Overview

Perinatal and Neonatal Care - Software and Services

Maternity and Perinatal Care Solutions

Background

Meridian has been involved in development and support of maternity and perinatal care solutions since 1992. Meridian's perinatal and maternity care software is one of the most widely adopted solutions in Australia with over 53 hospitals using the application and recording over 70,000 births annually.

Our software is called Obstetrix in NSW and Tasmania and Matrix in QLD is based on our award winning clinical software technology Clinixian.

For an overview of the implementation within each health organisation please refer to Implementation of Maternity and Perinatal Care Solutions

Scope of Software

Scope of Software

The maternity and perinatal care solutions being based on our IDME technology encapsulate all clinical requirements as meta data as a 'Maternity Care Model.

Current models for Maternity care were originally developed by the NSW Obstetrics Consortium and subsequently purchased and modified by Mater Health Group and the Tasmanian Department of Health and Human services. Queensland Health purchased the Mater Model since this automates the Perinatal Data Collection reporting.

All current models cover the following settings / functions:

• Initial booking in
• Initial visit
• Hand held electronic record
• Ante natal admissions
• Ante natal visits
• Labour ward
• Delivery suite
• Intrapartum (partogram)
• Post natal
• Discharge

Charting

Charting

A generic charting function supports multiple formats and multiple presentation styles

Hand Held Record

A hand held record can be stored electronically on usb flash drives.

Statutory Data

The maternity care solutions include automated statutory reporting. In NSW it's the Midwives Data Collection (MDC) and in Queensland the Perinatal Data Collection (PDC). Tasmania are doing their statutory reporting directly from ObstetrixTAS, ie not exporting to another application.

Modeller Mapper:

A modeller mapping tool provides independence of clinical definitions from PDC definitions. This is important because this isolates changes in either the model or the PDC reporting.

System Perspective

System Perspective

• Integrated login using HL7 messaging to communicate with the patient administration system. The system supports A19 solicit messages as well as ref messages.
• Detailed audit records for access update operations are available.
• The application supports role based security.
• Privacy can be specified down to a single data item.

Integration Options

Same sign on

Microsoft active directory

HL7 ADT messages

Flexible integration with other hospital systems eg using Verdi or Orion to integrate with a Clinical Portal.

Classifications

The application supports a choice of coding options including:

• SNOMED CT
• ICD 10

Reporting

Reporting

Reporting options include:

• Standard Reports (Built in reports) accessible from a menu.
• Ad Hoc reports (various extract formats are supported)
• Custom reporting (designed using Crystal Reports)
• Dynamic on screen reporting, such as clinical vignettes and cutomisable Patient Status

Legacy Data

Legacy data is supported via mapping or via data migration into a legacy data model.

Perinatal Case Studies

Perinatal Case Studies

Obstetrix (NSW Obstetrics Consortium)

Matrix (Mater Health Group - Brisbane)

Matrix Queensland Health (Townsville Hospital)

ObstetrixTas (Tasmanian Department of Health and Human Services)

Neonatal Care Solution

Neonatal Care Solution

Prototype solution in progress