ARCHETYPE Fetal heart monitoring (openEHR-EHR-OBSERVATION.fetal_heart-monitoring.v0)

Name: Fetal heart monitoring
License: http://creativecommons.org/licenses/by-sa/4.0/

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
OtherDetails 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/., 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, current_contact=Heather Leslie, Atomica Informatics, Australia, MD5-CAM-1.0.1=E30FED2FE0AE5E457C2CE6CC28CC0110, build_uid=3120cd50-4b70-4f4e-8ab8-c91910d26bfa, revision=0.0.1-alpha}
Keywords	fetal, heart, beat, rate, rhythm
Lifecycle	in_development
UID	ec6a2fb8-e8f1-3e41-b282-cb23715c5e35
Language used	en
Citeable Identifier	1051.32.654
Revision Number	0.0.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Observations about the fetal heart rate, usually using a cardiotocograph or similar device over a period of time., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=Foetus, archetypeTranslationTree=null, topLevelToAshis={content=[], description=[], details=[], source=[], capabilities=[], other_participations=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0018]/items[at0020], code=at0020, itemType=SLOT, level=2, text=Device, description=Details about the device used to detect the fetal heart rate., comment=For example: Pinard's stethoscope or Doppler Ultrasound., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0018]/items[at0021], code=at0021, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null]], provider=[], activities=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0011]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Position of mother, description=The position of the mother when the fetal heart rate was measured., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0013::Standing [Mother standing at the time of fetal heart rate measurement.] at0014::Sitting [Mother sitting at the time of fetail heart rate measurement.] at0015::Reclining [Mother reclining at the time of fetal heart rate measurement.] at0016::Lying [Lying flat at the time of fetal heart rate measurement.] at0017::Lying with tilt to left [Mother lying flat with some lateral tilt towards the left.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0011]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Confounding factors, description=Description of incidental factors, not recorded elsewhere, that may be influencing the fetal heart rate measurement., comment=For example, maternal fever or exertion., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0011]/items[at0023], code=at0023, itemType=ELEMENT, level=4, text=In labour, description=Is the mother in active labor during the observation?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0024::In labour [The mother is in labour as the observation is made.] at0025::Not in labour [The mother is not in labour as the observation is made.] , extendedValues=null]], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], ism_transition=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Presence, description=The fetal heart beat is detected., comment=Implied as present if fetal heart rate > 0., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0026::Present [The fetal heart beat is detected.] at0027::Absent [The fetal heart beat is not detected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Rate, description=The observed fetal heart rate., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Units: 0.0..<1000.0 1/min Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.1], code=at0.1, itemType=ELEMENT, level=4, text=Variability, description=Variability in the fetal heart rate observed during the monitoring interval., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_INTERVAL, bindings=null, values=Lower: Units: 0.0..<1000.0 1/min Limit decimal places: 0 Upper: Units: 0.0..<1000.0 1/min Limit decimal places: 0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.2], code=at0.2, itemType=ELEMENT, level=4, text=Variability category, description=Variability in the fetal heart rate observed during the monitoring interval., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0.11::Absent [Heart rate variability is undetectable.] at0.12::Minimal [Heart rate variability is greater than undetectable, but less than or equal to 5 beats per minute.] at0.13::Moderate [Heart rate variability is between 6-25 beats per minute.] at0.14::Marked [Heart rate variability is greater than 25 beats per minute.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.3], code=at0.3, itemType=ELEMENT, level=4, text=Variability description, description=Narrative description of the pattern of variability observed during the monitoring interval., comment=For example: a sinusoidal pattern., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.4], code=at0.4, itemType=ELEMENT, level=4, text=Accelerations, description=Presence of accelerations observed during the monitoring interval., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0.15::Absent [Heart rate accelerations are undetectable.] at0.16::Spontaneously present [Heart rate accelerations are present and occurring spontaneously.] at0.17::Present with fetal scalp stimulation [Fetal heart accelerations are detected as a result of fetal scalp stimulation.] at0.18::Absent with fetal scalp stimulation [Fetal heart rate accelerations are not detected with fetal scalp stimulation.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.5], code=at0.5, itemType=ELEMENT, level=4, text=Early decelerations, description=Frequency of early accelerations observed during the monitoring interval., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0.19::None [No decelerations detected.] at0.20::Occasional [Occasional decelerations detected but occur in association with less than 50% of uterine contractions.] at0.21::Repetitive [Decelerations detected in association with over 50% of uterine contractions.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.6], code=at0.6, itemType=ELEMENT, level=4, text=Uncomplicated variable decelerations, description=Frequency of uncomplicated variable decelerations observed during the monitoring interval., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0.22::None [No decelerations detected.] at0.23::Occasional [Occasional decelerations detected but occur in association with less than 50% of uterine contractions.] at0.24::Repetitive [Decelerations detected in association with over 50% of uterine contractions.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.7], code=at0.7, itemType=ELEMENT, level=4, text=Complicated variable decelerations, description=Frequency of complicated variable decelerations observed during the monitoring interval., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0.25::None [No decelerations detected.] at0.26::Occasional [Occasional decelerations detected but occur in association with less than 50% of uterine contractions.] at0.27::Repetitive [Decelerations detected in association with over 50% of uterine contractions.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.8], code=at0.8, itemType=ELEMENT, level=4, text=Late decelerations, description=Frequency of late decelerations observed during the monitoring interval., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0.28::None [No decelerations detected.] at0.29::Occasional [Occasional decelerations detected but occur in association with less than 50% of uterine contractions.] at0.30::Repetitive [Decelerations detected in association with over 50% of uterine contractions.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.9], code=at0.9, itemType=ELEMENT, level=4, text=Prolonged decelerations, description=Duration of a single, prolonged deceleration observed during the monitoring interval., comment=Can be recorded multiple times during the period of observation - one duration recorded for each discrete deceleration., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: minutes, seconds >=0 seconds , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Clinical interpretation, description=Single word, phrase or brief description that represents the clinical meaning and significance of the fetal heart rate., comment=For example, bradycardia or tachycardia., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.10], code=at0.10, itemType=SLOT, level=4, text=Multimedia representation, description=Digital representation of the monitoring findings., comment=For example: video or recording of the CTG., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.multimedia.v0 or openEHR-EHR-CLUSTER.multimedia.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the fetal heart rate, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], target=[], identities=[], items=[], relationships=[], credentials=[], context=[], contacts=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0018], code=at0018, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0011], code=at0011, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0018]/items[at0020], code=at0020, itemType=SLOT, level=2, text=Device, description=Details about the device used to detect the fetal heart rate., comment=For example: Pinard's stethoscope or Doppler Ultrasound., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0018]/items[at0021], code=at0021, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]