OpenEHR Master CKM Mirror
Name
Birth summary
Description
Overview or summary record of the pregnancy and birth of an individual.
Keywords
birth DOB birthplace plurality
Purpose
To record an overview or summary record of the pregnancy and birth of an individual.
Use
Use to record an overview or summary record of the pregnancy and birth of an individual.
Misuse
Not to be used to record information about a pregnancy and birth for use in a maternal health record - use EVALUATION.pregnancy_summary and related archetypes for this purpose.
Archetype Id
openEHR-EHR-EVALUATION.birth_summary.v0
Copyright
© openEHR Foundation
Licencing
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/.
Original Author
Heather Leslie
Atomica Informatics
Date Originally Authored
2022-04-12
Language Details
Norwegian Bokmal
Vebjørn Arntzen, Grete Hovde Bøe, Elin Kristiansen
Oslo University Hospital, Sykehuspartner HF
Spanish, Castilian
Julio de Sosa
Servei Català de la Salut
Catalan, Valencian
Julio de Sosa
Servei Català de la Salut
Name Card Type Description
Date/time of birth (DOB)
0..1 DV_DATE_TIME The date/time of birth of the individual.
Comment
May also be used to record the assumed or agreed date/time of birth for operational purposes, if the actual date/time is not formally recorded. Possible alternatives for the date/time of birth of the individual can be recorded using the CLUSTER.DOB_alternative archetype 'Date of birth details' SLOT. Partial dates are allowed.
DOB alternatives
0..* Slot (Cluster) Additional details about possible alternative dates of birth.
Slot
Slot
Country of birth
0..1 DV_TEXT The country of birth of the individual.
Place of birth
0..1 DV_TEXT Simple representation about the place of birth.
Comment
This data element provides the opportunity for simple detail about the place of birth, such as the city, region, town, or suburb within the identified 'Country of birth'. For example: Kingston (Jamaica); Manhattan (USA); or Box Hill (Australia).
Structured place of birth
0..* Slot (Cluster) Structured details about the place of birth.
Comment
Please note: there is potential duplication of the 'Country of birth' data element if the CLUSTER.address is used.
Slot
Slot
Pregnancy/birth summary
0..1 DV_TEXT Narrative description about the entire pregnancy, labour and delivery of the individual, including both maternal and infant complications.
Comment
This data element may be derived from the 'Pregnancy synopsis' data element within the EVALUATION.pregnancy_summary archetype in the maternal health record.
Birth plurality
0..1 DV_TEXT Term representing the total number of live births and stillbirths resulting from the pregnancy.
Comment
Coding of the 'birth plurality' term is recommended. For example: singleton; twins; triplets; or quadruplets.The definition of 'stillbirth' may vary in different locations.
Birth details
0..* Slot (Cluster) 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.
Slot
Slot
Additional details
0..* Slot (Cluster) Additional structured details related to the birth.
Slot
Slot
Comment
0..1 DV_TEXT Additional narrative about the birth not captured in other fields.
Name Card Type Description
Last updated
0..1 DV_DATE_TIME The date when the birth summary was last updated.
