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Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Amended to Y0209 The prenatal screening results, whether positive, negative or uninterpretable, after the screening result has been ammended as indicated by the follow up centre
Still negative
Still positive
Now screen positive
Now screen negative
Too early
Too late
Uninterpretable
Consanguinity FAN0019 Refers to maternal and paternal sharing of at least one ancestor in common. (Cunningham, 2005)
Date PS reported MMMSS0029 Date (calendar day, month, year) PS result report is issued using standard date format.
Early twin/triplet demise noted on ultrasound
MMMSS0014 Was an early twin/triplet demise noted on ultrasound?
Estimated Date of Birth (EDB)
F0001 Best estimate of date of birth determined by ultrasound or mathematical calculation using Nägele's rule. Same as EDC and EDD. EDB is the preferred term.
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
None No anomalies are suspected or confirmed.
Head-Cranium & Brain \ Absent cerebellar vermis
Head-Cranium & Brain \ Absent cerebellum
Head-Cranium & Brain \ Acrania
Head-Cranium & Brain \ Agenesis of corpus callosum (ACC)
Head-Cranium & Brain \ Anencephaly
August 13, 2019 Page 1 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Head-Cranium & Brain \ Aqueductal stenosis
Head-Cranium & Brain \ Arachnoid cyst(s)
Head-Cranium & Brain \ Arhinencephaly
Head-Cranium & Brain \ Arnold Chiari malformation
Head-Cranium & Brain \ Atresia of foramina of Magendie & Luschka
Head-Cranium & Brain \ Banana cerebellum
Head-Cranium & Brain \ Brachycephaly
Head-Cranium & Brain \ Brain tumor
Head-Cranium & Brain \ Calcification - intracranial
Head-Cranium & Brain \ Cavum Septi Pellucidum (CSP) absent
Head-Cranium & Brain \ Cerebellar & posterior fossa haemorrhage
Head-Cranium & Brain \ Cerebral AVM (arteriovenous malformation)
Head-Cranium & Brain \ Cloverleaf shaped head
Head-Cranium & Brain \ Congenital cerebral cysts
Head-Cranium & Brain \ Craniorachischisis
Head-Cranium & Brain \ Craniosynostosis
Head-Cranium & Brain \ Dandy-Walker malformation / variant (DWM)
Head-Cranium & Brain \ Dolichocephaly
Head-Cranium & Brain \ Encephalocele
Head-Cranium & Brain \ Enlarged cisterna magna
Head-Cranium & Brain \ Holoprosencephaly
Head-Cranium & Brain \ Hydranencephaly
Head-Cranium & Brain \ Hydrocephalus
August 13, 2019 Page 2 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Head-Cranium & Brain \ Iniencephaly
Head-Cranium & Brain \ Intracerebral haemorrhage
Head-Cranium & Brain \ Intraventricular haemorrhage (IVH)
Head-Cranium & Brain \ Lissenchephaly
Head-Cranium & Brain \ Macrocephaly
Head-Cranium & Brain \ Megalencephaly
Head-Cranium & Brain \ Microcephaly
Head-Cranium & Brain \ Plagiocephaly
Head-Cranium & Brain \ Porencephalic cyst(s)
Head-Cranium & Brain \ Posterior fossa cyst
Head-Cranium & Brain \ Prominent forehead
Head-Cranium & Brain \ Prominent occiput
Head-Cranium & Brain \ Seizures
Head-Cranium & Brain \ Septo-optic dysplasia
Head-Cranium & Brain \ Small cerebellum
Head-Cranium & Brain \ Subarachnoid haemorrhage
Head-Cranium & Brain \ Vein of Galen aneurysm
Head-Cranium & Brain \ Ventriculomegaly - mild (10-15 mm)
Head-Cranium & Brain \ Ventriculomegaly - severe (>15 mm)
Head-Cranium & Brain \ Other - malformations of the head & Brain
Face \ EARS-Ears - absent (anotia)
Face \ EARS-Ears - low set
Face \ EARS-Ears - small (microtia)
August 13, 2019 Page 3 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Face \ EYES-Anophthalmia
Face \ EYES-Congenital cataract
Face \ EYES-Cyclops
Face \ EYES-Hypertelorism
Face \ EYES-Hypotelorism
Face \ EYES-Macrophthalmia
Face \ EYES-Microphthalmia
Face \ EYES-Retinoblastoma
Face \ MOUTH-Cleft lip
Face \ MOUTH-Cleft lip & palate
Face \ MOUTH-Cleft palate
Face \ MOUTH-Flat face
Face \ MOUTH-Macroglossia
Face \ MOUTH-Micrognathia
Face \ MOUTH-Retrognathia
Face \ NOSE-Absent nose
Face \ NOSE-Choanal atresia
Face \ NOSE-Hypoplastic nose
Face \ NOSE-Proboscis
Face \ NOSE-Single nostril
Face \ Tumour of face
Face \ Other - malformations of the face
Neck \ Cervical teratoma
Neck \ Cystic hygroma
August 13, 2019 Page 4 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Neck \ Neck tumour - other
Neck \ Other - malformations of the neck
Thorax \ Agenesis of lung
Thorax \ Bronchopulmonary sequestration (BPS)
Thorax \ Chest wall deformity
Thorax \ Congenital cystic adenomatoid malformation of lung (CCAML)
Thorax \ Congenital high airway obstruction (CHAOS)
Thorax \ Diaphragmatic hernia - Congenital (CDH)
Thorax \ Echogenic lung(s)
Thorax \ Eventration of diaphragm
Thorax \ Lung cysts-other
Thorax \ Pectus carinatum
Thorax \ Pectus excavatum
Thorax \ Pleural effusion(s) (hydrothorax)
Thorax \ Pulmonary hypoplasia
Thorax \ Other - congenital malformations of lung
Thorax \ Other congenital malformations of diaphragm
Cardiovascular \ Aorta - pulmonary window
Cardiovascular \ Aortic arch - double
Cardiovascular \ Aortic arch - hypoplastic
Cardiovascular \ Aortic arch - interrupted
Cardiovascular \ Aortic atresia
Cardiovascular \ Aortic valve insufficiency
August 13, 2019 Page 5 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Cardiovascular \ Aortic valve stenosis
Cardiovascular \ Arrhythmia
Cardiovascular \ Atrial fibrillation
Cardiovascular \ Atrial septal defect (ASD)
Cardiovascular \ Atrioventricular septal defect (AVSD) (endocardial cushion defect)
Cardiovascular \ Bilateral SVC (superior venae cava)
Cardiovascular \ Bradycardia (bradyarrhythmia)
Cardiovascular \ Cardiac dysfunction
Cardiovascular \ Cardiac tumour / mass
Cardiovascular \ Cardiomegaly
Cardiovascular \ Cardiomyopathy - dilated
Cardiovascular \ Cardiomyopathy - fetus of diabetic mother
Cardiovascular \ Cardiomyopathy - hypertrophic (HOCM)
Cardiovascular \ Coarctation of aorta
Cardiovascular \ Common atrium
Cardiovascular \ Complete Heart Block
Cardiovascular \ Incomplete Congenital heart block (CHB)
Cardiovascular \ Congenital heart disease
Cardiovascular \ Coronary artery fistula
Cardiovascular \ Dextrocardia
Cardiovascular \ Dilated ascending aorta
Cardiovascular \ Diverticulum - LV
Cardiovascular \ Diverticulum - RV
August 13, 2019 Page 6 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Cardiovascular \ Double inlet ventricle (DIV)
Cardiovascular \ Double outlet ventricle (DOV)
Cardiovascular \ Ductus arteriosus - premature closure
Cardiovascular \ Ductus arteriosus aneurysm
Cardiovascular \ Ductus arteriosus - Patent (PDA)
Cardiovascular \ Ductus venosus - agenesis
Cardiovascular \ Ebstein anomaly
Cardiovascular \ Ectopia cordis
Cardiovascular \ Endocardial fibroelastosis (EFE)
Cardiovascular \ Fibroma - cardiac
Cardiovascular \ Hypoplastic left heart syndrome (HLHS)
Cardiovascular \ Hypoplastic right heart syndrome (HRHS)
Cardiovascular \ Interrupted IVC (superior vena cava)
Cardiovascular \ Left atrial isomerism (heterotaxy)
Cardiovascular \ Mitral atresia
Cardiovascular \ Mitral regurgitation
Cardiovascular \ Mitral stenosis
Cardiovascular \ Mitral valve dysplasia
Cardiovascular \ Partial anomalous pulmonary venous drainage (PAPVD)
Cardiovascular \ Pericardial/Paracardial cyst
Cardiovascular \ Pericardial effusion
Cardiovascular \ Persistent left SVC (superior vena cava)
August 13, 2019 Page 7 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Cardiovascular \ Premature atrial contractions (PAC's)
Cardiovascular \ Premature closure of atrial septum (PFO)
Cardiovascular \ Premature ventricular contractions (PVC's)
Cardiovascular \ Pulmonary (valve) atresia
Cardiovascular \ Pulmonary (valve) stenosis (PS)
Cardiovascular \ Pulmonary insufficiency
Cardiovascular \ Pulmonary valve dysplasia
Cardiovascular \ Rhabdomyoma(s) - cardiac
Cardiovascular \ Right aortic arch
Cardiovascular \ Right atrial isomerism (heterotaxy)
Cardiovascular \ Scimitar syndrome
Cardiovascular \ Shone's syndrome
Cardiovascular \ Single outlet ventricle
Cardiovascular \ Single ventricle (univentricular heart)
Cardiovascular \ Single ventricle / univentricular connection
Cardiovascular \ Situs inversus - cardiac
Cardiovascular \ Subaortic stenosis
Cardiovascular \ Supra ventricular tachycardia (SVT)
Cardiovascular \ Tachycardia (tachyarrhythmia)
Cardiovascular \ Tetralogy of Fallot (TOF)
Cardiovascular \ Total anomalous pulmonary venous drainage (TAPVD)
Cardiovascular \ Transposition of great arteries - congenitally corrected (CCTGA)
August 13, 2019 Page 8 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Cardiovascular \ Transposition of great vessels (TGA)
Cardiovascular \ Tricuspid atresia
Cardiovascular \ Tricuspid regurgitation
Cardiovascular \ Tricuspid stenosis
Cardiovascular \ Tricuspid valve dysplasia
Cardiovascular \ Truncus arteriosis
Cardiovascular \ Vascular ring
Cardiovascular \ Valvular Anomalies
Cardiovascular \ Ventricular disproportion (RV>LV)
Cardiovascular \ Ventricular septal defect (VSD)
Cardiovascular \ Ventricular tachycardia
Cardiovascular \ Other - cardiac malformations not classified elsewhere
Cardiovascular \ Other heart abnormalities
Abdominal Wall \ Bladder exstrophy
