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Dataset - UKNEONATALSUMMARY

UK Neonatal Clinical Summary set

109 Spine Dictionary data items in total

TOPIC: (NewbornBaby) - Details of baby at time of birth. 2 items.

Data item

Status

Description / Resource

GA_Birth

LIVE

Gestation at birth

Observation-BNet-Child-BirthGestation.Value

Birth_weight

LIVE

Birth weight

Observation-BNet-Child-BirthWeight.Value

TOPIC: (ChildAdmissions) - Child care episode ADT. 4 items.

Data item

Status

Description / Resource

PaediatricEpisodeType

Paediatric episode type

FHIR Resource Profile for this data item still being specified.

PaediatricEpisodeStart

Paediatric episode start

FHIR Resource Profile for this data item still being specified.

PaediatricEpisodeEnd

Paediatric episode end

FHIR Resource Profile for this data item still being specified.

PaediatricEpisodeLocation

Paediatric episode location

FHIR Resource Profile for this data item still being specified.

TOPIC: (NNU-Patient-Demographics) - Neonatal demographics details. 11 items.

Data item

Status

Description / Resource

Child.NationalID

LIVE

Child/Neonatal natioanl ID

Patient-BNet-Child.identifier.coding.code

Child.LocalHospitalID

Local hospital ID

FHIR Resource for this item TBD

Child.Surname

LIVE

Surname

Patient-BNet-Child.name.family

Child.Forename

LIVE

Forename

Patient-BNet-Child.name.given

Child.DOB

LIVE

Date of birth

Patient-BNet-Child.birthDate

Child.Sex

LIVE

Gender at birth

Patient-BNet-Child.gender

Child.POB

Place of birth

FHIR Resource for this item TBD

Child.BirthHeadCircumference

LIVE

Head circumference at birth

observation-HeadCircumference.Value

Child.GestationAtBirth

LIVE

Gestation at birth

Observation-BNet-Child-BirthGestation.Value

Child.Birthweight

LIVE

Weight at birth

Observation-BNet-Child-BirthWeight.Value

Child.BirthLength

LIVE

Length at birth

Observation-bodyheight.Value

TOPIC: (NNU-Parent-Demographics) - Neonatal parent's demographics details. 29 items.

Data item

Status

Description / Resource

NNPartner.DOB

IN DEV - COMING SOON

Partner Date of Birth

RelatedPerson-BNet-FatherPartner.birthDate

NNPartner.NamePrefix

IN DEV - COMING SOON

Partner Name Prefix

RelatedPerson-BNet-FatherPartner.name.prefix

NNPartner.Forename

IN DEV - COMING SOON

Partner First Name

RelatedPerson-BNet-FatherPartner.name.given

NNPartner.Surname

IN DEV - COMING SOON

Partner Last Name

RelatedPerson-BNet-FatherPartner.name.family

NNPartner.NameUse

IN DEV - COMING SOON

Partner Name Usage

RelatedPerson-BNet-FatherPartner.name.use

NNPartner.address.street

IN DEV - COMING SOON

Partner Street Address

RelatedPerson-BNet-FatherPartner.address.line

NNPartner.address.city

IN DEV - COMING SOON

Partner City

RelatedPerson-BNet-FatherPartner.address.city

NNPartner.address.postCode

IN DEV - COMING SOON

Partner Postcode

RelatedPerson-BNet-FatherPartner.address.postCode

NNPartner.Language

IN DEV - COMING SOON

Partner Language

RelatedPerson-BNet-FatherPartner.communication.language

NNPartner.TelecomHome

IN DEV - COMING SOON

Partner Home Phone

RelatedPerson-BNet-FatherPartner.Telecom.Home

NNPartner.TelecomWork

IN DEV - COMING SOON

Partner Work Phone

RelatedPerson-BNet-FatherPartner.Telecom.Work

NNPartner.TelecomMobile

IN DEV - COMING SOON

Partner Mobile Phone

RelatedPerson-BNet-FatherPartner.Telecom.Mobile

NNPartner.TelecomEmail

IN DEV - COMING SOON

Partner Email

RelatedPerson-BNet-FatherPartner.Telecom.Email

NNPartner.extension(Partner-ethnicity)

