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Hysio Hospital-based Midwifery
AI Voice-Driven Reporting for hospital-based midwives
Source-bound documentation for hospital-based midwives, from admission and ward round to the birth report and handover at discharge.
Spoken care information from your care encounter
Hospital-based midwifery
A structured report in your professional terminology
From care encounter to report
You work. Hysio documents.
Hysio turns spoken information into a report. Choose the report format for the conversation you are documenting.
AI assistants
Suited to your work.
- Hysio Hospital Midwifery Admission & Intake
- Hysio Hospital Midwifery Monitoring & Ward Round
- Hysio Hospital Birth Report
- Hysio Hospital Midwifery Handover & Discharge
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More attention for the conversation, less typing afterwards.
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You document the conversation
State relevant information, your own findings and agreed actions aloud so you can find them in your report.
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Hysio creates your report
The information appears under the headings of your chosen report format, so you can review each section.
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You review and copy the report
Check names, facts and agreed actions. Edit the text where needed before using the report in your records.
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Hysio Hospital-based Midwifery
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Quick answer Hospital-based midwifery reports 50 questions with cited sources
Quick answer
Hospital-based midwifery documentation per episode
Hysio organises admission, the hospital ward round, the birth report and handover or discharge as different encounter purposes.
Maternal, fetal or neonatal data, external results, professional assessment and open actions stay clearly separate.
- How does it work on the labour ward?
- You say out loud what you do during an admission or ward round on the labour ward, then read back the admission report: that is voice-driven reporting, also known as AI documentation. There are four report types: admission, ward round, birth and discharge. You approve every report. [7] [9] [13] [15] [17]
- What does each report record?
- What is reported, observations, measurements, your assessment and open actions, per episode and time point. [7] [9] [13] [15] [17]
- How do mother and baby stay separate?
- Details about the mother and the baby each sit in their own part, during the birth as well. [7] [9] [13] [15] [17]
- Documentation formats 4 profession-specific documentation formats: Hysio Hospital Midwifery Admission & Intake, Hysio Hospital Midwifery Monitoring & Ward Round, Hysio Hospital Birth Report, Hysio Hospital Midwifery Handover & Discharge.
- Source role the postnatal mother and child stay separately recognisable.
- Boundaries No added results, no triage and no discharge decision.
- Responsibility You check and decide what is saved in the hospital midwifery record.
Voice-driven reporting in hospital-based midwifery
How does voice-driven reporting work in hospital-based midwifery? #
For hospital-based midwifery, Hysio fits four encounter purposes: hospital admission and intake, monitoring and ward round, a chronological hospital birth report and handover or discharge. Maternal, fetal or neonatal data, external results, professional assessment and action owners stay recognisable for each episode. The hospital-based midwife checks the source, the moment and the professional meaning before this information is added to the hospital midwifery record. [3] [4] [5] [6] [13] [15] [17]
What does the hospital midwifery admission record? #
The admission and intake organises the admission context, current pregnancy, history, medical and psychosocial information, maternal and fetal findings, external results, the assessment as stated and the care plan. The structure shows which information comes from the admission and which source was added later. [3] [7] [9] [13]
What belongs in a hospital ward round and monitoring report? #
The ward round format brings together the current reason, change since the previous moment, maternal and fetal or neonatal findings, measurements and results, professional consultation and follow-up action. A report stays a report; Hysio does not rewrite it as a diagnosis or triage outcome. The hospital-based midwife leaves undiscussed details open and decides which wording belongs in the hospital midwifery record. [4] [13] [15] [17]
How is a hospital birth report structured? #
The hospital birth report keeps the admission context, the chronological course, birth and placenta, the woman after the birth, each newborn and observation or transfer separate. The timeline comes from the source. Hysio does not reconstruct missing events and does not set a birth management plan. [5] [15] [16] [17]
What does a handover at discharge from hospital-based midwifery organise? #