Abdominal Wall \ Body stalk anomaly (limb body wall complex)
Abdominal Wall \ Cloacal exstrophy
Abdominal Wall \ Gastroschisis
Abdominal Wall \ Limb body wall complex (body stalk anomaly)
Abdominal Wall \ Omphalocele (exomphalos)
Abdominal Wall \ Pentalogy of Cantrell
Abdominal Wall \ Umbilical hernia
Abdominal Wall \ Other - congenital malformations of abdominal wall
Gastrointestinal \ Abnormal Esophagus
August 13, 2019 Page 9 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Gastrointestinal \ Abnormal Gallbladder
Gastrointestinal \ Abnormal Large Bowel
Gastrointestinal \ Abnormal Liver
Gastrointestinal \ Abnormal Small Bowel
Gastrointestinal \ Abnormal Stomach
Gastrointestinal \ Absent gallbladder
Gastrointestinal \ Absent stomach
Gastrointestinal \ Adrenal cyst(s)
Gastrointestinal \ Ascites
Gastrointestinal \ Asplenia
Gastrointestinal \ Atresia small or large intestine
Gastrointestinal \ Biliary atresia
Gastrointestinal \ Bowel obstruction small or large intestine
Gastrointestinal \ Choledochal cyst(s)
Gastrointestinal \ Dilated gallbladder
Gastrointestinal \ Dilated stomach
Gastrointestinal \ Duodenal atresia
Gastrointestinal \ Esophageal atresia
Gastrointestinal \ Esophageal diverticulum
Gastrointestinal \ Hepatomegaly
Gastrointestinal \ Hirschsprung's disease
Gastrointestinal \ Hyperperistalsis
Gastrointestinal \ Imperforate anus
Gastrointestinal \ Intra-abdominal cyst(s)
August 13, 2019 Page 10 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Gastrointestinal \ Large bowel obstruction
Gastrointestinal \ Liver cyst(s)
Gastrointestinal \ Liver nodule
Gastrointestinal \ Meconium ileus
Gastrointestinal \ Meconium peritonitis
Gastrointestinal \ Mesenteric cyst
Gastrointestinal \ Ovarian cyst(s)
Gastrointestinal \ Pancreatic cyst(s)
Gastrointestinal \ Perinatal intestinal perforation
Gastrointestinal \ Polysplenia
Gastrointestinal \ Pyloric stenosis
Gastrointestinal \ Situs inversus - abdominal
Gastrointestinal \ Small bowel obstruction
Gastrointestinal \ Small stomach
Gastrointestinal \ Splenomegaly
Gastrointestinal \ Stenois small or large intestine
Gastrointestinal \ Tracheo-esophageal fistula (TEF)
Gastrointestinal \ Other - malformations of the gastro-intestinal tract
Genitourinary Tract \ Ambiguous genitalia / indeterminate sex
Genitourinary Tract \ Autosomal dominant polycystic kidney disease (ADPKD)
Genitourinary Tract \ Autosomal recessive polycystic kidney disease (ARPKD)
Genitourinary Tract \ Absent bladder
Genitourinary Tract \ Bladder diverticulum
August 13, 2019 Page 11 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Genitourinary Tract \ Bladder exstrophy
Genitourinary Tract \ Cloacal dysgenesis
Genitourinary Tract \ Cloacal exstrophy
Genitourinary Tract \ Cystic kidney(s) - other
Genitourinary Tract \ Duplex kidney/collecting system
Genitourinary Tract \ Echogenic kidney(s)
Genitourinary Tract \ Ectopic/pelvic kidney
Genitourinary Tract \ Hydrocoele
Genitourinary Tract \ Hydronephrosis (>10 mm)
Genitourinary Tract \ Hyperplastic & giant kidney(s)
Genitourinary Tract \ Hypoplastic kidney(s)
Genitourinary Tract \ Hypospadias
Genitourinary Tract \ Keyhole bladder/urethra
Genitourinary Tract \ Keyhole sign
Genitourinary Tract \ Lower urinary tract obstruction (LUTO)
Genitourinary Tract \ Megacystis
Genitourinary Tract \ Megaureter
Genitourinary Tract \ Multicystic kidney disease (MCKD)
Genitourinary Tract \ Posterior urethral valves (PUV)
Genitourinary Tract \ Prune belly
Genitourinary Tract \ Pseudohermaphroditism
Genitourinary Tract \ Renal agenesis
Genitourinary Tract \ Renal cyst
August 13, 2019 Page 12 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Genitourinary Tract \ Renal dysplasia
Genitourinary Tract \ Undescended testicle(s)
Genitourinary Tract \ Ureterocoele
Genitourinary Tract \ Urethral atresia
Genitourinary Tract \ Urethral obstruction malformation complex
Genitourinary Tract \ Other - malformations of female genitalia
Genitourinary Tract \ Other - malformations of male genitalia
Genitourinary Tract \ Other - malformations of urinary system
Spine - Back \ Ankylosing spondylitis
Spine - Back \ Caudal regression syndrome
Spine - Back \ NTD (neural tube defect) with hydrocephalus
Spine - Back \ NTD (neural tube defect) without hydrocephalus
Spine - Back \ Sacral agenesis
Spine - Back \ Sacrococcygeal teratoma (SCT)
Spine - Back \ Other - malformations of the spine
Extremities-skeletal \ Arms/legs-Bowed femur
Extremities-skeletal \ Arms/legs-Bowed humerus
Extremities-skeletal \ Arms/legs-Bowed radius &/or ulna
Extremities-skeletal \ Arms/legs-Bowed tibia &/or fibula
Extremities-skeletal \ Arms/legs-Fracture(s) - long bones
Extremities-skeletal \ Generalized/other-Akinesia deformation sequence - fetal (FADS)
Extremities-skeletal \ Generalized/other-Arthrogryposis multiplex congenita
August 13, 2019 Page 13 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Extremities-skeletal \ Generalized/other-Congenital malformations of spine & bony thorax
Extremities-skeletal \ Generalized/other-Fixed flexion deformity
Extremities-skeletal \ Generalized/other-Fracture(s) - ribs
Extremities-skeletal \ Generalized/other-Hip Dislocation - congenital
Extremities-skeletal \ Generalized/other-Hypomineralization
Extremities-skeletal \ Generalized/other-Limb reduction defect(s) (LRD) - lower limb
Extremities-skeletal \ Generalized/other-Limb reduction defect(s) (LRD) - upper limb
Extremities-skeletal \ Generalized/other-Malformation of sternum
Extremities-skeletal \ Generalized/other-Phocomelia
Extremities-skeletal \ Generalized/other-Sirenomelia
Extremities-skeletal \ Generalized/other-Skeletal dysplasia -other
Extremities-skeletal \ Hands/feet-Adactyly (absent fingers/ toes)
Extremities-skeletal \ Hands/feet-Brachydactyly (short fingers/toes)
Extremities-skeletal \ Hands/feet-Clenched hands (persistently)
Extremities-skeletal \ Hands/feet-Clinodactyly (fifth finger)
Extremities-skeletal \ Hands/feet-Club foot
Extremities-skeletal \ Hands/feet-Ectrodactyly (lobster-claw / cleft hand)
Extremities-skeletal \ Hands/feet-Fused toes
Extremities-skeletal \ Hands/feet-Overlapping fingers
Extremities-skeletal \ Hands/feet-Polydactyly (feet)
Extremities-skeletal \ Hands/feet-Polydactyly (hands)
August 13, 2019 Page 14 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Extremities-skeletal \ Hands/feet-Radial ray anomaly (absent thumb)
Extremities-skeletal \ Hands/feet-Rocker-bottom feet
Extremities-skeletal \ Hands/feet-Sandal gap toes
Extremities-skeletal \ Hands/feet-Syndactyly (feet)
Extremities-skeletal \ Hands/feet-Syndactyly (hands)
Extremities-skeletal \ Hands/feet-Webbed fingers
Extremities-skeletal \ Hands/feet-Webbed toes
Extremities-skeletal \ Micromelia
Extremities-skeletal \ Muscle/connective tissue disorders-Duchenne muscular dystrophy (DMD)
Extremities-skeletal \ Muscle/connective tissue disorders-Ehlers-Danlos syndrome
Extremities-skeletal \ Muscle/connective tissue disorders-Hypotonia
Extremities-skeletal \ Muscle/connective tissue disorders-Spinal muscular atrophy (SMA)
Extremities-skeletal \ Muscle/connective tissue disorders-Other - malformations of the musculoskeletal system
Extremities-skeletal \ Skeletal Dysplasias-Achondrogenesis
Extremities-skeletal \ Skeletal Dysplasias-Achondroplasia
Extremities-skeletal \ Skeletal Dysplasias-Campomelic dysplasia
Extremities-skeletal \ Skeletal Dysplasias-Chondrodysplasia punctata
Extremities-skeletal \ Skeletal Dysplasias-Diastrophic dysplasia
Extremities-skeletal \ Skeletal Dysplasias-Ellis-van Creveld syndrome
Extremities-skeletal \ Skeletal Dysplasias-Osteogenesis imperfecta
Extremities-skeletal \ Skeletal Dysplasias-Short rib polydactyly syndrome - type VII
August 13, 2019 Page 15 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Extremities-skeletal \ Skeletal Dysplasias-Thanatophoric dysplasia
Structural-other \ Amniotic Bands
Structural-other \ Hydrops Fetalis
Structural-other \ Other - malformations not classified elsewhere
Chromosomes \ 45,X (Turner syndrome)
Chromosomes \ 47,XXX
Chromosomes \ 47,XXY (Klinefelter syndrome)
Chromosomes \ 47,XYY
Chromosomes \ Array CGH abnormal or other
Chromosomes \ Balanced translocation
Chromosomes \ Deletion - other
Chromosomes \ Di George Syndrome (22 q11 deletion)
Chromosomes \ Microdeletion syndrome - other
Chromosomes \ Mosaicism
Chromosomes \ Paracentric inversion
Chromosomes \ Pericentric inversion
Chromosomes \ Triploidy /polploidy
Chromosomes \ Trisomy - other
Chromosomes \ Trisomy 13
Chromosomes \ Trisomy 18
Chromosomes \ Trisomy 21 (Down syndrome)
Chromosomes \ Trisomy 21 (Down syndrome) - mosaic
Chromosomes \ Trisomy 21 (Down syndrome) - translocation
August 13, 2019 Page 16 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Chromosomes \ Unbalanced translocation
Chromosomes \ Other
Congenital Infections \ CMV (cytomegalovirus) infection - congenital
Congenital Infections \ Enterovirus infections
Congenital Infections \ Herpes simplex virus (HSV) infection - congenital
Congenital Infections \ HIV
Congenital Infections \ Rubella syndrome - congenital
Congenital Infections \ Toxoplasmosis
Congenital Infections \ Tuberculosis (TB) - congenital
