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FASP Obstetric Reporting Module
The FASP reporting module consists of the Early, Dating and Growth Scan forms from the basic obstetric
module plus modified Anatomy and Detailed Forms. The Anatomy and Detailed forms have been modified to
allow the collection of the data required by FASP.
REPORTING AND SONOGRAPHER MODE is recommended for users who are responsible for typing and
printing Obstetric reports. CRIS will automatically display / highlight the most appropriate screens and
buttons.
Please also be aware that this CRIB sheet has been written in conjunction with the latest Obstetric Ultrasound
Scan Forms specified by the North West Obstetric Clinical Reference Group (CRG) and is the default
Obstetric Ultrasound Package for the CRIS System. The [F4] Help Lists are configurable and may therefore
differ on each installation based on CRG requirements.
When entering details via Obstetric Ultrasound Reports, values can be left blank and the field title will not be
printed.
Last Updated: 04/07/2011
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EARLY PREGNANCY SCAN (NW)
To select from the options in each drop down list use [F4] or double click. Select the value you want and
[Enter] or double click.
EARLY PREGNANCY SCAN (NW)
Scan Reason
Last Updated: DC 04/07/2011
Amniocentesis
New Anomaly
Booking
Bleeding
See Comments
CVS
Diabetic
Dating
Fetal Study
Growth
Medical Disorder
Prev Fetal Abnorm
Poor Obs History
Pain
Prev Obs History
Reassurance
Rescan Anomaly
Transfer Booker
Twins
Viability
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Method
Uterus
Endometrium
Endometrial thickness (mm)
Sac diameter (mm)
Gestation Sac
Sac Site
Shape
TA + TV
Trans Abdominal
Trans Vaginal
Not Checked
Bulky
Normal
Abnormal
Normal
Thickened
Thin
Enter in mm.
More Than One
Not Present
Present
Abnormal
Cervical
Cornual
Ectopic
Normal
Irregular
Regular
Yolk Sac
Fetal Pole
See Comments/ Seen/ Not Seen
Fetal Heartbeat
More Than One
Not Present
Present
Adnexa
Free Fluid
See Comments/ Seen/ Not Seen
Enter CRL (mm) and press [Enter] to display Gestational Age by CRL and then EDD date.
Please note: If the EDD date is removed at this point the EDD on future scan forms will have to be manually
entered.
To type additional comments left click beneath
Last Updated: 04/07/2011
and begin typing.
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DATING SCAN (NW)
DATING SCAN (NW)
Scan Reason
Scan Method
Fetal Heartbeat
Adnexa
Placenta
Last Updated: DC 04/07/2011
Amniocentesis
New Anomaly
Booking
Bleeding
See Comments
CVS
Diabetic
Dating
Fetal Study
Growth
Medical Disorder
Prev Fetal Abnorm
Poor Obs History
Pain
Prev Obs History
Reassurance
Rescan Anomaly
Transfer Booker
Twins
Viability
TA + TV
Trans Abdominal
Trans Vaginal
More Than One
Not Present
Present
See Comments/ Seen/ Not Seen
Anterior
Fundal
Left Lateral
Posterior
Right Lateral
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Chorionicity
MA / DC
DA / DC
MA / MC
NT (mm)
Sac Diameter (mm)
Enter in mm.
Please note: The Anatomy date field is only designed as a guide to assist in planning future appointments.
This defaults to 20 weeks but can be changed to allow you to calculate any date. It is not stored on the report
and is only accurate once the EDD has been entered. Forms can also be configured to not print EDD or
suggested rescan date.
To type additional comments left click beneath
and begin typing.
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GROWTH SCAN (NW)
GROWTH SCAN (NW)
Fetal Heartbeat
More Than One
Not Present
Present
Breech
Breech Legs Extended
Footling Breech
Breech Maternal Left
Breech Maternal Right
Cephalic
Presentation
Cephalic Maternal Left
Cephalic Maternal Right
Head to Mat. Left
Oblique Lie
Heat to Mat. Right
Transverse Lie
Vertical
Fetal Movements
Stomach/ Diaphragm
Kidneys
Bladder
Placenta
Site
Liquor Volume
Last Updated: DC 04/07/2011
See Comments/ Seen/ Not Seen
Anterior
Fundal
Left Lateral
Posterior
Right Lateral
Abutting OS
Clear of OS
Covering OS
Low, clear of OS
Low Lying
Overlying OS
See Comments
Touching OS
Low – Additional fields will appear to complete AFI values.
