ISO_639-1
en
false
2020-05-05
Marit Alice Venheim
Helse Vest IKT AS
marit.alice.venheim@helse-vest-ikt-no
Marit Alice Venheim, Helse Vest IKT, Norway
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Sparked AU, CSIRO, Australia
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Tara Bonet Chinillach, Catalan Health Service, Spain
Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor)
Grete Hovde Bøe, Sykehuspartner HF, Norway (openEHR Editor)
Michelle Currie, SavantSolutions4HIT, LLC, United States
Inger Elise Engelund, Fagsenter for pasientrapporterte data, Helse Bergen HF, Norway
Aleksander Furnes, Helse Nord IKT, Norway (openEHR Editor)
Ciprian Gerstenberger, Helse Nord IKT, Norway (openEHR Editor)
William Goossen, Results 4 Care, Netherlands
Heather Grain, Llewelyn Grain Informatics, Australia
Atle Hansen, Universitetssykehuset Nord-Norge, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Henri Huttunen, UNA Oy, Finland
Juliette Jager, Tietoevry, Norway
June Marie Nepstad Knappskog, Helse Nord IKT AS, Norway (openEHR Editor), Norway (openEHR Editor)
Elin Kristiansen, Sykehuspartner HF, Norway (openEHR Editor)
Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)
Jörgen Kuylenstierna, eWeave AB, Sweden
Eli Larsen, UNN, Norway (openEHR Editor)
Liv Laugen, Oslo University Hospital, Norway, Norway (openEHR Editor)
Darin Leonhardt, PLRI für medizinische Informatik/ Medizinische Hochschule, Germany
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
June Marie Knappskog, Helse Nord IKT AS, Norway (openEHR Norway redaktør), Norway
Cecilia Mascia, CRS4, Italy
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
Patrick Fergal McSharry, MSMS(I) and SESLHD, Australia
Martin Milde, Helse Vest IKT, Norway (openEHR Editor)
Olha Nikolaieva, University Hospital Basel, Switzerland
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Bjørn Næss, DIPS ASA, Norway
Marianne Opsahl Bredesen, Helse Nord IKT HF, Norway
Jayashree Panickar, India
Ana Pascual Segura, Catsalut, Spain
Anton Pichugin, GKU IAC at Department of Information Technologies of the city of Moscow (DIT Moscow), Russia
Marlene Pérez Colman, Digital Health and Care Wales, United Kingdom
Bipinkumar Rathod, NHS, United Kingdom
Ruben Rognmo, Helse Nord IKT, Norway
Terje Sagmyr, Helse Vest IKT, Norway (openEHR Editor)
Videha Sharma, University of Manchester, United Kingdom
Norwegian Review Summary, Norwegian Public Hospitals, Norway
Averil Tam, CSIRO, Australia
Nyree Taylor, CSIRO, Australia
John Tore Valand, Helse Vest IKT, Norway (openEHR Editor)
Marte Vassli Gullesen, HNIKT, Norway
Wouter Zanen, Eurotranplant, Netherlands
Karsten Øvretveit, Helse Vest IKT, Norway (openEHR Editor)
in_development
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/.
openEHR Foundation
org.openehr
openEHR Foundation
org.openehr
4FBB7D380A21F781CC5D4AAB3401144C
ee938c73-6795-40a1-9c1b-791da1f8f2e6
This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org.
0.0.1-alpha
ISO_639-1
de
*To record a clinician’s assertion of the presence or absence of pregnancy at a specific point in time, typically to support clinical decision-making. (en)
*pregnancy (en)
*pregnant (en)
*exclusion (en)
*confirmation (en)
*Not to be used to record summary information about a current or past pregnancy. Use the EVALUATION.pregnancy_summary archetype for this purpose.
Not to be used to record a suspicion of, or level of uncertainty about, a diagnosis of pregnancy, such as 'possible', 'probable', 'suspected', or 'confirmed'. Use the EVALUATION.problem_diagnosis for this purpose.