Congenital Infections \ Varicella-zoster virus
Congenital Infections \ Other - infections
Teratogenic Exposures \ Diabetic Embryopathy
Teratogenic Exposures \ Etretinate embryopathy
Teratogenic Exposures \ Fetal alcohol syndrome
Teratogenic Exposures \ Fetal aminopterin/methotrexate syndrome
Teratogenic Exposures \ Fetal hydantoin syndrome
Teratogenic Exposures \ Fetal valproate syndrome
Teratogenic Exposures \ Isotretinoin teratogen syndrome
Teratogenic Exposures \ Maternal Phenylketonuria
Teratogenic Exposures \ Retinoic acid embryopathy
Teratogenic Exposures \ Rhesus Disease
Teratogenic Exposures \ Thalidomide embryopathy
August 13, 2019 Page 17 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Teratogenic Exposures \ Toluene embryopathy
Teratogenic Exposures \ Vitamin A teratogenicity
Teratogenic Exposures \ Warfarin dysmorphism
Teratogenic Exposures \ Other -teratogenic embryopathy
Teratogenic Exposures \ Other-antiepileptic embryopathy
Twins \ Acardiac twin
Twins \ Conjoined twins
Twins \ Dichorionic (DC) twins
Twins \ Discordant DC twin growth
Twins \ Discordant MC twin growth
Twins \ Discordant twin anomaly
Twins \ Mono-amniotic (MA) twins
Twins \ Monochorionic diamniotic (MC/DA) twins
Twins \ Twin-twin transfusion syndrome (TTTS)
Twins \ Other - malformations of twins
Syndromes \ Aarskogs Syndrome
Syndromes \ Achondrogenesis
Syndromes \ Achondroplasia
Syndromes \ Acroesomelic Dysplasia
Syndromes \ Acrofacial Dysostosis
Syndromes \ Adrenal Hyperplasia
Syndromes \ Alpha-1-Antitrypsin
Syndromes \ Alports Syndrome
August 13, 2019 Page 18 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Syndromes \ Amyloplasia Congenita
Syndromes \ Angelmans Syndrome
Syndromes \ Anophthalmia
Syndromes \ Aqueductal stenosis - X linked (L1 syndrome)
Syndromes \ Arthrogryposis Multiplex Congenitia
Syndromes \ Ataxia-telangiectasis
Syndromes \ Autosomal dominant polycystic kidney disease
Syndromes \ Autosomal Recessive Polycystic Kidney Disease
Syndromes \ Beckwith-Wiedemann
Syndromes \ Biotinidase deficiency (BIOT)
Syndromes \ CADASIL
Syndromes \ Congenital Adrenal Hyperplasia (CAH)
Syndromes \ Camptomelic dysplaia
Syndromes \ Carnitine uptake defect (CUD)
Syndromes \ Caudal regression syndrome
Syndromes \ Cerebral Palsy
Syndromes \ Charcot-Marie-Tooth
Syndromes \ CHARGE association
Syndromes \ Chronrodysplasia Punctata
Syndromes \ Cleidocranial Dysplasia
Syndromes \ Coffin-Lowry syndrome
Syndromes \ Congenital hypothyroidism (HYPOTH)
Syndromes \ Congenital Myotonic Dystrophy
August 13, 2019 Page 19 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Syndromes \ Congenital Nephrotic Syndrome
Syndromes \ Cornelia Delange
Syndromes \ CPS (Carbamyl Phosphate Deficiency)
Syndromes \ Craniosynotsis Saethre-Crouzon
Syndromes \ Cri-du-Chat Syndrome
Syndromes \ Crouzon's syndrome
Syndromes \ Cryptophthalmus
Syndromes \ Cystic Fibrosis
Syndromes \ Dandy-walker syndrome
Syndromes \ Dextrocardia
Syndromes \ Diastrophic dysplasia
Syndromes \ Digeorge Syndrome
Syndromes \ Dysautonomia - familial
Syndromes \ Ectodermal Dysplasia
Syndromes \ Ehlers-Danlos syndrome
Syndromes \ Ellis Van Creveld Syndrome
Syndromes \ Epidermolysis Bullosa
Syndromes \ F-HYPDRR Familial hypophosphatemia
Syndromes \ Fabry's Disease
Syndromes \ Factor V
Syndromes \ Fanconi Anemia
Syndromes \ Fragile X Syndrome
Syndromes \ Fraser Syndrome - cryptophthalmos syndrome
August 13, 2019 Page 20 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Syndromes \ Freeman-Sheldon Syndrome
Syndromes \ Friederichs Ataxia
Syndromes \ Frontonasal dysplasia
Syndromes \ FSHD (Fascioscapulohumeral Muscular Dystrophy)
Syndromes \ Galactosemia (GALT)
Syndromes \ Gaucher
Syndromes \ Gilbert's disease
Syndromes \ Glucose-6-phosphate dehydrogenase (G6PD)
Syndromes \ Glutaric acidemia type I (GA I)
Syndromes \ Goldenhar Syndrome
Syndromes \ Gorlin Syndrome
Syndromes \ GSD (Glycogen Storage Disease)
Syndromes \ Hard +/- e syndrome
Syndromes \ Harlequin Icthyosis
Syndromes \ Hemi-hypertrophy
Syndromes \ Hemophilia A/ B
Syndromes \ Hereditary nephritis
Syndromes \ Hereditary Hemorrhagic Telangiectasia (HHT)
Syndromes \ Hereditary Multiple Exostoses (HME)
Syndromes \ Holt-Oram
Syndromes \ Homocystinosis
Syndromes \ Homocystinuria (HCY)
Syndromes \ Hunter Syndrome
August 13, 2019 Page 21 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Syndromes \ Hurlers Syndrome
Syndromes \ Hydrochephalus X-Linked
Syndromes \ Hydrolethalus
Syndromes \ Hypochondroplasia
Syndromes \ Hypoglycemia
Syndromes \ Hypophosphatasia
Syndromes \ Ichthyosis (non X-linked)
Syndromes \ Ichthyosis X-linked (STS deficiency)
Syndromes \ Idiopathic hypoparathyroidism
Syndromes \ Incontinentia Pigmenti
Syndromes \ Isovaleric academia (IVA)
Syndromes \ Ivemark Syndrome
Syndromes \ Jourbert Syndrome
Syndromes \ Klippel-Trenaunay Syndrome
Syndromes \ Krabbe
Syndromes \ Larsen Syndrome
Syndromes \ LCHAD
Syndromes \ Leigh's Syndrome
Syndromes \ Lesch Nyhan
Syndromes \ Limb-Girdle Muscular Dystrophy
Syndromes \ Long Q-T Syndrome
Syndromes \ Lysosmal Storage Disease (IEM)
Syndromes \ Machado-Joseph Disease
Syndromes \ Maple syrup urine disease (MSUD)
August 13, 2019 Page 22 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Syndromes \ Marfan syndrome
Syndromes \ McKusick-Koffman Syndrome
Syndromes \ Meckel-Gruber syndrome
Syndromes \ Medium chain acyl-CoA dehydrogenase deficiency (MCAD)
Syndromes \ MELAS
Syndromes \ Menkes
Syndromes \ MERFF
Syndromes \ Metachromatic Leukodystrophy
Syndromes \ Methylenetetrahydrofolate Reductase Deficiency
Syndromes \ Methylmalonic Acidemia
Syndromes \ Methylmalonic acidemia (Cbl A and B)
Syndromes \ Methylmalonic acidemia (mutase deficiency) (MUT)
Syndromes \ Miller-Dieker Syndrome
Syndromes \ Morquio Syndrome
Syndromes \ MPS (Mucopolysaccharidosis)
Syndromes \ Multiple carboxylase deficiency (MCD)
Syndromes \ Multiple Congenital Anomalies (Unknown Origin)
Syndromes \ Multiple pterygium syndrome
Syndromes \ Myotonic Dystrophy
Syndromes \ Nail-Patella Syndrome
Syndromes \ Neurofibromatosis 1
Syndromes \ Neurofibromatosis 2
Syndromes \ Nieman-Pick
August 13, 2019 Page 23 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Syndromes \ Noonan Syndrome
Syndromes \ OculodentiodiGastrointestinalal Syndrome
Syndromes \ Opitz Syndrome
Syndromes \ Oromandibular Limb Hypogenesis
Syndromes \ Osteogenesis Imperfecta
Syndromes \ OTC Deficiency
Syndromes \ Otosclerosis
Syndromes \ Pallister-Hall Syndrome
Syndromes \ Pelizaeus-merzbacher-like disease
Syndromes \ Peters' anomaly (brachymesomelia)
Syndromes \ Peutz-Jeghers Syndrome
Syndromes \ Pfeiffer Syndrome
Syndromes \ Pick's Disease
Syndromes \ Pierre Robin
Syndromes \ PKU
Syndromes \ Poland Sequence Syndrome
Syndromes \ Pompe's disease
Syndromes \ Porphyria
Syndromes \ Potter's Syndrome
Syndromes \ Prader Willi
Syndromes \ Progeria
Syndromes \ Progressive Spinobulbar muscular atrophy
Syndromes \ Propionic acidemia (PROP)
August 13, 2019 Page 24 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Syndromes \ Protein C deficiency
Syndromes \ Proteus Syndrome
Syndromes \ Prune belly syndrome
Syndromes \ Pyruvate Carboxylase Deficiency
Syndromes \ Pyruvate Dehydrogenase Deficiency
Syndromes \ Renal Adysplasia
Syndromes \ Restrictive Dermopathy
Syndromes \ Retinis Pigmentosa
Syndromes \ Retinoblastoma
Syndromes \ Rubenstein-Taybi Syndrome
Syndromes \ Russell-Silver Syndrome
Syndromes \ Short rib polydactyly syndrome - type VII
Syndromes \ Short-rib-Polydactyly Syndrome
Syndromes \ Sialidosis
Syndromes \ Sickle Cell Anemia
Syndromes \ Situs Ambiguous
Syndromes \ Sjogren syndrome
Syndromes \ Smith-Lemli-Opitz
Syndromes \ Smith-Magenis Syndrome
Syndromes \ Sotos Syndrome
Syndromes \ Spinal Muscular Atrophy
Syndromes \ Stickler Syndrome
Syndromes \ Sturge-Weber Syndrome
Syndromes \ Syndrome not otherwise specified
August 13, 2019 Page 25 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
Syndromes \ TAR (thrombocytopenia-absent radius) syndrome
Syndromes \ Tay-Sachs - gm2-gangliosidosis type 1
Syndromes \ Thalassemia-alpha
Syndromes \ Thalassemia-beta
Syndromes \ Thanantrophic dysplasis
Syndromes \ Treacher Collins syndrome
Syndromes \ Tuberous Sclerosis
Syndromes \ Tumours (Sacrococcygeal Teratoma - Paragangliomata)
Syndromes \ Tyrosinemia type I (TYR I)
Syndromes \ VATER syndrome
Syndromes \ Very long-chain acyl-CoA dehydrogenase deficiency (VLCAD)
Syndromes \ Von Willibrand Disease
Syndromes \ Waardenberg Syndrome
Syndromes \ Walker-Warburg Syndrome
Syndromes \ Williams syndrome (idiopathic hypercalcaemia)
Syndromes \ Wilson Disease
Syndromes \ Wolf-hirschhorn syndrome
Syndromes \ Xeroderma Pigmentosum
Syndromes \ Zellweger (cerebro-hepato-renal) syndrome
Unknown More information is needed and/or there is no documentation to indicate whether or not any congenital anomalies are suspected or confirmed.
Fetal Anomalies Identified
D0022-1 Indication whether there were suspected or confirmed fetal anomalies
None
Suspected or Confirmed
August 13, 2019 Page 26 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
None No anomalies are suspected or confirmed.
