Dataset - NZHISOMAT4

New Zealand HISO Maternity data set (Phase 4)

114 Spine Dictionary data items in total

TOPIC: (MatBooking) - Details at pregnancy booking. 21 items.

Data item

Status

Description / Resource

Consanguinity

IN TEST

Consanguinity

Observation-BNet-Preg-Consanguinity.Value

Relationship_Degree

IN TEST

Degree of relationship

Observation-BNet-Preg-RelationshipDegree.Value

MatFamHistory

IN TEST

Maternal family history

FamilyMemberHistory-BNet-Preg-MaternalFamilyHistory.condition.code.text

PatFamHistory

IN TEST

Paternal family history

FamilyMemberHistory-BNet-Preg-PaternalFamilyHistory.condition.code

Anaesth_Complications

IN TEST

Anaesthetic complications

Observation-BNet-Preg-HistoricAnaestheticComplications.Value

Anaesth_ComplicationsDetail

IN TEST

Anaesthetic complications detail

Observation-BNet-Preg-HistoricAnaestheticComplications.note

CervicalSmear_Results

IN TEST

Cervical smear results

Observation-BNet-Preg-SmearResults.Value

CervicalSmear_Status

IN TEST

Cervical smear status

Observation-BNet-Preg-SmearStatus.Value

MentalIllness_CurrentTreatment

IN TEST

Current mental illness treatment

Observation-BNet-Preg-CurrentMentalIllnessTreatment.Value

GynaeHistory_Diagnoses

IN TEST

Gynaecological history – diagnoses

Observation-BNet-Preg-GynaeHistoryDiagnosis.Value

GynaeHistory_Procedures

IN TEST

Gynaecological history – procedures

Procedure-BNet-Preg-GynaeHistoryProc.code

MedicalConditions

IN TEST

Medical conditions

ClinicalImpression-BNet-Preg-MedicalConditions.finding.itemCodeableConcept

MedicalConditions_Other

IN TEST

Medical conditions – ‘Other’ – detail

ClinicalImpression-BNet-Preg-MedicalConditions.finding.itemCodeableConcept.text

Operations

IN TEST

Operations

Procedure-BNet-Preg-Operations.code

Operations_Date

IN TEST

Operations - date

Procedure-BNet-Preg-Operations.performedDateTime

Operations_Other

IN TEST

Operations – ‘Other’ – detail

Procedure-BNet-Preg-Operations.code.text

PrevAnaeth

IN TEST

Previous anaesthetic

Procedure-BNet-Preg-PrevAnaesthetic.code

PrevMITreatment

IN TEST

Previous mental illness treatment

Observation-BNet-Preg-PreviousMentalIllnessTreatment.Value

SeriousMITreatment

IN TEST

Serious mental illness treatment

Procedure-BNet-Preg-SeriousMITreatment.code

SeriousMITreatment_Detail

IN TEST

Serious mental illness treatment - detail

Procedure-BNet-Preg-SeriousMITreatment.note.text

SexualHH_Diagnoses

IN TEST

Sexual health history - diagnoses

Observation-BNet-Preg-SexualHealthDiagnosis.Value

TOPIC: (PrevPregs) - Previous pregnancy information. 37 items.

Data item

Status

Description / Resource

AN_FetalComplications

IN TEST

Antenatal fetal complications

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

AN_FetalComplicationsOther

IN TEST

Antenatal fetal complications – ‘Other’ – detail

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.item.answer.valueString

PrevBaby_Weight

IN TEST

Birth weight of previous baby or babies

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueQuantity.value

PrevBaby_Death

IN TEST

Cause of death

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueString

PrevBaby_DateOfDeath

IN TEST

Date of death - date

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueDate

BFing_Duration

IN TEST

Duration of breastfeeding

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueQuantity.value

Prev_FeedingHist

IN TEST

Feeding history

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

GestationatDemise

IN TEST

Gestation at fetal demise

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueQuantity.value

Csec_PrevPlanned

IN TEST

Indications for planned Caesarean section

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

Csec_PrevPlannedOther

IN TEST

Indications for planned Caesarean section – ‘Other malpresentation’ – detail

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.item.answer.valueString

Csec_PrevUnplanned

IN TEST

Indications for unplanned Caesarean section

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

InductionReason

IN TEST

Induction reason

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

InductionReason_Other

IN TEST

Induction reason – ‘Other clinical reason’ – detail

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueString

IntrapComplications

IN TEST

Intrapartum fetal complications

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

IntrapComplications_Other

IN TEST

Intrapartum fetal complications – ‘Other’ – detail

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.item.answer.valueString

PrevLabourLength

IN TEST

Length of previous labour(s)

