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Dataset - NZHISOMAT2

New Zealand HISO Maternity data set (Phase 2)

96 Spine Dictionary data items in total

TOPIC: (LabourBirth) - Labour and birth. 37 items.

Data item

Status

Description / Resource

AmnioticFluid

LIVE

Amniotic fluid

Observation-BNet-Child-AmnioticFluid.Value

AnaesthLab

LIVE

Anaesthesia in labour

MedicationAdministration-BNet-Preg-Anaesthesia.medicationCodeableConcept

AnaesthLab_DateTime

LIVE

Anaesthesia in labour - date and time (first administration)

MedicationAdministration-BNet-Preg-Anaesthesia.effectiveDateTime

AnalgLab

LIVE

Analgesia in labour

MedicationAdministration-BNet-Preg-Analgesia.medicationCodeableConcept

AnalgLab_DateTime

LIVE

Analgesia in labour - date and time (first administration)

MedicationAdministration-BNet-Preg-Analgesia.effectiveDateTime

BabiesBorn

LIVE

Number of babies born

Observation-BNet-Preg-NumberBabiesBorn.Value

BirthPosition

LIVE

Birth position

Observation-BNet-Child-BirthPosition.Value

BirthType

LIVE

Type of birth

Observation-BNet-Child-BirthType.Value

CervixDilated_DateTime

LIVE

Cervix fully dilated - date and time

Observation-BNet-Preg-CervixDilated.Value

Coping_strategies

LIVE

Coping strategies

Procedure-BNet-Preg-LabourCopingStrategies.code

Coping_strategiesother

LIVE

Coping strategies – ‘Other’ – detail

Procedure-BNet-Preg-LabourCopingStrategies.code.text

Csec_VaginalBirth

LIVE

Vaginal birth after Caesarean section

Observation-BNet-Preg-VBAC.Value

GA_Labour

LIVE

Gestation at onset of labour

Observation-BNet-Preg-GestationAtOnset.Value

Lab1st_AugReason

LIVE

Labour 1st Stage - Reason labour augmented

Procedure-BNet-Labour-Augmentation.reasonCode

Lab1st_AugReasonOther

LIVE

Labour 1st Stage - Reason labour augmented ‘Other’ – detail

Procedure-BNet-Labour-Augmentation.reasonCode.text

Lab1st_Complications

LIVE

Labour 1st Stage - Complications

Observation-BNet-Preg-LabourComplications.Value

Lab1st_ComplicationsOther

LIVE

Labour 1st Stage - Complications 'Other' - detail

Observation-BNet-Preg-LabourComplications.valueCodeableConcept.text

Lab1st_LabAug

LIVE

Labour 1st Stage - Labour augmented

Procedure-BNet-Labour-Augmentation.code

Lab1st_Length

LIVE

Labour 1st Stage - Length

Observation-BNet-Preg-LabourLength_1stStage.Value

Lab2nd_AugReason

LIVE

Labour 2nd Stage - Reason labour augmented

Procedure-BNet-Labour-Augmentation.reasonCode

Lab2nd_AugReasonOther

LIVE

Labour 2nd Stage - Reason labour augmented – ‘Other’ detail

Procedure-BNet-Labour-Augmentation.reasonCode.text

Lab2nd_Complications

LIVE

Labour 2nd Stage - Complications

Observation-BNet-Preg-LabourComplications.Value

Lab2nd_ComplicationsOther

LIVE

Labour 2nd Stage - Complications 'Other' - detail

Observation-BNet-Preg-LabourComplications.valueCodeableConcept.text

Lab2nd_LabAug

LIVE

Labour 2nd Stage - Labour augmentation

Procedure-BNet-Labour-Augmentation.code

Lab2nd_Length

LIVE

Labour 2nd Stage - Length

Observation-BNet-Preg-LabourLength_2ndStage.Value

Lab3rd_Length

LIVE

Labour 3rd Stage - Length

Observation-BNet-Preg-LabourLength_3rdStage.Value

LabBirth_ReferralCode

LIVE

Labour and birth referral code

ServiceRequest-BNet-Referral.code.coding.code

LabBirth_ReferralDateTime

LIVE

Labour and birth referral - date and time

ServiceRequest-BNet-Referral.occurrenceDateTime

LabOnset_datetime

LIVE

Onset of Labour (Labour established) - date and time

Observation-BNet-Preg-LabourOnset.Effective[x]