Head-Cranium & Brain \ Absent cerebellar vermis
Head-Cranium & Brain \ Absent cerebellum
Head-Cranium & Brain \ Acrania
Head-Cranium & Brain \ Agenesis of corpus callosum (ACC)
Head-Cranium & Brain \ Anencephaly
Head-Cranium & Brain \ Aqueductal stenosis
Head-Cranium & Brain \ Arachnoid cyst(s)
Head-Cranium & Brain \ Arhinencephaly
Head-Cranium & Brain \ Arnold Chiari malformation
Head-Cranium & Brain \ Atresia of foramina of Magendie & Luschka
Head-Cranium & Brain \ Banana cerebellum
Head-Cranium & Brain \ Brachycephaly
Head-Cranium & Brain \ Brain tumor
Head-Cranium & Brain \ Calcification - intracranial
Head-Cranium & Brain \ Cavum Septi Pellucidum (CSP) absent
Head-Cranium & Brain \ Cerebellar & posterior fossa haemorrhage
Head-Cranium & Brain \ Cerebral AVM (arteriovenous malformation)
Head-Cranium & Brain \ Cloverleaf shaped head
Head-Cranium & Brain \ Congenital cerebral cysts
Head-Cranium & Brain \ Craniorachischisis
Head-Cranium & Brain \ Craniosynostosis
August 13, 2019 Page 27 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Head-Cranium & Brain \ Dandy-Walker malformation / variant (DWM)
Head-Cranium & Brain \ Dolichocephaly
Head-Cranium & Brain \ Encephalocele
Head-Cranium & Brain \ Enlarged cisterna magna
Head-Cranium & Brain \ Holoprosencephaly
Head-Cranium & Brain \ Hydranencephaly
Head-Cranium & Brain \ Hydrocephalus
Head-Cranium & Brain \ Iniencephaly
Head-Cranium & Brain \ Intracerebral haemorrhage
Head-Cranium & Brain \ Intraventricular haemorrhage (IVH)
Head-Cranium & Brain \ Lissenchephaly
Head-Cranium & Brain \ Macrocephaly
Head-Cranium & Brain \ Megalencephaly
Head-Cranium & Brain \ Microcephaly
Head-Cranium & Brain \ Plagiocephaly
Head-Cranium & Brain \ Porencephalic cyst(s)
Head-Cranium & Brain \ Posterior fossa cyst
Head-Cranium & Brain \ Prominent forehead
Head-Cranium & Brain \ Prominent occiput
Head-Cranium & Brain \ Seizures
Head-Cranium & Brain \ Septo-optic dysplasia
Head-Cranium & Brain \ Small cerebellum
Head-Cranium & Brain \ Subarachnoid haemorrhage
August 13, 2019 Page 28 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Head-Cranium & Brain \ Vein of Galen aneurysm
Head-Cranium & Brain \ Ventriculomegaly - mild (10-15 mm)
Head-Cranium & Brain \ Ventriculomegaly - severe (>15 mm)
Head-Cranium & Brain \ Other - malformations of the head & Brain
Face \ EARS-Ears - absent (anotia)
Face \ EARS-Ears - low set
Face \ EARS-Ears - small (microtia)
Face \ EYES-Anophthalmia
Face \ EYES-Congenital cataract
Face \ EYES-Cyclops
Face \ EYES-Hypertelorism
Face \ EYES-Hypotelorism
Face \ EYES-Macrophthalmia
Face \ EYES-Microphthalmia
Face \ EYES-Retinoblastoma
Face \ MOUTH-Cleft lip
Face \ MOUTH-Cleft lip & palate
Face \ MOUTH-Cleft palate
Face \ MOUTH-Flat face
Face \ MOUTH-Macroglossia
Face \ MOUTH-Micrognathia
Face \ MOUTH-Retrognathia
Face \ NOSE-Absent nose
August 13, 2019 Page 29 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Face \ NOSE-Choanal atresia
Face \ NOSE-Hypoplastic nose
Face \ NOSE-Proboscis
Face \ NOSE-Single nostril
Face \ Tumour of face
Face \ Other - malformations of the face
Neck \ Cervical teratoma
Neck \ Cystic hygroma
Neck \ Neck tumour - other
Neck \ Other - malformations of the neck
Thorax \ Agenesis of lung
Thorax \ Bronchopulmonary sequestration (BPS)
Thorax \ Chest wall deformity
Thorax \ Congenital cystic adenomatoid malformation of lung (CCAML)
Thorax \ Congenital high airway obstruction (CHAOS)
Thorax \ Diaphragmatic hernia - Congenital (CDH)
Thorax \ Echogenic lung(s)
Thorax \ Eventration of diaphragm
Thorax \ Lung cysts-other
Thorax \ Pectus carinatum
Thorax \ Pectus excavatum
Thorax \ Pleural effusion(s) (hydrothorax)
Thorax \ Pulmonary hypoplasia
August 13, 2019 Page 30 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Thorax \ Other - congenital malformations of lung
Thorax \ Other congenital malformations of diaphragm
Cardiovascular \ Aorta - pulmonary window
Cardiovascular \ Aortic arch - double
Cardiovascular \ Aortic arch - hypoplastic
Cardiovascular \ Aortic arch - interrupted
Cardiovascular \ Aortic atresia
Cardiovascular \ Aortic valve insufficiency
Cardiovascular \ Aortic valve stenosis
Cardiovascular \ Arrhythmia
Cardiovascular \ Atrial fibrillation
Cardiovascular \ Atrial septal defect (ASD)
Cardiovascular \ Atrioventricular septal defect (AVSD) (endocardial cushion defect)
Cardiovascular \ Bilateral SVC (superior venae cava)
Cardiovascular \ Bradycardia (bradyarrhythmia)
Cardiovascular \ Cardiac dysfunction
Cardiovascular \ Cardiac tumour / mass
Cardiovascular \ Cardiomegaly
Cardiovascular \ Cardiomyopathy - dilated
Cardiovascular \ Cardiomyopathy - fetus of diabetic mother
Cardiovascular \ Cardiomyopathy - hypertrophic (HOCM)
Cardiovascular \ Coarctation of aorta
Cardiovascular \ Common atrium
August 13, 2019 Page 31 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Cardiovascular \ Complete Heart Block
Cardiovascular \ Incomplete Congenital heart block (CHB)
Cardiovascular \ Congenital heart disease
Cardiovascular \ Coronary artery fistula
Cardiovascular \ Dextrocardia
Cardiovascular \ Dilated ascending aorta
Cardiovascular \ Diverticulum - LV
Cardiovascular \ Diverticulum - RV
Cardiovascular \ Double inlet ventricle (DIV)
Cardiovascular \ Double outlet ventricle (DOV)
Cardiovascular \ Ductus arteriosus - premature closure
Cardiovascular \ Ductus arteriosus aneurysm
Cardiovascular \ Ductus arteriosus - Patent (PDA)
Cardiovascular \ Ductus venosus - agenesis
Cardiovascular \ Ebstein anomaly
Cardiovascular \ Ectopia cordis
Cardiovascular \ Endocardial fibroelastosis (EFE)
Cardiovascular \ Fibroma - cardiac
Cardiovascular \ Hypoplastic left heart syndrome (HLHS)
Cardiovascular \ Hypoplastic right heart syndrome (HRHS)
Cardiovascular \ Interrupted IVC (superior vena cava)
Cardiovascular \ Left atrial isomerism (heterotaxy)
Cardiovascular \ Mitral atresia
August 13, 2019 Page 32 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Cardiovascular \ Mitral regurgitation
Cardiovascular \ Mitral stenosis
Cardiovascular \ Mitral valve dysplasia
Cardiovascular \ Partial anomalous pulmonary venous drainage (PAPVD)
Cardiovascular \ Pericardial/Paracardial cyst
Cardiovascular \ Pericardial effusion
Cardiovascular \ Persistent left SVC (superior vena cava)
Cardiovascular \ Premature atrial contractions (PAC's)
Cardiovascular \ Premature closure of atrial septum (PFO)
Cardiovascular \ Premature ventricular contractions (PVC's)
Cardiovascular \ Pulmonary (valve) atresia
Cardiovascular \ Pulmonary (valve) stenosis (PS)
Cardiovascular \ Pulmonary insufficiency
Cardiovascular \ Pulmonary valve dysplasia
Cardiovascular \ Rhabdomyoma(s) - cardiac
Cardiovascular \ Right aortic arch
Cardiovascular \ Right atrial isomerism (heterotaxy)
Cardiovascular \ Scimitar syndrome
Cardiovascular \ Shone's syndrome
Cardiovascular \ Single outlet ventricle
Cardiovascular \ Single ventricle (univentricular heart)
Cardiovascular \ Single ventricle / univentricular connection
Cardiovascular \ Situs inversus - cardiac
August 13, 2019 Page 33 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Cardiovascular \ Subaortic stenosis
Cardiovascular \ Supra ventricular tachycardia (SVT)
Cardiovascular \ Tachycardia (tachyarrhythmia)
Cardiovascular \ Tetralogy of Fallot (TOF)
Cardiovascular \ Total anomalous pulmonary venous drainage (TAPVD)
Cardiovascular \ Transposition of great arteries - congenitally corrected (CCTGA)
Cardiovascular \ Transposition of great vessels (TGA)
Cardiovascular \ Tricuspid atresia
Cardiovascular \ Tricuspid regurgitation
Cardiovascular \ Tricuspid stenosis
Cardiovascular \ Tricuspid valve dysplasia
Cardiovascular \ Truncus arteriosis
Cardiovascular \ Vascular ring
Cardiovascular \ Valvular Anomalies
Cardiovascular \ Ventricular disproportion (RV>LV)
Cardiovascular \ Ventricular septal defect (VSD)
Cardiovascular \ Ventricular tachycardia
Cardiovascular \ Other - cardiac malformations not classified elsewhere
Cardiovascular \ Other heart abnormalities
Abdominal Wall \ Bladder exstrophy
Abdominal Wall \ Body stalk anomaly (limb body wall complex)
Abdominal Wall \ Cloacal exstrophy
Abdominal Wall \ Gastroschisis
August 13, 2019 Page 34 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Abdominal Wall \ Limb body wall complex (body stalk anomaly)
Abdominal Wall \ Omphalocele (exomphalos)
Abdominal Wall \ Pentalogy of Cantrell
Abdominal Wall \ Umbilical hernia
Abdominal Wall \ Other - congenital malformations of abdominal wall
Gastrointestinal \ Abnormal Esophagus
Gastrointestinal \ Abnormal Gallbladder
Gastrointestinal \ Abnormal Large Bowel
Gastrointestinal \ Abnormal Liver
Gastrointestinal \ Abnormal Small Bowel
Gastrointestinal \ Abnormal Stomach
Gastrointestinal \ Absent gallbladder
Gastrointestinal \ Absent stomach
Gastrointestinal \ Adrenal cyst(s)
Gastrointestinal \ Ascites
Gastrointestinal \ Asplenia
Gastrointestinal \ Atresia small or large intestine
Gastrointestinal \ Biliary atresia
Gastrointestinal \ Bowel obstruction small or large intestine
Gastrointestinal \ Choledochal cyst(s)
Gastrointestinal \ Dilated gallbladder
Gastrointestinal \ Dilated stomach
Gastrointestinal \ Duodenal atresia
Gastrointestinal \ Esophageal atresia
August 13, 2019 Page 35 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Gastrointestinal \ Esophageal diverticulum
Gastrointestinal \ Hepatomegaly
Gastrointestinal \ Hirschsprung's disease
Gastrointestinal \ Hyperperistalsis
Gastrointestinal \ Imperforate anus
Gastrointestinal \ Intra-abdominal cyst(s)
Gastrointestinal \ Large bowel obstruction
Gastrointestinal \ Liver cyst(s)
Gastrointestinal \ Liver nodule
Gastrointestinal \ Meconium ileus
Gastrointestinal \ Meconium peritonitis
Gastrointestinal \ Mesenteric cyst
Gastrointestinal \ Ovarian cyst(s)
Gastrointestinal \ Pancreatic cyst(s)
Gastrointestinal \ Perinatal intestinal perforation
Gastrointestinal \ Polysplenia
Gastrointestinal \ Pyloric stenosis
