>>A foetus is tightly coupled to a mother, but is sufficiently >>distinct for there to be a need for a separate EHR under certain >>circumstances.
What do you call "certain circumstances" ; anyway, the follow up echographies during pregnancy belong to the future baby. >> The question is when do we spawn a new record? >>Under normal circumstances, this would probably occur at birth, partly >>since the foetus becomes a person under law, partly because it becomes >>an entity predominantly independent of the mother, partly because prior >>to birth there is rarely a need for information specifically regarding >>the foetus. >which is what I used to think, based on Sam's thinking, but having had >this discussion, I have changed my mind. As soon as the first observation >is made of the foetus it should have its own EHR. I agree with that. A solution coul be to open an EHR immediately (first echography ?) and have this EHR usable as a "time delimited window" inside the mother EHR. The other solution (more pragmatic) would be to have the mother's pregnancy "Problem" (just POMR way of labelling things) being opened as a "before birth window" inside the baby record. It is more pragmatic since the "system" you work on during pregnancy is the mother (with extra "organs"). I can't guess the legal issues. Philippe - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