The handover and discharge report organise context, episode and birth, the current status of mother and newborn, open points, action owners, recipients and follow-up. The status of an action stays linked to the source. A tidy handover is not a discharge decision in itself. [6] [9] [15] [17]
When do you choose admission and intake instead of the ward round? #
Choose admission and intake when the clinical episode is opened and the reason, history and starting situation are gathered. Choose ward round when a current change, new reports or ongoing management are central. The purpose of the encounter sets the format, not the length of the conversation. [3] [4] [7] [13]
When does the hospital birth format fit the encounter? #
The hospital birth format fits recorded information about a birth in hospital, with a chronological course and separate parts for the woman giving birth and the baby. A check on the ward or a discharge letter only belongs in this format when the source really is about the birth. [5] [15] [16]
When do you use the handover and discharge format? #
This format is intended for situations in which current episode information is handed over or a clinical encounter is closed. Name the recipient, the current status of mother and baby, open results and the action owner. Hysio does not decide by itself whether discharge is safe or appropriate; that judgement stays with the hospital-based midwife. [6] [9] [17]
How does a hospital result stay tied to the source? #
A result stays linked to the test, the source, the date and the person involved. Hysio can place the raw result and the professional explanation as stated side by side, but does not make its own interpretation. If the result is missing, it stays visible whether or not the test was documented. [3] [4] [9] [13] [15]
Can Hysio determine triage or discharge policy in a hospital situation? #
No. Hysio organises recorded reports, observations, measurements, results, consultations and agreements, but does not interpret a CTG and does not set urgency, birth management, medication, transfer or discharge. The hospital-based midwife and other qualified healthcare professionals remain responsible for those decisions. [3] [4] [5] [6] [7] [13] [17] [20]
Admission, ward round and birth on the labour ward
How does Hysio support a hospital admission? #
On admission, Hysio gives the episode a fixed order: reason, pregnancy and history, context, maternal and fetal findings, external sources, assessment and the existing care plan. The hospital-based midwife checks whether the source is current and whether a plan was actually stated. During the clinical report note, the hospital-based midwife checks the source, the moment and the professional meaning before this information is added to the hospital midwifery record. [3] [7] [9] [13]
What is the difference between a hospital ward round and an admission report? #
An admission report describes the starting situation of an episode; a ward round report describes the current change and the consultation at a later moment. Hysio keeps the two encounter purposes apart. The hospital-based midwife decides which source and which episode belong to the current encounter. [3] [4] [13] [17]
How do you keep mother and child data separate during a ward round? #
Place maternal reports and findings with the mother, and fetal or neonatal information with the baby. Note the time point and source for each item. Hysio does not form a joint judgement about mother and baby and does not carry a baby's detail over as a maternal observation. [4] [13] [15] [17]
How do you record a consultation on the ward? #
Record who consulted, which report or finding was the reason, what the healthcare professional discussed and which follow-up was explicitly agreed. Hysio does not turn a consultation into an automatic decision. [4] [6] [13] [17] [20]
How does a birth report stay chronological without inventing events? #
Use only the events and times recorded in the admission, birth note or later dictation. Arrange them in the order the source gives and leave missing times open. A smooth timeline must not create false certainty about an action or decision that was not described. [5] [15] [16]
How do you record observation and transfer separately? #
First describe the observation and the source it rests on. Then note only the transfer, recipient or follow-up action that was actually named. Hysio draws no conclusion about necessity or urgency. The qualified healthcare professional approves the status and the content of the handover. [5] [6] [17] [19]
How do you use external results in a hospital record? #
Include an external result with its source, date, the person tested and the status of the result. Keep the professional explanation apart from the raw result. Hysio does not validate laboratory results and does not replace a missing message with general knowledge. [3] [4] [9] [13] [15]
How do you make open actions visible at discharge? #
An open action contains, as far as known, the task, the person responsible, the recipient and the agreed deadline. Distinguish between planned, still to be checked and completed. Hysio does not fill in an action owner and does not write a message as sent when the source does not say so. [6] [9] [17] [19]
