Spine Record Filter - PREGSUM

Basic pregnancy summary items for regional portals

Key summary data items for a single pregnancy record.

DRAFT - TBC

This BadgerNet Spine Record Filter will include summary pregnancy data items. These are to be used mainly for regional clinical portal solutions that wish to perform a real-time query to get the latest pregnancy summary details and render these using their own UI technologies.

This Record Filter is for read-only purposes. It is not to be used for submitting any data to be saved in BadgerNet Pregnancy record.

NOTE: This Record Filter of FHIR resource is currently being defined. Once this is complete, full details of which FHIR resources will contain all of these items will be listed here.

Data Items to include

Latest Pregnancy - Demographics

Hospital Number
NHS Number of Mother
Surname
Forename
Date of Birth
Address Residential
Telephone_Mobile Type
Telephone_Home Type
Estimated Due Date (EDD Dates)
Babies on Scan (TBC)
Blood Group

Previous Pregnancies

Repeating for each previous pregnancy:

Year
Gestation
Type of Birth
Outcome

Health History at booking

Allergies and Adverse Reactions
Blood Transfusion
Previous Mental Health Referral
Smoking status
Mental Health Status
Alcohol in pregnancy

Care plan administration

Episode Opened at
Location Booked at
Intended Place of Birth
Name of Intended Midwife Unit
Intended Location of Delivery

Vaccinations

Repeating FHIR resource for each vaccination:

Date/Time
Name of vaccination

General timed observations

Repeating observation resource for each with its own date and time.

Height
Weight
BMI
BP

Pregnancy outcome details

Number babies born
For each:
- Date and time of birth
- Birth method

Risk Factors

List of all risk factors - coded risk factor and associated text.

Management plans

Latest Antenatal management plan (text)
Latest Postnatal management plan (text)
Latest Intrapartum management plan (text)

TOPIC: Details at pregnancy booking

FHIR Resource	Data items
CarePlan-BNet-Preg-PlannedPlaceOfBirth (Single Instance) LIVE	Planned place of birth type Planned place of birth type - 'other' - detail Planned place of birth - facility
Observation-BloodPressure (Multiple Instance (date/time)) LIVE	Blood pressure of woman
Observation-BloodPressure (Multiple Instance (date/time)) LIVE	Blood pressure of woman
Observation-BMI (Multiple Instance (date/time)) LIVE	BMI of woman
Observation-BMI (Multiple Instance (date/time)) LIVE	BMI of woman
Observation-BNet-Preg-EDDAgreed (Single Instance) LIVE	Estimated date of delivery - Agreed
Observation-BNet-Preg-Gravida (Single Instance) LIVE	Gravida
Observation-BNet-Preg-LMP (Single Instance) LIVE	Last menstrual period date
Observation-BNet-Preg-MotherBloodGroup (Single Instance) LIVE	Mother's blood group
Observation-BNet-Preg-MotherBloodGroup (Single Instance) LIVE	Mother's blood group
Observation-BNet-Preg-Parity (Single Instance) LIVE	Parity
Observation-bodyheight (Multiple Instance (date/time)) LIVE	Height of woman
Observation-bodyweight (Multiple Instance (date/time)) LIVE	Weight of woman

TOPIC: Labour and birth

FHIR Resource	Data items
Encounter-BNet-Preg-KeyEvents (TBD) LIVE	Maternity facility admission - date and time
EpisodeOfCare-BNet-Preg-Active (Single Instance) LIVE	The pregnancy status The correlation ID pertaining to the pregnancy The period at which the episode of care occurred
Observation-BNet-Preg-NumberBabiesBorn (Single Instance) LIVE	Number of babies born

TOPIC: Current management plans

FHIR Resource	Data items
CarePlan-BNet-Preg-AntenatalManagementPlan (Single Instance) LIVE	Antenatal management plan
CarePlan-BNet-Preg-IntrapartumManagementPlan (Single Instance) LIVE	Intrapartum management plan
CarePlan-BNet-Preg-PostnatalManagementPlan (Single Instance) LIVE	PostnatalManagementPlan

