ARCHETYPE Birth detail (openEHR-EHR-CLUSTER.birth_detail.v0)

Name: Birth detail
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-CLUSTER.birth_detail.v0
Concept	Birth detail
Description	A subset of persistent or summary information about the pregnancy and birth of an infant, selected for utility of use within both the maternal and infant health records.
Use	Use to record a subset of persistent or summary information about the pregnancy and birth of an infant, usually recorded as part of a maternal health record or birth report, but also able to be shared and reused to provide context about the pregnancy and birth within the newborn's health record. This archetype has been designed to be nested: in the 'Birth detail' SLOT within the EVALUATION.pregnancy_summary archetype, to capture details about an infant born to the mother; and in the 'Birth detail' SLOT within the EVALUATION.birth_summary archetype, to capture or reuse details about the birth of the individual.
Purpose	To record a subset of persistent or summary information about the pregnancy and birth of an infant, that may be used within both the mother's and infant's health record.
References
Copyright	© openEHR Foundation
Authors	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2022-04-08
Other Details Language	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2022-04-08
Other Details (Language Independent)	Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/. Custodian Organisation: openEHR Foundation Original Namespace: org.openehr Original Publisher: openEHR Foundation Custodian Namespace: org.openehr MD5-CAM-1.0.1: EBF2A000675EEDFA66A181F184241DE7 Build Uid: 0a4e8502-08d3-4c8f-8aa5-c747e61f60d1 Revision: 0.0.1-alpha
Keywords	birth, pregnancy, infant, newborn
Lifecycle	in_development
UID	2cf8a52d-0cff-48d5-86bc-8022fe025bce
Language used	en
Citeable Identifier	1246.145.2534
Revision Number	0.0.1-alpha
items
Description	Description: Narrative description of the newborn, including observed congenital abnormalities.
Birth outcome	Birth outcome: Outcome of the pregnancy for the identified infant or fetus. at0028::Live birth at0029::Still birth
Birth order	Birth order: The sequential order of the birth of the infant within a multiple birth pregnancy. For example: singleton or first of a multiple birth; second; third etc.
Gestation	Gestation: The length of the pregnancy at the time of delivery of the infant. The value for this data element will usually, but not always, be identical to the 'Pregnancy duration' data element within the EVALUATION.pregnancy_summary in the maternal record. It may also be derived using the 'Agreed date' data element within the EVALUATION.estimated_date_delivery archetype in the maternal record. Usually estimated by Naegele's rule or by ultrasound scan. Allowed values: weeks 0 weeks..52 weeks
Gestational maturity	Gestational maturity: The estimated gestational maturity of the newborn at, or very near, birth. Usually estimated by physical examination and/or neuromuscular assessment of the newborn. Allowed values: weeks 0 weeks..52 weeks
Birth category by gestation	Birth category by gestation: Category of birth based on the duration of the pregnancy at birth. at0024::Pre-term [Premature; delivered before 37 weeks of gestation.] at0025::Term [Delivered between 37 and 42 weeks of gestation.] at0026::Post-term [Post-mature; delivered beyond 42 weeks of gestation.]
Method of delivery	Method of delivery: Method by which the newborn was delivered. For example: vaginal; forceps rotation; or Caesarean Section. Choice of: Coded Text at0006::Unassisted [Normal, non-instrumental vaginal delivery.] at0007::Assisted breech delivery [Vaginal delivery assisted by maneuvers in the delivery of the remainder of the body, arms, and head.] at0008::Total breech extraction [Vaginal delivery, by which the fetal feet are grasped, and the entire fetus is extracted.] at0009::Vacuum extraction [Vaginal delivery assisted by the use of vacuum extraction.] at0010::Vacuum extraction with rotation [Vaginal delivery assisted by the use of vacuum extraction.] at0011::Lift-out forceps [Vaginal delivery assisted by the use of lift-out forceps.] at0012::Low forceps [Vaginal delivery assisted by the use of low forceps.] at0013::High forceps [Vaginal delivery assisted by the use of high forceps.] at0014::High forceps with rotation [Vaginal delivery assisted by the use of high forceps with rotation.] at0015::Caesarean - lower uterine segment [Surgical delivery by a transverse approach in the lower uterine segment (LUSCS).] at0016::Caesarean - upper uterine segment [Surgical delivery by an approach in the upper uterine segment.] Text
Delivery urgency	Delivery urgency: The level of urgency identified at or around the time of delivery. Choice of: Coded Text at0020::Routine/Elective [The delivery, induction or Caesarean Section did not require any unexpected or urgent intervention.] at0021::Urgent [Recognition of an increasing risk situation required the delivery to be expedited.] at0022::Emergency [Recognition of a high risk situation required the delivery to be expedited as an emergency.] Text
Other contributors
Translators	Catalan: Laura Moral Lopez, Sistema de Salut de Catalunya, lmorallopez@gmail.com, lauramoral@catsalut.cat Spanish (Spain): Laura Moral Lopez, Sistema de Salut de Catalunya, lauramoral@catsalut.cat