Antepartum Care Summary Profile

WORKS-in-PROGRESS

The Antepartum Summary (APS) represents a summary of the most critical information to an Obstetrician regarding the status of a patients pregnancy. The APS document is a medical summary and inherits all header constraints from Medical Summaries.

Summary

Although classified in IHE PCC as a type of Medical Summary, the Antepartum Summary is typically used as a 'living document' where the latest information is added to the end of the flowsheet at each visit. This is different than a typical Medical Summary which typically would not share information until document is complete. Although this pattern of updates is not prohibited by Medical Summary, it is also not typical. APS documents may be published at the end of each visit, but subsequent updates with a pregnancy SHALL be represented as document replacement

The Cross-Enterprise Sharing of Medical Summaries Integration Profile solves the problem of transferring summary patient information between providers in different clinical settings.

Benefits

• Leverage Clinical Documents ontology
  • A common mechanism for transfer of encoded clinical data embedded in documents
• Enhances Clinical Documents criteria for key use cases:
  • Inpatient to Primary Care Provider
  • Primary Care Provider to Specialist

Details

The basic process flow supported by XDS-MS mirrors current manual practices: someone gathers the appropriate documents from the patient medical record, copies them, packages them up with a cover letter explaining the reason the information is being sent, and then ships the package to the receiving provider. This is often accompanied by a telephone call from the sending provider to the receiving provider that indicates that such information is forthcoming.

Systems Affected

EHR Systems

Actors

• Content Creator
• Content Consumer

See Also

Profile Status: Final Text

The Patient Care Coordination Framework is the official master document for this Profile.

The Medical Summaries FAQ answers typical questions about what the Profile does.

The Medical Summaries Purchasing describes considerations when purchasing equipment to deploy this Profile.

The Medical Summaries Implementation provides additional information about implementing this Profile in software.

This page is based on the Profile Template