Dataset - NZHISOMAT4

New Zealand HISO Maternity data set (Phase 4)

104 Spine Dictionary data items in total

TOPIC: (MatBooking) - Details at pregnancy booking. 17 items.

Data item

Status

Description / Resource

Consanguinity

LIVE

Consanguinity

Observation-BNet-Preg-Consanguinity.Value

Relationship_Degree

LIVE

Degree of relationship

Observation-BNet-Preg-RelationshipDegree.Value

MatFamHistory

LIVE

Maternal family history

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

PatFamHistory

LIVE

Paternal family history

FamilyMemberHistory-BNet-Preg-PaternalFamilyHistory.condition.code

Anaesth_Complications

LIVE

Anaesthetic complications

Observation-BNet-Preg-HistoricAnaestheticComplications.Value

Anaesth_ComplicationsDetail

LIVE

Anaesthetic complications detail

Observation-BNet-Preg-HistoricAnaestheticComplications.note

CervicalSmear_Results

LIVE

Cervical smear results

Observation-BNet-Preg-SmearResults.Value

CervicalSmear_Status

LIVE

Cervical smear status

Observation-BNet-Preg-SmearStatus.Value

GynaeHistory_Diagnoses

LIVE

Gynaecological history – diagnoses

Observation-BNet-Preg-GynaeHistoryDiagnosis.Value

GynaeHistory_Procedures

LIVE

Gynaecological history – procedures

Procedure-BNet-Preg-GynaeHistoryProc.code

MedicalConditions

LIVE

Medical conditions

ClinicalImpression-BNet-Preg-MedicalConditions.finding.itemCodeableConcept

MedicalConditions_Other

LIVE

Medical conditions – ‘Other’ – detail

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

Operations

LIVE

Operations

Procedure-BNet-Preg-Operations.code

Operations_Date

LIVE

Operations - date

Procedure-BNet-Preg-Operations.performedDateTime

Operations_Other

LIVE

Operations – ‘Other’ – detail

Procedure-BNet-Preg-Operations.code.text

PrevAnaeth

LIVE

Previous anaesthetic

Procedure-BNet-Preg-PrevAnaesthetic.code

SexualHH_Diagnoses

LIVE

Sexual health history - diagnoses

Observation-BNet-Preg-SexualHealthDiagnosis.Value

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

Data item

Status

Description / Resource

AN_FetalComplications

LIVE

Antenatal fetal complications

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

AN_FetalComplicationsOther

LIVE

Antenatal fetal complications – ‘Other’ – detail

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

PrevBaby_Weight

LIVE

Birth weight of previous baby or babies

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

PrevBaby_Death

LIVE

Cause of death

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

PrevBaby_DateOfDeath

LIVE

Date of death - date

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

BFing_Duration

LIVE

Duration of breastfeeding

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

Prev_FeedingHist

LIVE

Feeding history

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

GestationatDemise

LIVE

Gestation at fetal demise

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

Csec_PrevPlanned

LIVE

Indications for planned Caesarean section

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

Csec_PrevPlannedOther

LIVE

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

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

Csec_PrevUnplanned

LIVE

Indications for unplanned Caesarean section

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

InductionReason

LIVE

Induction reason

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

InductionReason_Other

LIVE

Induction reason – ‘Other clinical reason’ – detail

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

IntrapComplications

LIVE

Intrapartum fetal complications

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

IntrapComplications_Other

LIVE

Intrapartum fetal complications – ‘Other’ – detail

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

PrevLabourLength

LIVE

Length of previous labour(s)

