Perinatal Workflow - IHE

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IHE Technical Framework Supplement – Perinatal Workflow (PW) ______________________________________________________________________________ X.2.2.3 Prenatal Care 435 As the pregancy progresses, the mother will meet with a clinician in the obstetric providers office periodically to review the progress of the pregnancy. Additional laboratory tests will be ordered, and the results will be reported back to the obstetric provider. The results will also be added to the mother’s antepartum summary and antepartum labs. The mother will be educated on birthing procedures and laboratory testing and results. The anteparum education report will also be produced. 440 445 Figure X.2.2.3-1 ubsequent Visit Process Flow A clinical decision support system may be used to help in the evaluation of the results of some of these laboratory tests (e.g., in the case of genetic tests), or to identify specific immunizations that the expectant mother should receive based upon her past immunization history. Information systems can integrate with clinical decision support using the Request for Clinical Guidance transaction. Figure X.2.2.3-2 Clinical Decision Support Process Flow 450 An ultrasound study may be ordered, and an updated date of delivery may be computed based on the results of that study. The images and results from this study can be shared for access by other providers, and also to the mothers PHR. An image enabled PHR can let the mother actually see the ultrasound results through her PHR. __________________________________________________________________________ 17 Rev. 1.1 - 2010-08-30 Copyright © 2010: IHE International, Inc.
IHE Technical Framework Supplement – Perinatal Workflow (PW) ______________________________________________________________________________ Figure X.2.2.3-3 Ultrasound Process Flow 455 As the mother nears the date of delivery, the antepartum summary, the antepartum education, and lab results will be shared so that they may be accessed by the birthing center. X.2.2.4 Labor and Delivery Figure X.2.2.3-4 Predelivery Process Flow 460 When the mother begins labor, she will be treated by the birthing center, which will access the prior documents as well as information from the mother’s PHR. A copy of the mothers most recent antepartum summary will be copied over to her labor and delivery records. Occasionally, another history and physical examination will be done at the time of admission. __________________________________________________________________________ 18 Rev. 1.1 - 2010-08-30 Copyright © 2010: IHE International, Inc.
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Perinatal Workflow - IHE

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