LabourOnset

LIVE

Onset of labour

Observation-BNet-Preg-LabourOnset.Value

MatFac_datetime

LIVE

Maternity facility admission - date and time

Encounter-BNet-Preg-KeyEvents.period.start

MembRupture_datetime

LIVE

Rupture of membranes - datetime

Observation-BNet-Child-MembraneRupture.Value

POB_Actual

LIVE

Actual place of birth

Observation-BNet-Child-ActualPlaceOfBirth.Value

POB_Detail

LIVE

Actual place of birth – ‘Other’ – detail

Observation-BNet-Child-ActualPlaceOfBirth.valuecodeableConcept.text

POB_Facility

LIVE

Actual place of birth - facility

Observation-BNet-Child-ActualPlaceOfBirth.performer

PushingStart_DateTime

LIVE

Pushing commenced - date and time

Observation-BNet-Preg-PushingCommenced.Value

WaterBirth

LIVE

Water birth

Observation-BNet-Child-Waterbirth.Value

TOPIC: (WomanPostBirth) - Woman details immediatly after birth. 14 items.

Data item

Status

Description / Resource

CordVessels

LIVE

Number of cord vessels

Observation-BNet-Child-NumCordVessels.Value

EPIS_Reason

LIVE

Episiotomy reason

Procedure-BNet-Episiotomy.reasonCode

EPIS_ReasonOther

LIVE

Episiotomy reason – ‘Other’ – detail

Procedure-BNet-Episiotomy.reasonCode.text

EPIS_Type

LIVE

Episiotomy type

Procedure-BNet-Episiotomy.code

PerinealStatus

LIVE

Perineal status

Observation-BNet-Preg-PerinealStatus.Value

PlacDelivery_DateTime

LIVE

Placenta delivery - date and time

Observation-BNet-Preg-PlacentaDeliveryMode.effectiveDateTime

PlacDelivery_Mode

LIVE

Placenta mode of delivery

Observation-BNet-Preg-PlacentaDeliveryMode.Value

PlacentaAppearance

LIVE

Placenta appearance

Observation-BNet-Preg-PlacentaAppearance.Value

PlacentaKept

LIVE

Placenta kept by the woman

Observation-BNet-Preg-PlacentaKept.Value

PlacMemb

LIVE

Placenta and membranes

Observation-BNet-Preg-PlacentaMembranes.Value

RepairReq

LIVE

Repair required

Observation-BNet-Preg-RepairRequired.Value

TotalBloodLoss

LIVE

Total blood loss

Observation-BNet-Preg-TotalBloodLoss.Value

TractTraumaType

LIVE

Non-perineal genital tract trauma type

Observation-BNet-Preg-NonPerinealGenitalTractTraumaType.Value

UterotonoicDrugs

LIVE

Uterotonic drugs

Observation-BNet-Preg-UterotonicDrugs.Value

TOPIC: (NewbornBaby) - Details of baby at time of birth. 30 items.

