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Nova Scotia Atlee Perinatal Database Coding Manual 19Th Edition (Version 19.0.0)

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Nova Scotia Atlee Perinatal Database Coding Manual 19Th Edition (Version 19.0.0) Nova Scotia Atlee Perinatal Database Coding Manual 19th Edition (Version 19.0.0) April 2015 Table of Contents INDEX FOR ADMISSION INFORMATION 1 INDEX FOR ROUTINE INFORMATION – DELIVERED ADMISSION 2 INDEX FOR ROUTINE INFORMATION – LABOUR 4 INDEX FOR ROUTINE INFORMATION – INFANT 5 INDEX FOR ROUTINE INFORMATION – UNDELIVERED ADMISSION 7 INDEX FOR ROUTINE INFORMATION – POSTPARTUM ADMISSION 8 INDEX FOR ROUTINE INFORMATION – NEONATAL ADMISSION 9 ADULT RCP CODES 10 INFANT RCP CODES 11 LISTING OF HOSPITALS 13 LISTING OF HOSPITALS 14 ADMISSION INFORMATION 18 DELIVERED ADMISSION 28 Routine Information – Delivered Admission 28 Routine Information – Labour 58 Routine Information – Infant 79 UNDELIVERED ADMISSION 94 Routine information – undelivered 94 POSTPARTUM ADMISSIONS 104 Routine Information – Postpartum Admission 104 NEONATAL ADMISSIONS 112 Routine Information – Neonatal Admissions 112 ADULT RCP CODES 124 INFANT RCP CODES 144 INDEX OF MATERNAL DISEASES AND PROCEDURES 180 INDEX OF NEONATAL DISEASES AND PROCEDURES 196 INDEX FOR ADMISSION INFORMATION Admission date /time .........................................................................................................19 Admission process status ...................................................................................................27 Admission type ..................................................................................................................19 A/S/D number ....................................................................................................................20 Birth date ........................................................................................................................... 20 Care provider attending..................................................................................................... 24 City/town ...........................................................................................................................25 Contact hospital ................................................................................................................ 18 Discharge date ...................................................................................................................18 Discharge time ..................................................................................................................18 Given name(s) ...................................................................................................................19 Health card number ...........................................................................................................20 Mailing address .................................................................................................................25 Marital status ......................................................................................................................24 Municipal code ..................................................................................................................21 Postal code ........................................................................................................................26 Previous surname ..............................................................................................................19 Province ............................................................................................................................26 Sex .....................................................................................................................................25 Street address ....................................................................................................................25 Surname ............................................................................................................................19 Unit number ......................................................................................................................18 1 INDEX FOR ROUTINE INFORMATION – DELIVERED ADMISSION Abdominal circumference measurement ...................................................................................... 46 Abdominal circumference gestational age .................................................................................... 48 Abortions ...................................................................................................................................... 31 Admitted from ............................................................................................................................... 29 Analgesia administered during labour .......................................................................................... 54 Antibiotic therapy ......................................................................................................................... 55 Antibiotic date ............................................................................................................................... 57 Antibiotic time .............................................................................................................................. 57 Autopsy (maternal) ....................................................................................................................... 52 Biparietal diameter measurement .................................................................................................. 46 Biparietal diameter gestational age ............................................................................................... 48 Bishop Score .................................................................................................................................. 41 Crown/rump length measurements ............................................................................................... 45 Crown/rump length gestational age .............................................................................................. 47 Date of first ultrasound ................................................................................................................. 44 Date of last normal menstrual period ............................................................................................ 30 Discharge date and time ................................................................................................................ 51 Delivery hospital ........................................................................................................................... 28 Education ...................................................................................................................................... 38 Femur length measurement ............................................................................................................ 47 Femur length gestational age ......................................................................................................... 49 Fetus number .................................................................................................................................. 44 Fetal surveillance methods ............................................................................................................. 69 Gravida .......................................................................................................................................... 31 Head circumference measurements .............................................................................................. 46 Head circumference gestational age ............................................................................................. 48 Intent to breastfeed ........................................................................................................................ 39 Initial mother baby contact ........................................................................................................... 69 Maternal height ............................................................................................................................. 40 Maternal screening test(s) ............................................................................................................. 50 Maternal ultrasound ...................................................................................................................... 44 Maternal steroid therapy ................................................................................................................ 53 Maternal primary cause of death ................................................................................................... 52 2 Number of fetuses ......................................................................................................................... 43 Number of abortions ...................................................................................................................... 31 Number of previous C-sections...................................................................................................... 33 Number of previous fetal deaths .................................................................................................... 32 Number of previous low birth weight infants ................................................................................ 34 Number of previous neonatal deaths ............................................................................................. 32 Number of previous overweight infants ........................................................................................ 34 Number of previous
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