| ARCHETYPE ID | openEHR-EHR-OBSERVATION.fetal_heart-monitoring.v0 |
|---|---|
| Concept | Fetal heart monitoring |
| Description | Observations about the fetal heart rate, usually using a cardiotocograph or similar device over a period of time. |
| Use | Use to record observations about the fetal heart rate, usually using a cardiotocograph or similar device over a period of time in late pregnancy or labour, as an assessment about fetal wellbeing. Use to capture findings from electronic monitoring, including cardiotocography. Use is restricted to recording details about the heart beat of a fetus. |
| Misuse | Not to be used to record simple, intermittent measurements of fetal heart rate - use the parent archetype OBSERVATION.fetal_heart instead. Not to be used for recording the heart rate of infants, children or adults. |
| Purpose | To record observations about the fetal heart rate, usually using a cardiotocograph or similar device over a time in late pregnancy or labour, as an assessment about fetal wellbeing in utero. |
| References | SOGC Fetal health Surveillance: antepartum and intrapartum Consensus Guideline: http://www.sogc.org/guidelines/documents/gui197CPG0709r.pdf Intrapartum care: management and delivery of care to women in labour: http://www.nice.org.uk/nicemedia/live/11837/36275/36275.pdf |
| Copyright | © openEHR Foundation |
| Authors | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2011-12-20 |
| Other Details Language | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2011-12-20 |
| Other Details (Language Independent) |
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| Keywords | fetal, heart, beat, rate, rhythm |
| Lifecycle | in_development |
| UID | ec6a2fb8-e8f1-3e41-b282-cb23715c5e35 |
| Language used | en |
| Citeable Identifier | 1246.145.2817 |
| Revision Number | 0.0.1-alpha |
| protocol | |
| Device | Device: Details about the device used to detect the fetal heart rate. For example: Pinard's stethoscope or Doppler Ultrasound. Include: openEHR-EHR-CLUSTER.device.v1 and specialisations |
| Extension | Extension: Additional information required to capture local content or to align with other reference models/formalisms. For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents. Include: All not explicitly excluded archetypes |
| state | |
| Position of mother | Position of mother: The position of the mother when the fetal heart rate was measured.
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| Confounding factors | Confounding factors: Description of incidental factors, not recorded elsewhere, that may be influencing the fetal heart rate measurement. For example, maternal fever or exertion. |
| In labour | In labour: Is the mother in active labor during the observation?
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| data | |
| Presence | Presence: The fetal heart beat is detected. Implied as present if fetal heart rate > 0.
|
| Rate | Rate: The observed fetal heart rate. Units: 0.0..<1000.0 1/min Limit decimal places: 0 |
| Variability | Variability: Variability in the fetal heart rate observed during the monitoring interval. Lower: Units: 0.0..<1000.0 1/min Limit decimal places: 0 Upper: Units: 0.0..<1000.0 1/min Limit decimal places: 0 |
| Variability category | Variability category: Variability in the fetal heart rate observed during the monitoring interval.
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| Variability description | Variability description: Narrative description of the pattern of variability observed during the monitoring interval. For example: a sinusoidal pattern. |
| Accelerations | Accelerations: Presence of accelerations observed during the monitoring interval.
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| Early decelerations | Early decelerations: Frequency of early accelerations observed during the monitoring interval.
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| Uncomplicated variable decelerations | Uncomplicated variable decelerations: Frequency of uncomplicated variable decelerations observed during the monitoring interval.
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| Complicated variable decelerations | Complicated variable decelerations: Frequency of complicated variable decelerations observed during the monitoring interval.
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| Late decelerations | Late decelerations: Frequency of late decelerations observed during the monitoring interval.
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| Prolonged decelerations | Prolonged decelerations: Duration of a single, prolonged deceleration observed during the monitoring interval. Can be recorded multiple times during the period of observation - one duration recorded for each discrete deceleration. Allowed values: minutes, seconds >=0 seconds |
| Clinical interpretation | Clinical interpretation: Single word, phrase or brief description that represents the clinical meaning and significance of the fetal heart rate. For example, bradycardia or tachycardia. |
| Multimedia representation | Multimedia representation: Digital representation of the monitoring findings. For example: video or recording of the CTG. Include: openEHR-EHR-CLUSTER.multimedia.v0 or openEHR-EHR-CLUSTER.multimedia.v1 |
| Comment | Comment: Additional narrative about the fetal heart rate, not captured in other fields. |
| events | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Other contributors | |
| Translators |