archetype (adl_version=1.4; uid=2cf8a52d-0cff-48d5-86bc-8022fe025bce)
	openEHR-EHR-CLUSTER.birth_detail.v0

concept
	[at0000]	-- Birth detail
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["ca"] = <
			language = <[ISO_639-1::ca]>
			author = <
				["name"] = <"Laura Moral Lopez">
				["organisation"] = <"Sistema de Salut de Catalunya">
				["email"] = <"lmorallopez@gmail.com">
			>
		>
		["es"] = <
			language = <[ISO_639-1::es]>
			author = <
				["name"] = <"Laura Moral Lopez">
				["organisation"] = <"Sistema de Salut de Catalunya">
				["email"] = <"lauramoral@catsalut.cat">
			>
		>
	>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2022-04-08">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record a subset of persistent or summary information about the pregnancy and birth of an infant, that may be used within both the mother's and infant's health record.">
			use = <"Use to record a subset of persistent or summary information about the pregnancy and birth of an infant, usually recorded as part of a maternal health record or birth report, but also able to be shared and reused to provide context about the pregnancy and birth within the newborn's health record.

This archetype has been designed to be nested:
- in the 'Birth detail' SLOT within the EVALUATION.pregnancy_summary archetype, to capture details about an infant born to the mother; and
- in the 'Birth detail' SLOT within the EVALUATION.birth_summary archetype, to capture or reuse details about the birth of the individual.">
			keywords = <"birth", "pregnancy", "infant", "newborn">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["es"] = <
			language = <[ISO_639-1::es]>
			purpose = <"Registrar un subconjunto de información persistente o resumida sobre el embarazo y el nacimiento de un bebé, que puede usarse tanto en el registro de salud de la madre como del bebé.">
			use = <"Se utiliza para registrar un subconjunto de información persistente o resumida sobre el embarazo y el nacimiento de un bebé, generalmente registrada como parte de un registro de salud materna o un informe de nacimiento, pero que también se puede compartir y reutilizar para proporcionar un contexto sobre el embarazo y el nacimiento dentro del contexto. Historial de salud del recién nacido.

Este arquetipo ha sido diseñado para ser anidado:
- en el nodo 'Detalle del nacimiento' dentro del arquetipo EVALUATION.pregnancy_summary, para capturar detalles sobre un bebé nacido de la madre; y
- en el nodo 'Detalle de nacimiento' dentro del arquetipo EVALUATION.birth_summary, para capturar o reutilizar detalles sobre el nacimiento del individuo.">
			keywords = <"nacimiento", "embarazo", "niño", "bebé", "infante", "recién nacido">
			misuse = <"">
		>
		["ca"] = <
			language = <[ISO_639-1::ca]>
			purpose = <"Per registrar un subconjunt d'informació persistent o resumida sobre l'embaràs i el naixement d'un nadó, que es pot utilitzar tant al registre de salut de la mare com del nadó.">
			use = <"S'utilitza per registrar un subconjunt d'informació persistent o resumida sobre l'embaràs i el naixement d'un nadó, normalment registrada com a part d'un registre de salut materna o d'un informe de naixement, però que també es pot compartir i reutilitzar per proporcionar context sobre l'embaràs i el part dins de l'historial de salut del nounat.