How do you process newly reported information without overwriting the previous report? #
Link the new report to the current ward round or encounter and keep the earlier source recognisable. Describe what changed and what stayed the same only when that was actually named. Hysio does not rewrite the earlier judgement and does not make a trend analysis. [4] [13] [17]
Is Hysio suitable as decision support in an acute hospital situation? #
No. Acute assessment, monitoring, consultation, escalation and action stay with the qualified healthcare professionals. Hysio can organise source-bound information afterwards or alongside the encounter, when you can check it safely. The report format does not replace monitoring, triage or direct communication. [4] [5] [7] [17] [20]
Protocols and the clinical record
Which source roles matter in a hospital midwifery record? #
Distinguish between the postnatal mother, the child, the partner or parent, the hospital-based midwife, another healthcare professional, an external document and a laboratory or screening source. Note who reported or assessed something. This keeps it clear which information belongs to which person and professional role. At handover between care teams, the hospital-based midwife checks the source, the moment and the professional meaning before this information is added to the hospital midwifery record. [3] [6] [7] [9] [17]
How do you process partner and parent information in the hospital? #
Information from a partner or parent stays a separate report with its source and context. Include it only when it is relevant and appropriate for the encounter. Do not mix these words with the status of the mother or the baby. The hospital-based midwife checks necessity and consent. [3] [4] [9] [13]
How do you record consent and data sharing at discharge? #
Name the purpose, the recipient and the agreed details when these were recorded in the encounter. Keep mother and baby information separate and include only the details needed. Hysio does not infer consent from a desired handover and does not decide by itself which information may be shared. [6] [9] [17] [19]
What role does the PWD play in hospital maternity care? #
The Perinatal Dictionary and Dataset offer shared definitions and data for maternity care. Use a PWD term only in the meaning and context of the source. Hysio cannot fill in a missing field and does not promise technical exchange with a hospital information system. [3] [6] [15] [16]
How do you handle Peridos or screening data in a hospital handover? #
A Peridos or screening detail stays linked to the source provided, the date and the person it concerns. A system name is not a result. Hysio only includes explicit information and carries out no screening, interpretation or choice of follow-up. [3] [4] [18] [19]
What do you do with a conflicting hospital source? #
When two details cannot reliably be reconciled, leave both in place with their source and moment. Describe that verification is needed. Hysio does not take the most recent sentence as the obviously correct version. The hospital-based midwife judges which correction or addition is needed. [4] [6] [9] [13] [17]
How do you correct an error in a hospital report? #
Go back to the conversation, the observation, the result message or the professional note the sentence came from. Correct it based on that source and keep any unresolved uncertainty visible. The hospital-based midwife approves the change and decides whether a new handover is needed. [3] [4] [9] [15] [17]
How do you limit sensitive information in a mother and child handover? #
Include only information relevant to the current recipient and the stated care purpose. Keep maternal, baby, partner and professional details separate. Leave out background that was not discussed. The hospital-based midwife checks necessity, consent, the recipient and the final sharing status. [6] [9] [17] [19]
Who approves a hospital midwifery record text? #
The healthcare professional responsible for the encounter checks the source, the professional interpretation, the status of actions and any data sharing. Hysio supports organisation and wording, but does not take over clinical responsibility. A colleague can read the text without that automatically counting as approval. At handover between care teams, the hospital-based midwife assesses relevance, source and context and then decides what is recorded in the hospital midwifery record. [3] [4] [6] [7] [8] [20]
What should the receiving healthcare professional see in a discharge handover? #
The recipient must be able to find which episode and birth are central, the current status of mother and baby, which results or actions are open, who is responsible and which follow-up was agreed. Hysio organises those details, but makes no discharge decision. With voice-driven admin the handover is ready; you check meaning, accuracy and follow-up. [6] [9] [17] [19]
CTG, blood loss and what stays with the obstetrician