Normal
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Oligohydramnios – Additional fields will appear to complete AFI values.
Polyhydramnios – Additional fields will appear to complete AFI values.
Raised – Additional fields will appear to complete AFI values.
EDF - End Diastolic
Flow
PI - Pulsatility Index
RI - Resistivity Index
S/D - Systolic /
Diastolic Ratio
Absent / Present / Reversed
Enter as required
Please enter the measurements in mm and press [Enter].
Please press [F4] in [EFW by] to select.
EFW- Estimated Fetal
Weight
C – Campbell AC
H1 – Hadlock AC + FL
H2 – Hadlock HC + AC + FL
S – Shephard AC + BPD
Please note: The EFW (Estimated Fetal Weight) field is optional, and can be configured to include or omit
certain equation methods via the System Tables > XR Settings.
To type additional comments left click beneath
Last Updated: 04/07/2011
and begin typing.
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FASP FORMS OVERVIEW
The FASP forms differ from standard Obstetric forms in that many of the fields allow extra detail to be entered
as a result of selecting certain options. This extra detail is so that CRIS will allow the user to record the level
of information required by FASP.
If the user selects “Not Seen” or “Not Examined” then CRIS adds an extra box allowing the user to select the
reason why the value of not seen or examined was selected.
If the user selects “Abnormal” then CRIS adds an extra box allowing the user to select the specific
abnormality seen and what may have caused this abnormality. The fields in this extra box and the options in
each of these fields will be specific to the field selected as abnormal and the options selected within the extra
details box.
In the example below where “Stomach” is selected as abnormal then the extra detail box has fields of “Type”,
“Options” and Aetiologies”.
The “Type” field could have values of “Position”, “Size” or “Other”.
When “Position” is chosen in the Type field, then you have options of “In Chest” or “Right Sided”.
Alternatively if you select “Size” for the value in the Type field then you have the values of “Not Seen” and
“Small” available in the option field. For each of these options you have some appropriate Aetiologies
available.
The combinations of values available in each of these fields is configurable and may change over time to
allow the entry of new values and combinations required.
To enter multiple abnormalities press return on the last field and a new blank row will appear.
Many fields allow the entry of “Seen” and “Normal”. In CRIS neither of these values are used to indicate that
there was an abnormality detected so no further detail is required to be entered. It is up to each site to decide
which of these two values to use for each piece of anatomy. The wording on the printed report is slightly
different depending on which value is used. Fields selected as “Seen” are grouped together under the
heading “The following were observed”. Fields selected as “Normal” are grouped together under the heading
“No abnormalities were seen in the following”.
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FASP 11 AUDITABLE CONDITIONS
One of the key aims of the FASP requirements is to collect data regarding the detection of 11 conditions. In
order to record the detection of these conditions selecting “Abnormal” on the fields listed in the table below
will open the abnormality extra details box for each field where you can select the specific values that indicate
the existence of each condition.
Table C1 shows which field is used for recording each condition. The detection rates of these conditions by
ultrasound scan are also included in this table. These rates have been derived by FASP from a number of
published reference sources.
Table C2 shows which condition can be recorded against each field and therefore lists the fields that FASP
will be auditing for the 11 conditions.
N.B. HSS are currently awaiting some clarification from FASP regarding the specific requirements of data
recording and reporting of some of these conditions. The following tables will be updated as and when HSS
receive clarification.
Table C1
Condition
Anencephaly
Detection
Rate
98%
Open Spina Bifida
90%
Cleft Lip
75%
Diaphragmatic
Hernia
Gastroschisis
60%
Exomphalos
Serious Cardiac
Abnormalities
80%
50%
Bilateral Renal
Agenesis
Lethal Skeletal
Dysplasia
Edwards’ Syndrome
(Trisomy 18)
84%
Patau’s Syndrome
(Trisomy 13)
95%
Last Updated: 04/07/2011
98%
60%
95%
Data entry field in CRIS for abnormality
Skull, Area = Bones, Option = Absent, select Aetiologie
Profile, Option = Anencephaly (Detailed form only)
Brain, Area = Cerebellum, Option = Banana Shaped, select Aetiologie.