IN DEV - COMING SOON

Partner Ethnicity

RelatedPerson-BNet-FatherPartner.extension:patientEthnicity

NNMother.NID

IN DEV - COMING SOON

Mother National ID

Patient-BNet-Mother.identifier.coding.code

NNMother.HID

IN DEV - COMING SOON

Mother Hospital ID

Patient-BNet-Mother.identifier.coding.code

NNMother.DOB

IN DEV - COMING SOON

Mother Date of Birth

Patient-BNet-Mother.birthDate

NNMother.NamePrefix

IN DEV - COMING SOON

Mother Name Prefix

Patient-BNet-Mother.name.prefix

NNMother.Forename

IN DEV - COMING SOON

Mother First Name

Patient-BNet-Mother.name.given

NNMother.Surname

IN DEV - COMING SOON

Mother Last Name

Patient-BNet-Mother.name.family

NNMother.NameUse

IN DEV - COMING SOON

Mother Name Usage

Patient-BNet-Mother.name.use

NNMother.address.street

IN DEV - COMING SOON

Mother Street Address

Patient-BNet-Mother.address.line

NNMother.address.city

IN DEV - COMING SOON

Mother City

Patient-BNet-Mother.address.city

NNMother.address.postCode

IN DEV - COMING SOON

Mother Postcode

Patient-BNet-Mother.address.postCode

NNMother.Language

IN DEV - COMING SOON

Mother Language

Patient-BNet-Mother.communication.language

NNMother.TelecomHome

IN DEV - COMING SOON

Mother Home Phone

Patient-BNet-Mother.Telecom.Home

NNMother.TelecomWork

IN DEV - COMING SOON

Mother Work Phone

Patient-BNet-Mother.Telecom.Work

NNMother.TelecomMobile

IN DEV - COMING SOON

Mother Mobile Phone

Patient-BNet-Mother.Telecom.Mobile

NNMother.TelecomEmail

IN DEV - COMING SOON

Mother Email

Patient-BNet-Mother.Telecom.Email

TOPIC: (NNU-Birth) - Neonatal details of labour, delivery, and birth. 4 items.

Data item

Status

Description / Resource

ChildCongenitalMalformations

LIVE

Congenital malformations at birth

Observation-BNet-Child-CongenitalMalformations.Value

GA_Birth

LIVE

Gestation at birth

Observation-BNet-Child-BirthGestation.Value

Birth_weight

LIVE

Birth weight

Observation-BNet-Child-BirthWeight.Value

Birth_Length

Length at birth

FHIR Resource for this item TBD

TOPIC: (NNU-Admission) - Details of a single admission to a neonatal unit. 6 items.

Data item

Status

Description / Resource

EpisodicBadgerId

LIVE

Episodic anonymous BadgerID for all BadgerNet single episodes of care

EpisodeOfCare-BNet-Child-PaediatricEpisode.identifier[use='secondary'].value

LocalHospitalId

LIVE

Local hospital ID for single episode of care

EpisodeOfCare-BNet-Child-PaediatricEpisode.identifier[use='official'].value

PaediatricEpisodeType

Paediatric episode type

FHIR Resource Profile for this data item still being specified.

PaediatricEpisodeStart

Paediatric episode start

FHIR Resource Profile for this data item still being specified.

PaediatricEpisodeEnd

Paediatric episode end

FHIR Resource Profile for this data item still being specified.

PaediatricEpisodeLocation

Paediatric episode location

FHIR Resource Profile for this data item still being specified.

TOPIC: (NNAP) - National Neonatal Audit Programme (NNAP) data items. 14 items.

Data item

Status

Description / Resource

Child.FinalOutcome

IN DEV - COMING SOON

Overall result of neonatal care at discharge or transfer.

Observation-BNet-Child-NNObservations.code

Child.CoreTemperature

IN DEV - COMING SOON

Core temperature of neonate.

Observation-BNet-Child-NNObservations.code

Child.BreastmilkFeeding

IN DEV - COMING SOON

Administration of expressed breast milk or direct breastfeeding.

