| Submitted By: Adam Bazer, MPD
/ Integrating the Healthcare Enterprise USA (IHE USA)
|
| Data Element Information |
| Data Element Description |
Pregnant, not pregnant, possibly pregnant |
| Use Case Description(s) |
| Use Case Description |
A 24 year old female is being transported to a hospital for abdominal pains. During her transport she indicated that she is several weeks pregnant so the transport team makes sure to bring her to a hospital that has OBGYN capability. When she is in the hospital that pregnancy status indicator helps inform the providers to do some tests to make sure this pain is not related to her pregnancy and to avoid procedures that may have negative effects on the fetus. |
| Estimate the breadth of applicability of the use case(s) for this data element
|
This indication of pregnancy can be important for a variety of health care providers to help make informed decisions for the care of a patient. This would be captured and used in by any provider that creates or utilizes a patient electronic health record. This also may be populated by the patient in a personal record or at an appointment. |
| Link to use case project page |
https://www.ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_Suppl_IPS.pdf |
| Healthcare Aims |
- Improving patient experience of care (quality and/or satisfaction)
- Improving provider experience of care
|
| Maturity of Use and Technical Specifications for Data Element |
| Applicable Standard(s) |
International Patient Summary (IPS) - https://www.ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_Suppl_IPS.pdf
http://hl7.org/fhir/uv/ips/ValueSet/pregnancy-status-uv-ips
|
| Additional Specifications |
Paramedicine Care Summary (PCS) - https://www.ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_Suppl_PCS.pdf
Routine Interfacility Patient Transport (RIPT) - https://www.ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_Suppl_RIPT.pdf
|
| Current Use |
This data element has been used at scale between multiple different production environments to support the majority of anticipated stakeholders |
| Supporting Artifacts |
HL7 FHIR Connecathon has trested the FHIR Pregnancy Status for eCR and the International Patient Summary in September 2020
|
| Extent of exchange
|
5 or more. This data element has been tested at scale between multiple different production environments to support the majority of anticipated stakeholders. |
| Supporting Artifacts |
HL7 FHIR Connecathon has trested the FHIR Pregnancy Status for eCR and the International Patient Summary in September 2020
|
| Potential Challenges |
| Restrictions on Standardization (e.g. proprietary code) |
none |
| Restrictions on Use (e.g. licensing, user fees) |
none |
| Privacy and Security Concerns |
none |
| Estimate of Overall Burden |
This is regularly tracked as part of electronic medical records |
| Other Implementation Challenges |
none |
Submitted by CDC_DSMH_WG on
Unified Comment from CDC
General Comment: Recommend moving this element to a new Mother's Pregnancy Information USCDI Class (not in the Observation class).
Exchange of data element: The Multiple Chronic Conditions eCare Plan project successfully tested this element at the Sep 2020 and Jan 2021 FHIR connectathons and has implemented it at the OHSU testing site.