Not to be used to record the individual’s current pregnancy-related care state so that relevant pregnancy considerations can be taken into account in clinical decision-making. Use the EVALUATION.pregnancy_care_state for this purpose.
Not to be used to record details about procedures performed related to a pregnancy, such as terminations or instrumental deliveries. Use the ACTION.procedure for this purpose.
Not to be used in the context of questionnaire-style representations, such as self-reported data with questions like 'Are you currently pregnant?' The need for a specific archetype for this purpose is acknowledged but had not yet been developed at the time of publication of this archetype.
Not to be used to record absence of known pregnancy history. The need for a specific archetype for this purpose is acknowledged but had not yet been developed at the time of publication of this archetype. (en)
ISO_639-1
nb
For å registrere et utsagn fra en kliniker om tilstedeværelse eller fravær av graviditet på et gitt tidspunkt, vanligvis for å støtte kliniske beslutninger.
graviditet
gravid
ekskludering
utelukkelse
bekreftelse
svangerskap
Skal ikke brukes til å registrere sammendrag om en nåværende eller tidligere graviditet. Bruk arketypen EVALUATION.pregnancy_summary (Graviditetssammenfatning) til dette formålet.
Skal ikke brukes for å registrere mistanke om eller grad av usikkerhet om individet er gravid, som for eksempel "mulig", "sannsynlig", "mistenkt" eller "bekreftet". Bruk EVALUATION.problem_diagnosis (Problem/diagnose) til dette.
Skal ikke brukes for å registrere individets pågående svangerskapsomsorgsrelaterte opplysninger til bruk for vurderinger og beslutninger knyttet til dette. Bruk EVALUATION.pregnancy_care_state for dette.
Skal ikke brukes til å registrere detaljer om prosedyrer utført under en graviditet, for eksempel avbrudd eller fødsel. Bruk arketypen ACTION.procedure (Prosedyre) for dette formålet.
Skal ikke brukes i sammenheng med spørreskjema for eksempel selvrapporterte data med spørsmål som "Er du gravid?". Behovet for en spesifikk arketype for dette formålet er anerkjent, men den var ennå ikke utviklet på tidspunktet da denne arketypen ble publisert.
Skal ikke brukes til å registrere at man mangler svangerskapshistorikk. Behovet for en spesifikk arketype for dette formålet er anerkjent, men den var ennå ikke utviklet på tidspunktet da denne arketypen ble publisert.@All
ISO_639-1
en
To record a clinician’s assertion of the presence or absence of pregnancy at a specific point in time, typically to support clinical decision-making.
pregnancy
pregnant
exclusion
confirmation
Not to be used to record summary information about a current or past pregnancy. Use the EVALUATION.pregnancy_summary archetype for this purpose.
Not to be used to record a suspicion of, or level of uncertainty about, a diagnosis of pregnancy, such as 'possible', 'probable', 'suspected', or 'confirmed'. Use the EVALUATION.problem_diagnosis for this purpose.
Not to be used to record the individual’s current pregnancy-related care state so that relevant pregnancy considerations can be taken into account in clinical decision-making. Use the EVALUATION.pregnancy_care_state for this purpose.
Not to be used to record details about procedures performed related to a pregnancy, such as terminations or instrumental deliveries. Use the ACTION.procedure for this purpose.
Not to be used in the context of questionnaire-style representations, such as self-reported data with questions like 'Are you currently pregnant?' The need for a specific archetype for this purpose is acknowledged but had not yet been developed at the time of publication of this archetype.
Not to be used to record absence of known pregnancy history. The need for a specific archetype for this purpose is acknowledged but had not yet been developed at the time of publication of this archetype.
