ARCHETYPE Pregnancy care summary (openEHR-EHR-EVALUATION.pregnancy_care_summary.v0)

Name: Pregnancy care summary
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-EVALUATION.pregnancy_care_summary.v0
Concept	Pregnancy care summary
Description	Summary details about the antenatal and postnatal care received during a single pregnancy.
Use	Use to record summary details about the antenatal and postnatal care received during a single pregnancy, usually as part of an assessment about quality of care or as part of a maternal mortality review.
Purpose	To record summary details about the antenatal and postnatal care received during a single pregnancy.
References
Copyright	© openEHR Foundation, Ministry of Health and Wellness Jamaica
Authors	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2022-06-13
Other Details Language	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2022-06-13
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: 1FEAC3327BD9A5879D5FD5312361F6A3 Build Uid: 1491f297-80ac-4782-be58-578756f5c559 Revision: 0.0.1-alpha
Keywords
Lifecycle	in_development
UID	ad72c086-4fd9-46c5-91f1-280784f3a5cd
Language used	en
Citeable Identifier	1246.145.2889
Revision Number	0.0.1-alpha
protocol
Extension	Extension: Include: All not explicitly excluded archetypes
Last updated	Last updated: The date when this care summary was last updated.
data
Description	Description: Narrative description about the care received during a single pregnancy and the related postnatal period.
No antenatal care
Overall funding type	Overall funding type: Source of funding for all pregnancy care. Choice of: Coded Text at0096::Public [Antenatal care funded from public sources.] at0097::Private [Antenatal care funded from a private source.] at0098::Both [Antenatal care funded from a mix of public and private sources.] Text
First antenatal visit	First antenatal visit: The date of the first antenatal visit for the pregnancy overall.
Gestation at first visit	Gestation at first visit: Gestation at the first antenatal visit for the pregnancy overall.
Antenatal care	Antenatal care: Details about an episode of antenatal care from a single healthcare provider or using a single funding type. Use a separate instance of this repeating CLUSTER to record a single episode of care per healthcare provider or funding type.
Provider type	Provider type: Type of health professional or clinic providing community or outpatient antenatal care. For example: community clinic; specialist obstetrician; or high risk clinic.
Funding type	Funding type: Source of funding for this episode of antenatal care. For example: public or private. Choice of: Text Coded Text at0101::Public [Antenatal care funded from public sources.] at0102::Private [Antenatal care funded from a private source.]
Provider details	Provider details: Details about the healthcare provider. For example: details about an individual or an organisation. Include: openEHR-EHR-CLUSTER.person.v1 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations
Description
Date of first visit	Date of first visit: The date of the first antenatal visit for the identified for healthcare provider or funding model.
Gestation at first visit	Gestation at first visit: Gestation at the first antenatal visit for the identified for healthcare provider or funding model. Allowed values: weeks 0 weeks..50 weeks
Date of last visit	Date of last visit: The date of the last antenatal visit for the identified for healthcare provider or funding model.
Gestation at last visit	Gestation at last visit: Gestation at the last antenatal visit for the identified for healthcare provider or funding model. Allowed values: weeks 0 weeks..50 weeks
Number of visits	Number of visits: The number of visits to the identified healthcare provider.
Conditions managed	Conditions managed: Significant issues, problems or diagnoses managed by the identified healthcare provider. Coding with an external terminology is recommended, if available.
Treatment summary
Additional details	Additional details: Include: All not explicitly excluded archetypes
Scheduled follow up	Scheduled follow up: The scheduled date for antenatal admission followup.
Comment
Total number of antenatal visits	Total number of antenatal visits: Total number of antenatal clinic visits of all types and locations for the pregnancy overall.
Antenatal admission
Gestation at admission	Gestation at admission: Allowed values: weeks 0 weeks..50 weeks
Description
Inpatient admission details	Inpatient admission details: Include: openEHR-EHR-CLUSTER.inpatient_episode_details.v0 and specialisations
Conditions managed	Conditions managed: Significant issues, problems or diagnoses managed by the specified type of care.
Treatment summary
Additional details	Additional details: Include: All not explicitly excluded archetypes
Gestation at discharge	Gestation at discharge: Allowed values: weeks 0 weeks..50 weeks
Scheduled follow up	Scheduled follow up: The scheduled date for antenatal admission followup.
Comment
Total number of antenatal admissions	Total number of antenatal admissions: Total number of antenatal hospital admissions.
Last antenatal visit	Last antenatal visit: The date of the last antenatal visit of any type or location, prior to delivery.
Delivery admission
Gestation at admission	Gestation at admission: Allowed values: weeks >=0 weeks
Description
Inpatient admission details	Inpatient admission details: Include: openEHR-EHR-CLUSTER.inpatient_episode_details.v0 and specialisations
Scheduled follow up	Scheduled follow up: The scheduled date for routine postnatal followup.
Comment
Postnatal care	Postnatal care: Details about an episode of postnatal care from a single healthcare provider or using a single funding type. Use a separate instance of this repeating CLUSTER to record a single episode of care per healthcare provider or funding type.
Provider type	Provider type: Type of health professional or clinic providing community or outpatient postnatal care. For example: community clinic; specialist obstetrician; or high risk clinic.
Funding type	Funding type: Source of funding for this episode of postnatal care. For example: public or private. Choice of: Text Coded Text at0106::Public [Postnatal care funded from public sources.] at0107::Private [Postnatal care funded from a private source.]
Provider name
Provider details	Provider details: Include: openEHR-EHR-CLUSTER.person.v1 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations
Description
Date of first visit
Days post partum at first visit	Days post partum at first visit: Allowed values: weeks 0 weeks..50 weeks
Specific postnatal visit
Type of visit	Type of visit: Type of health professional or clinic providing community or outpatient postnatal care.
Date of visit
Description
Assessment
Conditions managed	Conditions managed: Significant issues, problems or diagnoses managed by the specified type of care.
Additional details	Additional details: Include: All not explicitly excluded archetypes
Scheduled follow up	Scheduled follow up: The scheduled date for postnatal care followup.
Comment
Date of last visit	Date of last visit: The date of the last postnatal visit for this healthcare provider or funding model.
Days post partum at last visit	Days post partum at last visit: Allowed values: weeks 0 weeks..50 weeks
Number of visits	Number of visits: The number of visits by the identified healthcare provider.
Conditions managed	Conditions managed: Significant issues, problems or diagnoses managed by the specified type of care.
Treatment summary
Additional details	Additional details: Include: All not explicitly excluded archetypes
Scheduled follow up	Scheduled follow up: The scheduled date for postnatal follow-up.
Comment
Total number of postnatal visits
Postnatal admission
Description
Inpatient admission details	Inpatient admission details: Include: openEHR-EHR-CLUSTER.inpatient_episode_details.v0 and specialisations
Conditions managed	Conditions managed: Significant issues, problems or diagnoses managed by the specified type of care.
Treatment summary
Additional details	Additional details: Include: All not explicitly excluded archetypes
Scheduled follow up	Scheduled follow up: The scheduled date for postnatal admission followup.
Comment
Total number of postnatal admissions
Comment	Comment: Additional narrative about the care received during a single pregnancy and the related postnatal period, not captured in other data fields.
Other contributors	Nicola Ewen, SERHA/Ministry of Health and Wellness, Jamaica Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Yohann White, Ministry of Health and Wellness, Jamaica
Translators