Gastrointestinal \ Situs inversus - abdominal
Gastrointestinal \ Small bowel obstruction
Gastrointestinal \ Small stomach
Gastrointestinal \ Splenomegaly
Gastrointestinal \ Stenois small or large intestine
Gastrointestinal \ Tracheo-esophageal fistula (TEF)
Gastrointestinal \ Other - malformations of the gastro-intestinal tract
August 13, 2019 Page 36 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Genitourinary Tract \ Ambiguous genitalia / indeterminate sex
Genitourinary Tract \ Autosomal dominant polycystic kidney disease (ADPKD)
Genitourinary Tract \ Autosomal recessive polycystic kidney disease (ARPKD)
Genitourinary Tract \ Absent bladder
Genitourinary Tract \ Bladder diverticulum
Genitourinary Tract \ Bladder exstrophy
Genitourinary Tract \ Cloacal dysgenesis
Genitourinary Tract \ Cloacal exstrophy
Genitourinary Tract \ Cystic kidney(s) - other
Genitourinary Tract \ Duplex kidney/collecting system
Genitourinary Tract \ Echogenic kidney(s)
Genitourinary Tract \ Ectopic/pelvic kidney
Genitourinary Tract \ Hydrocoele
Genitourinary Tract \ Hydronephrosis (>10 mm)
Genitourinary Tract \ Hyperplastic & giant kidney(s)
Genitourinary Tract \ Hypoplastic kidney(s)
Genitourinary Tract \ Hypospadias
Genitourinary Tract \ Keyhole bladder/urethra
Genitourinary Tract \ Keyhole sign
Genitourinary Tract \ Lower urinary tract obstruction (LUTO)
Genitourinary Tract \ Megacystis
Genitourinary Tract \ Megaureter
Genitourinary Tract \ Multicystic kidney disease (MCKD)
August 13, 2019 Page 37 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Genitourinary Tract \ Posterior urethral valves (PUV)
Genitourinary Tract \ Prune belly
Genitourinary Tract \ Pseudohermaphroditism
Genitourinary Tract \ Renal agenesis
Genitourinary Tract \ Renal cyst
Genitourinary Tract \ Renal dysplasia
Genitourinary Tract \ Undescended testicle(s)
Genitourinary Tract \ Ureterocoele
Genitourinary Tract \ Urethral atresia
Genitourinary Tract \ Urethral obstruction malformation complex
Genitourinary Tract \ Other - malformations of female genitalia
Genitourinary Tract \ Other - malformations of male genitalia
Genitourinary Tract \ Other - malformations of urinary system
Spine - Back \ Ankylosing spondylitis
Spine - Back \ Caudal regression syndrome
Spine - Back \ NTD (neural tube defect) with hydrocephalus
Spine - Back \ NTD (neural tube defect) without hydrocephalus
Spine - Back \ Sacral agenesis
Spine - Back \ Sacrococcygeal teratoma (SCT)
Spine - Back \ Other - malformations of the spine
Extremities-skeletal \ Arms/legs-Bowed femur
Extremities-skeletal \ Arms/legs-Bowed humerus
Extremities-skeletal \ Arms/legs-Bowed radius &/or ulna
August 13, 2019 Page 38 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Extremities-skeletal \ Arms/legs-Bowed tibia &/or fibula
Extremities-skeletal \ Arms/legs-Fracture(s) - long bones
Extremities-skeletal \ Generalized/other-Akinesia deformation sequence - fetal (FADS)
Extremities-skeletal \ Generalized/other-Arthrogryposis multiplex congenita
Extremities-skeletal \ Generalized/other-Congenital malformations of spine & bony thorax
Extremities-skeletal \ Generalized/other-Fixed flexion deformity
Extremities-skeletal \ Generalized/other-Fracture(s) - ribs
Extremities-skeletal \ Generalized/other-Hip Dislocation - congenital
Extremities-skeletal \ Generalized/other-Hypomineralization
Extremities-skeletal \ Generalized/other-Limb reduction defect(s) (LRD) - lower limb
Extremities-skeletal \ Generalized/other-Limb reduction defect(s) (LRD) - upper limb
Extremities-skeletal \ Generalized/other-Malformation of sternum
Extremities-skeletal \ Generalized/other-Phocomelia
Extremities-skeletal \ Generalized/other-Sirenomelia
Extremities-skeletal \ Generalized/other-Skeletal dysplasia -other
Extremities-skeletal \ Hands/feet-Adactyly (absent fingers/ toes)
Extremities-skeletal \ Hands/feet-Brachydactyly (short fingers/toes)
Extremities-skeletal \ Hands/feet-Clenched hands (persistently)
Extremities-skeletal \ Hands/feet-Clinodactyly (fifth finger)
Extremities-skeletal \ Hands/feet-Club foot
Extremities-skeletal \ Hands/feet-Ectrodactyly (lobster-claw / cleft hand)
August 13, 2019 Page 39 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Extremities-skeletal \ Hands/feet-Fused toes
Extremities-skeletal \ Hands/feet-Overlapping fingers
Extremities-skeletal \ Hands/feet-Polydactyly (feet)
Extremities-skeletal \ Hands/feet-Polydactyly (hands)
Extremities-skeletal \ Hands/feet-Radial ray anomaly (absent thumb)
Extremities-skeletal \ Hands/feet-Rocker-bottom feet
Extremities-skeletal \ Hands/feet-Sandal gap toes
Extremities-skeletal \ Hands/feet-Syndactyly (feet)
Extremities-skeletal \ Hands/feet-Syndactyly (hands)
Extremities-skeletal \ Hands/feet-Webbed fingers
Extremities-skeletal \ Hands/feet-Webbed toes
Extremities-skeletal \ Micromelia
Extremities-skeletal \ Muscle/connective tissue disorders-Duchenne muscular dystrophy (DMD)
Extremities-skeletal \ Muscle/connective tissue disorders-Ehlers-Danlos syndrome
Extremities-skeletal \ Muscle/connective tissue disorders-Hypotonia
Extremities-skeletal \ Muscle/connective tissue disorders-Spinal muscular atrophy (SMA)
Extremities-skeletal \ Muscle/connective tissue disorders-Other - malformations of the musculoskeletal system
Extremities-skeletal \ Skeletal Dysplasias-Achondrogenesis
Extremities-skeletal \ Skeletal Dysplasias-Achondroplasia
Extremities-skeletal \ Skeletal Dysplasias-Campomelic dysplasia
Extremities-skeletal \ Skeletal Dysplasias-Chondrodysplasia punctata
August 13, 2019 Page 40 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Extremities-skeletal \ Skeletal Dysplasias-Diastrophic dysplasia
Extremities-skeletal \ Skeletal Dysplasias-Ellis-van Creveld syndrome
Extremities-skeletal \ Skeletal Dysplasias-Osteogenesis imperfecta
Extremities-skeletal \ Skeletal Dysplasias-Short rib polydactyly syndrome - type VII
Extremities-skeletal \ Skeletal Dysplasias-Thanatophoric dysplasia
Structural-other \ Amniotic Bands
Structural-other \ Hydrops Fetalis
Structural-other \ Other - malformations not classified elsewhere
Chromosomes \ 45,X (Turner syndrome)
Chromosomes \ 47,XXX
Chromosomes \ 47,XXY (Klinefelter syndrome)
Chromosomes \ 47,XYY
Chromosomes \ Array CGH abnormal or other
Chromosomes \ Balanced translocation
Chromosomes \ Deletion - other
Chromosomes \ Di George Syndrome (22 q11 deletion)
Chromosomes \ Microdeletion syndrome - other
Chromosomes \ Mosaicism
Chromosomes \ Paracentric inversion
Chromosomes \ Pericentric inversion
Chromosomes \ Triploidy /polploidy
Chromosomes \ Trisomy - other
Chromosomes \ Trisomy 13
August 13, 2019 Page 41 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Chromosomes \ Trisomy 18
Chromosomes \ Trisomy 21 (Down syndrome)
Chromosomes \ Trisomy 21 (Down syndrome) - mosaic
Chromosomes \ Trisomy 21 (Down syndrome) - translocation
Chromosomes \ Unbalanced translocation
Chromosomes \ Other
Congenital Infections \ CMV (cytomegalovirus) infection - congenital
Congenital Infections \ Enterovirus infections
Congenital Infections \ Herpes simplex virus (HSV) infection - congenital
Congenital Infections \ HIV
Congenital Infections \ Rubella syndrome - congenital
Congenital Infections \ Toxoplasmosis
Congenital Infections \ Tuberculosis (TB) - congenital
Congenital Infections \ Varicella-zoster virus
Congenital Infections \ Other - infections
Teratogenic Exposures \ Diabetic Embryopathy
Teratogenic Exposures \ Etretinate embryopathy
Teratogenic Exposures \ Fetal alcohol syndrome
Teratogenic Exposures \ Fetal aminopterin/methotrexate syndrome
Teratogenic Exposures \ Fetal hydantoin syndrome
Teratogenic Exposures \ Fetal valproate syndrome
Teratogenic Exposures \ Isotretinoin teratogen syndrome
August 13, 2019 Page 42 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Teratogenic Exposures \ Maternal Phenylketonuria
Teratogenic Exposures \ Retinoic acid embryopathy
Teratogenic Exposures \ Rhesus Disease
Teratogenic Exposures \ Thalidomide embryopathy
Teratogenic Exposures \ Toluene embryopathy
Teratogenic Exposures \ Vitamin A teratogenicity
Teratogenic Exposures \ Warfarin dysmorphism
Teratogenic Exposures \ Other -teratogenic embryopathy
Teratogenic Exposures \ Other-antiepileptic embryopathy
Twins \ Acardiac twin
Twins \ Conjoined twins
Twins \ Dichorionic (DC) twins
Twins \ Discordant DC twin growth
Twins \ Discordant MC twin growth
Twins \ Discordant twin anomaly
Twins \ Mono-amniotic (MA) twins
Twins \ Monochorionic diamniotic (MC/DA) twins
Twins \ Twin-twin transfusion syndrome (TTTS)
Twins \ Other - malformations of twins
Syndromes \ Aarskogs Syndrome
Syndromes \ Achondrogenesis
Syndromes \ Achondroplasia
Syndromes \ Acroesomelic Dysplasia
August 13, 2019 Page 43 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Syndromes \ Acrofacial Dysostosis
Syndromes \ Adrenal Hyperplasia
Syndromes \ Alpha-1-Antitrypsin
Syndromes \ Alports Syndrome
Syndromes \ Amyloplasia Congenita
Syndromes \ Angelmans Syndrome
Syndromes \ Anophthalmia
Syndromes \ Aqueductal stenosis - X linked (L1 syndrome)
Syndromes \ Arthrogryposis Multiplex Congenitia
Syndromes \ Ataxia-telangiectasis
Syndromes \ Autosomal dominant polycystic kidney disease
Syndromes \ Autosomal Recessive Polycystic Kidney Disease
Syndromes \ Beckwith-Wiedemann
Syndromes \ Biotinidase deficiency (BIOT)
Syndromes \ CADASIL
Syndromes \ Congenital Adrenal Hyperplasia (CAH)
Syndromes \ Camptomelic dysplaia
Syndromes \ Carnitine uptake defect (CUD)
Syndromes \ Caudal regression syndrome
Syndromes \ Cerebral Palsy
Syndromes \ Charcot-Marie-Tooth
Syndromes \ CHARGE association
Syndromes \ Chronrodysplasia Punctata
August 13, 2019 Page 44 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Syndromes \ Cleidocranial Dysplasia
Syndromes \ Coffin-Lowry syndrome
Syndromes \ Congenital hypothyroidism (HYPOTH)
Syndromes \ Congenital Myotonic Dystrophy
Syndromes \ Congenital Nephrotic Syndrome