How do you record a maternal measurement in the hospital? #
Note the subject, the person examined, the value, the unit, the method of measurement, the date or time and the source when that information is available. Hysio keeps a maternal value with the postnatal mother and does not compare it independently with a norm. The hospital-based midwife assesses the meaning. For clinical measurements and findings, the hospital-based midwife checks the source, the moment and the professional meaning before this information is added to the hospital midwifery record. [4] [7] [13]
Can Hysio interpret a CTG or fetal result? #
No. Hysio can structure a CTG assessment or fetal result that was described word for word, with the healthcare professional and moment if these were recorded. The platform does not read a trace, gives no classification and does not set the follow-up. The hospital-based midwife or another qualified healthcare professional makes the assessment. [4] [5] [7] [13] [20]
How do you deal with a test without a result? #
Describe only that the test was mentioned or carried out, and leave the result open when it is not in the source. Hysio does not invent a result and offers no reassurance. A qualified healthcare professional decides whether the missing source should be requested or checked. [3] [4] [9] [13]
Why do time points matter during a hospital ward round? #
A ward round describes a current condition at a given moment. The time point and source prevent an old report from being read as the current status. Hysio can place moments side by side, but does not create a trend, prognosis or change that was not explicitly discussed. [4] [13] [17]
How do you keep mother and child measurements apart during labour and birth? #
Link every value to the woman giving birth or to a specific baby, and state the moment and the unit. Hysio does not create a combined status. For clinical measurements and findings, the hospital-based midwife checks before saving that the text matches the original source and the actual moment of care. [5] [15] [16]
May Hysio assess medication in a hospital handover? #
Hysio can only organise medication as a source detail when the drug, moment, status and origin are explicitly recorded. The platform prescribes nothing, changes no dosage and does not assess an indication. The qualified healthcare professional checks the current medication overview and the handover. [3] [6] [9] [17] [20]
Can a clinical term automatically become a diagnosis? #
No. An observation, result or professional term stays distinct from a diagnosis or risk classification. Hysio includes an assessment that was stated as source-bound text, but does not give it its own clinical meaning. The qualified healthcare professional decides on the right wording. [3] [4] [7] [13] [20]
How do you record a handover status precisely? #
Use only the status that was actually named, such as open, planned, checked or completed, and link it to the action owner and the moment. Hysio does not fill in a status from the shape of the sentence. You check that it matches what was said and measured. [6] [17] [19]
What do you do with an unclear or abnormal source value? #
Leave the value in place with its source, context and uncertainty, and add no cause, urgency or reassurance. Hysio does no triage or referral. The qualified healthcare professional assesses the information, asks for verification where needed and records their own follow-up. [4] [6] [13] [17] [20]
How do you describe the status of a newborn without your own conclusion? #
Include the observations, measurements and professional assessment that were mentioned with the baby, as a separate source role. Do not add a conclusion on growth, vitality or risk that was not stated. Hysio makes the source readable; the qualified healthcare professional decides on the clinical meaning and the follow-up. [5] [6] [15] [17]
Practical questions about Hysio
How do you start voice-driven reporting on a maternity ward? #
First decide whether the encounter is an admission, ward round, birth or handover. Then check mother, child, episode, sources, measurement moments and action owners in the proposed text. This way the documentation format stays a verifiable structure alongside your clinical responsibility. At the final clinical check, the hospital-based midwife checks the source, the moment and the professional meaning before this information is added to the hospital midwifery record. [3] [4] [5] [6] [13] [17]
Does Hysio integrate with every hospital record system? #
The profession-specific content describes report structures and source-bound text, not a general technical link with every hospital information system. You remain responsible for placement, source checks, consent and approval. [3] [6] [15] [19]
How do you check a proposed hospital report? #
Check episode, person, source, date, time, unit, negation, result, professional assessment and open action. Look back at mother and baby separately. Remove unsupported conclusions and only approve once the text reflects the actual encounter correctly and safely. [3] [4] [5] [6] [9] [13] [17]
