Estimated Delivery Date Observation

Template ID(s)

1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.1 (IHE PCC CDA Suppl: 6.3.4.27)

Description

The estimated delivery date observation entry is a simple observation which is used to express the date on which an attending physician estimates delivery. The observation also contains supporting observations for method of estimation.

RMIM Class

Observation

Profiled Elements

Element

Notes

statusCode [1..1]CS

The statusCode element must be present and must carry the value "completed".

effectiveTime [1..1]TS

The effectiveTime element must be present and represents the time at which the estimation was made.

code [1..1]CD

The code element must be present and must be valued with code 11778-8 (DELIVERY DATE-TMSTP-PT-^PATIENT-QN-CLINICAL.ESTIMATED) in code system LOINC

value [1..1]TS

The value element must be present and must carry the date on which the pregnancy is expected to come to term. This value may be an interval as described in section 3.1.3.1.

entryRelationship [1..1]

The first level entry relationship must be present, must have a typeCode of SPRT (Support) and must carry an Observation. The observation code must be drawn from the table below and must be valued with a date/time.

Code

Description

11779-6

Delivery date Estimated from last menstrual period

(xx-EDD-by-PE)

DELIVERY DATE-TMSTP-PT-^PATIENT-QN-ESTIMATED FROM CLINICIANS PHYSICAL EXAM

11781-2

Delivery date composite estimate

57063-0

Delivery date Estimated from quickening date

57064-8

Delivery date Estimated from date fundal height reaches umb

entryRelationship/ entryRelationship [1..1]

The second nesting of entryRelationship may be present and should represent further supporting information which was used to form the estimate. The entryRelationship must contain an observation with a code and value type drawn from the table below:

Code

Description

Value

8655-2

DATE LAST MENSTRUAL PERIOD-TMSTP-PT-^PATIENT-QN-REPORTED

TS

11884-4

GESTATIONAL AGE-TIME-PT-^FETUS-QN-ESTIMATED FROM CLINICIANS PHYSICAL EXAM M

PQ

11888-5

Gestational age composite estimate

PQ

57065-5

Quickening date

TS

57066-3

Date fundal height reaches umbilicus

TS

OpenSHR Implementation Notes

Data Model

Obs

Code File

EstimatedDeliveryDateObservationEntryProcessor.java

Permitted Moods

EVN

Additional Constraints

• No additional constraints

Example

The following example illustrates an estimated delivery date of June 2015 as estimated by last menstrual period sometime in September 2014.

<observation classCode="OBS" moodCode="EVN">
<!-- EDD observation of June 2015 -->
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.1"/>
<id root="40a332f0-4a41-49b5-963c-bbebfdd86d58"/>
<code code="11778-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="Delivery date estimated"/>
<statusCode code="completed"/>
<effectiveTime value="20141230155804.212-0500"/>
<value xsi:type="TS" value="201506"/>
<!-- An entry relationship with supporting observation of last menstrual period
of September 2014 -->
<entryRelationship typeCode="SPRT" contextConductionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<id root="9907e8c1-a117-4d8b-a602-84b656ba398a"/>
<code code="11779-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="Delivery date Estimated from last menstrual period"/>
<statusCode code="completed"/>
<effectiveTime value="20141230155804.212-0500"/>
<value xsi:type="TS" value="201506"/>
<entryRelationship typeCode="SPRT" contextConductionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<id root="55d88180-3ac3-4873-ac0f-6d34f7aafd5a"/>
<code code="8655-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="Date of last menstrual period – Patient provided"/>
<statusCode code="completed"/>
<effectiveTime value="20141230155804.228-0500"/>
<value xsi:type="TS" value="201409"/>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</observation>