Aquest arquetip ha estat dissenyat per anidar:
- al node (SLOT) 'Detall de naixement' dins de l'arquetip EVALUATION.pregnancy_summary, per captar detalls sobre un nadó nascut de la mare; i
- al node (SLOT) \"Detall de naixement\" dins de l'arquetip EVALUATION.birth_summary, per capturar o reutilitzar detalls sobre el naixement de l'individu.">
			keywords = <"naixement", "embaràs", "infant", "nounat">
			misuse = <"">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	other_details = <
		["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"] = <"AFBE13A8BC3785AC196E6B6E05A75B4E">
		["build_uid"] = <"6b328d21-98f4-4b30-8756-29a39ec38899">
		["revision"] = <"0.0.1-alpha">
	>

definition
	CLUSTER[at0000] matches {    -- Birth detail
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0001] occurrences matches {0..1} matches {    -- Description
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0027] occurrences matches {0..1} matches {    -- Birth outcome
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0028,    -- Live birth
							at0029]    -- Still birth
						}
					}
				}
			}
			ELEMENT[at0003] occurrences matches {0..1} matches {    -- Birth order
				value matches {
					DV_COUNT matches {*}
				}
			}
			ELEMENT[at0004] occurrences matches {0..1} matches {    -- Gestation
				value matches {
					DV_DURATION matches {
						value matches {PW/|P0W..P52W|}
					}
				}
			}
			ELEMENT[at0018] occurrences matches {0..1} matches {    -- Gestational maturity
				value matches {
					DV_DURATION matches {
						value matches {PW/|P0W..P52W|}
					}
				}
			}
			ELEMENT[at0023] occurrences matches {0..1} matches {    -- Birth category by gestation
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0024,    -- Pre-term
							at0025,    -- Term
							at0026]    -- Post-term
						}
					}
				}
			}
			ELEMENT[at0005] occurrences matches {0..1} matches {    -- Method of delivery
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0006,    -- Unassisted
							at0007,    -- Assisted breech delivery
							at0008,    -- Total breech extraction
							at0009,    -- Vacuum extraction
							at0010,    -- Vacuum extraction with rotation
							at0011,    -- Lift-out forceps
							at0012,    -- Low forceps
							at0013,    -- High forceps
							at0014,    -- High forceps with rotation
							at0015,    -- Caesarean - lower uterine segment
							at0016]    -- Caesarean - upper uterine segment
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0019] occurrences matches {0..1} matches {    -- Delivery urgency
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0020,    -- Routine/Elective
							at0021,    -- Urgent
							at0022]    -- Emergency
						}
					}
					DV_TEXT matches {*}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Birth detail">
					description = <"A subset of persistent or summary information about the pregnancy and birth of an infant, selected for utility of use within both the maternal and infant health records.">
				>
				["at0001"] = <
					text = <"Description">
					description = <"Narrative description of the newborn, including observed congenital abnormalities.">
				>
				["at0003"] = <
					text = <"Birth order">
					description = <"The sequential order of the birth of the infant within a multiple birth pregnancy.">
					comment = <"For example: singleton or first of a multiple birth; second; third etc.">
				>
				["at0004"] = <
					text = <"Gestation">
					description = <"The length of the pregnancy at the time of delivery of the infant.">
					comment = <"The value for this data element will usually, but not always, be identical to the 'Pregnancy duration' data element within the EVALUATION.pregnancy_summary in the maternal record. It may also be derived using the 'Agreed date' data element within the EVALUATION.estimated_date_delivery archetype in the maternal record. Usually estimated by Naegele's rule or by ultrasound scan.">
				>
				["at0005"] = <
					text = <"Method of delivery">
					description = <"Method by which the newborn was delivered.">
					comment = <"For example: vaginal; forceps rotation; or Caesarean Section.">
				>
				["at0006"] = <
					text = <"Unassisted">
					description = <"Normal, non-instrumental vaginal delivery.">
				>
				["at0007"] = <
					text = <"Assisted breech delivery">