Observation-BNet-Child-NNObservations.code

Child.DiscussionWithParents

IN DEV - COMING SOON

Documented communication with parents about care plan.

Observation-BNet-Child-NNObservations.code

Child.RespiratorySupport

IN DEV - COMING SOON

Assistance to maintain ventilation and oxygenation.

Observation-BNet-Child-NNObservations.code

Child.CordClamping

IN DEV - COMING SOON

Applying a clamp to the umbilical cord after birth to stop blood flow.

Procedure-BNet-Child-NNProcedures.code

Child.RopScreening

IN DEV - COMING SOON

Eye exam for Retinopathy of Prematurity.

Procedure-BNet-Child-NNProcedures.code

Child.CranialUltrasound

IN DEV - COMING SOON

Ultrasound to assess neonatal brain structures.

Procedure-BNet-Child-NNProcedures.code

Child.WardRound/ClincalReview

IN DEV - COMING SOON

A scheduled review of the infant’s condition and care plan by the neonatal team.

Procedure-BNet-Child-NNProcedures.code

Child.RopScreening

IN DEV - COMING SOON

Eye exam for Retinopathy of Prematurity.

Procedure-BNet-Child-NNProcedures.code

Child.PretermBrainInjury(Ivh)

IN DEV - COMING SOON

Intraventricular haemorrhage in preterm infants.

Condition-BNet-Child-NNConditions.code

Child.DrugsGiven

IN DEV - COMING SOON

General administration of medications.

MedicationAdministration-BNet-Child-NNMedication.medicationCodeableConcept

Child.BloodstreamInfection

Bloodstream infection

FHIR Resource for this item TBD

Child.NecrotisingEnterocolitis

Necrotising enterocolitis.

FHIR Resource for this item TBD

TOPIC: (NCCMDS) - Neonatal Critical Care Minimum Data Set (NCCMDS) data items. 30 items.

Data item

Status

Description / Resource

Child.TracheostomyCare

IN DEV - COMING SOON

Tracheostomy tube in place.

Observation-BNet-Child-NNObservations.code

Child.ChestDrainPresent

IN DEV - COMING SOON

Thoracic drain in place.

Observation-BNet-Child-NNObservations.code

Child.VentricularTapPresent

IN DEV - COMING SOON

Procedure or device for aspirating cerebrospinal fluid from ventricle in place.

Observation-BNet-Child-NNObservations.code

Child.StomaInSitu

IN DEV - COMING SOON

Opening on abdominal wall for diversion in place.

Observation-BNet-Child-NNObservations.code

Child.AbdominalSiloInSitu

IN DEV - COMING SOON

Device in place for staged closure of abdominal wall defects.

Observation-BNet-Child-NNObservations.code

Child.RespiratorySupport

IN DEV - COMING SOON

Assistance to maintain ventilation and oxygenation.

Observation-BNet-Child-NNObservations.code

Child.ParenteralNutrition

IN DEV - COMING SOON

The administration of nutrients directly into the bloodstream via an intravenous route.

Observation-BNet-Child-NNObservations.code

Child.FeedingMethod

IN DEV - COMING SOON

Approach used for nutrition delivery.

Observation-BNet-Child-NNObservations.code

Child.LinesInSitu

IN DEV - COMING SOON

Presence of vascular access devices.

Observation-BNet-Child-NNObservations.code

Child.EpiduralCatheterInSitu

IN DEV - COMING SOON

Catheter in place in epidural space

Observation-BNet-Child-NNObservations.code

Child.UrinaryCatheterInSitu

IN DEV - COMING SOON

Catheter in place inserted into bladder for urine drainage.

Observation-BNet-Child-NNObservations.code

Child.ImmunoglobulinsToday

IN DEV - COMING SOON

Administration of immunoglobulin therapy during current day.

Observation-BNet-Child-NNObservations.code

Child.ExchangeTransfusion

IN DEV - COMING SOON

Procedure where infant’s blood is replaced with donor blood.

Procedure-BNet-Child-NNProcedures.code

Child.PeritonealDialysis

IN DEV - COMING SOON

Renal replacement therapy using dialysate in peritoneal cavity.