Syndromes \ Cornelia Delange
Syndromes \ CPS (Carbamyl Phosphate Deficiency)
Syndromes \ Craniosynotsis Saethre-Crouzon
Syndromes \ Cri-du-Chat Syndrome
Syndromes \ Crouzon's syndrome
Syndromes \ Cryptophthalmus
Syndromes \ Cystic Fibrosis
Syndromes \ Dandy-walker syndrome
Syndromes \ Dextrocardia
Syndromes \ Diastrophic dysplasia
Syndromes \ Digeorge Syndrome
Syndromes \ Dysautonomia - familial
Syndromes \ Ectodermal Dysplasia
Syndromes \ Ehlers-Danlos syndrome
Syndromes \ Ellis Van Creveld Syndrome
Syndromes \ Epidermolysis Bullosa
Syndromes \ F-HYPDRR Familial hypophosphatemia
Syndromes \ Fabry's Disease
August 13, 2019 Page 45 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Syndromes \ Factor V
Syndromes \ Fanconi Anemia
Syndromes \ Fragile X Syndrome
Syndromes \ Fraser Syndrome - cryptophthalmos syndrome
Syndromes \ Freeman-Sheldon Syndrome
Syndromes \ Friederichs Ataxia
Syndromes \ Frontonasal dysplasia
Syndromes \ FSHD (Fascioscapulohumeral Muscular Dystrophy)
Syndromes \ Galactosemia (GALT)
Syndromes \ Gaucher
Syndromes \ Gilbert's disease
Syndromes \ Glucose-6-phosphate dehydrogenase (G6PD)
Syndromes \ Glutaric acidemia type I (GA I)
Syndromes \ Goldenhar Syndrome
Syndromes \ Gorlin Syndrome
Syndromes \ GSD (Glycogen Storage Disease)
Syndromes \ Hard +/- e syndrome
Syndromes \ Harlequin Icthyosis
Syndromes \ Hemi-hypertrophy
Syndromes \ Hemophilia A/ B
Syndromes \ Hereditary nephritis
Syndromes \ Hereditary Hemorrhagic Telangiectasia (HHT)
Syndromes \ Hereditary Multiple Exostoses (HME)
August 13, 2019 Page 46 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Syndromes \ Holt-Oram
Syndromes \ Homocystinosis
Syndromes \ Homocystinuria (HCY)
Syndromes \ Hunter Syndrome
Syndromes \ Hurlers Syndrome
Syndromes \ Hydrochephalus X-Linked
Syndromes \ Hydrolethalus
Syndromes \ Hypochondroplasia
Syndromes \ Hypoglycemia
Syndromes \ Hypophosphatasia
Syndromes \ Ichthyosis (non X-linked)
Syndromes \ Ichthyosis X-linked (STS deficiency)
Syndromes \ Idiopathic hypoparathyroidism
Syndromes \ Incontinentia Pigmenti
Syndromes \ Isovaleric academia (IVA)
Syndromes \ Ivemark Syndrome
Syndromes \ Jourbert Syndrome
Syndromes \ Klippel-Trenaunay Syndrome
Syndromes \ Krabbe
Syndromes \ Larsen Syndrome
Syndromes \ LCHAD
Syndromes \ Leigh's Syndrome
Syndromes \ Lesch Nyhan
Syndromes \ Limb-Girdle Muscular Dystrophy
August 13, 2019 Page 47 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Syndromes \ Long Q-T Syndrome
Syndromes \ Lysosmal Storage Disease (IEM)
Syndromes \ Machado-Joseph Disease
Syndromes \ Maple syrup urine disease (MSUD)
Syndromes \ Marfan syndrome
Syndromes \ McKusick-Koffman Syndrome
Syndromes \ Meckel-Gruber syndrome
Syndromes \ Medium chain acyl-CoA dehydrogenase deficiency (MCAD)
Syndromes \ MELAS
Syndromes \ Menkes
Syndromes \ MERFF
Syndromes \ Metachromatic Leukodystrophy
Syndromes \ Methylenetetrahydrofolate Reductase Deficiency
Syndromes \ Methylmalonic Acidemia
Syndromes \ Methylmalonic acidemia (Cbl A and B)
Syndromes \ Methylmalonic acidemia (mutase deficiency) (MUT)
Syndromes \ Miller-Dieker Syndrome
Syndromes \ Morquio Syndrome
Syndromes \ MPS (Mucopolysaccharidosis)
Syndromes \ Multiple carboxylase deficiency (MCD)
Syndromes \ Multiple Congenital Anomalies (Unknown Origin)
Syndromes \ Multiple pterygium syndrome
Syndromes \ Myotonic Dystrophy
August 13, 2019 Page 48 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Syndromes \ Nail-Patella Syndrome
Syndromes \ Neurofibromatosis 1
Syndromes \ Neurofibromatosis 2
Syndromes \ Nieman-Pick
Syndromes \ Noonan Syndrome
Syndromes \ OculodentiodiGastrointestinalal Syndrome
Syndromes \ Opitz Syndrome
Syndromes \ Oromandibular Limb Hypogenesis
Syndromes \ Osteogenesis Imperfecta
Syndromes \ OTC Deficiency
Syndromes \ Otosclerosis
Syndromes \ Pallister-Hall Syndrome
Syndromes \ Pelizaeus-merzbacher-like disease
Syndromes \ Peters' anomaly (brachymesomelia)
Syndromes \ Peutz-Jeghers Syndrome
Syndromes \ Pfeiffer Syndrome
Syndromes \ Pick's Disease
Syndromes \ Pierre Robin
Syndromes \ PKU
Syndromes \ Poland Sequence Syndrome
Syndromes \ Pompe's disease
Syndromes \ Porphyria
Syndromes \ Potter's Syndrome
Syndromes \ Prader Willi
August 13, 2019 Page 49 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Syndromes \ Progeria
Syndromes \ Progressive Spinobulbar muscular atrophy
Syndromes \ Propionic acidemia (PROP)
Syndromes \ Protein C deficiency
Syndromes \ Proteus Syndrome
Syndromes \ Prune belly syndrome
Syndromes \ Pyruvate Carboxylase Deficiency
Syndromes \ Pyruvate Dehydrogenase Deficiency
Syndromes \ Renal Adysplasia
Syndromes \ Restrictive Dermopathy
Syndromes \ Retinis Pigmentosa
Syndromes \ Retinoblastoma
Syndromes \ Rubenstein-Taybi Syndrome
Syndromes \ Russell-Silver Syndrome
Syndromes \ Short rib polydactyly syndrome - type VII
Syndromes \ Short-rib-Polydactyly Syndrome
Syndromes \ Sialidosis
Syndromes \ Sickle Cell Anemia
Syndromes \ Situs Ambiguous
Syndromes \ Sjogren syndrome
Syndromes \ Smith-Lemli-Opitz
Syndromes \ Smith-Magenis Syndrome
Syndromes \ Sotos Syndrome
August 13, 2019 Page 50 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Syndromes \ Spinal Muscular Atrophy
Syndromes \ Stickler Syndrome
Syndromes \ Sturge-Weber Syndrome
Syndromes \ Syndrome not otherwise specified
Syndromes \ TAR (thrombocytopenia-absent radius) syndrome
Syndromes \ Tay-Sachs - gm2-gangliosidosis type 1
Syndromes \ Thalassemia-alpha
Syndromes \ Thalassemia-beta
Syndromes \ Thanantrophic dysplasis
Syndromes \ Treacher Collins syndrome
Syndromes \ Tuberous Sclerosis
Syndromes \ Tumours (Sacrococcygeal Teratoma - Paragangliomata)
Syndromes \ Tyrosinemia type I (TYR I)
Syndromes \ VATER syndrome
Syndromes \ Very long-chain acyl-CoA dehydrogenase deficiency (VLCAD)
Syndromes \ Von Willibrand Disease
Syndromes \ Waardenberg Syndrome
Syndromes \ Walker-Warburg Syndrome
Syndromes \ Williams syndrome (idiopathic hypercalcaemia)
Syndromes \ Wilson Disease
Syndromes \ Wolf-hirschhorn syndrome
Syndromes \ Xeroderma Pigmentosum
Syndromes \ Zellweger (cerebro-hepato-renal) syndrome
August 13, 2019 Page 51 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Suspected
D0022 Identifies congenital anomalies that were suspected prenatally
Unknown More information is needed and/or there is no documentation to indicate whether or not any congenital anomalies are suspected or confirmed.
Fetal Demise PSOF1565
Fetus ID PS0011 Fetal ID of a multiple pregnancy Fetus A
Fetus B
Fetus C
Fetus D
Fetus E
Fetus F
Fetus G
Fetus H
Fetus I
Fetus J
Generic Comment D0021 Hospital specific comment
Multiple Marker Screening Flag
PSOFMMSF Indicates the maternal patient had a prenatal screening
NIPT Attempts Was More Than One Flag
PSOFNIPTAF Indicates if more than one attempt was made to achieve a result
NIPT Chromosome Analysed - Other
PSOFNIPTCO Other Chromosome analysed during Non-Invasive Prenatal Testing (NIPT)
NIPT Chromosome Test Failure Reason
PSOFNIPTCFR Reason for failure of chromosome test during Non-Invasive Prenatal Testing (NIPT)
Technical
Biological
NIPT Chromosome Test Success Flag
PSOFNIPTTF Indicates if the chromosome test was successful for Non-Invasive Prenatal Testing (NIPT)
NIPT Chromosomes Analysed
PSOFNIPTC Chromosome(s) analysed during Non-Invasive Prenatal Testing (NIPT)
Chromosome 21
August 13, 2019 Page 52 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
NIPT Chromosomes Analysed
PSOFNIPTC Chromosome(s) analysed during Non-Invasive Prenatal Testing (NIPT)
Chromosome 18
Chromosome 13
Y chromosome
X chromosome
Other, specify
NIPT Date Reported PSOFNIPTDR Report date for Non-Invasive Prenatal Testing (NIPT)
NIPT Failure Reason PSOFNIPTFR Reason for Non-Invasive Prenatal Testing (NIPT) failure Low fetal fraction
Other, specify
NIPT Failure Reason - Other
PSOFNIPTFRO Other reason for the failure of the Non-Invasive Prenatal Testing (NIPT)
NIPT Flag PSOFNIPTF Indicates that the patient had Non-Invasive Prenatal Testing
NIPT Indication - Other PSOFNIPTIO Other Indication for Non-Invasive Prenatal Testing (NIPT)
NIPT Indications PSOFNIPTI Indications for Non-Invasive Prenatal Testing (NIPT) Positive prenatal screen
40 and over
Previous pregnancy with aneuploidy
Ultrasound findings
Low risk
Other, specify
NIPT Laboratory PSOFNIPTL Laboratory who performed the Non-Invasive Prenatal Testing (NIPT)
Dynacare (Harmony)
LifeLabs (Panorama)
Illumina (Verifi)
Other, specify
August 13, 2019 Page 53 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
NIPT Laboratory - Other PSOFNIPTLO Other laboratory who performed the Non-Invasive Prenatal Testing (NIPT)
NIPT Number of Unsuccessful Attempts
PSOFNIPTUA Number of unsuccessful attempts in NIPT testing
NIPT Offered Initial Screen Flag
PSOFNIPTISF Indicates if NIPT was offered as an initial screen (patient did not have prenatal marker screening)
NIPT Risk Comment PSOFNIPTRC Risk comment provided for chromosome test during Non-Invasive Prenatal Testing (NIPT)
Low / Negative / Aneuploidy not detected
High / Positive / Aneuploidy detected
Indeterminate / Borderline / Aneuploidy suspected
Other, specify
NIPT Risk Comment - Other
PSOFNIPTRCO Other risk comment provided for chromosome test during Non-Invasive Prenatal Testing (NIPT)
NIPT Risk Percent PSOFNIPTRP Risk % provided for chromosome test during Non-Invasive Prenatal Testing (NIPT)
0.01
0.1
10
99
99.9
Other, specify
NIPT Risk Percent - Other
PSOFNIPTRPO Other risk % provided for chromosome test during Non-Invasive Prenatal Testing (NIPT)
NIPT Specimen Num PSOFNIPTSPEC NIPT Specimen Num
NIPT Success Flag PSOFNIPTSF Indicates if NIPT was successful
NT Measured Only Flag PSOFNTONLY Indicates that the patient had only NT measured with NO prenatal screening report generated
Number of Fetuses FAN0007 Number of fetuses in the current pregnancy. For Prenatal Screening Follow Up encounters, this field refers to the number of fetuses that the prenatal screening result was based on.