Extension
0..* Slot (Cluster)
Slot
Slot
archetype (adl_version=1.4; uid=34569352-0a74-4ff9-aebf-8ec9929eb948)
	openEHR-EHR-EVALUATION.birth_summary.v0

concept
	[at0000]	-- Birth summary
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Vebjørn Arntzen, Grete Hovde Bøe, Elin Kristiansen">
				["organisation"] = <"Oslo University Hospital, Sykehuspartner HF">
				["email"] = <"varntzen@ous-hf.no, grete.kristin.hovde.boe@sykehuspartner.no, elinkr@sykehuspartner.no">
			>
		>
		["es"] = <
			language = <[ISO_639-1::es]>
			author = <
				["name"] = <"Julio de Sosa">
				["organisation"] = <"Servei Català de la Salut">
				["email"] = <"juliodesosa@catsalut.cat">
			>
		>
		["ca"] = <
			language = <[ISO_639-1::ca]>
			author = <
				["name"] = <"Julio de Sosa">
				["organisation"] = <"Servei Català de la Salut">
				["email"] = <"juliodesosa@catsalut.cat">
			>
		>
	>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2022-04-12">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere en oversikt eller sammendrag av svangerskapet og fødselen til et individ.">
			use = <"Brukes til å registrere en oversikt eller sammendrag av svangerskapet og fødselen til et individ.">
			keywords = <"fødsel, fødselsdato, fødested, flerling, svangerskap", ...>
			misuse = <"Skal ikke brukes for å registrere informasjon om et svangerskap og fødsel til bruk i mors fødejournal. Bruk EVALUATION.pregnancy_summary (Graviditetssammenfatning) og tiilhørende arketyper for dette formålet.">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record an overview or summary record of the pregnancy and birth of an individual.">
			use = <"Use to record an overview or summary record of the pregnancy and birth of an individual.">
			keywords = <"birth", "DOB", "birthplace", "plurality">
			misuse = <"Not to be used to record information about a pregnancy and birth for use in a maternal health record - use EVALUATION.pregnancy_summary and related archetypes for this purpose.">
			copyright = <"© openEHR Foundation">
		>
		["es"] = <
			language = <[ISO_639-1::es]>
			purpose = <"Registrar un resumen del embarazo y el nacimiento de un individuo.">
			use = <"Se utiliza para registrar un resumen del embarazo y el nacimiento de una persona.">
			keywords = <"nacimiento", "fecha de nacimiento", "lugar de nacimiento", "multiplicidad">
			misuse = <"No debe utilizarse para registrar información sobre un embarazo y un parto para su uso en un registro de salud materna; para ello, utilice EVALUATION.pregnancy_summary y los arquetipos relacionados.">
		>
		["ca"] = <
			language = <[ISO_639-1::ca]>
			purpose = <"Registrar un resum de l'embaràs i el naixement d'un individu.">
			use = <"Es fa servir per registrar un resum de l'embaràs i el naixement d'una persona.">
			keywords = <"naixement", "data de naixement", "lloc de naixement", "multiplicitat">
			misuse = <"No s'ha d'utilitzar per registrar informació sobre un embaràs i un part per utilitzar-lo en un registre de salut materna; per fer-ho, utilitzeu EVALUATION.pregnancy_summary i els arquetips relacionats.">
		>
	>
	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"] = <"BC491CFE30BA4EE011D599F58D86CFCF">
		["build_uid"] = <"7b1d37f7-b7fb-4350-86ab-796e93877438">
		["revision"] = <"0.0.1-alpha">
	>

definition
	EVALUATION[at0000] matches {    -- Birth summary
		data matches {
			ITEM_TREE[at0001] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0004] occurrences matches {0..1} matches {    -- Date/time of birth (DOB)
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
					allow_archetype CLUSTER[at0003] occurrences matches {0..*} matches {    -- DOB alternatives
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.dob_alternative(-[a-zA-Z0-9_]+)*\.v0/}
					}
					ELEMENT[at0002] occurrences matches {0..1} matches {    -- Country of birth
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0012] occurrences matches {0..1} matches {    -- Place of birth
						value matches {
							DV_TEXT matches {*}
						}
					}
					allow_archetype CLUSTER[at0005] occurrences matches {0..*} matches {    -- Structured place of birth
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.organisation(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.address(-[a-zA-Z0-9_]+)*\.v1/}
					}
					ELEMENT[at0006] occurrences matches {0..1} matches {    -- Pregnancy/birth summary
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0007] occurrences matches {0..1} matches {    -- Birth plurality