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueQuantity.value

AN_PrevPregComplications

IN TEST

Maternal antenatal complications in previous pregnancy

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

MatComplications_Other

IN TEST

Maternal complication – ‘Other complication’ – detail

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding.text

MatComplications_ImPostP

IN TEST

Maternal complications immediately postpartum

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

MatComplications_PrevLab

IN TEST

Maternal complications in previous labours

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

MatComplications_PrevLabOther

IN TEST

Maternal complications in previous labours – ‘Other’ – detail

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueString

NeoComplications

IN TEST

Neonatal complications

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

NeoComplications_Other

IN TEST

Neonatal complications – ‘Other’ – detail

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.item.answer.valueString

PrevPreg_OnsetLab

IN TEST

Onset of labour in previous pregnancy

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

Neo_PrevBabyAdm

IN TEST

Prev Baby Neonatal care admissions

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

Neo_PrevBabyAdmReasons

IN TEST

Prev Baby Reason for admission to neonatal care

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

PrevLabAnaeth

IN TEST

Previous labour anaesthesia

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

PrevLabAnalg

IN TEST

Previous labour analgesia

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

PrevMisc

IN TEST

Previous miscarriage

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

PrevMisc_Date

IN TEST

Previous miscarriage - date

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueDate

PrevTerm

IN TEST

Previous termination

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

PrevTerm_date

IN TEST

Previous termination - date

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueDate

PrevBaby_Sex

IN TEST

Sex of previous baby or babies

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

StillbirthCause

IN TEST

Stillbirth cause

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

Termination_Reason

IN TEST

Termination reason

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

Termination_ReasonOther

IN TEST

Termination reason – ‘Other reason’ – detail

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueString

CsecType

IN TEST

Type of Caesarean section

QuestionnaireResponse-BNet-PreviousPregnancy.item.item.answer.valueCoding

TOPIC: (WomanAdmissions) - Any admissions of woman. 4 items.

Data item

Status

Description / Resource

AN_DateTime

LIVE

Antenatal admission - date and time

Encounter-BNet-Preg-KeyEvents.period.start

AN_DischargeDateTime

LIVE

Antenatal discharge - date and time

Encounter-BNet-Preg-KeyEvents.period.end

AN_Any

LIVE

Any antenatal admissions

Encounter-BNet-Preg-KeyEvents.serviceType

MatDischarge_DateTime

LIVE

Maternity facility discharge - date and time

Encounter-BNet-Preg-KeyEvents.period.end

TOPIC: (CurrPregnancy) - Current pregnancy details. 17 items.

