ARCHETYPE Examination of the fetus (openEHR-EHR-CLUSTER.exam-fetus.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.exam-fetus.v1
ConceptExamination of the fetus
DescriptionExamination cluster for describing a finding on physical examination of a fetus.
PurposeFor recording findings on physical examination relating to the fetus while in the uterus.
References
Copyrightcopyright (c) 2010 openEHR Foundation
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics, Australia
Email: sam.heard@oceaninformatics.com
Date originally authored: 19/04/2007
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics, Australia
Email: sam.heard@oceaninformatics.com
Date originally authored: 19/04/2007
OtherDetails Language Independent{references=, MD5-CAM-1.0.1=1D56F36C0F32C4A5D74F92289474005F}
Keywordsfoetus, fetal, foetal
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.277
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Examination cluster for describing a finding on physical examination of a fetus., archetypeConceptComment=null, otherContributors=Heather Leslie, Ocean Informatics, Australia, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], activities=[], credentials=[], state=[], capabilities=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=CLUSTER, level=1, text=Normal statements, description=A group of statements about the normality of the examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Normal statement, description=A specific statement of normality., 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=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Clinical description, description=Textural description of the part examined., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1], code=at0008.1, itemType=CLUSTER, level=1, text=Abdominal Findings, description=Clinical findings on abdominal examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.4], code=at0.4, itemType=ELEMENT, level=2, text=Lie of the fetus, description=The position of the fetus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Longitudinal [The lie is along the line of the mother's spine.]
  • Transverse [The lie is perpendicular to the mother's spine.]
  • Oblique [The lie is oblique to the mother's spine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.8], code=at0.8, itemType=ELEMENT, level=2, text=Presentation, description=The presenting part of the fetus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Cephalic [The head is the presenting part.]
  • Breech [The breech is the presenting part.]
  • Full breech [The breech is presenting with the legs flexed.]
  • Extended breech [The breech is the presenting part with the leg(s) extended.]
  • Shoulder [The shoulder is the presenting part.]
  • Footling breech [A fetal foot is extended and presenting.]
  • Face [The head is extended and the face is presenting.]
  • Cord [The umbilical cord is presenting.]
  • Compound [There is a compound presentation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.42], code=at0.42, itemType=ELEMENT, level=2, text=Position, description=The orientation of the denominator., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Right Occipito-transverse [The occiput is towards the right.]
  • Right Occipito-anterior [The occiput is towards the right and anterior.]
  • Right Occipito-posterior [The occiput is to the right and posterior.]
  • Occipito-anterior [The occiput is towards the symphasis.]
  • Occipito-posterior [The occiput is towards the sacrum.]
  • Left Occipito-transverse [The occiput is towards the left.]
  • Left Occipito-anterior [The occiput is to the left and symphasis.]
  • Left Occipito-posterior [The occiput is to the left and posterior.]
  • Right Sacro-transverse [The fetal sacrum is towards the right.]
  • Right Sacro-anterior [The fetal sacrum is towards the right and anterior.]
  • Right Sacro-posterior [The fetal sacrum is to the right and posterior.]
  • Sacro-Anterior [The fetal sacrum is towards the symphasis.]
  • Sacro-Posterior [The fetal sacrum is towards the sacrum.]
  • Left Sacro-transverse [The fetal sacrum is towards the left.]
  • Left Sacro-anterior [The fetal sacrum is to the left and symphasis.]
  • Left Sacro-posterior [The fetal sacrum is to the left and posterior.]
  • Right Mento-transverse [The fetal chin is towards the right.]
  • Right Mento-anterior [The fetal chin is towards the right and anterior.]
  • Right Mento-posterior [The fetal chin is to the right and posterior.]
  • Mento-Anterior [The fetal chin is towards the symphasis.]
  • Mento-Posterior [The fetal chin is towards the sacrum.]
  • Left Mento-transverse [The fetal chin is towards the left.]
  • Left Mento-anterior [The fetal chin is to the left and symphasis.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.32], code=at0.32, itemType=ELEMENT, level=2, text=Attitude, description=The degree of flexion of the body., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Flexed [The fetus is fully flexed.]
  • Deflexed [The fetus is not flexed.]
  • Extended [The fetus is extended.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.74], code=at0.74, itemType=CLUSTER, level=2, text=Engagement, description=Estimation of presenting part in relation to pelvic brim., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.74]/items[at0.22], code=at0.22, itemType=ELEMENT, level=3, text=Fifths, description=The proportion of the presenting part which is felt above the pelvis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Not engaged (0/5) [The head is not engaged in the pelvis.]