Brain, Area = Cerebellum, Option = Absent , select Aetiologie.
Skull, Area = Shape, Option = Lemon Shape, select Aetiologie
Spine, Any Option, select Aetiologie
Lips, Area = Cleft Lip
Face, Area = Cleft Lip (Detailed form only)
Stomach, Type = Position, Option = in chest, select Aetiologie CDH
Abdominal Wall, Option = Open, select Aetiologie
Bladder, Select Option
Abdominal Wall, Option = Open, select Aetiologie
Heart 4 Chamber, Option = Any.
N.B. All heart abnormalities recorded will be counted as serious.
Heart Situs, Option = Any.
N.B. All heart abnormalities recorded will be counted as serious.
Kidneys, Area = Kidney, Appearance = Absent, Select Aetiologie.
Any kidney rcorded as absent will be counted for this condition.
Skull, Area = Shape, Option = Clover Leaf, select Aetiologie
Femur, select Aetiologie
Skull, Area = Shape, Option = Strawberry Shape, select Aetiologie
FASP are not expecting users to record detecting this on scan.
FASP are not expecting users to record detecting this on scan.
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Table C2
Field
Skull
Profile
Brain
Lips
Face
Heart 4 Chamber
Heart Situs
Stomach
Abdominal Wall
Kidneys
Bladder
Spine Sagittal /
Skin
Spine Transverse
Femur
Location Condition Recorded
Aetiologie
Option
Aetiologie
Area
Area (Detailed scan only)
Any Option, No specific
aetiologies provided by FASP
therefore all counted as
serious.
Any Option, No specific
aetiologies provided by FASP
therefore all counted as
serious.
Aetiologie
Aetiologie
Condition Recorded
Anencephaly
Spina Bifida
Skeletal Dysplasia
T18
Anencephaly
Spina Bifida
Cleft Lip
Cleft Lip
Serious Cardiac Abnormalities
Serious Cardiac Abnormalities
Option = missing.
Options
Aetiologie
Diaphragmatic Hernia (CDH)
Gastroschisis
Exomphalos
Renal Agenesis when any kidney recorded as missing.
Gastroschisis
Spina Bifida
Aetiologie
Aetiologie
Spina Bifida
Skeletal Dysplasia
KEY FIELDS & DIFFERENCES TO STANDARD OBSTETRIC REPORTS.
Scan Reason – This allows the user to record that this scan was a repeat scan.
Screening Incomplete – This allows the user to record that this scan could not be fully completed. When
selected a reason box becomes available for selecting the reason than the scan could not be completed.
Placental Site – This allows the selection of Abnormal / Seen / Normal etc. and an extra details box will
become available to allow the recording of additional details for the following values.
Value Selected
Abnormal
Normal Variant
Not Seen / Not Examined
Last Updated: DC 04/07/2011
Options Available
Covering uterine os
Extending uterine os
Abutting OS
Low Lying
Low, Clear of OS
Touching OS
Fetal Position
Gestational Age
Liquor Volume
Maternal Habitus
Multiple Pregnancy
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Amniotic Fluid – When abnormal is selected extra fields become available for recording the AFI plus an extra
details box becomes available for indicating increased or decreased and entering the aetiologie such as
Oligohydramnios or Polyhydramnios.
The CRB (Cerebellum) field is in the main measurements panel. This is so that it can be assigned a growth
chart. However the currently published growth chart is not sufficiently accurate to be included in the current
version of CRIS. Do not rely on any age or chart derived from this field in CRIS until a more accurate chart
becomes available.
