| ARCHETYPE ID | openEHR-EHR-CLUSTER.fetus_abdominal.v0 |
| Concept | Palpation of a fetus (per abdomen) |
| Description | Specific findings observed during the abdominal palpation of a single fetus in utero. |
| Use | Use to record the specific findings observed during the abdominal palpation of a single fetus in utero.
This archetype has been specifically designed to be used in the 'Examination findings' SLOT within the CLUSTER.palpation_fetus archetype, but can also be used within the OBSERVATION.exam and other OBSERVATION or CLUSTER archetypes, where clinically appropriate. |
| Misuse | Not to be used to record the specific findings observed during the vaginal palpation of a fetus. |
| Purpose | To record the specific findings observed during the abdominal palpation of a single fetus in utero. |
| References | |
| Copyright | © Northern Territory Department of Health (Australia), openEHR Foundation |
| Authors | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2007-04-19
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| Other Details Language | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2007-04-19
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| Other Details (Language Independent) | - Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.
- Custodian Organisation: openEHR Foundation
- Original Namespace: org.openehr
- Original Publisher: openEHR Foundation
- Custodian Namespace: org.openehr
- MD5-CAM-1.0.1: 8F58A91CABC48D8D9A84F1D1A6B9EED9
- Build Uid: 511f33f2-8f2a-4ef9-8f51-26342cff3ef9
- Revision: 0.0.1-alpha
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| Keywords | |
| Lifecycle | in_development |
| UID | 6e31de2b-b33f-4c10-a165-b225814e8a89 |
| Language used | en |
| Citeable Identifier | 1246.145.2860 |
| Revision Number | 0.0.1-alpha |
| items | |
| Lie | Lie: Relationship of the longitudinal axis of the fetus to the long axis of the mother.
- at0002::Longitudinal [The fetal longitudinal axis is in alignment with the mother's longitudinal axis.]
- at0003::Oblique [The fetal longitudinal axis is at an oblique angle to the mother's longitudinal axis. Sometimes also referred to as 'Unstable Lie'.]
- at0004::Transverse [The fetal longitudinal axis is at right angles to the mother's longitudinal axis.]
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| Presentation | Presentation: Identification of the presenting part of the fetus, determined by abdominal palpation.
- at0006::Vertex [The head is the presenting part.]
- at0007::Breech [The buttock is the presenting part.]
- at0008::Shoulder [A shoulder is the presenting part.]
- at0009::Face [The face is the presenting part.]
- at0010::Brow [The forehead is the presenting part.]
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| Position | Position: Relationship between the fetal denominator and the maternal pelvis, determined by abdominal palpation.
- at0012::Right Occipito-Transverse (ROT) [The fetal occiput is pointing towards the right. Also known as Right Occipito-Lateral (ROL).]
- at0013::Right Occipito-Anterior (ROA) [The fetal occiput is pointing anteriorly and towards the right.]
- at0014::Right Occipito-Posterior (ROP) [The fetal occiput is pointing posteriorly and towards the right.]
- at0015::Occipito-Anterior (OA) [The fetal occiput is pointing anteriorly, towards the pubic symphysis.]
- at0016::Occipito-Posterior (OP) [The fetal occiput is pointing posteriorly, towards the sacrum.]
- at0017::Left Occipito-Transverse (LOT) [The fetal occiput is pointing towards the left. Also known as Left Occcipito-Lateral (LOL).]
- at0018::Left Occipito-Anterior (LOA) [The fetal occiput is pointing anteriorly and towards the left.]
- at0019::Left Occipito-Posterior (LOP) [The fetal occiput is pointing posteriorly and towards the left.]
- at0020::Right Sacro-Transverse (RST) [The fetal sacrum is pointing towards the right.]
- at0021::Right Sacro-Anterior (RSA) [The fetal sacrum is pointing anteriorly and towards the right.]
- at0022::Right Sacro-Posterior (RSP) [The fetal sacrum is pointing posteriorly and towards the right.]
- at0023::Sacro-Anterior (SA) [The fetal sacrum is pointing anteriorly, towards the pubic symphysis.]
- at0024::Sacro-Posterior (SP) [The fetal sacrum is pointing posteriorly, towards the sacrum.]
- at0025::Left Sacro-transverse (LST) [The fetal sacrum is pointing towards the left.]
- at0026::Left Sacro-Anterior (LSA) [The fetal sacrum is pointing anteriorly and towards the left.]
- at0027::Left Sacro-Posterior (LSP) [The fetal sacrum is pointing posteriorly and towards the left.]
- at0028::Right Mento-Transverse (RMT) [The fetal chin is pointing towards the right.]
- at0029::Right Mento-Anterior (RMA) [The fetal chin is pointing anteriorly and towards the right.]
- at0030::Right Mento-Posterior (RMP) [The fetal chin is pointing posteriorly and towards the right.]
- at0031::Mento-Anterior (MA) [The fetal chin is pointing anteriorly, towards the pubic symphysis.]
- at0032::Mento-Posterior (MP) [The fetal chin is pointing posteriorly, towards the sacrum.]
- at0033::Left Mento-Transverse (LMT) [The fetal chin is pointing towards the left.]
- at0034::Left Mento-Anterior (LMA) [The fetal chin is pointing anteriorly and towards the left.]
- at0035::Left Mento-Posterior (LMP) [The fetal chin is pointing posteriorly and towards the left.]
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| Attitude | Attitude: Description of the relationship of the fetal head and limbs to the body of the fetus, determined by abdominal palpation.
- at0037::Flexed [The fetus is fully flexed.]
- at0038::Deflexed [The fetus is not flexed.]
- at0039::Extended [The fetus is extended.]
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| Engagement description | Engagement description: Description about the engagement of the fetal head in the pelvis.
- at0041::High and mobile [The presenting part is floating high and mobile above the pelvic brim.]
- at0042::At pelvic brim [The presenting part is at the pelvic brim.]
- at0043::Engaged [The presenting part is engaged in the pelvis.]
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| Engagement estimation | Engagement estimation: The estimated proportion of the presenting part which is felt above the pelvic brim.
- at0045::0/5 [Not engaged; none of the head is below the pelvic brim.]
- at0046::1/5 [Approximately 20% of the head is below the pelvic brim.]
- at0047::2/5 [Approximately 40% of the head is below the pelvic brim.]
- at0048::3/5 [Approximately 60% of the head is below the pelvic brim.]
- at0049::4/5 [Approximately 80% of the head is below the pelvic brim.]
- at0050::5/5 [Fully engaged; all of the head is below the pelvic brim.]
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| Relative size | Relative size: The relative size of the baby compared to the normal for the estimated gestation.
- at0052::Small for dates [The size of the fetus appears smaller than expected for estimated gestation.]
- at0053::Normal [The size of the fetus appears as expected for the estimated gestation.]
- at0054::Large for dates [The size of the fetus appears larger than expected for the estimated gestation.]
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| Estimated weight | Estimated weight: The estimated weight of the fetus on palpation. Property: Mass Units: - 0.0..10.0 kg
- 0.0..10000.0 g
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| Other contributors | |
| Translators | |