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

AN_PrevPregComplications

LIVE

Maternal antenatal complications in previous pregnancy

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

MatComplications_Other

LIVE

Maternal complication – ‘Other complication’ – detail

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

MatComplications_ImPostP

LIVE

Maternal complications immediately postpartum

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

MatComplications_PrevLab

LIVE

Maternal complications in previous labours

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

MatComplications_PrevLabOther

LIVE

Maternal complications in previous labours – ‘Other’ – detail

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

NeoComplications

LIVE

Neonatal complications

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

NeoComplications_Other

LIVE

Neonatal complications – ‘Other’ – detail

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

PrevPreg_OnsetLab

LIVE

Onset of labour in previous pregnancy

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

Neo_PrevBabyAdm

LIVE

Prev Baby Neonatal care admissions

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

Neo_PrevBabyAdmReasons

LIVE

Prev Baby Reason for admission to neonatal care

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

PrevLabAnaeth

LIVE

Previous labour anaesthesia

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

PrevLabAnalg

LIVE

Previous labour analgesia

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

PrevMisc

LIVE

Previous miscarriage

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

PrevMisc_Date

LIVE

Previous miscarriage - date

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

PrevTerm

LIVE

Previous termination

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

PrevTerm_date

LIVE

Previous termination - date

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

PrevBaby_Sex

LIVE

Sex of previous baby or babies

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

StillbirthCause

LIVE

Stillbirth cause

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

Termination_Reason

LIVE

Termination reason

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueCoding

Termination_ReasonOther

LIVE

Termination reason – ‘Other reason’ – detail

QuestionnaireResponse-BNet-PreviousPregnancy.item.answer.valueString

CsecType

LIVE

Type of Caesarean section

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

TOPIC: (WomanAdmissions) - Any admissions of woman. 3 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

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

Data item

Status

Description / Resource

AN_CompTherap

LIVE

Antenatal complementary therapies

Procedure-BNet-Preg-PostnatalComplimentaryTherapies.code

AN_CompTherapDate

LIVE

Antenatal complementary therapies - date

Procedure-BNet-Preg-PostnatalComplimentaryTherapies.performedDateTime

PregLoss_date

LIVE

Pregnancy loss - date

Observation-BNet-Preg-PregnancyLoss.Value

PregLoss_20W

LIVE

Pregnancy loss prior to 20 weeks 0 days

Observation-BNet-Preg-PregnancyLoss.Value

AN_Screening

LIVE

Antenatal screening

Procedure-BNet-Preg-AntenatalScreening.code

AN_Vaccinations

LIVE

Antenatal vaccinations

Immunization-BNet-Preg-ANVaccinations.vaccineCode

AN_FirstTrimVisits

LIVE

Antenatal visits – first trimester

Appointment-BNet-Preg-AntenatalVisits.extension:totalFirstTriVisits

AN_SecTrimVisits

LIVE

Antenatal visits – second trimester

Appointment-BNet-Preg-AntenatalVisits.extension:totalSecondTriVisits

AN_ThirdTrimVisits

LIVE

Antenatal visits – third trimester

Appointment-BNet-Preg-AntenatalVisits.extension:totalThirdTriVisits

BloodTests

LIVE

Blood tests

Procedure-BNet-Preg-BloodTests.code

CVS

LIVE

Chorionic villus sampling

Observation-BNet-Preg-ChorionicVillusSampling.Value

Preg_FamilyViolence

LIVE

Family violence screening

Observation-BNet-Preg-FamilyViolenceScreening.Value

Preg_FetalAnom

LIVE

Fetal anomaly screening

Procedure-BNet-Preg-FetalAnomalyScreening.code

PregComplications

LIVE

Pregnancy complications

ClinicalImpression-BNet-Preg-PregnancyComplications.finding.itemCodeableConcept

PregComplicationsOther

LIVE

Pregnancy complications – ‘Other’ – detail

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

UltrasoundScans_Total

LIVE

Ultrasound scan total

Procedure-BNet-Preg-UltrasoundScan.annotation.text

UltrasoundScans

LIVE

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

LIVE

Referral to smoke free services

Observation-BNet-Preg-SmokingReferralStatus.Value

Referral_AlcoFree

LIVE

Referred to alcohol use services

Observation-BNet-Preg-AlcoholServicesReferral.id

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

Data item

Status

Description / Resource

CurrVapingStatus

LIVE

Current vaping status

Observation-BNet-Preg-BookingVapingStatus.Value

SmokingCessation

NOT AVAIL. (RFC)