Data item

Status

Description / Resource

AN_CompTherap

IN TEST

Antenatal complementary therapies

Procedure-BNet-Preg-PostnatalComplimentaryTherapies.code

AN_CompTherapDate

IN TEST

Antenatal complementary therapies - date

Procedure-BNet-Preg-PostnatalComplimentaryTherapies.performedDateTime

PregLoss_date

IN TEST

Pregnancy loss - date

Observation-BNet-Preg-PregnancyLoss.Value

PregLoss_20W

IN TEST

Pregnancy loss prior to 20 weeks 0 days

Observation-BNet-Preg-PregnancyLoss.Value

AN_Screening

IN TEST

Antenatal screening

Procedure-BNet-Preg-AntenatalScreening.code

AN_Vaccinations

IN TEST

Antenatal vaccinations

Immunization-BNet-Preg-ANVaccinations.vaccineCode

AN_FirstTrimVisits

IN TEST

Antenatal visits – first trimester

Appointment-BNet-Preg-AntenatalVisits.extension:totalFirstTriVisits

AN_SecTrimVisits

IN TEST

Antenatal visits – second trimester

Appointment-BNet-Preg-AntenatalVisits.extension:totalSecondTriVisits

AN_ThirdTrimVisits

IN TEST

Antenatal visits – third trimester

Appointment-BNet-Preg-AntenatalVisits.extension:totalThirdTriVisits

BloodTests

IN TEST

Blood tests

Procedure-BNet-Preg-BloodTests.code

CVS

IN TEST

Chorionic villus sampling

Observation-BNet-Preg-ChorionicVillusSampling.Value

Preg_FamilyViolence

IN TEST

Family violence screening

Observation-BNet-Preg-FamilyViolenceScreening.Value

Preg_FetalAnom

IN TEST

Fetal anomaly screening

Procedure-BNet-Preg-FetalAnomalyScreening.code

PregComplications

IN TEST

Pregnancy complications

ClinicalImpression-BNet-Preg-PregnancyComplications.finding.itemCodeableConcept

PregComplicationsOther

IN TEST

Pregnancy complications – ‘Other’ – detail

ClinicalImpression-BNet-Preg-PregnancyComplications.finding.itemCodeableConcept.text

UltrasoundScans_Total

IN TEST

Ultrasound scan total

Procedure-BNet-Preg-UltrasoundScan.annotation.text

UltrasoundScans

IN TEST

Ultrasound scans

Procedure-BNet-Preg-UltrasoundScan.code

TOPIC: (Referrals) - Any referrals. 5 items.

Data item

Status

Description / Resource

AN_RefDate

LIVE

Antenatal referral - date

ServiceRequest-BNet-Referral.occurrenceDateTime

AN_RefCode

LIVE

Antenatal referral code

ServiceRequest-BNet-Referral.code.coding.code

AN_Ref

LIVE

Antenatal referrals

ServiceRequest-BNet-Referral.code.coding.code

Referral_SmokeFree

IN TEST

Referral to smoke free services

Observation-BNet-Preg-SmokingReferralStatus.Value

Referral_AlcoFree

IN TEST

Referred to alcohol use services

Observation-BNet-Preg-AlcoholServicesReferral.id

TOPIC: (SmokingVaping) - Smoking and vaping. 9 items.

Data item	Status	Description / Resource
CurrVapingStatus	IN TEST	Current vaping status Observation-BNet-Preg-BookingVapingStatus.Value
SmokingCessation		Brief smoking cessation advice FHIR Resource Profile for this data item still being specified.
SmokingToVaping	IN TEST	Change from smoking to vaping Observation-BNet-Preg-ChangeSmokingtoVape.Value
CurrentSmoking	LIVE	Current smoking status Observation-BNet-Preg-SmokingStatus.Value
Smoking_QuitDate		Date quit smoking FHIR Resource Profile for this data item still being specified.
SecHandSmoke	IN TEST	Exposure to second hand smoke Observation-BNet-Preg-SmokeExposure.Value
CigarettesSmoked		Number of cigarettes smoked per day FHIR Resource Profile for this data item still being specified.
SmokingStatus	LIVE	Smoking status Observation-BNet-Preg-SmokingStatus.Value
VapingStatus	IN TEST	Vaping status Observation-BNet-Preg-BookingVapingStatus.Value

TOPIC: (AllergiesAdverseReactions) - Allergies and adverse reactions. 5 items.

Data item

Status

Description / Resource

AdverseReactions

LIVE

Adverse reactions

AllergyIntolerance-BNet-Preg-AllergiesAdverseReactions.code

Allergies_Medicines

LIVE

Allergies – medicines

AllergyIntolerance-BNet-Preg-AllergiesAdverseReactions.code

Allergies_Substances

LIVE

Allergies – substances

AllergyIntolerance-BNet-Preg-AllergiesAdverseReactions.code

Allergies_SubstancesOther

LIVE

Allergies – substances – ‘Other’ – detail

AllergyIntolerance-BNet-Preg-AllergiesAdverseReactions.code.text

Allergies_Present

LIVE

Allergies present

AllergyIntolerance-BNet-Preg-AllergiesAdverseReactions.code

TOPIC: (DrugsAlcohol) - Drugs and Alcohol. 9 items.

