Summary
Reference Code:
DAPB3066 Amd 01/25
Publication Version:
2.0.0
Type:
Information standards
Effective From:
31 March 2025
Applies To:
- Maternity service providers MUST implement the entire record standard.\r\n
- Ultrasonography service providers MUST implement the Scan Report Heading and all the Elements contained within that Heading.
- Other service providers with an active involvement during a pregnancy episode MAY implement the standard.
- Maternity staff MUST work with local informatics teams to ensure implementation.
Impacts On:
Implementation of this information standard impacts all health IT systems
suppliers providing systems to the above providers; suppliers should work with
their customers to determine necessary changes.
Conformance Date:
31 December 2025
Assurance Expiry Date:
31 December 2026
Topics:
- Care records
- Clinical safety
- Continuity of care
- Demographics
- Health
- Patient communication
- Referrals
- Tests and diagnostics
Care Settings:
- Ambulance (Urgent and Emergency Care)
- Community health
- GP / Primary care
- Hospital
- Maternity
- Social care
- Urgent and Emergency Care
Alternate Name:
DMRS
Publication Date:
31 March 2025
Contact Point
Contact Point:
Documentation
Associated Media:
Digital Maternity
Digital Maternity Record Standard: Clinical Safety Case Report
Digital Maternity Record Standard: Hazard Log
Digital Maternity Record Standard: Release Survey Report
Digital Maternity Record Standard: (JSON)
Digital Maternity Record Standard: (EXCEL)
Digital Maternity Record Standard: Business Rules
Digital Maternity Record Standard: SNOMED CT CODES
Digital Maternity Record Standard: Latest Release Notes
Digital Maternity Record Standard: Glossary
Description:
The Digital Maternity Record Standard will help to improve the quality of maternity care records and support better information sharing during pregnancy, birth and post-natal care.Health and care professionals, charities, maternity IT system suppliers, representative organisations and people who had used maternity services were invited to help shape the standard through a range of consultation opportunities. The latest release reflects this collaboration.About this standardThe primary goal of the standard is to improve safety and effectiveness in maternity care by making sure health and care records are shareable across different IT systems and healthcare providers. The standard covers antenatal to postnatal care, ensuring its adaptability for future digital updates.Implementing the standard offers several potential benefits;Improves safety by providing accurate and accessible patient records, reducing errors in care.Improves risk management and information accessibility throughout pregnancyScopePersonalised care and support plan for maternityInformed consent tool (including decision support tools with patient information aids)Equality & Diversity maternity policyMidwifery continuity of carerMaternal medicineFetal medicinePerinatal pelvic floor healthSmoking cessationMEWS / NEWTT-2Postnatal GPPerinatal mental health
Documentation Link:
Relations:
This standard relates to:
Name:Core Information Standard (CIS)
Name:DCB0160: Clinical Risk Management
Dependencies:
Name:Healthy Child Record
Explanation:Providers should become compliant with the DCB3009 Healthy Child Record standard
when recording information which ultimately needs to be held within a baby's
record.
Name:NHS Data Model and Dictionary
Explanation:Where SNOMED CT codes are not appropriate, national coding from the NHS Data
Model and Dictionary has been used.
Name:SNOMED CT
Explanation:This standard needs to be reviewed and implemented alongside SNOMED CT where
appropriate. The recording supplier system must be compliant with the SNOMED CT
codes set out within the Maternity Record Standard Data Model Specification.
Role:Documentation
Review & Status
Contributor:
Professional Record Standards Body (PRSB)
Sponsor:
Tim Ellis, Deputy Director of Programmes (Digital), NHS England\r\n
Approval Date:
18 March 2025
Business Lead:
Lisa Austin, Deputy Director of Programmes, NHS England
Scope:
NHS Services
SRO:
Sonia Patel, System Chief Information Officer/Director for Levelling up, NHS
England
Technical Committee:
Data Assurance Board (DAB)
Licenced ID:
Open Government Licence v3.0 (OGL 3.0)
Licenced Title:
This standard is owned by NHS England and is made available for reuse or
amendment under the Open Government Licence v3.0 (OGL 3.0).
Dataset Identifier:
This standard is owned by NHS England and is made available for reuse or
amendment under the Open Government Licence v3.0 (OGL 3.0
Mandated:
Yes
Status:
active
Legal Authority 1
Legal Authority:
Section 250 of the Health and Social Care Act 2012
Legal Authority Description:
This information standard is published under section 250 of the Health and
Social Care Act 2012
How to use this standard
How to Use This Standard Introduction:
How it works The Digital Maternity Record Standard aims to standardise and
define the optimal data structure and format for electronic maternity patient
records. It is intended for use by clinicians to capture data while providing
direct maternity care. This standard will also facilitate the exchange of
information between maternity providers, enhancing the quality and safety of
care. The standard comprises 52 sections, including 15 new sections to reflect
new models of care and current maternity best practices. The information model
delineates conformance levels (mandatory, required, and optional) and the
cardinality for each data element. The conformance and cardinality have been
determined from the viewpoint of the professional completing the record. Many of
the items in the standard are shown as required. This information should be
recorded when it is available and relevant. However, these items do not always
need to be recorded, as some are only pertinent to specific scenarios.
Origin
Name:
Data Catalogue