  • 1/5 [About 20% of the head is inside the pelvis.]
  • 2/5 [About 40% of the head is inside the pelvis.]
  • 3/5 [About 60% of the head is inside the pelvis.]
  • 4/5 [About 80% of the head is inside the pelvis.]
  • Fully engaged (5/5) [The head is inside the pelvis.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.74]/items[at0.75], code=at0.75, itemType=ELEMENT, level=3, text=Qualitative, description=Description of engagement of fetal head., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • High and mobile [The presenting part is high and mobile.]
  • At pelvic brim [The presenting part is at the pelvic brim.]
  • Engaged [The presenting part in engaged in the pelvis.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.14], code=at0.14, itemType=ELEMENT, level=2, text=Size relative to gestation, description=The apparent size of the baby relative to normal for gestation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Small for dates [The size of the baby is smaller than expected for gestation.]
  • ? small for dates [Possibly small for this gestation.]
  • Normal [The size of the baby is normal for gestation.]
  • ? large for dates [Possibly larger than expected for this gestation.]
  • Large for dates [The size of the baby is larger than expected for gestation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.29], code=at0.29, itemType=ELEMENT, level=2, text=Station, description=Posiiton relative to the ischial spines (minus is above, 0 is at the spines and plus is below)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length
Units:
  • -5.0..5.0 cm
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.18], code=at0.18, itemType=ELEMENT, level=2, text=Estimated fetal weight, description=The estimated weight of the baby on examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Mass
Units:
  • 0.0..20.0 kg
  • 0.0..20000.0 gm
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.89], code=at0.89, itemType=SLOT, level=2, text=Size, description=Details of size of fetus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.physical_properties.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0009], code=at0009, itemType=SLOT, level=2, text=Detail, description=More focused examination findings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations Or
openEHR-EHR-CLUSTER.auscultation.v1 and specialisations Or
openEHR-EHR-CLUSTER.inspection.v1 and specialisations Or
openEHR-EHR-CLUSTER.palpation.v1 and specialisations Or
openEHR-EHR-CLUSTER.percussion.v1 and specialisations Or
openEHR-EHR-CLUSTER.physical_properties.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.80], code=at0.80, itemType=CLUSTER, level=1, text=Vaginal findings, description=Clinical findings on abdominal examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.80]/items[at0.84], code=at0.84, itemType=ELEMENT, level=2, text=Flexion, description=Findings about fetal flexion on vaginal examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Flexed [The fetal attitude is flexed.]
  • Deflexed [The fetal attitude is deflexed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.80]/items[at0.81], code=at0.81, itemType=ELEMENT, level=2, text=Caput, description=Findings related to caput., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.80]/items[at0.82], code=at0.82, itemType=ELEMENT, level=2, text=Moulding, description=Findings related to moulding., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.80]/items[at0.88], code=at0.88, itemType=ELEMENT, level=2, text=Asynclitic, description=Codes yet to be added., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.42], code=at0.42, itemType=ELEMENT, level=2, text=Position, description=The orientation of the denominator., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Right Occipito-transverse [The occiput is towards the right.]
  • Right Occipito-anterior [The occiput is towards the right and anterior.]
  • Right Occipito-posterior [The occiput is to the right and posterior.]
  • Occipito-anterior [The occiput is towards the symphasis.]
  • Occipito-posterior [The occiput is towards the sacrum.]
  • Left Occipito-transverse [The occiput is towards the left.]
  • Left Occipito-anterior [The occiput is to the left and symphasis.]
  • Left Occipito-posterior [The occiput is to the left and posterior.]
  • Right Sacro-transverse [The fetal sacrum is towards the right.]
  • Right Sacro-anterior [The fetal sacrum is towards the right and anterior.]
  • Right Sacro-posterior [The fetal sacrum is to the right and posterior.]
  • Sacro-Anterior [The fetal sacrum is towards the symphasis.]
  • Sacro-Posterior [The fetal sacrum is towards the sacrum.]
  • Left Sacro-transverse [The fetal sacrum is towards the left.]
  • Left Sacro-anterior [The fetal sacrum is to the left and symphasis.]
  • Left Sacro-posterior [The fetal sacrum is to the left and posterior.]
  • Right Mento-transverse [The fetal chin is towards the right.]
  • Right Mento-anterior [The fetal chin is towards the right and anterior.]
  • Right Mento-posterior [The fetal chin is to the right and posterior.]
  • Mento-Anterior [The fetal chin is towards the symphasis.]
  • Mento-Posterior [The fetal chin is towards the sacrum.]
  • Left Mento-transverse [The fetal chin is towards the left.]
