Plano de parto informatizado para apoio a interoperabilidade e humanização

Abstract

The Birth Plan enables the registry of pregnant women expectations and preferences for childbirth. This study aims to formalize a standardized model for a computerized Delivery Plan and identify a set of archetypes to represent its concepts. Method: This is an exploratory and descriptive observational study. We identified and analyzed several Birth Plan models and subsequently performed the document modeling at two levels: a structured template and then a reference template based on openEHR specifications available in a clinical database. Results: We structured the clinical concepts of the document based on pre-existing archetypes adjustments. The composition structure considered seven sections covering up the expectations of pregnant women. Conclusion: We expect that this standardized model serve as a starting point, after its validation in clinical practice, to enable access to the Birth Plan through computerized channels from pre-natal to childbirth.