Maternity Information Systems (MIS) - eMaternity

ObstetriX Clinical Database System (ObstetriX)

ObstetriX was first implemented at Nepean Hospital in 2004 and is now used in thirteen Local Health Districts (LHDs). It is expected that 75% of all NSW births in public hospitals will be recorded on ObstetriX.

The database covers Maternity care from booking-in, through labour and birth, discharge and community midwifery care. ObstetriX single patient reports form the basis of the maternal and neonatal maternity record. ObstetriX summaries/statistical reports provide clinical managers with evidence to describe the type and volume of activity undertaken by a maternity service, together with clinical outcomes information.

ObstetriX provides electronically a range of mandatory reporting requirements, including:

  • Perinatal Data Collection (PDC)HCphoto2
  • Hep B stats
  • AMIHS
  • Domestic Violence and Psychosocial screening
  • Clinical Indicators
  • Register of Congenital conditions
  • Perinatal Death report
  • Towards Normal Birth report
  • Maternity Risk triggers

ObstetriX currently links to the Neonatal Intensive Care Units Study (NICUS) and has the capability to link the ebluebook.

A collaborative project is currently underway to link ObstetriX to the new eIMMS System.

 

2015 Upgrade to ObstetriX
Work is progressing to upgrade the existing ObstetriX implementations to Version 2, to be known as eMaternity. Version 2 has a wider range of file types to be stored with archetypes including the ability to store images, videos, charts and photographs. In addition to displaying images using the default viewer application on a user’s computer, it is now possible to display images directly in the browser screen. This opens up a wide range of possibilities for enhanced reporting and information presentation to the user. For example, images containing Partogram, Cardiotocography (CTG) or Electrocardiography (ECG) information can be displayed alongside other patient information.

The following features are planned for the initial eMaternity upgrade:

  • Inclusion of the 2016 National Perinatal Data Collection alterationsHCphoto3
  • A refined documentation tool for documenting antenatal clinic visits
  • A risk banner that highlights current risk factors for each woman
  • Antenatal inpatient documentation and reporting
  • Improved rules engine for ensuring data accuracy
  • Improved reports for example a new Modified Robson Report, BFHI report
  • The ability to create local fixed reports
  • The ability to create graphs from data for example perinatal data statistic episiotomy rate run over time and the results graphed
  • One single statewide database that supports timely upgrade services and access to records for women who transfer across hospitals and LHD’s