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ANATOMY SCAN (FA)
Last Updated: DC 04/07/2011
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ANATOMY SCAN
Patient consented to scan
Scan Reason
Fetal Heartbeat
Scan Type
Placenta Position
Image Quality
Fetal Gender Requested
Fetal Sex
Atrium
Screening Incomplete
Last Updated: 04/07/2011
Enter as required
Amniocentesis
New Anomaly
Booking
Bleeding
See Comments
CVS
Diabetic
Dating
Fetal Study
Growth
Medical Disorder
Prev Fetal Abnorm
Poor Obs History
Pain
Prev Obs History
Reassurance
Rescan Anomaly
Transfer Booker
Twins
Viability
More Than One
Not Present
Present
TA + TV
Trans Abdominal
Trans Vaginal
Anterior
Fundal
Left Lateral
Posterior
Right Lateral
Fair
Good
Poor
Enter as required
Female
Male
Not Asked
Unknown
Enter as required
Enter as required
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Field
Placenta Site
Amniotic Fluid
Skull
Brain
Nuchal Fold
Lips
Heart 4 Chamber
Heart Situs
LVOT
RVOT
Stomach
Abdominal Wall
Bowel
Kidneys
Bladder
Spine Sagittal / Skin
Spine Transverse
Femur
Both Hands
Both Feet
Options
Abnormal
Other see
comments
Not examined
Normal
Seen
Not seen
Normal Variant
Abnormality Extra Detail Fields Available
Position / Aetiologies
Level / Aetiologies
Area / Option / Aetiologies
Area / Option / Aetiologies
Nuchal Skin measurement
Area / Aetiologies
Options / Aetiologies
Options / Aetiologies
Options / Aetiologies
Options / Aetiologies
Type / Options / Aetiologies
Options / Aetiologies
Appearance / Aetiologies
Side / Area / Appearance / Aetiologies / AP Diameter
Options / Size
Options / Aetiologies
Options / Aetiologies
Side / Aetiologies
Side / Options / Aetiologies
Side / Options / Aetiologies
Please enter the measurements in mm and press [Enter].
To type additional comments left click beneath
Last Updated: DC 04/07/2011
and begin typing.
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DETAILED SCAN (FA)
Last Updated: 04/07/2011
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The additional fields on the Detailed scan form are highlighted in Yellow
ANATOMY SCAN
Patient consented to scan
Scan Reason
Fetal Heartbeat
Scan Type
Placental Cord
Placenta Position
EDF - End Diastolic Flow
PI - Pulsatility Index
RI - Resistivity Index
S/D - Systolic / Diastolic
Ratio
Last Updated: DC 04/07/2011
Enter as required
Amniocentesis
New Anomaly
Booking
Bleeding
See Comments
CVS
Diabetic
Dating
Fetal Study
Growth
Medical Disorder
Prev Fetal Abnorm
Poor Obs History
Pain
Prev Obs History
Reassurance
Rescan Anomaly
Transfer Booker
Twins
Viability
More Than One
Not Present
Present
TA + TV
Trans Abdominal
Trans Vaginal
2 Vessels
3 Vessels
Not Seen
Anterior
Fundal
Left Lateral
Posterior
Right Lateral
Absent
Present
Reversed
Enter as required
Enter as required
Enter as required
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Image Quality
Fetal Gender Requested
Fetal Sex
Atrium
Screening Incomplete
Field
Placenta Site
Amniotic Fluid
Fetal Movement
Skull
Brain
Nuchal Fold
Face
Lips
Profile
Heart 4 Chamber
Heart Situs
LVOT
RVOT
Stomach
Abdominal Wall
Bowel
Kidneys
Bladder
Spine Sagittal / Skin
Spine Coronal
Spine Transverse
Femur
Upper Limbs
Both Hands
Lower Limbs
Both Feet
Last Updated: 04/07/2011
Fair
Good
Poor
Enter as required
Female
Male
Not Asked
Unknown
Enter as required
Enter as required
Options
Abnormal
Other see
comments
Not examined
Normal
Seen
Not seen
Normal Variant
Abnormality Extra Detail Fields Available
Position / Aetiologies
Level / Aetiologies
Position / Aetiologies
Area / Option / Aetiologies
Area / Option / Aetiologies
Nuchal Skin measurement
Area / Aetiologies
Area / Aetiologies
Options / Aetiologies
Options / Aetiologies
Options / Aetiologies
Options / Aetiologies
Options / Aetiologies
Type / Options / Aetiologies
Options / Aetiologies
Appearance / Aetiologies
Side / Area / Appearance / Aetiologies / AP Diameter
Options / Size
Options / Aetiologies
Options / Aetiologies
Options / Aetiologies
Side / Aetiologies
Side / Options / Aetiologies
Side / Options / Aetiologies
Side / Options / Aetiologies
Side / Options / Aetiologies
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Please enter the measurements in mm and press [Enter].
To enter measurements for long bones select the check box for long bones and enter the details in the
additional entry fields. Multiple measurements can be entered by pressing return on the size field to open a
new entry line.
To type additional free text comments left click beneath
Last Updated: DC 04/07/2011
and begin typing.
