Murbach Michel, Martin Sabine, Denecke Kerstin, Nüssli Stephan
Berner Fachhochschule, Biel, Switzerland.
Stud Health Technol Inform. 2017;236:248-253.
During the nine months of pregnancy, women have to regularly visit several physicians for continuous monitoring of the health and development of the fetus and mother. Comprehensive examination results of different types are generated in this process; documentation and data transmission standards are still unavailable or not in use. Relevant information is collected in a paper-based maternity record carried by the pregnant women.
To improve availability and transmission of data, we aim at developing a first prototype for an electronic maternity record for Switzerland.
By analyzing the documentation workflow during pregnancy, we determined a maternity record data set. Further, we collected requirements towards a digital maternity record. As data exchange format, the Swiss specific exchange format SMEEX (swiss medical data exchange) was exploited. Feedback from 27 potential users was collected to identify further improvements.
The relevant data is extracted from the primary care information system as SMEEX file, stored in a database and made available in a web and a mobile application, developed as prototypes of an electronic maternity record.
The user confirmed the usefulness of the system and provided multiple suggestions for an extension. An electronical maternity record as developed in this work could be in future linked to the electronic patient record.
在九个月的孕期中，女性必须定期拜访多位医生，以便持续监测胎儿和母亲的健康及发育情况。在此过程中会产生不同类型的综合检查结果；但文档记录和数据传输标准仍然不可用或未被采用。相关信息是在孕妇携带的纸质孕产妇记录中收集的。
为了提高数据的可用性和传输性，我们旨在为瑞士开发一个电子孕产妇记录的首个原型。
通过分析孕期的文档记录工作流程，我们确定了孕产妇记录数据集。此外，我们收集了对数字孕产妇记录的要求。作为数据交换格式，采用了瑞士特定的交换格式SMEEX（瑞士医疗数据交换）。收集了27位潜在用户的反馈以确定进一步的改进方向。
相关数据从初级保健信息系统中提取为SMEEX文件，存储在数据库中，并在作为电子孕产妇记录原型开发的网络和移动应用程序中提供。
用户确认了该系统的实用性，并提供了多项扩展建议。本研究中开发的电子孕产妇记录未来可能会与电子病历相连接。