  • Left Mento-anterior [The fetal chin is to the left and symphasis.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.29], code=at0.29, itemType=ELEMENT, level=2, text=Station, description=Posiiton relative to the ischial spines (minus is above, 0 is at the spines and plus is below)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length
Units:
  • -5.0..5.0 cm
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=Image, description=Drawing or image of the area examined., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=image/gif, image/png, image/jpeg, extendedValues=null]], events=[], provider=[], content=[], target=[], contacts=[], protocol=[], other_participations=[], relationships=[], ism_transition=[], description=[], source=[], data=[], context=[], details=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000.1, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=CLUSTER, level=1, text=Normal statements, description=A group of statements about the normality of the examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Normal statement, description=A specific statement of normality., 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=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Clinical description, description=Textural description of the part examined., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1], code=at0008.1, itemType=CLUSTER, level=1, text=Abdominal Findings, description=Clinical findings on abdominal examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.4], code=at0.4, itemType=ELEMENT, level=2, text=Lie of the fetus, description=The position of the fetus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Longitudinal [The lie is along the line of the mother's spine.]
  • Transverse [The lie is perpendicular to the mother's spine.]
  • Oblique [The lie is oblique to the mother's spine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.8], code=at0.8, itemType=ELEMENT, level=2, text=Presentation, description=The presenting part of the fetus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Cephalic [The head is the presenting part.]
  • Breech [The breech is the presenting part.]
  • Full breech [The breech is presenting with the legs flexed.]
  • Extended breech [The breech is the presenting part with the leg(s) extended.]
  • Shoulder [The shoulder is the presenting part.]
  • Footling breech [A fetal foot is extended and presenting.]
  • Face [The head is extended and the face is presenting.]
  • Cord [The umbilical cord is presenting.]
  • Compound [There is a compound presentation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.42], code=at0.42, itemType=ELEMENT, level=2, text=Position, description=The orientation of the denominator., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Right Occipito-transverse [The occiput is towards the right.]
  • Right Occipito-anterior [The occiput is towards the right and anterior.]
  • Right Occipito-posterior [The occiput is to the right and posterior.]
  • Occipito-anterior [The occiput is towards the symphasis.]
  • Occipito-posterior [The occiput is towards the sacrum.]
  • Left Occipito-transverse [The occiput is towards the left.]
  • Left Occipito-anterior [The occiput is to the left and symphasis.]
  • Left Occipito-posterior [The occiput is to the left and posterior.]
  • Right Sacro-transverse [The fetal sacrum is towards the right.]
  • Right Sacro-anterior [The fetal sacrum is towards the right and anterior.]
  • Right Sacro-posterior [The fetal sacrum is to the right and posterior.]
  • Sacro-Anterior [The fetal sacrum is towards the symphasis.]
  • Sacro-Posterior [The fetal sacrum is towards the sacrum.]
  • Left Sacro-transverse [The fetal sacrum is towards the left.]
  • Left Sacro-anterior [The fetal sacrum is to the left and symphasis.]
  • Left Sacro-posterior [The fetal sacrum is to the left and posterior.]
  • Right Mento-transverse [The fetal chin is towards the right.]
  • Right Mento-anterior [The fetal chin is towards the right and anterior.]
  • Right Mento-posterior [The fetal chin is to the right and posterior.]
  • Mento-Anterior [The fetal chin is towards the symphasis.]
  • Mento-Posterior [The fetal chin is towards the sacrum.]
  • Left Mento-transverse [The fetal chin is towards the left.]
  • Left Mento-anterior [The fetal chin is to the left and symphasis.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.32], code=at0.32, itemType=ELEMENT, level=2, text=Attitude, description=The degree of flexion of the body., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Flexed [The fetus is fully flexed.]
  • Deflexed [The fetus is not flexed.]
  • Extended [The fetus is extended.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.74], code=at0.74, itemType=CLUSTER, level=2, text=Engagement, description=Estimation of presenting part in relation to pelvic brim., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.74]/items[at0.22], code=at0.22, itemType=ELEMENT, level=3, text=Fifths, description=The proportion of the presenting part which is felt above the pelvis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Not engaged (0/5) [The head is not engaged in the pelvis.]
  • 1/5 [About 20% of the head is inside the pelvis.]
  • 2/5 [About 40% of the head is inside the pelvis.]
  • 3/5 [About 60% of the head is inside the pelvis.]
  • 4/5 [About 80% of the head is inside the pelvis.]
  • Fully engaged (5/5) [The head is inside the pelvis.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.74]/items[at0.75], code=at0.75, itemType=ELEMENT, level=3, text=Qualitative, description=Description of engagement of fetal head., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • High and mobile [The presenting part is high and mobile.]
