1.3.6.1.4.1.19376.1.5.3.1.4.13.5
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Pregnancy Observation 1.3.6.1.4.1.19376.1.5.3.1.4.13.5
A pregnancy observation is a Simple Observation that uses a specific vocabulary to record observations about a patient's pregnancy history.
Parent Template
The parent of this template is Simple Observation.
Uses
See Templates using Pregnancy Observation
Specification
<observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.5'/> <id root=' ' extension=' '/> <code code=' ' displayName=' ' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#xxx'/></text> <statusCode code='completed'/> <effectiveTime value=' '/> |
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.5'/>
These <templateId> elements identify this <observation> as a pregnancy observation, allowing for validation of the content. The <templateId> elements shall be recorded as shown above.
<code code=' ' displayName=' '
codeSystem='2.16.840.1.113883.6.1'
codeSystemName='LOINC'/>
A pregnancy observation shall have a code describing what facet of patient's pregnancy history is being recorded. These codes should come from the list of codes shown below. Additional codes may be used to reflect additional information about the pregnancy history.
| LOINC CODE | Description | Type | Units or Vocabulary | |
|---|---|---|---|---|
| Summary over All Pregnancies | ||||
| 11636-8 | BIRTHS LIVE (REPORTED) | INT | ||
| 11637-6 | BIRTHS PRETERM (REPORTED) | |||
| 11638-4 | BIRTHS STILL LIVING (REPORTED) | |||
| 11639-2 | BIRTHS TERM (REPORTED) | |||
| 11640-0 | BIRTHS TOTAL (REPORTED) | |||
| 11612-9 | ABORTIONS (REPORTED) | |||
| 11613-7 | ABORTIONS INDUCED (REPORTED) | |||
| 11614-5 | ABORTIONS SPONTANEOUS (REPORTED) | |||
| 33065-4 | ECTOPIC PREGNANCY (REPORTED) | |||
| Detailed Pregnancy Data | ||||
| 11449-6 | PREGNANCY STATUS | CE | SNOMED CT, ICD-9-CM (V22) | |
| 8678-5 | MENSTRUAL STATUS | SNOMED CT | ||
| 8665-2 | DATE LAST MENSTRUAL PERIOD | TS | ||
| 11778-8 | DELIVERY DATE (CLINICAL ESTIMATE) | TS | ||
| 11779-6 | DELIVERY DATE (ESTIMATED FROM LAST MENSTRUAL PERIOD) | |||
| 11780-4 | DELIVERY DATE (ESTIMATED FROM OVULATION DATE) | |||
| 11884-4 | FETUS, GESTATIONAL AGE (CLINICAL ESTIMATE) | PQ | d, wk or mo | |
| 11885-1 | FETUS, GESTATIONAL AGE (ESTIMATED FROM LAST MENSTRUAL PERIOD) | |||
| 11886-9 | FETUS, GESTATIONAL AGE (ESTIMATED FROM OVULATION DATE) | |||
| 11887-7 | FETUS, GESTATIONAL AGE (ESTIMATED FROM SELECTED DELIVERY DATE) | |||
| 45371‑2 | MULTIPLE PREGNANCY | |||
<repeatNumber value=' '/>
The <repeatNumber> element should not be present in a pregancy observation.
<value xsi:type=' ' .../>
The value of the observation shall be recording using a data type appropriate to the coded observation according to the table above.
<interpretationCode code=' ' codeSystem=' ' codeSystemName=' '/>
<methodCode code=' ' codeSystem=' ' codeSystemName=' '/>
<targetSiteCode code=' ' codeSystem=' ' codeSystemName=' '/>
<methodCode code=' ' codeSystem=' ' codeSystemName=' '/>
<targetSiteCode code=' ' codeSystem=' ' codeSystemName=' '/>
The <interpretationCode>, <methodCode>, and <targetSiteCode> should not be present in a pregnancy observation.