Modellbiblioteket openEHR Fork
Name
Foetal movement
Description
Spontaneous movements of the foetus in utero, as perceived by the mother. Movements include kicks, jabs, rolls, twists, and turns.
Keywords
fetal kicks movements flutters hits baby foetus
Purpose
To record the presence and pattern of any and all spontaneous foetal movements in utero, as perceived by the mother.
Use
Use to record evidence of foetal activity as an indirect indicator of foetal well-being.

Use to record the presence of foetal movements and pattern as part of routine antenatal visits from second trimester of pregnancy onwards.

Use to record details of the number of foetal movements felt over a specified time interval, and represented in a 'Kick Chart', most often in the third trimester.
Misuse
Not to be used to record the response of a foetus to deliberate stimulation eg vibroacoustic stimulation.

Not to be used to represent formal foetal heart rate monitoring eg using cardiotocographs.
References
NEHTA Clinical Knowledge Manager [Internet]. Australia: National eHealth Transition Authority. [Draft OBSERVATION archetype] Fetal Movement; [authored 2007 Mar 04, cited 2013 Jan 03]. Available from http://dcm.nehta.org.au/ckm/OKM.html#showArchetype_1013.1.1004_4.
Archetype Id
openEHR-EHR-OBSERVATION.foetal_movement.v0
Copyright
© openEHR Foundation
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.
Original Author
Sam Heard
Ocean Informatics
Date Originally Authored
To record the presence and pattern of any and all spontaneous foetal movements in utero, as perceived by the mother.
Language Details
Finnish
Vesa Peltola
Tieto Finland
Spanish (Chile)
?
Name Card Type Description
Presence
0..1 DV_CODED_TEXT Presence of spontaneous foetal movements.
Comment
If recording as a point in time event, this reflects the mother's recent experience. If recording as an interval event, this reflects the mother's experience over the specified period of time, for example presence of movements noted during a two hour observation for a Kick Chart.
Constraint for DV_CODED_TEXT
  • Present
    [Spontaneous foetal movements have been perceived by the mother.]
  • Absent
    [Spontaneous foetal movements have not been perceived by the mother.]
Pattern
0..1 DV_CODED_TEXT Pattern of spontaneous foetal movements.
Comment
If recording as a point in time event, this reflects the mother's recent experience. If recording as an interval event, this reflects the mother's experience over the specified period of time, for example presence of movements noted during a two hour observation for a Kick Chart.
Constraint for DV_CODED_TEXT
  • Increased
    [Spontaneous foetal movements are increased or stronger compared to normal.]
  • Normal
    [The foetus is moving and kicking normally.]
  • Reduced
    [Spontaneous foetal movements are reduced or weaker compared to normal.]
Movements
0..1 DV_COUNT Number of spontaneous foetal movements counted during the period of observation.
Comment
Usually only recorded as part of a Interval event - commonly over a specified period of time eg to record in a Kick Chart.
Constraint for DV_COUNT
min: >= 0
Time since last movement
0..1 DV_DURATION Length of time since last spontaneous foetal movement was noticed by mother.
Comment
Usually only recorded if mother reports that no spontaneous foetal movements have been noticed. Usually only recorded as part of a Point in Time event.
DV_DURATION
Description
0..1 DV_TEXT Narrative description of the foetal movements as noted by the mother.
archetype (adl_version=1.4; uid=2ab36dc5-4ba1-4711-bb43-ea7b5264dd9c)
	openEHR-EHR-OBSERVATION.foetal_movement.v0

concept
	[at0000]	-- Foetal movement
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["fi"] = <
			language = <[ISO_639-1::fi]>
			author = <
				["name"] = <"Vesa Peltola">
				["organisation"] = <"Tieto Finland">
			>
		>
		["es-cl"] = <
			language = <[ISO_639-1::es-cl]>
			author = <
				["name"] = <"?">
			>
		>
	>
description
	original_author = <
		["name"] = <"Sam Heard">
		["organisation"] = <"Ocean Informatics">
		["email"] = <"sam.heard@oceaninformatics.com">
		["date"] = <"2007-03-04">
	>
	details = <
		["fi"] = <
			language = <[ISO_639-1::fi]>
			purpose = <"Tallentaa sikiön liikkeiden esiintyminen, kuten äiti havaitsee.">
			use = <"Käytä kirjaamaan todisteita sikiön aktiivisuudesta epäsuorana indikaattorina sikiön hyvinvoinnista.