					description = <"Vaginal delivery assisted by maneuvers in the delivery of the remainder of the body, arms, and head.">
				>
				["at0008"] = <
					text = <"Total breech extraction">
					description = <"Vaginal delivery, by which the fetal feet are grasped, and the entire fetus is extracted.">
				>
				["at0009"] = <
					text = <"Vacuum extraction">
					description = <"Vaginal delivery assisted by the use of vacuum extraction.">
				>
				["at0010"] = <
					text = <"Vacuum extraction with rotation">
					description = <"Vaginal delivery assisted by the use of vacuum extraction.">
				>
				["at0011"] = <
					text = <"Lift-out forceps">
					description = <"Vaginal delivery assisted by the use of lift-out forceps.">
				>
				["at0012"] = <
					text = <"Low forceps">
					description = <"Vaginal delivery assisted by the use of low forceps.">
				>
				["at0013"] = <
					text = <"High forceps">
					description = <"Vaginal delivery assisted by the use of high forceps.">
				>
				["at0014"] = <
					text = <"High forceps with rotation">
					description = <"Vaginal delivery assisted by the use of high forceps with rotation.">
				>
				["at0015"] = <
					text = <"Caesarean - lower uterine segment">
					description = <"Surgical delivery by a transverse approach in the lower uterine segment (LUSCS).">
				>
				["at0016"] = <
					text = <"Caesarean - upper uterine segment">
					description = <"Surgical delivery by an approach in the upper uterine segment.">
				>
				["at0018"] = <
					text = <"Gestational maturity">
					description = <"The estimated gestational maturity of the newborn at, or very near, birth.">
					comment = <"Usually estimated by physical examination and/or neuromuscular assessment of the newborn.">
				>
				["at0019"] = <
					text = <"Delivery urgency">
					description = <"The level of urgency identified at or around the time of delivery.">
				>
				["at0020"] = <
					text = <"Routine/Elective">
					description = <"The delivery, induction or Caesarean Section did not require any unexpected or urgent intervention.">
				>
				["at0022"] = <
					text = <"Emergency">
					description = <"Recognition of a high risk situation required the delivery to be expedited as an emergency.">
				>
				["at0021"] = <
					text = <"Urgent">
					description = <"Recognition of an increasing risk situation required the delivery to be expedited.">
				>
				["at0023"] = <
					text = <"Birth category by gestation">
					description = <"Category of birth based on the duration of the pregnancy at birth.">
				>
				["at0024"] = <
					text = <"Pre-term">
					description = <"Premature; delivered before 37 weeks of gestation.">
				>
				["at0025"] = <
					text = <"Term">
					description = <"Delivered between 37 and 42 weeks of gestation.">
				>
				["at0026"] = <
					text = <"Post-term">
					description = <"Post-mature; delivered beyond 42 weeks of gestation.">
				>
				["at0027"] = <
					text = <"Birth outcome">
					description = <"Outcome of the pregnancy for the identified infant or fetus.">
				>
				["at0028"] = <
					text = <"Live birth">
					description = <"">
				>
				["at0029"] = <
					text = <"Still birth">
					description = <"">
				>
			>
		>
		["ca"] = <
			items = <
				["at0000"] = <
					text = <"Detall del naixement">
					description = <"Subconjunt d'informació persistent o resumida sobre l'embaràs i el naixement d'un nadó, seleccionada per a la utilitat d'ús tant als registres de salut materna com infantil.">
				>
				["at0001"] = <
					text = <"Descripció">
					description = <"Descripció narrativa del nounat, incloses les anomalies congènites observades.">
				>
				["at0003"] = <
					text = <"Ordre de naixement">
					description = <"L'ordre seqüencial del naixement del nadó dins d'un part d'embaràs múltiple.">
					comment = <"Per exemple: part únic o primer d'un part múltiple; segon; tercer, etc.">
				>
				["at0004"] = <
					text = <"Gestació">
					description = <"La durada de l'embaràs en el moment del part del nadó.">
					comment = <"El valor d'aquest element de dades normalment, però no sempre, serà idèntic a l'element de dades \"Durada de l'embaràs\" dins de l'EVALUATION.pregnancy_summary del registre matern. També es pot derivar mitjançant l'element de dades \"Data acordada\" dins de l'arquetip EVALUATION.estimated_date_delivery del registre matern. Normalment estimat per la regla de Naegele o per ecografia.">
