Narrative patient data relevant to the context identified by note types.

Data Element

Antepartum Summary Note

The Antepartum Summary Note defines the aggregation of significant events, diagnoses, and plans of care derived from the visits over the course of an antepartum episode. It is a summary of the most critical information antepartum care providers capture and share regarding the status of a patient’s pregnancy. It is represented in part by Estimated Due Dates and summaries of the various antepartum visits. The information is aggregated data from which the patient’s interactions with care providers are captured. It includes data such as the patient’s allergies, advance directives, care planning, and selected histories.
The antepartum summary note includes information such as structured evaluation of risk (e.g., PRAPARE, homelessness, AHC-HRSN screening tool, etc.) for any maternal health SDOH data related to conditions in which people live, learn, work, and play and their effects on health risks and outcomes; plan of care including social support interventions including but not limited to access to care; education; income; food stability; housing; neighborhood characteristics; safety; transportation security; violence/abuse preventions, ETOH, Smoking, Substance use disorder assessment and treatment drug abuse prevention and treatment; living arrangement; Social support involvement baby father involvement; etc.


CDC's comment on behalf of NACCHO for USCDI v5

This data will be valuable to LHDs in coded form and will reduce overhead burden on data preparation of Vital Records files. Having coded values will enable LHDs of all sizes to use this data.

CDC's Consolidated Comment for USCDI v5

  • Proposed change:
  1. Please ADD to the Applicable Standard(s): the codes in the following Risk Factors value set:
  2. Please ADD to the "Additional Specifications" entries: Vital Records Common Profiles Library FHIR IG - Records Birth and Fetal Death Reporting -
  • Justification: Through active collaboration with State Vital Records Offices and electronic birth registration system vendors the Vital Records community has been testing within EHR sandbox environments and conducting birth reporting data quality projects accessing these data in hospital environments. Specific to these active projects in FHIR, Epic hospitals are identifying risk factors with the codes identified.

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