1
August 13, 2019 Page 54 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Number of Fetuses FAN0007 Number of fetuses in the current pregnancy. For Prenatal Screening Follow Up encounters, this field refers to the number of fetuses that the prenatal screening result was based on.
2
3
4
5
6
7
8
Unknown
Pregnancy Outcome F0053 Indicates the actual outcome of this pregnancy, including live births, stillbirths, terminations and losses. BORN encourages all hospitals to complete a Birth Mother encounter for all pregnancy losses that occur in your unit.
Live birth A live birth is defined by the Vital Statistics Act as: “…the complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of the pregnancy, which, after such separation, breathes or shows any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached.” (Statistics Canada)
Stillbirth at >=20wks or >=500gms
Stillbirth at >=20wks or >=500gms \ Spontaneous - Occurred during antepartum period
Stillbirth is defined as the complete expulsion or extraction from its mother of a product of conception either after the 20th week of pregnancy or after the product of conception has attained the weight of 500 grams or more, and where after such expulsion or extraction there is no breathing, beating of the heart, pulsation of the umbilical cord or movement of voluntary muscle (Vital Statistics Act, Ontario).
Stillbirth at >=20wks or >=500gms \ Spontaneous - Occurred during intrapartum period
Stillbirth is defined as the complete expulsion or extraction from its mother of a product of conception either after the 20th week of pregnancy or after the product of conception has attained the weight of 500 grams or more, and where after such expulsion or extraction there is no breathing, beating of the heart, pulsation of the umbilical cord or movement of voluntary muscle (Vital Statistics Act, Ontario).
August 13, 2019 Page 55 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Pregnancy Outcome F0053 Indicates the actual outcome of this pregnancy, including live births, stillbirths, terminations and losses. BORN encourages all hospitals to complete a Birth Mother encounter for all pregnancy losses that occur in your unit.
Stillbirth at >=20wks or >=500gms \ Termination
Stillbirth is defined as the complete expulsion or extraction from its mother of a product of conception either after the 20th week of pregnancy or after the product of conception has attained the weight of 500 grams or more, and where after such expulsion or extraction there is no breathing, beating of the heart, pulsation of the umbilical cord or movement of voluntary muscle (Vital Statistics Act, Ontario).
Pregnancy Loss <20 weeks and <500 gms
Pregnancy Loss <20 weeks and <500 gms \ Spontaneous Miscarriage
Select Pregnancy Loss <20 weeks only if weight is <500 gms.
Pregnancy Loss <20 weeks and <500 gms \ Termination
Select Pregnancy Loss <20 weeks only if weight is <500 gms.
Pregnancy Continued
Prenatal Diagnosis Test Category
PSDP003 The category(-ies) of prenatal diagnostic testing offered. Unknown
Prenatal Diagnosis Test Failure Reason
PSDP007 The explanation as to why the prenatal diagnostic procedure and / or analysis failed, entered as free text.
Prenatal Diagnosis Test FISH Result
PSDP011 The specific results of the FISH prenatal diagnostic test Down syndrome
Trisomy 18
Trisomy 13
45, X (Turner syndrome)
45, X, mosaic
47, XXX
47, XXY (Klinefelter syndrome)
47, XYY
22q11.2 deletion / DiGeorge syndrome 1, velocardiofacial 1
4p16.3 deletion / Wolf Hirschhorn
5p15.2 deletion / Cri du Chat
17p11.2 deletion / Smith Magenis syndrome
7q11.23 deletion / Williams syndrome
August 13, 2019 Page 56 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Prenatal Diagnosis Test FISH Result
PSDP011 The specific results of the FISH prenatal diagnostic test 16p13.3 / Rubinstein-Taybi
1p36 deletion syndrome
17p13.3 deletion / Miller-Dieker syndrome
15q11-13 deletion / Prader Willi / Angelman syndromes
8q23.2-q24.1 deletion / Langer-Giedion syndrome
11p13 deletion / WAGR
20p12 deletion / Alagille syndrome
Xp22.31 deletion / X-linked ichthyosis
10p13-p14 deletion / velocardiofacial 2
1q21 deletion / thrombocytopenia absent radius
11p15.5 deletion / Beckwith-Wiedemann syndrome
22q11.21 deletion / Cat-eye syndrome
8q12.2 deletion or duplication / CHARGE syndrome
Duplication 7q11.23
Xq28 duplication / MECP2 duplication MR syndrome
22q11.2 duplication
1q21.1 duplication
3q29 duplication
7q11.23 duplication
15q11-13 duplication
15q13.2-13.3 duplication
16p13.11 duplication
17p11.2 duplication
August 13, 2019 Page 57 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Prenatal Diagnosis Test FISH Result
PSDP011 The specific results of the FISH prenatal diagnostic test 17q21.31 duplication
Other, specify:
Unknown
Prenatal Diagnosis Test is Successful Flag
PSDP006 An indication as to whether the prenatal diagnostic procedure and / or analysis was successful.
Prenatal Diagnosis Test Name
PSDP004 The name of the specific test that was performed as selected from the defined pick list.
ACHE-acetycholinesterase
AF-AFP
Ashkenazi Jewish Screening Panel
Bleeding disorders, other
CMV (cytomegalovirus)
Connective Tissue disorders
Cystic Fibrosis
Embryoscopy
Entero Viruses
Fetoscopy
FISH
Fragile X
Hemoglobinopathy
Hemophilia
Herpes Simplex Virus (HSV)
HIV
Human Parvo Virus
Karyotype
Microarray
August 13, 2019 Page 58 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Prenatal Diagnosis Test Name
PSDP004 The name of the specific test that was performed as selected from the defined pick list.
Muscle
Myotonic dystrophy
Neuromuscular disorders
QF-PCR
Rubella
Skeletal disorder
Syphilis
Tay Sachs only
Toxoplasmosis
Varicella-Zoster Virus
Other, specify:
Unknown
Prenatal Diagnosis Test Name Other
PSDP005 The name of the specific test that was performed, entered as free text or selected from the FISH probe pick list if FISH was performed.
Prenatal Diagnosis Test Result Other Value
PSDP010 The specific results of the prenatal diagnostic test as selected from the pick list or entered in free text
Prenatal Diagnosis Test Results
PSDP008 The results of the prenatal diagnostic test as selected from the defined pick list.
Abnormal
Abnormal, specify:
Affected, specify
Affected, specify disease and mutations
Affected, specify gene and mutations
Affected, specify mutations
Affected, specify repeat size
Not affected, specify repeat size
August 13, 2019 Page 59 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Prenatal Diagnosis Test Results
PSDP008 The results of the prenatal diagnostic test as selected from the defined pick list.
Carrier, specify disease and mutation
Carrier, specify gene and mutation
Carrier, specify mutation
Carrier, specify repeat size
Detected
No mutations detected
No mutations detected, specify gene(s):
Normal
Normal female
Normal male
Not detected
Diploid for autosomes / sex chromosomes uninterpretable
Unknown
Prenatal Diagnosis Test Results Disease
PSDP008DES The result of the prenatal diagnostic test in general terms 5-44
Free text
5-34
35-49
Alpha
45-54
55-59
Beta
50-149
Both
August 13, 2019 Page 60 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Prenatal Diagnosis Test Results Disease
PSDP008DES The result of the prenatal diagnostic test in general terms 60-69
150-1000
>2000
70-79
List of: Alpha/Beta/Both
Factor IX
80-89
90-99
Factor VIII
45, X (Turner syndrome)
100-109
110-119
45, X, mosaic
46, XX (normal)
120-129
130-139
46, XY (normal)
47, XX, +13 (trisomy 13)
140-200
47, XX, +16 (trisomy 16)
>200
47, XX, +18 (trisomy 18)
47, XX, +21 (trisomy 21 or Down syndrome)
47, XX, +9 (trisomy 9)
August 13, 2019 Page 61 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Prenatal Diagnosis Test Results Disease
PSDP008DES The result of the prenatal diagnostic test in general terms 47, XXX
47, XXY (Klinefelter syndrome)
47, XY, +13 (trisomy 13)
47, XY, +16 (trisomy 16)
47, XY, +18 (trisomy 18)
47, XY, +21 (trisomy 21 or Down syndrome)
47, XY, +9 (trisomy 9)
47, XYY
Deletion
Down syndrome, mosaic
Down syndrome, other
Down syndrome, translocation
Duplication
Marker chromosome
Mosaicism, confined placental, specify:
Mosaicism, specify:
Paracentric inversion, balanced
Paracentric inversion, unbalanced
Partial trisomy
Pericentric inversion, balanced
Pericentric inversion, unbalanced
Reciprocal translocation, balanced
Reciprocal translocation, unbalanced
Ring chromosome
August 13, 2019 Page 62 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Prenatal Diagnosis Test Results Disease
PSDP008DES The result of the prenatal diagnostic test in general terms Robertsonian translocation, balanced
Robertsonian translocation, unbalanced
Triploidy (69, XXX)
Triploidy (69, XXY)
Triploidy (69, XYY)
Trisomy 13, mosaic
Trisomy 13, other
Trisomy 13, translocation
Trisomy 16, mosaic
Trisomy 18, mosaic
Trisomy 18, other
Trisomy 18, translocation
12540
Bloom syndrome (RecQ DNA helicase), 2281del6/ins7
Bloom syndrome (RecQ DNA helicase), other
Canavan disease (aspartoacylase), 433(-2)A>G
Canavan disease (aspartoacylase), A305E
Canavan disease (aspartoacylase), E285A
Canavan disease (aspartoacylase), other
Canavan disease (aspartoacylase), Y231X
Familial dysautonomia (IKBKAP), IVS20(+6)T>C
Familial dysautonomia (IKBKAP), other
Familial dysautonomia (IKBKAP), R696P
Fanconi anemia C (FANCC), 322delG
August 13, 2019 Page 63 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Prenatal Diagnosis Test Results Disease
PSDP008DES The result of the prenatal diagnostic test in general terms Fanconi anemia C (FANCC), IVS4(+4)A>T
Fanconi anemia C (FANCC), other
Mucolipidosis IV (MCOLN1), IVS3(-2)A>G
Mucolipidosis IV (MCOLN1), other
Mucolipidosis IV (MCOLN1), Δ 6.4kb
Niemann Pick type A and B (SMPD1), 1bp delfsP330
Niemann Pick type A and B (SMPD1), L302P
Niemann Pick type A and B (SMPD1), other
Niemann Pick type A and B (SMPD1), R496L
Niemann Pick type A and B (SMPD1), Δ R608
Tay-Sachs disease (hexosaminidase A), 1278insTATC
Tay-Sachs disease (hexosaminidase A), G269S
Tay-Sachs disease (hexosaminidase A), IVS12(+1)G>C
Tay-Sachs disease (hexosaminidase A), other
DF508
16193
47, XXY
Trisomy 21 (Down syndrome)
Trisomy 18 (Edward syndrome)
Trisomy 13 (Patau syndrome)
X (Turner syndrome)
XXY (Klinefelter syndrome)
XYY
August 13, 2019 Page 64 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Prenatal Diagnosis Test Results Disease
PSDP008DES The result of the prenatal diagnostic test in general terms XXX
Triploidy
Mosaic, sex chromosomes
Mosaic, autosomes
Uninterpretable
1278insTATC
G269S
IVS12(+1)G>C
Other, specify:
Unknown
Prenatal Diagnostic Procedure Date
PSDP001DT Prenatal Diagnostic Procedure Date
Prenatal Diagnostic Procedure Offered
PSDP001OF Accepted
Declined
Not offered
Unknown
Prenatal Diagnostic Procedure Organization
PSDP001ORG Prenatal Diagnostic Procedure Organization
Prenatal Screening - First Appt Date
PSOFAPPT Date of first appointment for prenatal screening
PS Final Diagnosis Confirmed by
MMMSCNAN002 The way by which fetal or newborn congenital anomalies were diagnosed as recorded and stored in the prenatal screening follow up encounter
Autopsy
DNA testing
Physical examination
Chromosome analysis
August 13, 2019 Page 65 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS Final Diagnosis Confirmed by
MMMSCNAN002 The way by which fetal or newborn congenital anomalies were diagnosed as recorded and stored in the prenatal screening follow up encounter
Chromosome analysis – blood
Chromosome analysis – products of conception
Chromosome analysis – biopsy
Chromosome analysis - autopsy
Chromosome analysis - unknown
TORCH
Diagnostic imaging (Xray, CT, MRI)
Biopsy
Not confirmed
Antenatal U/S Only
CGH micro array
QF-PCR (prenatal)
Other
PS Follow-Up Child OHIP MMMSFCHLDOHIP Newborn Ontario Health Insurance Plan (OHIP) Number without version code as recorded and stored in the PS follow up encounter.