Käytä kirjaamaan sikiön liikkeiden läsnäoloa osana raskautta raskauden toisesta kolmanneksesta alkaen.

Käytä tallentaaksesi tietyn ajanjakson aikana tuntuneita sikiöliikkeiden lukumäärän yksityiskohtia, jotka on esitetty \"Kick Chart\" -tilassa, useimmiten kolmannella kolmanneksella.">
			keywords = <"sikiö, potkut, liikkeet, leikkuut, osumat, vauva", ...>
			misuse = <"Ei saa käyttää sikiön vasteen tallentamiseen tarkoitukselliseen stimulointiin, esim. vibroakustiseen stimulaatioon.

Ei saa käyttää sikiön sykkeen tarkkailuun, esim. käyttämällä kardiotokografeja.">
			copyright = <"© openEHR Foundation">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the presence and pattern of any and all spontaneous foetal movements in utero, as perceived by the mother.">
			use = <"Use to record evidence of foetal activity as an indirect indicator of foetal well-being.

Use to record the presence of foetal movements and pattern as part of routine antenatal visits from second trimester of pregnancy onwards.

Use to record details of the number of foetal movements felt over a specified time interval, and represented in a 'Kick Chart', most often in the third trimester.">
			keywords = <"fetal", "kicks", "movements", "flutters", "hits", "baby", "foetus">
			misuse = <"Not to be used to record the response of a foetus to deliberate stimulation eg vibroacoustic stimulation.

Not to be used to represent formal foetal heart rate monitoring eg using cardiotocographs.">
			copyright = <"© openEHR Foundation">
		>
		["es-cl"] = <
			language = <[ISO_639-1::es-cl]>
			purpose = <"Registrar la presencia y la intensidad de movimientos fetales como un gráfico del movimiento fetal para la madre o para el uso del clínico.






">
			use = <"Use to record evidence of fetal activity as an indirect indicator of fetal well-being.

Use to record the presence of fetal movements and pattern as part of routine antenatal visits from second trimester of pregnancy onwards.

Use to record details of the number of fetal movements felt over a specified time interval, and represented in a 'Kick Chart', most often in the third trimester.">
			keywords = <"Fetal (es)", "Movimientos (es)", "Patadas (es)">
			misuse = <"Not to be used to record the response of a fetus to deliberate stimulation eg vibroacoustic stimulation.

