Labor and Delivery Record Profile HIMSS 2008 IHE Patient Care Coordination Ana Estelrich GIP-DMP

Value Proposition Over 4 million live births per year in the US alone. Preterm birth rate: 12.8% Average cost of preterm child care during the first year of life*: –Preterm birth: $41,610 –Full-term birth and healthy baby: $2,830 $4,000,000 x $41,610 x = $21,304,320,000 *Thomson Healthcare. The Healthcare Costs of Having a Baby. Santa Barbara, CA: Thomson Healthcare; June 2007

Profile Abstract LDR provides information to the health care providers about the labor and delivery and the newborn in an in-patient setting. This information is useful if the mother or the newborn are transferred to a more specialized unit (OR or NICU) The data can also be used in an out-patient setting for continuation of care for both mother and child.

Scope Capability to electronically communicate the following type of information to care providers and institutions: General information about the family History & Physical Admission Assessment for the mother Transport Summary during pregnancy (if any) Antepartum Care Summary (if not available in the APR electronically) Labor and Delivery Summary and information about the newborn at delivery Mother Discharge Summary

Key Technical Properties Use of technologies such as: –HTTP –TLS –XML/XSLT Use of XDS folder construct to contain one or more of the LDP documents Use of an inheritance model with existing IHE profiles Use of a replace model for all of the LDP documents Data is both human and machine readable