  • At pelvic brim [The presenting part is at the pelvic brim.]
  • Engaged [The presenting part in engaged in the pelvis.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.14], code=at0.14, itemType=ELEMENT, level=2, text=Size relative to gestation, description=The apparent size of the baby relative to normal for gestation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Small for dates [The size of the baby is smaller than expected for gestation.]
  • ? small for dates [Possibly small for this gestation.]
  • Normal [The size of the baby is normal for gestation.]
  • ? large for dates [Possibly larger than expected for this gestation.]
  • Large for dates [The size of the baby is larger than expected for gestation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.29], code=at0.29, itemType=ELEMENT, level=2, text=Station, description=Posiiton relative to the ischial spines (minus is above, 0 is at the spines and plus is below)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length
Units:
  • -5.0..5.0 cm
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.18], code=at0.18, itemType=ELEMENT, level=2, text=Estimated fetal weight, description=The estimated weight of the baby on examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Mass
Units:
  • 0.0..20.0 kg
  • 0.0..20000.0 gm
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.89], code=at0.89, itemType=SLOT, level=2, text=Size, description=Details of size of fetus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.physical_properties.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0009], code=at0009, itemType=SLOT, level=2, text=Detail, description=More focused examination findings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations Or
openEHR-EHR-CLUSTER.auscultation.v1 and specialisations Or
openEHR-EHR-CLUSTER.inspection.v1 and specialisations Or
openEHR-EHR-CLUSTER.palpation.v1 and specialisations Or
openEHR-EHR-CLUSTER.percussion.v1 and specialisations Or
openEHR-EHR-CLUSTER.physical_properties.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.80], code=at0.80, itemType=CLUSTER, level=1, text=Vaginal findings, description=Clinical findings on abdominal examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.80]/items[at0.84], code=at0.84, itemType=ELEMENT, level=2, text=Flexion, description=Findings about fetal flexion on vaginal examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Flexed [The fetal attitude is flexed.]
  • Deflexed [The fetal attitude is deflexed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.80]/items[at0.81], code=at0.81, itemType=ELEMENT, level=2, text=Caput, description=Findings related to caput., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.80]/items[at0.82], code=at0.82, itemType=ELEMENT, level=2, text=Moulding, description=Findings related to moulding., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.80]/items[at0.88], code=at0.88, itemType=ELEMENT, level=2, text=Asynclitic, description=Codes yet to be added., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.42], code=at0.42, itemType=ELEMENT, level=2, text=Position, description=The orientation of the denominator., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Right Occipito-transverse [The occiput is towards the right.]
  • Right Occipito-anterior [The occiput is towards the right and anterior.]
  • Right Occipito-posterior [The occiput is to the right and posterior.]
  • Occipito-anterior [The occiput is towards the symphasis.]
  • Occipito-posterior [The occiput is towards the sacrum.]
  • Left Occipito-transverse [The occiput is towards the left.]
  • Left Occipito-anterior [The occiput is to the left and symphasis.]
  • Left Occipito-posterior [The occiput is to the left and posterior.]
  • Right Sacro-transverse [The fetal sacrum is towards the right.]
  • Right Sacro-anterior [The fetal sacrum is towards the right and anterior.]
  • Right Sacro-posterior [The fetal sacrum is to the right and posterior.]
  • Sacro-Anterior [The fetal sacrum is towards the symphasis.]
  • Sacro-Posterior [The fetal sacrum is towards the sacrum.]
  • Left Sacro-transverse [The fetal sacrum is towards the left.]
  • Left Sacro-anterior [The fetal sacrum is to the left and symphasis.]
  • Left Sacro-posterior [The fetal sacrum is to the left and posterior.]
  • Right Mento-transverse [The fetal chin is towards the right.]
  • Right Mento-anterior [The fetal chin is towards the right and anterior.]
  • Right Mento-posterior [The fetal chin is to the right and posterior.]
  • Mento-Anterior [The fetal chin is towards the symphasis.]
  • Mento-Posterior [The fetal chin is towards the sacrum.]
  • Left Mento-transverse [The fetal chin is towards the left.]
  • Left Mento-anterior [The fetal chin is to the left and symphasis.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.29], code=at0.29, itemType=ELEMENT, level=2, text=Station, description=Posiiton relative to the ischial spines (minus is above, 0 is at the spines and plus is below)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length
Units:
  • -5.0..5.0 cm
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=Image, description=Drawing or image of the area examined., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=image/gif, image/png, image/jpeg, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]