				>
				["at0005"] = <
					text = <"Mètode de deslliurament">
					description = <"Mètode pel qual va néixer el nounat.">
					comment = <"Per exemple: vaginal; rotació de fòrceps; o cesària.">
				>
				["at0006"] = <
					text = <"No assistida">
					description = <"Normal, part vaginal no instrumentalitzat.">
				>
				["at0007"] = <
					text = <"Deslliurament de natges assistit">
					description = <"Part vaginal assistit per maniobres en el deslliurament de la resta del cos, braços i cap.">
				>
				["at0008"] = <
					text = <"Extracció total de natges">
					description = <"Part vaginal, mitjançant el qual s'agafen els peus fetals i s'extreu tot el fetus.">
				>
				["at0009"] = <
					text = <"Extracció amb ventosa">
					description = <"Part vaginal assistit per l'ús d'extracció amb ventosa.">
				>
				["at0010"] = <
					text = <"Extracció amb ventosa amb rotació">
					description = <"Part vaginal assistit per l'ús de l'extracció amb ventosa.">
				>
				["at0011"] = <
					text = <"Fòrceps d'elevació">
					description = <"Part vaginal assistit per l'ús de fòrceps d'elevació.">
				>
				["at0012"] = <
					text = <"Fòrceps baix">
					description = <"Part vaginal assistit amb l'ús de fòrceps baix.">
				>
				["at0013"] = <
					text = <"Fòrceps alt">
					description = <"Part vaginal assistit amb l'ús de fòrceps alt.">
				>
				["at0014"] = <
					text = <"Fòrceps alt amb rotació">
					description = <"Part vaginal assistit per l'ús de fòrceps alt amb rotació.">
				>
				["at0015"] = <
					text = <"Cesària - segment uterí inferior">
					description = <"Part quirúrgic per abordatge transversal del segment uterí inferior.">
				>
				["at0016"] = <
					text = <"Cesària - segment uterí superior">
					description = <"Part quirúrgic per abordatge del segment uterí superior.">
				>
				["at0018"] = <
					text = <"Edad gestacional">
					description = <"La maduresa gestacional estimada del nounat al moment del naixement o molt a prop del naixement.">
					comment = <"Normalment, s'estima mitjançant exploració física i/o valoració neuromuscular del nounat.">
				>
				["at0019"] = <
					text = <"*Delivery urgency (en)">
					description = <"Nivell d'urgència identificat en o al voltant del moment del lliurament.">
				>
				["at0020"] = <
					text = <"Rutinària/Electiva">
					description = <"El part, la inducció o la cesària no van requerir cap intervenció inesperada o urgent.">
				>
				["at0021"] = <
					text = <"Urgent">
					description = <"El reconeixement d'una situació de risc creixent va obligar a accelerar el deslliurament.">
				>
				["at0022"] = <
					text = <"Emergència">
					description = <"Reconeixement d'una situació d'alt risc va obligar a accelerar el deslliurament com a emergència.">
				>
				["at0023"] = <
					text = <"*Birth category by gestation (en)">
					description = <"*Category of birth based on the duration of the pregnancy at birth. (en)">
				>
				["at0024"] = <
					text = <"*Pre-term (en)">
					description = <"*Premature; delivered before 37 weeks of gestation. (en)">
				>
				["at0025"] = <
					text = <"*Term (en)">
					description = <"*Delivered between 37 and 42 weeks of gestation. (en)">
				>
				["at0026"] = <
					text = <"*Post-term (en)">
					description = <"*Post-mature; delivered beyond 42 weeks of gestation. (en)">
				>
				["at0027"] = <
					text = <"*Birth outcome (en)">
					description = <"*Outcome of the pregnancy for the identified infant or fetus. (en)">
				>
				["at0028"] = <
					text = <"*Live birth (en)">
					description = <"">
				>
				["at0029"] = <
					text = <"*Still birth (en)">
					description = <"">
				>
			>
		>
		["es"] = <
			items = <
				["at0000"] = <
					text = <"Detalles del nacimiento">
					description = <"Subconjunto de información persistente o resumida sobre el embarazo y el nacimiento de un bebé, seleccionada para su utilidad dentro de los registros de salud maternoinfantil.">
				>
				["at0001"] = <
					text = <"Descripción">
					description = <"Descripción narrativa del recién nacido, incluidas las anomalías congénitas observadas.">
				>
				["at0003"] = <
					text = <"Orden de nacimiento">
					description = <"El orden secuencial del nacimiento del bebé dentro de un embarazo de parto múltiple.">
					comment = <"Por ejemplo: hijo único o primero de un parto múltiple; segundo; tercero, etc.">