						value matches {
							DV_TEXT matches {*}
						}
					}
					allow_archetype CLUSTER[at0008] occurrences matches {0..*} matches {    -- Birth details
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.birth_detail(-[a-zA-Z0-9_]+)*\.v0/}
					}
					allow_archetype CLUSTER[at0013] occurrences matches {0..*} matches {    -- Additional details
						include
							archetype_id/value matches {/.*/}
					}
					ELEMENT[at0014] occurrences matches {0..1} matches {    -- Comment
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0009] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0010] occurrences matches {0..1} matches {    -- Last updated
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
					allow_archetype CLUSTER[at0011] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Birth summary">
					description = <"Overview or summary record of the pregnancy and birth of an individual.">
				>
				["at0001"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Country of birth">
					description = <"The country of birth of the individual.">
				>
				["at0003"] = <
					text = <"DOB alternatives">
					description = <"Additional details about possible alternative dates of birth.">
				>
				["at0004"] = <
					text = <"Date/time of birth (DOB)">
					description = <"The date/time of birth of the individual.">
					comment = <"May also be used to record the assumed or agreed date/time of birth for operational purposes, if the actual date/time is not formally recorded. Possible alternatives for the date/time of birth of the individual can be recorded using the CLUSTER.DOB_alternative archetype 'Date of birth details' SLOT. Partial dates are allowed.">
				>
				["at0005"] = <
					text = <"Structured place of birth">
					description = <"Structured details about the place of birth.">
					comment = <"Please note: there is potential duplication of the 'Country of birth' data element if the CLUSTER.address is used. ">
				>
				["at0006"] = <
					text = <"Pregnancy/birth summary">
					description = <"Narrative description about the entire pregnancy, labour and delivery of the individual, including both maternal and infant complications.">
					comment = <"This data element may be derived from the 'Pregnancy synopsis' data element within the EVALUATION.pregnancy_summary archetype in the maternal health record.">
				>
				["at0007"] = <
					text = <"Birth plurality">
					description = <"Term representing the total number of live births and stillbirths resulting from the pregnancy.">
					comment = <"Coding of the 'birth plurality' term is recommended. For example: singleton; twins; triplets; or quadruplets.The definition of 'stillbirth' may vary in different locations. ">
				>
				["at0008"] = <
					text = <"Birth details">
					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.">
				>
				["at0009"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0010"] = <
					text = <"Last updated">
					description = <"The date when the birth summary was last updated.">
				>
				["at0011"] = <
					text = <"Extension">
					description = <"">
				>
				["at0012"] = <
					text = <"Place of birth">
					description = <"Simple representation about the place of birth.">
					comment = <"This data element provides the opportunity for simple detail about the place of birth, such as the city, region, town, or suburb within the identified 'Country of birth'. For example: Kingston (Jamaica); Manhattan (USA); or Box Hill (Australia).">
				>
				["at0013"] = <
					text = <"Additional details">
					description = <"Additional structured details related to the birth.">
				>
				["at0014"] = <
					text = <"Comment">
					description = <"Additional narrative about the birth not captured in other fields.">
				>
			>
		>
		["es"] = <
			items = <
				["at0000"] = <
					text = <"Resumen del parto">
					description = <"Resumen o registro resumido del embarazo y el nacimiento de una persona.">
				>
				["at0001"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"País de nacimiento">
					description = <"El país de nacimiento del individuo.">
				>
				["at0003"] = <
					text = <"Fechas de nacimiento alternativas">
					description = <"Detalles adicionales sobre posibles fechas de nacimiento alternativas.">
				>
				["at0004"] = <
					text = <"Fecha/hora de nacimiento">
					description = <"La fecha/hora de nacimiento de la persona.">