Can Hysio fill in an open result by itself? #
No. A missing result stays open, or is marked as not documented when the source shows that. Hysio does not add a lab value, CTG interpretation, screening or professional conclusion. The hospital-based midwife decides which verification and follow-up are needed. [3] [4] [9] [13] [18]
How do you use Hysio for a handover to the next healthcare professional? #
Use the handover format when the purpose of the encounter really is sharing or discharge. Check the recipient, episode, mother and baby status, open actions and sharing status. Hysio organises the text, while you decide whether sharing is appropriate and whether the handover is professionally complete. [6] [9] [17] [19]
Can Hysio decide whether a postnatal mother needs to move to another ward? #
No. Transfer, escalation, consultation and discharge are professional and organisational decisions. Hysio can organise a decision that was already recorded, with context, time and recipient, but does not set necessity, urgency or destination. [4] [5] [6] [17] [20]
How do you keep professional roles visible in a hospital report? #
Name the source role for reports, observations, results, consultations and assessments. What a hospital-based midwife, obstetrician, nurse, parent or the laboratory says does not carry the same meaning. Hysio can place roles side by side, but does not merge authority or responsibility. [3] [4] [7] [8] [11]
What stays with the hospital-based midwife when Hysio organises? #
The hospital-based midwife chooses the report format, checks source and episode, assesses the clinical meaning, takes part in consultations and approves the text. Hysio does no triage, CTG interpretation, choice of medication, birth management or discharge decision. [3] [4] [5] [6] [7] [8] [20]
How do you make hospital collaboration readable without too much text? #
Work with a compact distinction between report, observation, measurement, result, professional assessment, action owner and follow-up. Include only information relevant to the recipient. Hysio supports that structure, but the hospital-based midwife decides what is needed and correct. [4] [6] [15] [17] [19]
Where does Hysio draw the line on the labour ward? #
Hysio organises admission, ward round, birth or handover in the right report format and keeps mother and baby apart. The platform does not interpret a CTG and does not set risk, treatment, urgency, transfer or discharge. On the ward too, voice-driven reporting means that what was not said or recorded does not go into the report. [3] [4] [5] [6] [7] [13] [17] [20]
Sources
- 1 Hysio: Beroepsprofiel klinische verloskunde (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-08-31
- 2 Hysio: Beroepsprofielonderzoek klinische verloskunde (interne Hysio-documentatie) Document date: 2026-08-31 Accessed on 2026-08-31
- 3 Hysio: Hysio Klinisch-Verloskundige Opname & Intake (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-08-31
- 4 Hysio: Hysio Klinisch-Verloskundige Controle & Visite (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-08-31
- 5 Hysio: Hysio Klinisch Partusverslag (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-08-31
- 6 Hysio: Hysio Klinische Verloskunde Overdracht & Ontslag (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-08-31
- 7 Rijksoverheid: Besluit opleidingseisen en deskundigheidsgebied verloskundige, artikel 5 Document date: 2026-08-26 Accessed on 2026-08-26
- 8 BIG-register: Registratiepagina verloskundige Document date: 2026-08-26 Accessed on 2026-08-26
- 9 Rijksoverheid: Burgerlijk Wetboek Boek 7, Titel 7, Afdeling 5 (WGBO) Document date: 2026-08-26 Accessed on 2026-08-26
- 10 KNOV / Bureau Kwaliteitsregister Verloskundigen: Herregistratie-eisen Kwaliteitsregister Verloskundigen Document date: 2026-08-26 Accessed on 2026-08-26
- 11 KNOV: Update herziening Kwaliteitsregister Verloskundigen: van deelregisters naar aantekeningen Document date: 2026-08-26 Accessed on 2026-08-26
- 12 KNOV: Aantekening echoscopie Kwaliteitsregister Verloskundigen per 1 januari 2026 beschikbaar Document date: 2026-08-26 Accessed on 2026-08-26
- 13 KNOV: Prenatale verloskundige begeleiding (KNOV-standaard) Document date: 2026-08-26 Accessed on 2026-08-26
- 14 KNOV: Kwaliteitsdocumenten in ontwikkeling Document date: 2026-08-26 Accessed on 2026-08-26
- 15 Nictiz: Informatiestandaarden geboortezorg Document date: 2026-08-26 Accessed on 2026-08-26
- 16 Nictiz: PWD 3.2.4, geboortezorg en perinatologie Document date: 2026-08-26 Accessed on 2026-08-26
- 17 Zorginstituut Nederland / Zorginzicht: Zorgstandaard Integrale Geboortezorg Document date: 2026-08-26 Accessed on 2026-08-26
- 18 CLBPS (Coöperatie Landelijk Bureau Prenatale Screening): Peridos Document date: 2026-08-26 Accessed on 2026-08-26
- 19 CLBPS: Prenatale screening Document date: 2026-08-26 Accessed on 2026-08-26
- 20 NVOG (Nederlandse Vereniging voor Obstetrie en Gynaecologie): NVOG homepage en kwaliteitsdocumenten Document date: 2026-08-26 Accessed on 2026-08-26
Hysio creates the report. You remain responsible for what you save in the record.