© openEHR Foundation
ISO_639-1
de
Sarah Ballout, Natalia Strauch, Darin Leonhardt
MHH-Hannover, Medizinische Hochschule Hannover, PLRI für medizinische Informatik/ Medizinische Hochschule
ballout.sarah@mh-hannover.de, Strauch.Natalia@mh-hannover.de, leonhardt.darin@mh-hannover.de
ISO_639-1
nb
Eli Larsen, Liv Laugen, Vebjørn Arntzen, John Tore Valand
Universitetssykehuset Nord-Norge, Oslo University Hospital Norway, Helse Vest IKT
eli.larsen@unn.no, liv.laugen@ous-hf.no, varntzen@ous-hf.no, john.tore.valand@helse-vest-ikt.no
752bdebc-9c67-4190-b872-db5361dab992
openEHR-EHR-OBSERVATION.pregnancy_assertion.v0
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Pregnancy assertion
A declaration made by a clinician of the presence or absence of pregnancy at a specific point in time, as confirmed by available clinical evidence and valid only at the time it is made.
History
@ internal @
Tree
@ internal @
Pregnancy assertion
A declaration made by a clinician of the presence or absence of pregnancy at a specific point in time.
Pregnant
Pregnancy has been confirmed.
Not pregnant
Pregnancy has been excluded, as best as can be determined.
Justification
Narrative description of the clinical evidence supporting the assertion.
Comment
Additional narrative about the pregnancy assertion, not captured in other fields.
Any point in time event
Default, unspecified point in time event which may be explicitly defined in a template or at run-time.
Item tree
@ internal @
Extension
Additional information required to extend the model with local content or to align with other reference models or formalisms.
Clinical evidence
Structured clinical evidence supporting the assertion.
Feststellung der Schwangerschaft
*A declaration made by a clinician of the presence or absence of pregnancy at a specific point in time, as confirmed by available clinical evidence and valid only at the time it is made. (en)
History
@ internal @
Tree
@ internal @
Feststellung der Schwangerschaft
*A statement or declaration about the pregnancy status of the individual at a specific point in time. (en)
Schwanger
Die Schwangerschaft wurde bestätigt.
Nicht schwanger
Eine Schwangerschaft wurde so weit wie möglich ausgeschlossen.
Rechtfertigung
*Narrative description of the clinical evidence supporting the assertion. (en)
Kommentar
Zusätzliche Informationen über die Schwangerschaft, die nicht in anderen Feldern erfasst wurden.
Jeder Zeitpunkt des Ereignisses
Standardmäßiges, nicht spezifiziertes Ereignis zu einem bestimmten Zeitpunkt, das explizit in einer Vorlage oder zur Laufzeit definiert werden kann.
Item tree
@ internal @
Erweiterungen
Zusätzliche Informationen zur Erfassung lokaler Inhalte oder Anpassung an andere Referenzmodelle/Formalismen.
Klinischer Nachweis
Strukturierte klinische Nachweise zur Untermauerung der Feststellung.
Utsagn om graviditet
En erklæring fra en kliniker som bekrefter om individet er gravid eller ikke på et bestemt tidspunkt, og som kun anses som gyldig på det tidspunktet den er avgitt.
History
@ internal @
Tree
@ internal @
Utsagn om graviditet
Et utsagn eller erklæring om individets graviditetsstatus på et bestemt tidspunkt.
Gravid
Graviditet er bekreftet.
Ikke gravid
Graviditet er utelukket, så godt det kan fastslås.
Begrunnelse
Fritekstbeskrivelse av det kliniske grunnlaget som støtter utsagnet.
Kommentar
Ytterligere beskrivelse angående utsagnet om graviditetsstatus som ikke fanges i andre felt.
Uspesifisert tidspunkthendelse
Standard uspesifisert tidspunkthendelse som kan defineres mer eksplisitt i et templat eller i en applikasjon.
Item tree
@ internal @
Tilleggsinformasjon
Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller eller formalismer.
Klinisk dokumentasjon
Strukturert klinisk dokumentasjon som støtter utsagnet.
SNOMED-CT
77386006
SNOMED-CT
60001007