Pregnancy
type: StructureDefinition
node role: treeRoot
id:
  v: Pregnancy
text:
  status:
    v: extensions
  div: Generated Narrative: StructureDefinition Pregnancy Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Pregnancy 0..* Base A.2.6 Pregnancy history #xD; pregnancyStatus 0..* BackboneElement A.2.6.1 Current pregnancy status #xD; dateOfObservation 0..* dateTime A.2.6.1.1 Date of observation #xD; status 0..* CodeableConcept A.2.6.1.2 Status #xD; deliveryDate 0..* dateTime A.2.6.1.3 Expected date of delivery #xD; hxPreviousPregnancies 0..* BackboneElement A.2.6.2 History of previous pregnancies #xD; status 0..* CodeableConcept A.2.6.2.1 Previous pregnancies status #xD; description 0..* BackboneElement A.2.6.2.2 Previous pregnancies description #xD; outcomeDate 0..* dateTime A.2.6.2.2.1 Outcome date #xD; outcome 0..* CodeableConcept A.2.6.2.2.2 Outcome #xD; numberOfChildren 0..* integer A.2.6.2.2.3 Number of children #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Pregnancy
version:
  v: 0.1.0
name:
  v: PregnancyPsEhn
title:
  v: A.2.6 Pregnancy history
status:
  v: draft
date:
  v: 2025-10-10T16:32:29+00:00
publisher:
  v: XpanDH Project
contact:
  name:
    v: XpanDH Project
  telecom:
    system:
      v: url
    value:
      v: https://xpandh-project.iscte-iul.pt
description:
  v: Functional Status. Section A.2.3.3 of the eHN guideline.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
    code:
      v: 150
    display:
      v: Europe
copyright:
  v: Used by permission of the XpanDH project, all rights reserved Creative Commons License
fhir version:
  v: 4.0.1
kind:
  v: logical
abstract:
  v: false
type:
  v: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Pregnancy
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Base
  link: http://hl7.org/fhir/StructureDefinition/Base
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 4.0.1
  element:
    id:
      v: Pregnancy
    path:
      v: Pregnancy
    short:
      v: A.2.6 Pregnancy history
    definition:
      v: Functional Status. Section A.2.3.3 of the eHN guideline.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    is modifier:
      v: false
  element:
    id:
      v: Pregnancy.pregnancyStatus
    path:
      v: Pregnancy.pregnancyStatus
    short:
      v: A.2.6.1 Current pregnancy status
    definition:
      v: A.2.6.1 Current pregnancy status
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Pregnancy.pregnancyStatus
      min:
        v: 0
      max:
        v: *
    type:
      code:
        v: BackboneElement
    constraint:
      key:
        v: ele-1
      severity:
        v: error
      human:
        v: All FHIR elements must have a @value or children
      expression:
        v: hasValue() or (children().count() > id.count())
      xpath:
        v: @value|f:*|h:div
      source:
        v: http://hl7.org/fhir/StructureDefinition/Element
        link: http://hl7.org/fhir/StructureDefinition/Element
  element:
    id:
      v: Pregnancy.pregnancyStatus.id
    path:
      v: Pregnancy.pregnancyStatus.id
    representation:
      v: xmlAttr
    short:
      v: Unique id for inter-element referencing
    definition:
      v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: Element.id
      min:
        v: 0
      max:
        v: 1
    type:
      extension:
        value: url
      code:
        v: http://hl7.org/fhirpath/System.String
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: n/a
  element:
    id:
      v: Pregnancy.pregnancyStatus.extension
    path:
      v: Pregnancy.pregnancyStatus.extension
    slicing:
      description:
        v: Extensions are always sliced by (at least) url
      rules:
        v: open
    short:
      v: Additional content defined by implementations
    definition:
      v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
    comment:
      v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
    alias:
      v: extensions
    alias:
      v: user content
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Element.extension
      min:
        v: 0
      max:
        v: *
    type:
      code:
        v: Extension
    constraint:
      key:
        v: ele-1
      severity:
        v: error
      human:
        v: All FHIR elements must have a @value or children
      expression:
        v: hasValue() or (children().count() > id.count())
      xpath:
        v: @value|f:*|h:div
      source:
        v: http://hl7.org/fhir/StructureDefinition/Element
        link: http://hl7.org/fhir/StructureDefinition/Element

