| ARCHETYPE ID | openEHR-EHR-CLUSTER.fetus_vaginal.v0 |
| Concept | Palpation of a fetus (per vagina) |
| Description | Specific findings observed during the vaginal palpation of a single fetus in utero. |
| Use | Use to record the specific findings observed during the vaginal 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 abdominal palpation of a fetus. |
| Purpose | To record the specific findings observed during the vaginal 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 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: ECF1EF7286AAA2ABED2A7078759B8C15
- Build Uid: 603f92b6-3109-4f3f-afa8-4c495bcd6f93
- Revision: 0.0.1-alpha
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| Keywords | |
| Lifecycle | in_development |
| UID | af150288-9db5-4f20-a220-fc6fcf9dfb4b |
| Language used | en |
| Citeable Identifier | 1246.145.2870 |
| Revision Number | 0.0.1-alpha |
| items | |
| Presentation | Presentation: Identification of the presenting part of the fetus, determined by vaginal palpation.
- at0002::Vertex [The head is the presenting part.]
- at0003::Breech [The buttock is the presenting part.]
- at0004::Shoulder [A shoulder is the presenting part.]
- at0005::Face [The face is the presenting part.]
- at0006::Brow [The forehead is the presenting part.]
- at0007::Foot [A foot is the presenting part.]
- at0008::Arm [An arm is the presenting part.]
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| Cord presence | Cord presence: Finding about the presence of the umbilical cord in the cervix or vagina.
- at0010::Present [The umbilical cord is present on palpation.]
- at0011::Absent [The umbilical cord is not present on palpation.]
|
| Position | Position: Relationship between the fetal denominator and the maternal pelvis, determined by vaginal palpation.
- at0013::Right Occipito-Transverse (ROT) [The fetal occiput is pointing towards the right. Also known as Right Occipito-Lateral (ROL).]
- at0014::Right Occipito-Anterior (ROA) [The fetal occiput is pointing anteriorly and towards the right.]
- at0015::Right Occipito-Posterior (ROP) [The fetal occiput is pointing posteriorly and towards the right.]
- at0016::Occipito-Anterior (OA) [The fetal occiput is pointing anteriorly, towards the pubic symphysis.]
- at0017::Occipito-Posterior (OP) [The fetal occiput is pointing posteriorly, towards the sacrum.]
- at0018::Left Occipito-Transverse (LOT) [The fetal occiput is pointing towards the left. Also known as Left Occcipito-Lateral (LOL).]
- at0019::Left Occipito-Anterior (LOA) [The fetal occiput is pointing anteriorly and towards the left.]
- at0020::Left Occipito-Posterior (LOP) [The fetal occiput is pointing posteriorly and towards the left.]
- at0021::Right Sacro-Transverse (RST) [The fetal sacrum is pointing towards the right.]
- at0022::Right Sacro-Anterior (RSA) [The fetal sacrum is pointing anteriorly and towards the right.]
- at0023::Right Sacro-Posterior (RSP) [The fetal sacrum is pointing posteriorly and towards the right.]
- at0024::Sacro-Anterior (SA) [The fetal sacrum is pointing anteriorly, towards the pubic symphysis.]
- at0025::Sacro-Posterior (SP) [The fetal sacrum is pointing posteriorly, towards the sacrum.]
- at0026::Left Sacro-transverse (LST) [The fetal sacrum is pointing towards the left.]
- at0027::Left Sacro-Anterior (LSA) [The fetal sacrum is pointing anteriorly and towards the left.]
- at0028::Left Sacro-Posterior (LSP) [The fetal sacrum is pointing posteriorly and towards the left.]
- at0029::Right Mento-Transverse (RMT) [The fetal chin is pointing towards the right.]
- at0030::Right Mento-Anterior (RMA) [The fetal chin is pointing anteriorly and towards the right.]
- at0031::Right Mento-Posterior (RMP) [The fetal chin is pointing posteriorly and towards the right.]
- at0032::Mento-Anterior (MA) [The fetal chin is pointing anteriorly, towards the pubic symphysis.]
- at0033::Mento-Posterior (MP) [The fetal chin is pointing posteriorly, towards the sacrum.]
- at0034::Left Mento-Transverse (LMT) [The fetal chin is pointing towards the left.]
- at0035::Left Mento-Anterior (LMA) [The fetal chin is pointing anteriorly and towards the left.]
- at0036::Left Mento-Posterior (LMP) [The fetal chin is pointing posteriorly and towards the left.]
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| Station | Station: Position of the presenting part relative to the ischial spines. Property: Length Units: -5.0..5.0 cm Limit decimal places: 0 |
| Attitude | Attitude: Description of the relationship of the fetal head and limbs to the body of the fetus, determined by vaginal palpation. Record -5 to -1cm for when the presenting part is above the ischial spines; record 0 at the ischial spines; and record 1 to 5 when the presenting part is below the ischial spines.
- at0039::Flexed [The fetus is fully flexed.]
- at0040::Deflexed [The fetus is not flexed.]
- at0041::Extended [The fetus is extended.]
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| Caput | Caput: Narrative description about the caput on the fetal head. |
| Moulding | Moulding: Narrative description about the moulding of the fetal head. |
| Asynclitism | Asynclitism: Narrative description about the asynclitism on the fetal head. |
| Other contributors | |
| Translators | |