Data item

Status

Description / Resource

Alcohol_Consumption

LIVE

Alcohol consumption

Observation-BNet-Preg-AlcoholConsumption.Value

Alcohol_Amount

IN TEST

Amount of alcohol consumed

Observation-BNet-Preg-AlcoholConsumedAmount.Value

AlcoholCessation

IN TEST

Brief alcohol cessation advice

Observation-BNet-Preg-AlcoholCessationAdvice.Value

Preg_AlcoholConsumption

LIVE

Current alcohol consumption

Observation-BNet-Preg-AlcoholConsumption.component.valueInteger

Preg_DrugUse

IN TEST

Current drugs used

Observation-BNet-Preg-DrugUse.Value

DrugUsed_Other

IN TEST

Current drugs used – ‘Other’ – detail

Observation-BNet-Preg-HistoryDrugUse.Value

Preg_CurrDrugUse

IN TEST

Drug use

Observation-BNet-Preg-DrugUse.component.valueCodeableConcept

DrugUse_History

IN TEST

History of drug use

Observation-BNet-Preg-HistoryDrugUse.Value

AlcoholCessationTiming

IN TEST

Timing of alcohol cessation

Observation-BNet-Preg-AlcoholCessationTiming.Value

TOPIC: (HealthHistory) - Health history. 17 items.

Data item

Status

Description / Resource

Anaesth_Complications

IN TEST

Anaesthetic complications

Observation-BNet-Preg-HistoricAnaestheticComplications.Value

Anaesth_ComplicationsDetail

IN TEST

Anaesthetic complications detail

Observation-BNet-Preg-HistoricAnaestheticComplications.note

CervicalSmear_Results

IN TEST

Cervical smear results

Observation-BNet-Preg-SmearResults.Value

CervicalSmear_Status

IN TEST

Cervical smear status

Observation-BNet-Preg-SmearStatus.Value

MentalIllness_CurrentTreatment

IN TEST

Current mental illness treatment

Observation-BNet-Preg-CurrentMentalIllnessTreatment.Value

GynaeHistory_Diagnoses

IN TEST

Gynaecological history – diagnoses

Observation-BNet-Preg-GynaeHistoryDiagnosis.Value

GynaeHistory_Procedures

IN TEST

Gynaecological history – procedures

Procedure-BNet-Preg-GynaeHistoryProc.code

MedicalConditions

IN TEST

Medical conditions

ClinicalImpression-BNet-Preg-MedicalConditions.finding.itemCodeableConcept

MedicalConditions_Other

IN TEST

Medical conditions – ‘Other’ – detail

ClinicalImpression-BNet-Preg-MedicalConditions.finding.itemCodeableConcept.text

Operations

IN TEST

Operations

Procedure-BNet-Preg-Operations.code

Operations_Date

IN TEST

Operations - date

Procedure-BNet-Preg-Operations.performedDateTime

Operations_Other

IN TEST

Operations – ‘Other’ – detail

Procedure-BNet-Preg-Operations.code.text

PrevAnaeth

IN TEST

Previous anaesthetic

Procedure-BNet-Preg-PrevAnaesthetic.code

PrevMITreatment

IN TEST

Previous mental illness treatment

Observation-BNet-Preg-PreviousMentalIllnessTreatment.Value

SeriousMITreatment

IN TEST

Serious mental illness treatment

Procedure-BNet-Preg-SeriousMITreatment.code

SeriousMITreatment_Detail

IN TEST

Serious mental illness treatment - detail

Procedure-BNet-Preg-SeriousMITreatment.note.text

SexualHH_Diagnoses

IN TEST

Sexual health history - diagnoses

Observation-BNet-Preg-SexualHealthDiagnosis.Value

TOPIC: (FamilyHealth) - Family health. 4 items.

Data item

Status

Description / Resource

Consanguinity

IN TEST

Consanguinity

Observation-BNet-Preg-Consanguinity.Value

Relationship_Degree

IN TEST

Degree of relationship

Observation-BNet-Preg-RelationshipDegree.Value

MatFamHistory

IN TEST

Maternal family history

FamilyMemberHistory-BNet-Preg-MaternalFamilyHistory.condition.code.text

PatFamHistory

IN TEST

Paternal family history

FamilyMemberHistory-BNet-Preg-PaternalFamilyHistory.condition.code

TOPIC: (RiskAssessments) - Risk assessments. 3 items.

Data item

Status

Description / Resource

TBCountry_Lived

IN TEST

Lived in country with tuberculosis

Observation-BNet-Preg-LivedTBCountry.Value

TBCountry_Lives

IN TEST

Lives in country with tuberculosis

Observation-BNet-Preg-LivesTBCountry.Value

TBPerson_Lives

IN TEST

Lives with person with tuberculosis

Observation-BNet-Preg-LivesPersonWithTB.Value