Not to be used to represent formal fetal heart rate monitoring eg using cardiotocographs.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Sheryl Alexander, NT Department of Health, Australia", "Rita Apelt, Department of Health,NT, Australia", "Stephen Chu, NEHTA, Australia", "Margaret Cotter, AMSANT, Australia", "Michelle Dowden, Miwatj Health Ngalkanbuy Health, Australia", "Tim Garden, NTG Department of Health, Australia", "Tanya Gardner, CAAC, Australia", "Sam Heard, Ocean Informatics, Australia (Editor)", "Bernadette Lack, Department of Health, Australia", "Heather Leslie, Ocean Informatics, Australia (Editor)", "Chunlan Ma, Ocean Informatics, Australia", "Ian McNicoll, Ocean Informatics UK, United Kingdom", "Jeremy Oats, NT Health, Australia", "Steven Schatz, Department of Health (Northern Territory), Australia", "Rosalie Schultz, Central Australia Remote Health, Australia", "Cherie Whitbread, Royal Darwin Hospital, Australia", "Jo Wright, NT Dept of Health, Australia (Editor)">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"NEHTA Clinical Knowledge Manager [Internet]. Australia: National eHealth Transition Authority. [Draft OBSERVATION archetype] Fetal Movement; [authored 2007 Mar 04, cited 2013 Jan 03]. Available from http://dcm.nehta.org.au/ckm/OKM.html#showArchetype_1013.1.1004_4.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"BAB7DA649117B08FFFFE93C2F5672ECF">
		["build_uid"] = <"3bfca613-3d98-46fa-981f-af0804120101">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {	-- Fetal Movement
		data matches {
			HISTORY[at0001] matches {	-- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {	-- Any event
						data matches {
							ITEM_TREE[at0003] matches {	-- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0004] occurrences matches {0..1} matches {	-- Presence
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0007, 	-- Present
													at0011]	-- Absent
												}
											}
										}
									}
									ELEMENT[at0019] occurrences matches {0..1} matches {	-- Pattern
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0021, 	-- Increased
													at0022, 	-- Normal
													at0024]	-- Reduced
												}
											}
										}
									}
									ELEMENT[at0006] occurrences matches {0..1} matches {	-- Movements
										value matches {
											DV_COUNT matches {
												magnitude matches {|>=0|}
											}
										}
									}
									ELEMENT[at0025] occurrences matches {0..1} matches {	-- Time since last movement
										value matches {
											DV_DURATION matches {
												value matches {PWDTH/|>=PT0H|}
											}
										}
									}
									ELEMENT[at0028] occurrences matches {0..1} matches {	-- Description
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
					INTERVAL_EVENT[at0027] occurrences matches {0..1} matches {	-- Period of observation
						math_function matches {
							DV_CODED_TEXT matches {
								defining_code matches {[openehr::148]}
							}
						}
						data matches {
							use_node ITEM_TREE /data[at0001]/events[at0002]/data[at0003]	-- /data[Event Series]/events[Any event]/data[Tree]
						}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Foetal movement">
					description = <"Spontaneous movements of the foetus in utero, as perceived by the mother. Movements include kicks, jabs, rolls, twists, and turns.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Presence">
					description = <"Presence of spontaneous foetal movements.">
					comment = <"If recording as a point in time event, this reflects the mother's recent experience. If recording as an interval event, this reflects the mother's experience over the specified period of time, for example presence of movements noted during a two hour observation for a Kick Chart.">
				>
				["at0006"] = <
					text = <"Movements">
					description = <"Number of spontaneous foetal movements counted during the period of observation.">
					comment = <"Usually only recorded as part of a Interval event - commonly over a specified period of time eg to record in a Kick Chart.">
				>
				["at0007"] = <
					text = <"Present">
					description = <"Spontaneous foetal movements have been perceived by the mother.">
				>
				["at0011"] = <
					text = <"Absent">
					description = <"Spontaneous foetal movements have not been perceived by the mother.">
				>
				["at0019"] = <
					text = <"Pattern">
					description = <"Pattern of spontaneous foetal movements.">
					comment = <"If recording as a point in time event, this reflects the mother's recent experience. If recording as an interval event, this reflects the mother's experience over the specified period of time, for example presence of movements noted during a two hour observation for a Kick Chart.">
				>
				["at0021"] = <
					text = <"Increased">
					description = <"Spontaneous foetal movements are increased or stronger compared to normal.">
				>
				["at0022"] = <
					text = <"Normal">
					description = <"The foetus is moving and kicking normally.">
				>
				["at0024"] = <
					text = <"Reduced">
					description = <"Spontaneous foetal movements are reduced or weaker compared to normal.">
				>
				["at0025"] = <
					text = <"Time since last movement">
					description = <"Length of time since last spontaneous foetal movement was noticed by mother.">
					comment = <"Usually only recorded if mother reports that no spontaneous foetal movements have been noticed. Usually only recorded as part of a Point in Time event.">