TOPIC: Any admissions of woman

FHIR Resource	Data items
Encounter-BNet-Preg-KeyEvents (TBD) LIVE	Any antenatal admissions Admission start date time Antenatal admission - date and time Mother Postnatal admission - date and time Any Mother Postnatal admissions Admission end date time Maternity facility discharge - date and time Postnatal discharge - date and time Antenatal discharge - date and time Admission main reason

TOPIC: Current pregnancy details

FHIR Resource	Data items
MedicationStatement-BNet-Preg-MedicationCurrent (Single Instance) LIVE	Medication taken in the previous 12 months
Observation-BNet-Preg-BabiesOnScan (Single Instance) LIVE	Number of babies on ultrasound scan

TOPIC: Woman details during postnatal period

FHIR Resource	Data items
Encounter-BNet-Preg-KeyEvents (TBD) LIVE	Mother Postnatal admission - date and time Any Mother Postnatal admissions Postnatal discharge - date and time

TOPIC: Provider person

FHIR Resource	Data items
CareTeam-BNet-Preg (Single instance) LIVE	Date and and time at which the care team commenced care New Zealand care team participant type UK care team participant type Registered GP New Zealand care team participant type

TOPIC: Provider facility

FHIR Resource	Data items
Observation-BNet-Preg-ActiveCareLocation (Single Instance) LIVE	Care location's identifier
Organization-BNet-CareLocation (Cardinality TBC) LIVE	Care location's identifier Organisation Identifier Check Digit Care location's name Care location's address Address Type Address Type Communication Medium Communication Usage Facility Name Type Facility Service Organisation Name Type Organisation Services Organisation Type
Organization-BNet-CareLocation (Cardinality TBC) LIVE	Care location's identifier Organisation Identifier Check Digit Care location's name Care location's address Address Type Address Type Communication Medium Communication Usage Facility Name Type Facility Service Organisation Name Type Organisation Services Organisation Type

TOPIC: Any referrals

FHIR Resource	Data items
Observation-BNet-Preg-SmokingReferralStatus (Single Instance) IN TEST	Referral to smoke free services

TOPIC: Smoking and vaping

FHIR Resource	Data items
Observation-BNet-Preg-SmokingAdvice (Single Instance) NOT AVAIL. (RFC)	Brief smoking cessation advice
Observation-BNet-Preg-SmokingAdvice (Single Instance) IN TEST	Brief smoking cessation advice
Observation-BNet-Preg-SmokingCessationDate (Single Instance) NOT AVAIL. (RFC)	Date quit smoking
Observation-BNet-Preg-SmokingCessationDate (Single Instance) IN TEST	Date quit smoking Brief smoking cessation advice
Observation-BNet-Preg-SmokingReferralStatus (Single Instance) NOT AVAIL. (RFC)	Status of smoking referral

TOPIC: Allergies and adverse reactions

FHIR Resource	Data items
AllergyIntolerance-BNet-Preg-AllergiesAdverseReactions (Multiple Instance) LIVE	Adverse reactions Allergies – medicines Allergies present Allergies – substances – ‘Other’ – detail
AllergyIntolerance-BNet-Preg-AllergiesAdverseReactions (Multiple Instance) LIVE	Adverse reactions Allergies – medicines Allergies present Allergies – substances Allergies – substances – ‘Other’ – detail

TOPIC: Health history

FHIR Resource	Data items
Observation-BNet-Preg-MentalHealthStatus (Single Instance) LIVE	Current mental health status
Observation-BNet-Preg-MentalHealthStatus (Single Instance) LIVE	Current mental health status
Observation-BNet-Preg-PrevMentalHealthReferral (Single Instance) LIVE	Previous mental health referral
Observation-BNet-Preg-PrevMentalHealthReferral (Single Instance) LIVE	Previous mental health referral

TOPIC: Risk assessments

FHIR Resource	Data items
ClinicalImpression-BNet-Preg-RiskAssessment (Single Instance) LIVE	Risk factors from risk assessment Risk factors from risk assessment

TOPIC: Neonatal demographics details

FHIR Resource	Data items
Observation-bodyheight (Multiple Instance (date/time)) LIVE	Length at birth