url
v: string

v: value

v: url

key:
  v: ext-1
severity:
  v: error
human:
  v: Must have either extensions or value[x], not both
expression:
  v: extension.exists() != value.exists()
xpath:
  v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
source:
  v: http://hl7.org/fhir/StructureDefinition/Extension
  link: http://hl7.org/fhir/StructureDefinition/Extension

v: false

v: false

identity:
  v: rim
map:
  v: n/a

id:
  v: Pregnancy.pregnancyStatus.modifierExtension
path:
  v: Pregnancy.pregnancyStatus.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Pregnancy.pregnancyStatus.dateOfObservation
path:
  v: Pregnancy.pregnancyStatus.dateOfObservation
short:
  v: A.2.6.1.1 Date of observation
definition:
  v: Date on which the observation of the pregnancy state was made - Preferred system(s): ISO 8601
min:
  v: 0
max:
  v: *
base:
  path:
    v: Pregnancy.pregnancyStatus.dateOfObservation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: dateTime

id:
  v: Pregnancy.pregnancyStatus.status
path:
  v: Pregnancy.pregnancyStatus.status
short:
  v: A.2.6.1.2 Status
definition:
  v: Provides the woman's current state at the date the observation was made: e.g. pregnant, not pregnant, unknown - Preferred system(s): SNOMED CT GPS
min:
  v: 0
max:
  v: *
base:
  path:
    v: Pregnancy.pregnancyStatus.status
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept

id:
  v: Pregnancy.pregnancyStatus.deliveryDate
path:
  v: Pregnancy.pregnancyStatus.deliveryDate
short:
  v: A.2.6.1.3 Expected date of delivery
definition:
  v: Date on which the woman is due to give birth. - Preferred system(s): ISO 8601
min:
  v: 0
max:
  v: *
base:
  path:
    v: Pregnancy.pregnancyStatus.deliveryDate
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: dateTime

id:
  v: Pregnancy.hxPreviousPregnancies
path:
  v: Pregnancy.hxPreviousPregnancies
short:
  v: A.2.6.2 History of previous pregnancies
definition:
  v: A.2.6.2 History of previous pregnancies
min:
  v: 0
max:
  v: *
base:
  path:
    v: Pregnancy.hxPreviousPregnancies
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element

id:
  v: Pregnancy.hxPreviousPregnancies.id
path:
  v: Pregnancy.hxPreviousPregnancies.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Pregnancy.hxPreviousPregnancies.extension
path:
  v: Pregnancy.hxPreviousPregnancies.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Pregnancy.hxPreviousPregnancies.modifierExtension
path:
  v: Pregnancy.hxPreviousPregnancies.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
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type:
  code:
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constraint:
  key:
    v: ele-1
  severity:
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  human:
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  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
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  xpath:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Pregnancy.hxPreviousPregnancies.status
path:
  v: Pregnancy.hxPreviousPregnancies.status
short:
  v: A.2.6.2.1 Previous pregnancies status
definition:
  v: Information on the woman's previous pregnancies: Yes, previous pregnancies; No, previous pregnancies; Unknown - Preferred system(s): SNOMED CT GPS
min:
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max:
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base:
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type:
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id:
  v: Pregnancy.hxPreviousPregnancies.description
path:
  v: Pregnancy.hxPreviousPregnancies.description
short:
  v: A.2.6.2.2 Previous pregnancies description
definition:
  v: A.2.6.2.2 Previous pregnancies description
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type:
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    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element

id:
  v: Pregnancy.hxPreviousPregnancies.description.id
path:
  v: Pregnancy.hxPreviousPregnancies.description.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
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base:
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type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Pregnancy.hxPreviousPregnancies.description.extension
path:
  v: Pregnancy.hxPreviousPregnancies.description.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
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min:
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max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
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constraint:
  key:
    v: ele-1
  severity:
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  expression:
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  xpath:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
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  human:
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  expression:
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  xpath:
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  source:
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    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Pregnancy.hxPreviousPregnancies.description.modifierExtension
path:
  v: Pregnancy.hxPreviousPregnancies.description.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
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constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Pregnancy.hxPreviousPregnancies.description.outcomeDate
path:
  v: Pregnancy.hxPreviousPregnancies.description.outcomeDate
short:
  v: A.2.6.2.2.1 Outcome date
definition:
  v: Date referred to the previous pregnancies outcome - Preferred system(s): ISO 8601
min:
  v: 0
max:
  v: *
base:
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path:
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  type:
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