Procedure-BNet-Child-NNProcedures.code

Child.RopScreening

IN DEV - COMING SOON

Eye exam for Retinopathy of Prematurity.

Procedure-BNet-Child-NNProcedures.code

Child.ExchangeTransfusion

IN DEV - COMING SOON

Procedure where infant’s blood is replaced with donor blood.

Procedure-BNet-Child-NNProcedures.code

Child.IntravenousBloodProducts

IN DEV - COMING SOON

Administration of blood components via IV.

Procedure-BNet-Child-NNProcedures.code

Child.PeritonealDialysis

IN DEV - COMING SOON

Renal replacement therapy using dialysate in peritoneal cavity.

Procedure-BNet-Child-NNProcedures.code

Child.Haemofiltration

IN DEV - COMING SOON

Continuous renal replacement therapy filtering blood.

Procedure-BNet-Child-NNProcedures.code

Child.BarrierNursed

IN DEV - COMING SOON

Isolation nursing using protective measures.

Procedure-BNet-Child-NNProcedures.code

Child.Phototherapy

IN DEV - COMING SOON

Treatment for neonatal jaundice using special light.

Procedure-BNet-Child-NNProcedures.code

Child.Cooling

IN DEV - COMING SOON

Therapeutic hypothermia for suspected brain injury.

Procedure-BNet-Child-NNProcedures.code

Child.RopScreening

IN DEV - COMING SOON

Eye exam for Retinopathy of Prematurity.

Procedure-BNet-Child-NNProcedures.code

Child.Convulsions

IN DEV - COMING SOON

Seizure activity in neonates.

Condition-BNet-Child-NNConditions.code

Child.NeonatalAbstinenceSyndrome

IN DEV - COMING SOON

Withdrawal symptoms in newborns exposed to drugs in utero.

Condition-BNet-Child-NNConditions.code

Child.RecurrentApnoea

IN DEV - COMING SOON

Repeated episodes of cessation of breathing.

Condition-BNet-Child-NNConditions.code

Child.ContinuousInfusionOfInotrope

IN DEV - COMING SOON

Administration of drugs to support cardiac output.

MedicationAdministration-BNet-Child-NNMedication.medicationCodeableConcept

Child.ContinuousInfusionOfInsulin

IN DEV - COMING SOON

IV insulin administration.

MedicationAdministration-BNet-Child-NNMedication.medicationCodeableConcept

Child.DrugsGiven

IN DEV - COMING SOON

General administration of medications.

MedicationAdministration-BNet-Child-NNMedication.medicationCodeableConcept

Child.IntravenousMedication

IN DEV - COMING SOON

Medication given via IV route.

MedicationAdministration-BNet-Child-NNMedication.medicationCodeableConcept

TOPIC: (BAPMHRG) - British Association of Perinatal Medicine (BAPM) / Healthcare Resource Group (HRG) data items. 32 items.

Data item

Status

Description / Resource

Child.ChestDrainPresent

IN DEV - COMING SOON

Thoracic drain in place.

Observation-BNet-Child-NNObservations.code

Child.ReplogleTubePresent

IN DEV - COMING SOON

Replogle tube in place for continuous suction and decompression.

Observation-BNet-Child-NNObservations.code

Child.GastroschisisSiloPresent

IN DEV - COMING SOON

Temporary silo bag in place.

Observation-BNet-Child-NNObservations.code

Child.ExternalVentricularDrainPresent

IN DEV - COMING SOON

Catheter system draining cerebrospinal fluid externally from ventricles in place.

Observation-BNet-Child-NNObservations.code

Child.StomaInSitu

IN DEV - COMING SOON

Opening on abdominal wall for diversion in place.

Observation-BNet-Child-NNObservations.code

Child.WeightDuringStay

IN DEV - COMING SOON

Recorded measurements of infant’s weight during episode of care.

Observation-BNet-Child-NNObservations.code

Child.RespiratorySupport

IN DEV - COMING SOON

Assistance to maintain ventilation and oxygenation.

Observation-BNet-Child-NNObservations.code

Child.NasopharyngealAirwayInSitu

IN DEV - COMING SOON

Tube in place through nostril into nasopharynx to maintain airway.