					comment = <"También puede utilizarse para registrar la fecha/hora de nacimiento supuesta o acordada con fines operativos, si la fecha/hora real no se registra formalmente. Las posibles alternativas para la fecha/hora de nacimiento del individuo pueden registrarse utilizando el arquetipo CLUSTER.DOB_alternative 'Date of birth details' SLOT. Se permiten fechas parciales.">
				>
				["at0005"] = <
					text = <"Lugar de nacimiento detallado">
					description = <"Datos detallados sobre el lugar de nacimiento.">
					comment = <"Nota: existe una posible duplicidad del dato \"País de nacimiento\" si se utiliza CLUSTER.address.">
				>
				["at0006"] = <
					text = <"Resumen del embarazo/parto">
					description = <"Descripción narrativa del embarazo, parto y alumbramiento del individuo, incluidas las complicaciones tanto maternas como infantiles.">
					comment = <"Este elemento de datos puede derivarse del elemento de datos \"Sinopsis del embarazo\" dentro del arquetipo EVALUATION.pregnancy_summary en el registro de salud materna.">
				>
				["at0007"] = <
					text = <"Parto múltiple">
					description = <"Término que representa el número total de nacidos vivos y mortinatos resultantes del embarazo.">
					comment = <"Se recomienda codificar el término 'parto múltiple'. Por ejemplo: feto único, gemelos, trillizos o cuatrillizos. La definición de \"mortinato\" puede variar en función del lugar.">
				>
				["at0008"] = <
					text = <"Detalles del parto">
					description = <"Un subconjunto de información persistente o resumida sobre el embarazo y el nacimiento de un bebé, seleccionada por su utilidad de uso dentro de los historiales médicos materno e infantil.">
				>
				["at0009"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0010"] = <
					text = <"Última actualización">
					description = <"Fecha de la última actualización del resumen del parto.">
				>
				["at0011"] = <
					text = <"Extensión">
					description = <"">
				>
				["at0012"] = <
					text = <"Lugar de nacimiento">
					description = <"Representación sencilla del lugar de nacimiento.">
					comment = <"Este dato ofrece la posibilidad de dar detalles sencillos sobre el lugar de nacimiento, como la ciudad, la región, el pueblo o el suburbio dentro del \"País de nacimiento\" identificado. Por ejemplo: Kingston (Jamaica); Manhattan (EE.UU.); o Box Hill (Australia).">
				>
				["at0013"] = <
					text = <"Detalles adicionales">
					description = <"Detalles adicionales estructurados, relacionados con el parto.">
				>
				["at0014"] = <
					text = <"Comentarios">
					description = <"Información adicional sobre el parto no recogida en otros campos.">
				>
			>
		>
		["ca"] = <
			items = <
				["at0000"] = <
					text = <"Resum del part">
					description = <"Resum o registre resumit de l'embaràs i el naixement d'una persona.">
				>
				["at0001"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"País de naixement">
					description = <"El país de naixement de l'individu.">
				>
				["at0003"] = <
					text = <"Dates de naixement alternatives">
					description = <"Detalls addicionals sobre possibles dates de naixement alternatives.">
				>
				["at0004"] = <
					text = <"Data/hora de naixement">
					description = <"La data/hora de naixement de la persona.">
					comment = <"També es pot utilitzar per registrar la data/hora de naixement suposada o acordada amb fins operatius, si la data/hora real no es registra formalment. Les possibles alternatives per a la data/hora de naixement de l'individu es poden registrar utilitzant l'arquetip CLUSTER.DOB_alternative 'Date of birth details' SLOT. Es permeten dates parcials.">
				>
				["at0005"] = <
					text = <"Lloc de naixement detallat">
					description = <"Dades detallades sobre el lloc de naixement.">
					comment = <"Nota: hi ha una possible duplicitat de la dada \"País de naixement\" si utilitzeu CLUSTER.address.">
				>
				["at0006"] = <
					text = <"Resum de l'embaràs/part">
					description = <"Descripció narrativa de l'embaràs, el part i l'enllumenament de l'individu, incloses les complicacions tant maternes com infantils.">
					comment = <"Aquest element de dades pot derivar de l'element de dades \"Sinopsi de l'embaràs\" dins de l'arquetip EVALUATION.pregnancy_summary al registre de salut materna.">
				>
				["at0007"] = <
					text = <"Part múltiple">
					description = <"Terme que representa el nombre total de nascuts vius i mortinats resultants de l'embaràs.">