Brief smoking cessation advice

Observation-BNet-Preg-SmokingAdvice.Value

SmokingToVaping

LIVE

Change from smoking to vaping

Observation-BNet-Preg-ChangeSmokingtoVape.Value

CurrentSmoking

LIVE

Current smoking status

Observation-BNet-Preg-SmokingStatus.Value

Smoking_QuitDate

LIVE

Date quit smoking

Observation-BNet-Preg-SmokingCessationDate.Value

SecHandSmoke

LIVE

Exposure to second hand smoke

Observation-BNet-Preg-SmokeExposure.Value

CigarettesSmoked

LIVE

Number of cigarettes smoked per day

Observation-BNet-Preg-CigaretteConsumption.Value

SmokingStatus

LIVE

Smoking status

Observation-BNet-Preg-SmokingStatus.Value

VapingStatus

LIVE

Vaping status

Observation-BNet-Preg-BookingVapingStatus.Value

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

Data item

Status

Description / Resource

Alcohol_Consumption

LIVE

Alcohol consumption

Observation-BNet-Preg-AlcoholConsumption.Value

Alcohol_Amount

LIVE

Amount of alcohol consumed

Observation-BNet-Preg-AlcoholConsumedAmount.Value

AlcoholCessation

LIVE

Brief alcohol cessation advice

Observation-BNet-Preg-AlcoholCessationAdvice.Value

Preg_AlcoholConsumption

LIVE

Current alcohol consumption

Observation-BNet-Preg-AlcoholConsumption.component.valueInteger

Preg_DrugUse

LIVE

Current drugs used

Observation-BNet-Preg-DrugUse.Value

DrugUsed_Other

LIVE

Current drugs used – ‘Other’ – detail

Observation-BNet-Preg-HistoryDrugUse.Value

Preg_CurrDrugUse

LIVE

Drug use

Observation-BNet-Preg-DrugUse.component.valueCodeableConcept

DrugUse_History

LIVE

History of drug use

Observation-BNet-Preg-HistoryDrugUse.Value

AlcoholCessationTiming

LIVE

Timing of alcohol cessation

Observation-BNet-Preg-AlcoholCessationTiming.Value

TOPIC: (HealthHistory) - Health history. 13 items.

Data item

Status

Description / Resource

Anaesth_Complications

LIVE

Anaesthetic complications

Observation-BNet-Preg-HistoricAnaestheticComplications.Value

Anaesth_ComplicationsDetail

LIVE

Anaesthetic complications detail

Observation-BNet-Preg-HistoricAnaestheticComplications.note

CervicalSmear_Results

LIVE

Cervical smear results

Observation-BNet-Preg-SmearResults.Value

CervicalSmear_Status

LIVE

Cervical smear status

Observation-BNet-Preg-SmearStatus.Value

GynaeHistory_Diagnoses

LIVE

Gynaecological history – diagnoses

Observation-BNet-Preg-GynaeHistoryDiagnosis.Value

GynaeHistory_Procedures

LIVE

Gynaecological history – procedures

Procedure-BNet-Preg-GynaeHistoryProc.code

MedicalConditions

LIVE

Medical conditions

ClinicalImpression-BNet-Preg-MedicalConditions.finding.itemCodeableConcept

MedicalConditions_Other

LIVE

Medical conditions – ‘Other’ – detail

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

Operations

LIVE

Operations

Procedure-BNet-Preg-Operations.code

Operations_Date

LIVE

Operations - date

Procedure-BNet-Preg-Operations.performedDateTime

Operations_Other

LIVE

Operations – ‘Other’ – detail

Procedure-BNet-Preg-Operations.code.text

PrevAnaeth

LIVE

Previous anaesthetic

Procedure-BNet-Preg-PrevAnaesthetic.code

SexualHH_Diagnoses

LIVE

Sexual health history - diagnoses

Observation-BNet-Preg-SexualHealthDiagnosis.Value

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

Data item

Status

Description / Resource

Consanguinity

LIVE

Consanguinity

Observation-BNet-Preg-Consanguinity.Value

Relationship_Degree

LIVE

Degree of relationship

Observation-BNet-Preg-RelationshipDegree.Value

MatFamHistory

LIVE

Maternal family history

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

PatFamHistory

LIVE

Paternal family history

FamilyMemberHistory-BNet-Preg-PaternalFamilyHistory.condition.code

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

Data item

Status

Description / Resource

TBCountry_Lived

LIVE

Lived in country with tuberculosis

Observation-BNet-Preg-LivedTBCountry.Value

TBCountry_Lives

LIVE

Lives in country with tuberculosis

Observation-BNet-Preg-LivesTBCountry.Value

TBPerson_Lives

LIVE

Lives with person with tuberculosis

Observation-BNet-Preg-LivesPersonWithTB.Value