.
Date of onset	Date of onset: The date and time of onset of the complication.
Clinical description	Clinical description: Clinical description of the complication.
Other contributors	Heather Leslie, Ocean Informatics, Australia (Editor) Ian McNicoll, Ocean Informatics, United Kingdom (Editor)
Translators	German: Jasmin Buck, Sebastian Garde, University of Heidelberg, Central Queensland University Arabic (Syria): Mona Saleh