				>
				["at0004"] = <
					text = <"Gestación">
					description = <"Duración del embarazo en el momento del parto del recién nacido.">
					comment = <"El valor de este elemento de datos generalmente, aunque no siempre, será idéntico al elemento de datos \"Duración del embarazo\" dentro de EVALUATION.pregnancy_summary en el registro materno. También se puede derivar utilizando el elemento de datos 'Fecha acordada' dentro del arquetipo EVALUATION.estimated_date_delivery en el registro materno. Generalmente, se estima mediante la regla de Naegele o mediante ecografía.">
				>
				["at0005"] = <
					text = <"Método de alumbramiento">
					description = <"Método por el cual el recién nacido es alumbrado.">
					comment = <"Por ejemplo: vaginal; rotación de fórceps; o cesárea.">
				>
				["at0006"] = <
					text = <"No asistido">
					description = <"Normal, parto vaginal no instrumentalizado.">
				>
				["at0007"] = <
					text = <"Parto de nalgas asistido">
					description = <"Parto vaginal asistido por maniobras en la salida del resto del cuerpo, brazos y cabeza.">
				>
				["at0008"] = <
					text = <"Extracción total de nalgas">
					description = <"Parto vaginal, mediante el cual se agarran los pies del feto y se extrae el feto completo.">
				>
				["at0009"] = <
					text = <"Extracción con ventosa">
					description = <"Parto vaginal asistido mediante el uso de extracción con ventosa.">
				>
				["at0010"] = <
					text = <"Extracción con ventosa con rotación">
					description = <"Parto vaginal asistido mediante el uso de extracción con ventosa.">
				>
				["at0011"] = <
					text = <"Fórceps elevador">
					description = <"Parto vaginal asistido mediante el uso de fórceps elevadores.">
				>
				["at0012"] = <
					text = <"Fórceps bajo">
					description = <"Parto vaginal asistido mediante el uso de fórceps bajos.">
				>
				["at0013"] = <
					text = <"Fórceps alto">
					description = <"Parto vaginal asistido mediante el uso de fórceps altos.">
				>
				["at0014"] = <
					text = <"Fórceps alto con rotación.">
					description = <"Parto vaginal asistido mediante el uso de fórceps altos con rotación.">
				>
				["at0015"] = <
					text = <"Cesárea - segmento uterino inferior">
					description = <"Parto quirúrgico por abordaje transversal en el segmento uterino inferior (LSCS).">
				>
				["at0016"] = <
					text = <"Cesárea - segmento uterino superior">
					description = <"Parto quirúrgico mediante abordaje en el segmento uterino superior.">
				>
				["at0018"] = <
					text = <"Edad gestacional">
					description = <"La madurez gestacional estimada del recién nacido en el momento del nacimiento o muy cerca del mismo.">
					comment = <"Generalmente se estima mediante examen físico y/o evaluación neuromuscular del recién nacido.">
				>
				["at0019"] = <
					text = <"*Delivery urgency (en)">
					description = <"El nivel de urgencia identificado en el momento de la entrega o alrededor del tiempo de la entrega.">
				>
				["at0020"] = <
					text = <"Rutina/Electivo">
					description = <"El parto, inducción o cesárea no requirió ninguna intervención inesperada o urgente.">
				>
				["at0021"] = <
					text = <"Urgente">
					description = <"Reconocimiento de una situación de riesgo creciente requirió que se acelerara la entrega.">
				>
				["at0022"] = <
					text = <"Emergente">
					description = <"Reconocimiento de una situación de alto riesgo requirió que la entrega se acelerara como una emergencia.">
				>
				["at0023"] = <
					text = <"*Birth category by gestation (en)">
					description = <"*Category of birth based on the duration of the pregnancy at birth. (en)">
				>
				["at0024"] = <
					text = <"*Pre-term (en)">
					description = <"*Premature; delivered before 37 weeks of gestation. (en)">
				>
				["at0025"] = <
					text = <"*Term (en)">
					description = <"*Delivered between 37 and 42 weeks of gestation. (en)">
				>
				["at0026"] = <
					text = <"*Post-term (en)">
					description = <"*Post-mature; delivered beyond 42 weeks of gestation. (en)">
				>
				["at0027"] = <
					text = <"*Birth outcome (en)">
					description = <"*Outcome of the pregnancy for the identified infant or fetus. (en)">
				>
				["at0028"] = <
					text = <"*Live birth (en)">
					description = <"">
				>
				["at0029"] = <
					text = <"*Still birth (en)">
					description = <"">
				>
			>
		>
	>