Observation-BNet-Child-NNObservations.code

Child.ParenteralNutrition

IN DEV - COMING SOON

The administration of nutrients directly into the bloodstream via an intravenous route.

Observation-BNet-Child-NNObservations.code

Child.FeedingMethod

IN DEV - COMING SOON

Approach used for nutrition delivery.

Observation-BNet-Child-NNObservations.code

Child.LinesInSitu

IN DEV - COMING SOON

Presence of vascular access devices.

Observation-BNet-Child-NNObservations.code

Child.EpiduralCatheterInSitu

IN DEV - COMING SOON

Catheter in place in epidural space

Observation-BNet-Child-NNObservations.code

Child.UrinaryCatheterInSitu

IN DEV - COMING SOON

Catheter in place inserted into bladder for urine drainage.

Observation-BNet-Child-NNObservations.code

Child.SurgeryToday

IN DEV - COMING SOON

Infant underwent surgical procedure on current date.

Observation-BNet-Child-NNObservations.code

Child.ExchangeTransfusion

IN DEV - COMING SOON

Procedure where infant’s blood is replaced with donor blood.

Procedure-BNet-Child-NNProcedures.code

Child.PeritonealDialysis

IN DEV - COMING SOON

Renal replacement therapy using dialysate in peritoneal cavity.

Procedure-BNet-Child-NNProcedures.code

Child.RopScreening

IN DEV - COMING SOON

Eye exam for Retinopathy of Prematurity.

Procedure-BNet-Child-NNProcedures.code

Child.ExchangeTransfusion

IN DEV - COMING SOON

Procedure where infant’s blood is replaced with donor blood.

Procedure-BNet-Child-NNProcedures.code

Child.PeritonealDialysis

IN DEV - COMING SOON

Renal replacement therapy using dialysate in peritoneal cavity.

Procedure-BNet-Child-NNProcedures.code

Child.BarrierNursed

IN DEV - COMING SOON

Isolation nursing using protective measures.

Procedure-BNet-Child-NNProcedures.code

Child.Phototherapy

IN DEV - COMING SOON

Treatment for neonatal jaundice using special light.

Procedure-BNet-Child-NNProcedures.code

Child.CfamMonitoring

IN DEV - COMING SOON

Cerebral Function Analysing Monitor for brain activity.

Procedure-BNet-Child-NNProcedures.code

Child.Cooling

IN DEV - COMING SOON

Therapeutic hypothermia for suspected brain injury.

Procedure-BNet-Child-NNProcedures.code

Child.AnySurgery

IN DEV - COMING SOON

Indicates infant underwent any surgical procedure.

Procedure-BNet-Child-NNProcedures.code

Child.RopTreatment/Surgery

IN DEV - COMING SOON

Intervention for retinopathy of prematurity.

Procedure-BNet-Child-NNProcedures.code

Child.RopScreening

IN DEV - COMING SOON

Eye exam for Retinopathy of Prematurity.

Procedure-BNet-Child-NNProcedures.code

Child.NeonatalAbstinenceSyndrome

IN DEV - COMING SOON

Withdrawal symptoms in newborns exposed to drugs in utero.

Condition-BNet-Child-NNConditions.code

Child.OesophagealAtresia

IN DEV - COMING SOON

Congenital absence or closure of the oesophagus.

Condition-BNet-Child-NNConditions.code

Child.ProstaglandinInfusionOrInotropeOrVasodilatorGiven

IN DEV - COMING SOON

Infusion of prostaglandin or related drugs.

MedicationAdministration-BNet-Child-NNMedication.medicationCodeableConcept

Child.DrugsGiven

IN DEV - COMING SOON

General administration of medications.

MedicationAdministration-BNet-Child-NNMedication.medicationCodeableConcept

Child.IvDrugsGiven

IN DEV - COMING SOON

Drugs administered intravenously.

MedicationAdministration-BNet-Child-NNMedication.medicationCodeableConcept

Child.Prostaglandin

IN DEV - COMING SOON

Prostaglandin administered to child

MedicationAdministration-BNet-Child-NNMedication.medicationCodeableConcept

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