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Previous Volume    Next Volume

Volume 4. Perinatal Data Resource Document. 

 

Editor: Helga Perry

Current Master copy of Panel04 is with: RF (As -15RF.pages)

To see a sample page www.fawdry.info/eepd/04_res/Sample4.pdf

Discussion Link: http://eepd.org.uk/?page_id=492

Summary

 

To be useful in the design of an internationally standardised, chronologically-arranged, flow-pattered perinatal electronic patient record data-set, it has become necessary to merge as much as possible of the multitude of data-sets relevant to Perinatal Medicine into a single data resource document and then to try to analyse each item as described in http://fawdry.info/eepd/01_ess/b_eprs/B06_Analysis.pdf.  

 

This initiative has led to

Volume 4.  ”A Detailed Analysis in Logical and Chronological Order of all Perinatal Data Items so far documented”

currently (July 2011) being transferred to EEPDwiki, where it will be available for discussion, editing and use under a Creative Commons Attribution 3.0 Licence.

 

Untangling Complexity

Owing to the incompatible and confusing nature of some existing data requirements, the following areas were found to be particularly complex. What follows in each case is a flow-patterned set of questions and answers which minimises the work of data entry while at the same time meeting the needs of the different stakeholders.

                  1.   Method of Birth

                  2.   Place of Birth

                  3.   Pain Control in Pregnancy   

These and similar problems with maternity computer systems are discussed in

http://fawdry.info/eepd/01_ess/b_eprs/B08_Difficult.pdf

 

Creating Volume 4. 

This has required the following:

1. Collecting perinatal datasets. (EEPD Volume 3)

2. Making a “Cut and Paste” Version of each one; originally by personally re-typing, more recently using OCR (Optical Character Recognition) facilities.

3. Re-arranging every data item both chronologically, and by type. e.g. “Baby Data” separate from “Mother Data”, “Anaesthetic Data” separate from “Simple Pain Relief Data”, “Every Baby Data” separate from “Special Care Data” etc)

4. Adding each data item to the appropriate place in the full Resource document.

Introduction - Main Resource Document

 

As explained in the introduction to the EEPD Volume 5. (The “Logical Prioritisation” Dataset), that volume is by far the most important part of the whole EEPD project.

However, its strength lies in the fact that it is based on this much larger document i.e. Volume 4. Perinatal Data Resource Document (and also on Volume 12. Proformas.)

The main problems with all the medical datasets so far known to me are that they are:

A.  Not chronologically arranged.

B.  No indication of flow-patterning (i.e. When is a question not asked?).

C.  No logical basis for including or excluding suggested data items.

D. When a suggested item is not included, no documentation as to why it has not been included.

 

Both this Volume and Volume 5 (“Logical Prioritisation” Dataset) are chronologically arranged and flow patterned.

Volume 5 uses the formula of Workload/Cost + the value in Individual Patient Care as the basis for proposing a ”Logical Priority” set of draft Question and All Allowable Answer Options.

This Volume provides an opportunity to document all potential data items together with the potential cost of electronic data entry.

It also provides an opportunity to document the different ways each concept has been expressed and for extensive comments to be made about each suggested item. 

Feedback especially welcome.

 

Rupert Fawdry (Updated 10 Nov 2010)

 

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The EEPD by Dr. Rupert Fawdry is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/. Permissions beyond the scope of this license are available via http://eepd.org.uk/?page_id=56.
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