Developments
Obtaining a CHI Number
Shortly after a baby is born, the relevant member of staff, probably a midwife or ward clerk, enters details of the baby into the SBR. They complete as much of the record as possible at that time, and "submit" the data back to the database. Once the mandatory data items required to register a baby on CHI have been submitted, the SBR sends a request to CHI to issue a CHI number. This system then checks whether the baby has already been registered on CHI, and if not, will ask for a registration and a CHI number which will then be returned to the SBR. In essence, this system is very similar to existing arrangements but it allows much earlier production of a CHI. This minimises the risk of babies being 'lost' - e.g. it will be much simpler to identify a baby despite it changing it's name soon after birth. It also facilitates the integration of services and enables associations between birth and subsequent health to be studied routinely.
To date the following Health Boards are now implementing the use of the SBR to allocate their CHIs.
- Greater Glasgow & Clyde
- Ayrshire & Arran
- Borders
- Dumfries and Galloway
- Forth Valley
- Highland
- Orkney
- Shetland
- Western Isles
- Grampian (Aberdeen Maternity & Dr Grays)
- Lanarkshire
Pregnancy and Newborn Bloodspot Screening System (PNBS) Interface
NHS QIS has issued standards for maternity and neonatal screening. Changes to these screening programmes have also been agreed by the Scottish Government and the NSD is implementing them.
In the context of the above, GG&C are developing an IT system (Pregnancy and Newborn Bloodspot Screening system), that will allow:
- Identification of women requiring screening;
- Capture the results of screening;
- Comparison with the outcome revealed at birth.
NHS Greater Glasgow & Clyde (Health Information & Technology) have requested that an interface is established between the Scottish Birth Record (SBR) and the Pregnancy and Newborn Bloodspot Screening system (PNBS) across Greater Glasgow & Clyde.
To support these aims GG&C wish to extract two types of data from the Scottish Birth Record:
- Linked maternal and baby data for each birth in GG&C including CHI numbers for each;
- Fetal anomaly outcomes (ICD-10 codes).
The interface will provide the following:
- A link to the pregnancy and newborn bloodspot application between a mothers CHI number and the associated baby CHI number(s);
- Demographic and newborn information for each baby born in GG&C;
- Details of the outcome of the medical exam carried out after birth for all sick babies. Specifically, to identify anomalies that should have been picked up by screening e.g. fetal anomalies, Down's syndrome
Badger Interface
The Badger system is a neonatal system which is used in the Royal Infirmary of Edinburgh. Work was carried out to interface with this system in order to update the SBR using a web service hosted by the Scottish Birth Record. Upon updating the BADGER system, if there were a change to a data item that the SBR requires, the Badger system would initiate an sFTP session, and send a text file to SBR.
Keeping Childbirth Natural and Dynamic (KCND)
The Scottish Government Health Department (SGHD) established the KCND programme to support the multi-professional team to implement the principles outlined in the Framework for Maternity Services in Scotland Document.
To underpin implementation of KCND, and enable Boards to monitor and demonstrate compliance with national care pathways and objectives, key information needs to be routinely available which answers a range of questions. The information must be high quality, easily available, cost effective to collect and accessible locally as well as nationally for comparative purposes. To ensure this, such information must be standardised across Scotland.
SBR's key KCND objectives are to:
- Align the data of nationally-standardised management information (SBR and SMR02) with other existing maternity data collection systems
- Explore how to make disparate systems in different hospitals and NHS Boards comparable
The benefits of this project will include:
- Improvements to the quality and safety of maternity care due to consistent recording
- Enhanced clinically-sourced maternity data for service management, surveillance, policy and planning available, in real time, for all NHS Boards
- Consistent with the National Maternal and Child Health Information Strategy Group Action Plan and the Scottish Government eHealth Programme
