Labor and Delivery Record Profile

1. Labor and Delivery Record Profile HIMSS 2009 IHE Patient Care Coordination Ana Estelrich GIP-DMP

2. 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 0.128 = $21,304,320,000 *Thomson Healthcare. The Healthcare Costs of Having a Baby. Santa Barbara, CA: Thomson Healthcare; June 2007

3. 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.

4. 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

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