Difference between revisions of "Antepartum Summary Volume 2"
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{{TF-Vol-II-Supplement | {{TF-Vol-II-Supplement | ||
|supplement-name=Antepartum_Summary_Volume_2 | |supplement-name=Antepartum_Summary_Volume_2 | ||
| + | |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): | ||
| + | **(xx-SS-Preterm-Labor):PRETERM LABOR SYMPTOMS-FIND-PT-^PATIENT-QL-CLINICAL JUDGEMENT | ||
| + | **(xx-cerv-dil):DILATION-LEN-PT-CERVIX-QN-PALPATION | ||
| + | *SNOMED requests | ||
| + | **(xx-next-appt):TIME TO NEXT VISIT | ||
| + | * Additional Work: | ||
| + | ** 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. | ||
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{{:aps-vol2_content-modules_namespaces-and-vocabulary}} | {{:aps-vol2_content-modules_namespaces-and-vocabulary}} | ||
{{:aps-vol2_content-modules_conventions}} | {{:aps-vol2_content-modules_conventions}} | ||
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{{:aps_vol2_content-modules_cda-r2-content-modules}} | {{:aps_vol2_content-modules_cda-r2-content-modules}} | ||
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Revision as of 09:44, 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):
- (xx-SS-Preterm-Labor):PRETERM LABOR SYMPTOMS-FIND-PT-^PATIENT-QL-CLINICAL JUDGEMENT
- (xx-cerv-dil):DILATION-LEN-PT-CERVIX-QN-PALPATION
- SNOMED requests
- (xx-next-appt):TIME TO NEXT VISIT
- Additional Work:
- Need to develop other forms in Antepartum Record (Form A/B, D, E)
QUESTIONS 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.