					comment = <"Es recomana codificar el terme 'part múltiple'. Per exemple: fetus únic, bessons, trigèmins o quadrillis. La definició de \"mortinat\" pot variar en funció del lloc.">
				>
				["at0008"] = <
					text = <"Detalls del part">
					description = <"Un subconjunt d'informació persistent o resumida sobre l'embaràs i el naixement d'un nadó, seleccionada per la seva utilitat d'ús dins dels historials mèdics matern i infantil.">
				>
				["at0009"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0010"] = <
					text = <"Última actualització">
					description = <"Data de la darrera actualització del resum del part.">
				>
				["at0011"] = <
					text = <"Extensió">
					description = <"">
				>
				["at0012"] = <
					text = <"Lloc de naixement">
					description = <"Representació senzilla del lloc de naixement.">
					comment = <"Aquesta dada ofereix la possibilitat de donar detalls senzills sobre el lloc de naixement, com la ciutat, la regió, el poble o el suburbi dins del “País de naixement” identificat. Per exemple: Kingston (Jamaica); Manhattan (EUA); o Box Hill (Austràlia).">
				>
				["at0013"] = <
					text = <"Detalls addicionals">
					description = <"Detalls addicionals estructurats relacionats amb el part.">
				>
				["at0014"] = <
					text = <"Comentaris">
					description = <"Informació addicional sobre el part no recollida a altres camps.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Fødselssammendrag">
					description = <"Oversikt eller sammendrag av svangerskapet og fødselen til et individ.">
				>
				["at0001"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Fødeland">
					description = <"Navn på land hvor individet er født.">
				>
				["at0003"] = <
					text = <"Alternative fødselsdatoer">
					description = <"Ytterligere detaljer om mulige alternative fødselsdatoer.">
				>
				["at0004"] = <
					text = <"Fødselsdato">
					description = <"Dato/tid for når individet ble født.">
					comment = <"Kan også brukes til å registrere antatt eller avtalt/planlagt fødselsdato/tid for praktiske formål hvis den faktiske fødselsdato/tid ikke er formelt registrert. Mulige alternative fødselsdatoer kan registreres ved å SLOT'e inn arketypen CLUSTER.DOB_alternative. Deldato er tillatt.">
				>
				["at0005"] = <
					text = <"Strukturert informasjon om fødested">
					description = <"Strukturerte detaljer om fødestedet.">
					comment = <"OBS: Det er potensial for duplisering av dataelementet 'Fødeland' hvis CLUSTER.adress (Adresse) brukes.">
				>
				["at0006"] = <
					text = <"Graviditets-/fødselssammendrag">
					description = <"Fritekstlig beskrivelse av hele graviditeten og fødselen til individet, inkludert komplikasjoner som oppstår hos moren og barnet under graviditet, fødsel og etter fødsel.">
					comment = <"Dette dataelementet kan være avledet fra dataelementet 'Graviditetssammenfatning' i arketypen EVALUATION.pregnancy_summary i mors fødejournal.">
				>
				["at0007"] = <
					text = <"Flerlingfødsel">
					description = <"Begrep som representerer det totale antall levende fødsler og dødfødsler som følge av graviditeten.">
					comment = <"Koding av begrepet 'flerlingfødsel' anbefales. For eksempel: enkeltfødsel; tvillinger; trillinger; eller firlinger. Definisjonen av 'dødfødsel' kan variere fra sted til sted.">
				>
				["at0008"] = <
					text = <"Fødselsdetaljer">
					description = <"Et utdrag av persistent eller sammendragsinformasjon om graviditeten og fødselen til et spedbarn, valgt for nytteverdi fra både mors og spedbarnets journal.">
				>
				["at0009"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0010"] = <
					text = <"Sist oppdatert">
					description = <"Datoen da dette sammendraget om et individs fødsel sist ble oppdatert.">
				>
				["at0011"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre   referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR.">
				>
				["at0012"] = <
					text = <"Fødested">
					description = <"En enkel beskrivelse av fødestedet.">
					comment = <"Dette dataelementet gir mulighet for ustrukturert informasjon om fødestedet, slik som byen, regionen, tettstedet eller forstaden i Fødelandet. For eksempel: Oslo (Norge); Manhattan (USA); eller Box Hill (Australia).">
				>
				["at0013"] = <
					text = <"Ytterligere detaljer">
					description = <"Ytterligere strukturerte detaljer knyttet til fødselen.">
				>
				["at0014"] = <
					text = <"Kommentar">
					description = <"Fritekst om fødselen som ikke er fanget opp i andre felt.">
				>
			>
		>
	>