Data item

Status

Description / Resource

Apgar1

LIVE

Apgar 1 minute

Observation-BNet-Child-Apgar.component.valueCodeableConcept

Apgar10

LIVE

Apgar 10 minutes

Observation-BNet-Child-Apgar.component.valueCodeableConcept

Apgar5

LIVE

Apgar 5 minutes

Observation-BNet-Child-Apgar.component.valueCodeableConcept

Baby_NID

LIVE

Baby National ID

Patient-BNet-Child.identifier.coding.code

Baby_Sex

LIVE

Baby sex

Patient-BNet-Child.gender

BFing_enddatetime

LIVE

Breastfeeding end - date and time

Observation-BNet-Child-InfantFeedingMethod.component.valuePeriod.end

BFing_startdatetime

LIVE

Breastfeeding start - date and time

Observation-BNet-Child-InfantFeedingMethod.component.valuePeriod.start

Birth_breechmode

LIVE

Mode of breech birth

Observation-BNet-Child-BreechMode.Value

Birth_datetime

LIVE

Birth - date and time

Patient-BNet-Child.birthDate

Birth_Mode

LIVE

Mode of birth

Observation-BNet-Child-BirthMode.Value

Birth_outcome

LIVE

Birth outcome

Observation-BNet-Child-BirthOutcome.Value

Birth_weight

LIVE

Birth weight

Observation-BNet-Child-BirthWeight.Value

BreechType

LIVE

Type of breech

Observation-BNet-Child-PresentingPart.component.valueCodeableConcept

Dystocia

LIVE

Shoulder dystocia

Observation-BNet-Child-ShoulderDystocia.Value

Dystocia_Procedures

LIVE

Shoulder dystocia procedures

Procedure-BNet-Child-ShoulderDystociaProcedures.code

Dystocia_ProceduresOther

LIVE

Shoulder dystocia procedures – ‘Other manoeuvre’ – detail

Procedure-BNet-Child-ShoulderDystociaProcedures.code.coding.text

GA_Birth

LIVE

Gestation at birth

Observation-BNet-Child-BirthGestation.Value

Infant_feedingbirth

LIVE

Infant feeding method after birth

Observation-BNet-Child-InfantFeedingMethod.Value

Neo_CPR

LIVE

Neonatal resuscitation

Observation-BNet-Child-NNResuscitation.Value

NewBorn_ReferralCode

LIVE

Newborn referral - date

ServiceRequest-BNet-Referral.code.coding.code

NewBorn_ReferralDate

LIVE

Newborn referral - date

ServiceRequest-BNet-Referral.occurrenceDateTime

PresentingPart

LIVE

Presenting part of baby

Observation-BNet-Child-PresentingPart.Value

PresentingPart_other

LIVE

Presenting part of baby – ‘Other’ – detail

Observation-BNet-Child-PresentingPart.valueCodeableConcept.coding.text

S2S_enddatetime

LIVE

Skin to skin end - date and time

Observation-BNet-Child-S2S.effectivePeriod.end

S2S_endreason

LIVE

Skin to skin – reason for end

Observation-BNet-Child-S2S.Value

S2S_endreasonother

LIVE

Skin to skin – reason for end – ‘Other reason’ – detail

Observation-BNet-Child-S2S.valueCodeableConcept.text

S2S_startdatetime

LIVE

Skin to skin start - date and time

Observation-BNet-Child-S2S.effectivePeriod.start

UBS

LIVE

Cord blood sample

Observation-BNet-Child-CordBloodSample.Value

VitK

LIVE

Vitamin K

MedicationAdministration-BNet-Child-Vitk.dosage.route

VitK_datetime

LIVE

Vitamin K administered - date and time

MedicationAdministration-BNet-Child-Vitk.effectiveDateTime

TOPIC: (Caesarean) - Caesarean section details. 10 items.

Data item

Status

Description / Resource

Csec_Cat

LIVE

Caesarean category

Procedure-BNet-Csec.category

Csec_Complications

LIVE

Complications during Caesarean section

Procedure-BNet-Csec.complication

Csec_ComplicationsOther

LIVE

Complications during Caesarean section – ‘Other’ – detail

Procedure-BNet-Csec.complications.text

Csec_Dilation

LIVE

Dilation before Caesarean section

Observation-BNet-Preg-CaesareanDilation.Value

Csec_Grade

LIVE

Caesarean grade

Procedure-BNet-Csec.statusReason

Csec_Prim

LIVE

Caesarean section primary indication

Procedure-BNet-Csec.reasonCode

Csec_Type

LIVE

Caesarean section type

Procedure-BNet-Csec.code

Csec_TypeOther

LIVE

Caesarean section type - 'Other' - detail

Procedure-BNet-Csec.code.coding.text

CsecPrIndication_FetalOther

LIVE

Caesarean section primary indication – ‘Other fetal reason’ – detail

Procedure-BNet-Csec.reasonCode.text

CsecPrIndication_MatOther

LIVE

Caesarean section primary indication – ‘Other maternal reason’ – detail

Procedure-BNet-Csec.reasonCode.text

TOPIC: (Induction) - Induction of labour. 5 items.

Data item

Status

Description / Resource

Induction_datetime

LIVE

Induction date and time

Procedure-BNet-Preg-Induction.performedDateTime

Induction_method

LIVE

Induction method(s)

Procedure-BNet-Preg-Induction.code

Induction_methodother

LIVE

Induction method(s) - other

Procedure-BNet-Preg-Induction.code.text

Induction_reason

LIVE

Induction reason

Procedure-BNet-Preg-Induction.reasonCode

Induction_reasonother

LIVE

Induction reason - other

Procedure-BNet-Preg-Induction.reasonCode.text

TOPIC: (NNU-Birth) - Neonatal details of labour, delivery, and birth. 2 items.

Data item

Status

Description / Resource

Birth_weight

LIVE

Birth weight

Observation-BNet-Child-BirthWeight.Value

GA_Birth

LIVE

Gestation at birth

Observation-BNet-Child-BirthGestation.Value

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