Antepartum History and Physical Profile

The Antepartum History and Physical Profile (APHP) is a content profile that sits within a larger folder structure that contains documents related to antepartum care.

Content Modules

Content modules describe the content of a payload found in an IHE transaction. Content profiles are transaction neutral. They do not have dependencies upon the transaction that they appear in.

The Antepartum Record Profile currently consists of four document content modules: Antepartum History and Physical, Antepartum Summary, Antepartum Laboratory, and the Antepartum Education content module.

There potentially may be more content modules added in future work. One or more of these document content modules are required for the implementation of APR.

Antepartum H&P Process Flow

The Antepartum History and Physical contains the History and Physical Examination details performed on intake of the pregnant women into the practice setting.

Data from the patient's prenatal care aggregates into her electronic antepartum history and physical examination(s) by the obstetric provider.

The antepartum history and physical examination may be sent to a consultant who updates the antepartum H&P, and returns it to the obstetric provider.

The electronic antepartum H&P will also be sent to the birthing facility at the appropriate time(s). Consultant(s) may also send the antepartum H&P directly to the hospital

Details

Specifies the content to be extracted from an EMR system used in an obstetrician’s office, how it is to be codified and organized for packing in an electronic “envelop” Specifies the meta-data to be used for identifying the H&P document in the XDS Registry

Systems Affected

EMR Systems in Obstetrician’s Offices Hospital Information System modules used in the Labor & Delivery suite

Actors

Content Creator Content Consumer There are two actors in the APH Profile: the Content Creator and the Content Consumer. The sharing or transmission of content from one actor to the other is addressed by the appropriate use of IHE profiles described in the section on Content Bindings with XDS, XDM and XDR and is out of scope of this profile. A Document Source or a Portable Media Creator may embody the APHP Content Creator Actor. A Document Consumer, a Document Recipient or a Portable Media Importer may embody the APHP Content Consumer Actor.

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This process flow diagram shows the movement of the antepartum record over the course of care for a pregnancy involving an ambulatory facility (obstetric provider), consultant and hospital (birthing facility). This diagram specifically excludes other infrastructure interactions for simplicity and readability. These infrastructure interactions may be found elsewhere in the framework.

Data from the patient's prenatal care aggregates into her electronic antepartum record by the obstetric provider. The antepartum record is then sent to a consultant who updates the antepartum record, and returns it to the obstetric provider. The electronic antepartum record is then sent to the birthing facility at the appropriate time(s). The consultant may also send the antepartum record directly to the hospital.