Antepartum Summary Volume 2: Difference between revisions

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**(xx-SS-Preterm-Labor):PRETERM LABOR SYMPTOMS-FIND-PT-^PATIENT-QL-CLINICAL JUDGEMENT
**(xx-SS-Preterm-Labor):PRETERM LABOR SYMPTOMS-FIND-PT-^PATIENT-QL-CLINICAL JUDGEMENT
**(xx-cerv-dil):DILATION-LEN-PT-CERVIX-QN-PALPATION
**(xx-cerv-dil):DILATION-LEN-PT-CERVIX-QN-PALPATION
**(xx-time-to-next-appt):TIME TO NEXT VISIT-TIME-PT-^PATIENT-QN-
**(xx-fetal-hr-ausc):HEART RATE-NRAT-PT-^FETUS-QN-AUSCULTATION
**(xx-fetal-movement):MOVEMENT-FIND-PT-^FETUS-ORD-PATIENT REPORTED
**(xx-cerv-dil-us):DILATION-LEN-PT-CERVIX-QN-US
*SNOMED requests
*SNOMED requests
**(xx-next-appt):Time to next visit
**(xx-bld-transf-ok):Is Blood Transfusion Acceptable?
**(xx-bld-transf-ok):Is Blood Transfusion Acceptable?
**(xx-anest-cons-pland):Is Anesthesia Consult Planned?
**(xx-anest-cons-pland):Is Anesthesia Consult Planned?
* Additional Work:
* Additional Work:
** Need to develop other forms in Antepartum Record (Form A/B, D, E)
** Need to develop other forms in Antepartum Record (Form A/B, D, E)
  |issues-for-comment=
*Clinical Questions
**Is Latex Allergy negation observation a requirement for all viewers of the document (ie R) or speed aid to aid entry (ie R2)
**Is anesthesia consult planned observation a requirement for all viewers (ie R) or speed aid (R2).
**Is blood transfusion observation a requirement for all viewers of the document (ie R) or speed aid (R2)
**Is Fetal movememnt always by US.  If not we need an additional LOINC code.
**Is Fetal heart rate always by US.  If not we need an additional LOINC code.
*Technical Questions:
** How to represent comment in panel
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Revision as of 16:15, 30 May 2007

Volume II

KNOWN ISSUES

  • LOINC requests
    • (xx-edd-section):ESTIMATED DELIVERY DATE-^PATIENT-FIND-PT-NAR-
    • (xx-acog-visit-sum-section):PREGNANCY VISIT SUMMARY-^PATIENT-FIND-PT-NAR
    • (xx-EDD-by-PE):DELIVERY DATE^TMSTP^PT^PATIENT^QN^ESTIMATED FROM CLINICIANS PHYSICAL EXAM
    • (xx-EDD-by-Qck):DELIVERY DATE^TMSTP^PT^PATIENT^QN^ESTIMATED FROM DATE OF QUICKENING
    • (xx-EDD-by-Fund):DELIVERY DATE^TMSTP^PT^PATIENT^QN^ESTIMATED FROM DATE FUNDAL HEIGHT REACHES UMBILICUS
    • (xx-ga-by-PE):GESTATIONAL AGE^TIME^PT^FETUS^QN^ESTIMATED FROM CLINICIANS PHYSICAL EXAM
    • (xx-date-of-Qck):DATE OF QUICKENING^TMSTP^PT^PATIENT^QN^REPORTED
    • (xx-date-of-Fund-Umb):DATE FUNDAL HEIGHT REACHES UMBILICUS^TMSTP^PT^PATIENT^QN^CLINICIANS PHYSICAL EXAM
    • (xx-acog-visit-sum-battery):ACOG VISIT SUMMARY BATTERY--PT---
    • (xx-SS-Preterm-Labor):PRETERM LABOR SYMPTOMS-FIND-PT-^PATIENT-QL-CLINICAL JUDGEMENT
    • (xx-cerv-dil):DILATION-LEN-PT-CERVIX-QN-PALPATION
    • (xx-time-to-next-appt):TIME TO NEXT VISIT-TIME-PT-^PATIENT-QN-
    • (xx-fetal-hr-ausc):HEART RATE-NRAT-PT-^FETUS-QN-AUSCULTATION
    • (xx-fetal-movement):MOVEMENT-FIND-PT-^FETUS-ORD-PATIENT REPORTED
    • (xx-cerv-dil-us):DILATION-LEN-PT-CERVIX-QN-US
  • SNOMED requests
    • (xx-bld-transf-ok):Is Blood Transfusion Acceptable?
    • (xx-anest-cons-pland):Is Anesthesia Consult Planned?
  • Additional Work:
    • Need to develop other forms in Antepartum Record (Form A/B, D, E)




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