				>
				["at0027"] = <
					text = <"Period of observation">
					description = <"Period of time during which the number of spontaneous foetal movements) are counted or observed.">
				>
				["at0028"] = <
					text = <"Description">
					description = <"Narrative description of the foetal movements as noted by the mother.">
				>
			>
		>
		["es-cl"] = <
			items = <
				["at0000"] = <
					text = <"Movimiento del feto">
					description = <"Los movimientos espontáneos del feto in utero
">
				>
				["at0001"] = <
					text = <"*Serie de eventos (es)">
					description = <"*@ interno @(es)">
				>
				["at0002"] = <
					text = <"Cualquier evento">
					description = <"*">
				>
				["at0003"] = <
					text = <"*Lista (es)">
					description = <"*@ interno @(en)">
				>
				["at0004"] = <
					text = <"Presencia">
					description = <"La presencia de  movimientos espontáneos">
				>
				["at0006"] = <
					text = <"Número de ocurrencias">
					description = <"El número  de ocurrencias  en un tiempo determinado">
				>
				["at0007"] = <
					text = <"Movimientos fetal sentidos">
					description = <"Movimientos fetales sentidos">
				>
				["at0011"] = <
					text = <"Movimientos Fetal no sentidos">
					description = <"No se sienten los movimientos fetales">
				>
				["at0019"] = <
					text = <"Patrón">
					description = <"Patrón de movimientos fetales">
				>
				["at0021"] = <
					text = <"Aumentados">
					description = <"Los movimientos fetales ocurren más frecuentemente que lo esperado">
				>
				["at0022"] = <
					text = <"Normales">
					description = <"El feto se mueve y patea normalmente">
				>
				["at0024"] = <
					text = <"Disminuidos">
					description = <"Se reducen los movimientos fetales">
				>
				["at0025"] = <
					text = <"Tiempo pasado desde el último movimiento">
					description = <"Tiempo transcurrido desde el último movimiento fetal  sentido">
				>
				["at0027"] = <
					text = <"*Period of observation(en)">
					description = <"*Period of time during which the number of spontaneous fetal movements) are counted or observed.(en)">
				>
				["at0028"] = <
					text = <"*Description(en)">
					description = <"*Narrative description of the fetal movements as noted by the mother.(en)">
				>
			>
		>
		["fi"] = <
			items = <
				["at0000"] = <
					text = <"Sikiön liikkeet">
					description = <"Äidin havaitsemat sikiön spontaanit liikkeet kohdussa. Liikkeet ovat potkuja, työntöjä, kierimisiä ja kääntymisiä.">
				>
				["at0001"] = <
					text = <"Tapahtumasarja">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Mikä tahansa tapahtuma">
					description = <"Oletusarvoinen, määrittämättömänä ajanhetkenä tai ajanjaksolla ilmenevä tapahtuma, joka voi olla määritetty tarkasti jossakin mallissa tai suorituksen aikana.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Liikkeiden tunteminen">
					description = <"Sikiö liikkuu spontaanisti.">
					comment = <"Jos tämä tieto kirjataan tiettynä ajankohtana tapahtuneena tapahtumana, tieto kertoo äidin viimeaikaisesta kokemuksesta. Jos tämä tieto kirjataan tiettynä ajanjaksona ilmenneenä tapahtumana, tieto kertoo äidin kokemuksesta kyseisen ajanjakson aikana, esimerkiksi liikkeitä havaittu kahden tunnin tarkastelujaksolla, joka tehtiin sikiönliikekaaviota varten.">
				>
				["at0006"] = <
					text = <"Liikkeiden lukumäärä">
					description = <"Laskettu sikiön spontaanien liikkeiden lukumäärä havaintojaksolla.">
					comment = <"Kirjataan yleensä vain osana ajanjakson tapahtumaa, tavallisesti tieto koskee tiettyä ajanjaksoa, jonka aikana tehtiin havaintoja esimerkiksi sikiönliikekaaviota varten.">
				>
				["at0007"] = <
					text = <"Havaittu">
					description = <"Äiti on havainnut spontaaneja sikiön liikkeitä.">
				>
				["at0011"] = <
					text = <"Ei havaittu">
					description = <"Äiti ei ole havainnut spontaaneja sikiön liikkeitä.">
				>
				["at0019"] = <
					text = <"Muutos liikkeiden määrässä">
					description = <"Sikiön spontaanien liikkeiden tyyppi tai luonne.">
					comment = <"Jos tämä tieto kirjataan tiettynä ajankohtana tapahtuneena tapahtumana, tieto kertoo äidin viimeaikaisesta kokemuksesta. Jos tämä tieto kirjataan tiettynä ajanjaksona ilmenneenä tapahtumana, tieto kertoo äidin kokemuksesta kyseisen ajanjakson aikana, esimerkiksi liikkeitä havaittu kahden tunnin tarkastelujaksolla, joka tehtiin sikiönliikekaaviota varten.">
				>
				["at0021"] = <
					text = <"Lisääntynyt">
					description = <"Sikiön spontaanit liikkeet ovat lisääntyneet tai ne ovat tavallista voimakkaampia.">
				>
				["at0022"] = <
					text = <"Normaali">
					description = <"Sikiö liikkuu ja potkii normaalisti.">
				>
				["at0024"] = <
					text = <"Vähentynyt">
					description = <"Sikiön spontaanit liikkeet ovat vähentyneet tai ne ovat tavallista heikompia.">
				>
				["at0025"] = <
					text = <"Edellisestä liikkeestä kulunut aika">
					description = <"Aika, joka on kulunut siitä hetkestä, jolloin äiti viimeksi havaitsi sikiön liikkeen.">
					comment = <"Kirjataan yleensä vain, jos äiti kertoo, ettei ole havainnut lainkaan sikiön spontaaneja liikkeitä. Kirjataan yleensä vain osana Ajankohta-tapahtumaa.">
				>
				["at0027"] = <
					text = <"*Period of observation(en)">
					description = <"*Period of time during which the number of spontaneous fetal movements) are counted or observed.(en)">
				>
				["at0028"] = <
					text = <"Kuvaus">
					description = <"Kertomusmuodossa oleva kuvaus äidin havaitsemista sikiön liikkeistä.">
				>
			>
		>
	>