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CALCULATING EDD AND SELECTING A PREGNANCY
When a pregnancy does not have a confirmed EDD then CRIS will generate a suggested EDD and
gestational age based on the measurements (and LMP if configured to do so) entered on this scan. The EDD
is produced when the user moves to the gestational age fields on the report. The user is free to alter this
EDD if required. The measurements used by CRIS for the suggested EDD will depend on the type of scan
and which measurements have been entered.
The choice of measurement to use is configurable.
The Early Scan will use CRL for calculating the EDD.
Typically the Dating Scan will use CRL if entered and HC if CRL is not entered and FL if neither CRL or HC is
entered.
All other scans will normally use the HC if entered and FL if the HC is not entered.
An EDD is set as confirmed once the EDD is saved on a report where the gestational age is greater than the
age defined in the configuration (XR setting REPORT.ObsEDDCutoffDays) which is usually set to 56 days (8
weeks). Once an EDD is set as confirmed CRIS will use this as the EDD on all subsequent scans on this
pregnancy unless the user manually changes the EDD, in which case the altered EDD will be used on any
new scans.
When a new obstetric scan is reported, CRIS assigns this scan to an existing pregnancy on this patient where
the date of the scan would be before 2 weeks after the EDD of the pregnancy. If no pregnancy exists which
covers the date of this scan then CRIS will create a new pregnancy which will require a new EDD.
HOW TO ADD OR REMOVE A FETUS
WHEN TO USE ‘ADD FOETUS
To report on more than one fetus (e.g. twins), load into the Report screen, right click and select ‘Add foetus.
This will load another scan form onto the same report and display ‘Fetus/Sac 1 of 2’ on the current, and all
future scan forms. For triplets/ quadruplets etc continue to ‘Add foetus until the correct number of desired
scan forms have appeared.
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Please note that with additional fetuses created, there will be a colour coordinated chart to identify the
different measurements for each fetus. If the printers used are black and white there will be different shadings
displayed instead of colour.
Double click a graph to enlarge the graph and double click an enlarged graph to return back to normal view
with all graphs.
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PRINTING GRAPHS
On the save report “Finish” page there is a Graph option. If your site is configured to print graphs on a
separate page then you can use this check box to control whether the graph page is printed when the report
is printed. The state of this Graph check box is remembered as a user preference.
PRINTING MEASUREMENTS
When the report is printed the measurements are printed along side the diagram then indicates the
measurements position in relation to the centiles. See Below.
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WHEN TO USE ‘REMOVE FOETUS
If you add a foetus ‘BY MISTAKE’ and want to remove it, or if a ‘FETUS IS NO LONGER VIABLE’ you should
use ‘Remove Foetus’ on the report at the point you notice the Fetus is no longer viable. The Fetus details will
remain on the current report but will not appear on any future scans. This tool is not designed to close an
event with only one fetus, if there is only one fetus please use ‘Close Pregnancy’.
WHEN TO USE ‘CHANGE SCAN FORM’
Selecting ‘Change scan form’ allows the user to change scan forms without going back to the Event Details
screen and changing the exam code. An example of this is to change a Detailed scan form to an Anomaly
scan form. You must select ‘Change scan form’ and have loaded the new scan form BEFORE any details are
entered.
EPISODES SCREEN [TAB]
All scans related to the same pregnancy will be displayed in the Episodes screen.
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HOW TO CLOSE A PREGNANCY OR IDENTIFY A NEW PREGNANCY
CLOSE PREGNANCY
Close Pregnancy is used to identify that a pregnancy is not going to go to full term. Consequently, this should
only be used in the event of a scan which results in identifying the fetus is no longer viable, or an anomaly
scan which will end with a termination. Having used [Close Pregnancy] the next scan/ Event must be in at
least one month’s time and will automatically allocate a new pregnancy key and EDD.
Please Note: It should NOT be used at the time of booking/ reporting a new pregnancy.
NEW PREGNANCY
If a previous pregnancy does not go to full term (i.e. in the event of miscarriage or termination), and the
patient becomes pregnant again during the original/previous pregnancy term, it will be necessary to use [New
Pregnancy]. This should only be used when booking/reporting the first scan of the new pregnancy term.
It will however be necessary to check / manually correct the EDD of this new pregnancy.
Please note: If [New Pregnancy] is not used, CRIS will assume that the scan is part of previous pregnancy
term and use the same EDD, pregnancy key and Episode.
CORRECTING A PREGNANCY
A typical indication that the user has not selected [New Pregnancy] would be if the EDD has been carried
over from the previous pregnancy term.
To confirm this go to the [Episodes] folder and in normal circumstances there should be a new pregnancy
folder with a new pregnancy key and the correct EDD. However, if this is not visible it is likely the most recent
scan has been attached to a previous pregnancy. Consequently by opening the last pregnancy folder and
reviewing the contents you should immediately notice the most recent scan is actually in this folder.
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To correct this and create a new Episode ‘Pregnancy Folder’ and EDD - Load the report for the first scan
(Event) of the new pregnancy term
Right click and choose [New Pregnancy] followed by [Finished] and [Save] to allocate a new pregnancy key
and amend EDD to the correct date for the new pregnancy term.
Reload the report and confirm that the Pregnancy key (which is displayed on the top right of the report) has
changed to match the Event key (which is in blue text on the top left of the screen).
You should now check there is a new pregnancy folder with the same pregnancy key and EDD displayed via
the Episodes screen.
OTHER AFFECTED SCANS/ EVENTS
If there are any subsequent scans for this pregnancy that were reported against the wrong pregnancy you will
also need to manually allocate them to the same new pregnancy key and EDD. Consequently you should go
to Events screen and right click the next affected scan and chose [Properties].
Replace the incorrect [Preg Key] with the new [Preg Key] / Event key followed by [Save]. Reload the report
and check/ correct the EDD. Repeat this process for any other scans/ Events.
ACTIVATING THE OBSTETRIC ULTRASOUND MODULE
To begin using the CRIS Obstetric Ultrasound Module the RIS System Administrators may need to assign the
appropriate Obstetric forms to an examination code using the ‘Scan Reason’ field located in the CRIS System
Tables as applicable. It will also be necessary to review/configure the relevant XR Settings in context to Trust
working practice.
APPOINTMENT> EXAMS PER HOSPITAL
HSS recommend that Obstetric ‘Scan Reasons’ are primarily applied via Exams Per Hospital as ‘Forms’
assigned at this level are ‘Site’ rather than SHA specific, enabling each Trust to make their own decision to
which forms should appear when using different Examination codes. Each Trust should however ensure a
consistent approach across all sites to negate any compatibility/data integrity issues between sites (i.e. If a
Early pregnancy was performed at Hospital A, but the Dating Scan at Hospital B).
GENERAL> EXAMINATION CODES
Setting Scan Forms via GENERAL > EXAMINATION CODES is typically only available to Locally Deployed
CRIS Systems not Datacentre models as ‘Scan Reasons’ assigned at this level will be applicable to the whole
SHA. Datacentre customers should not complete ‘Scan Reasons’ here unless specifically advised to do so by
the SHA focus group, or CRIS helpdesk.
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OBSTETRIC SCAN FORMS
SCAN FORM CODE
ENW
DATNW
ANATFA
DETFA
GROWNW
NAME/DESCRIPTION
Early pregnancy Scan (1st Trimester Viability Scan)
Dating Scan (1st Trimester Scan)
Anatomy Scan (Basic 2nd Trimester Scan)
Detailed Scan (An alternative and more detailed 2nd Trimester Scan)
Growth Scan (Late 2nd and general 3rd Trimester Scan)
OBSTETRIC ULTRASOUND SET-UP AND CONFIGURATION SETTINGS
Please refer to CRIS CRIB RIS_CRIB296_Obstetric_Reporting_Configuration.doc
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Document Control
Title
Author
File Ref.
Rowthorne Obstetric Reporting
David Costin
CRIB293
Date Created
01/09/2009
Approval Sign-off
Owner
Role
Method of approval
David Costin
Trainer/ Application Specialist
Verbal
Approver
Role
Method of approval
Date
Helen Richards
Project Lead
Verbal
11/08/2011
Change History
Issue
Date
1.0
01/09/2009
1.1
04/07/2011
1.2
11/08/2011
Author / Editor
DC
DC
DH
Review Date
11/08/2011
Last Updated: DC 04/07/2011
Date
Details of Change
First Issue
Amendments to version number for 2.09.10e
Created copy for FASP module.
Healthcare Software Systems – Commercial in Confidence
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