PS Follow-Up Child Order Number
MMMSFCHLDNUM An indication of whether information is being collected on Child 1, Child 2, etc in the PS Follow Up encounter
PS Lab Name ORGLAB Name of the prenatal screening laboratory
PS Neonatal Death MMMSCNAN003 Indicates whether the infant died at less than 28 days of age as recorded and stored in the PS follow up encounter
No
Yes
Yes-With Termination of Pregnancy
PS newborn final diagnosis
MMMSCNAN001 None No anomalies are suspected or confirmed.
Head-Cranium & Brain \ Absent cerebellar vermis
August 13, 2019 Page 66 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Head-Cranium & Brain \ Absent cerebellum
Head-Cranium & Brain \ Acrania
Head-Cranium & Brain \ Agenesis of corpus callosum (ACC)
Head-Cranium & Brain \ Anencephaly
Head-Cranium & Brain \ Aqueductal stenosis
Head-Cranium & Brain \ Arachnoid cyst(s)
Head-Cranium & Brain \ Arhinencephaly
Head-Cranium & Brain \ Arnold Chiari malformation
Head-Cranium & Brain \ Atresia of foramina of Magendie & Luschka
Head-Cranium & Brain \ Banana cerebellum
Head-Cranium & Brain \ Brachycephaly
Head-Cranium & Brain \ Brain tumor
Head-Cranium & Brain \ Calcification - intracranial
Head-Cranium & Brain \ Cavum Septi Pellucidum (CSP) absent
Head-Cranium & Brain \ Cerebellar & posterior fossa haemorrhage
Head-Cranium & Brain \ Cerebral AVM (arteriovenous malformation)
Head-Cranium & Brain \ Cloverleaf shaped head
Head-Cranium & Brain \ Congenital cerebral cysts
Head-Cranium & Brain \ Craniorachischisis
Head-Cranium & Brain \ Craniosynostosis
Head-Cranium & Brain \ Dandy-Walker malformation / variant (DWM)
Head-Cranium & Brain \ Dolichocephaly
Head-Cranium & Brain \ Encephalocele
August 13, 2019 Page 67 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Head-Cranium & Brain \ Enlarged cisterna magna
Head-Cranium & Brain \ Holoprosencephaly
Head-Cranium & Brain \ Hydranencephaly
Head-Cranium & Brain \ Hydrocephalus
Head-Cranium & Brain \ Iniencephaly
Head-Cranium & Brain \ Intracerebral haemorrhage
Head-Cranium & Brain \ Intraventricular haemorrhage (IVH)
Head-Cranium & Brain \ Lissenchephaly
Head-Cranium & Brain \ Macrocephaly
Head-Cranium & Brain \ Megalencephaly
Head-Cranium & Brain \ Microcephaly
Head-Cranium & Brain \ Plagiocephaly
Head-Cranium & Brain \ Porencephalic cyst(s)
Head-Cranium & Brain \ Posterior fossa cyst
Head-Cranium & Brain \ Prominent forehead
Head-Cranium & Brain \ Prominent occiput
Head-Cranium & Brain \ Seizures
Head-Cranium & Brain \ Septo-optic dysplasia
Head-Cranium & Brain \ Small cerebellum
Head-Cranium & Brain \ Subarachnoid haemorrhage
Head-Cranium & Brain \ Vein of Galen aneurysm
Head-Cranium & Brain \ Ventriculomegaly - mild (10-15 mm)
Head-Cranium & Brain \ Ventriculomegaly - severe (>15 mm)
August 13, 2019 Page 68 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Head-Cranium & Brain \ Other - malformations of the head & Brain
Face \ EARS-Ears - absent (anotia)
Face \ EARS-Ears - low set
Face \ EARS-Ears - small (microtia)
Face \ EYES-Anophthalmia
Face \ EYES-Congenital cataract
Face \ EYES-Cyclops
Face \ EYES-Hypertelorism
Face \ EYES-Hypotelorism
Face \ EYES-Macrophthalmia
Face \ EYES-Microphthalmia
Face \ EYES-Retinoblastoma
Face \ MOUTH-Cleft lip
Face \ MOUTH-Cleft lip & palate
Face \ MOUTH-Cleft palate
Face \ MOUTH-Flat face
Face \ MOUTH-Macroglossia
Face \ MOUTH-Micrognathia
Face \ MOUTH-Retrognathia
Face \ NOSE-Absent nose
Face \ NOSE-Choanal atresia
Face \ NOSE-Hypoplastic nose
Face \ NOSE-Proboscis
Face \ NOSE-Single nostril
August 13, 2019 Page 69 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Face \ Tumour of face
Face \ Other - malformations of the face
Neck \ Cervical teratoma
Neck \ Cystic hygroma
Neck \ Neck tumour - other
Neck \ Other - malformations of the neck
Thorax \ Agenesis of lung
Thorax \ Bronchopulmonary sequestration (BPS)
Thorax \ Chest wall deformity
Thorax \ Congenital cystic adenomatoid malformation of lung (CCAML)
Thorax \ Congenital high airway obstruction (CHAOS)
Thorax \ Diaphragmatic hernia - Congenital (CDH)
Thorax \ Echogenic lung(s)
Thorax \ Eventration of diaphragm
Thorax \ Lung cysts-other
Thorax \ Pectus carinatum
Thorax \ Pectus excavatum
Thorax \ Pleural effusion(s) (hydrothorax)
Thorax \ Pulmonary hypoplasia
Thorax \ Other - congenital malformations of lung
Thorax \ Other congenital malformations of diaphragm
Cardiovascular \ Aorta - pulmonary window
Cardiovascular \ Aortic arch - double
August 13, 2019 Page 70 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Cardiovascular \ Aortic arch - hypoplastic
Cardiovascular \ Aortic arch - interrupted
Cardiovascular \ Aortic atresia
Cardiovascular \ Aortic valve insufficiency
Cardiovascular \ Aortic valve stenosis
Cardiovascular \ Arrhythmia
Cardiovascular \ Atrial fibrillation
Cardiovascular \ Atrial septal defect (ASD)
Cardiovascular \ Atrioventricular septal defect (AVSD) (endocardial cushion defect)
Cardiovascular \ Bilateral SVC (superior venae cava)
Cardiovascular \ Bradycardia (bradyarrhythmia)
Cardiovascular \ Cardiac dysfunction
Cardiovascular \ Cardiac tumour / mass
Cardiovascular \ Cardiomegaly
Cardiovascular \ Cardiomyopathy - dilated
Cardiovascular \ Cardiomyopathy - fetus of diabetic mother
Cardiovascular \ Cardiomyopathy - hypertrophic (HOCM)
Cardiovascular \ Coarctation of aorta
Cardiovascular \ Common atrium
Cardiovascular \ Complete Heart Block
Cardiovascular \ Incomplete Congenital heart block (CHB)
Cardiovascular \ Congenital heart disease
Cardiovascular \ Coronary artery fistula
August 13, 2019 Page 71 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Cardiovascular \ Dextrocardia
Cardiovascular \ Dilated ascending aorta
Cardiovascular \ Diverticulum - LV
Cardiovascular \ Diverticulum - RV
Cardiovascular \ Double inlet ventricle (DIV)
Cardiovascular \ Double outlet ventricle (DOV)
Cardiovascular \ Ductus arteriosus - premature closure
Cardiovascular \ Ductus arteriosus aneurysm
Cardiovascular \ Ductus arteriosus - Patent (PDA)
Cardiovascular \ Ductus venosus - agenesis
Cardiovascular \ Ebstein anomaly
Cardiovascular \ Ectopia cordis
Cardiovascular \ Endocardial fibroelastosis (EFE)
Cardiovascular \ Fibroma - cardiac
Cardiovascular \ Hypoplastic left heart syndrome (HLHS)
Cardiovascular \ Hypoplastic right heart syndrome (HRHS)
Cardiovascular \ Interrupted IVC (superior vena cava)
Cardiovascular \ Left atrial isomerism (heterotaxy)
Cardiovascular \ Mitral atresia
Cardiovascular \ Mitral regurgitation
Cardiovascular \ Mitral stenosis
Cardiovascular \ Mitral valve dysplasia
Cardiovascular \ Partial anomalous pulmonary venous drainage (PAPVD)
August 13, 2019 Page 72 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Cardiovascular \ Pericardial/Paracardial cyst
Cardiovascular \ Pericardial effusion
Cardiovascular \ Persistent left SVC (superior vena cava)
Cardiovascular \ Premature atrial contractions (PAC's)
Cardiovascular \ Premature closure of atrial septum (PFO)
Cardiovascular \ Premature ventricular contractions (PVC's)
Cardiovascular \ Pulmonary (valve) atresia
Cardiovascular \ Pulmonary (valve) stenosis (PS)
Cardiovascular \ Pulmonary insufficiency
Cardiovascular \ Pulmonary valve dysplasia
Cardiovascular \ Rhabdomyoma(s) - cardiac
Cardiovascular \ Right aortic arch
Cardiovascular \ Right atrial isomerism (heterotaxy)
Cardiovascular \ Scimitar syndrome
Cardiovascular \ Shone's syndrome
Cardiovascular \ Single outlet ventricle
Cardiovascular \ Single ventricle (univentricular heart)
Cardiovascular \ Single ventricle / univentricular connection
Cardiovascular \ Situs inversus - cardiac
Cardiovascular \ Subaortic stenosis
Cardiovascular \ Supra ventricular tachycardia (SVT)
Cardiovascular \ Tachycardia (tachyarrhythmia)
Cardiovascular \ Tetralogy of Fallot (TOF)
August 13, 2019 Page 73 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Cardiovascular \ Total anomalous pulmonary venous drainage (TAPVD)
Cardiovascular \ Transposition of great arteries - congenitally corrected (CCTGA)
Cardiovascular \ Transposition of great vessels (TGA)
Cardiovascular \ Tricuspid atresia
Cardiovascular \ Tricuspid regurgitation
Cardiovascular \ Tricuspid stenosis
Cardiovascular \ Tricuspid valve dysplasia
Cardiovascular \ Truncus arteriosis
Cardiovascular \ Vascular ring
Cardiovascular \ Valvular Anomalies
Cardiovascular \ Ventricular disproportion (RV>LV)
Cardiovascular \ Ventricular septal defect (VSD)
Cardiovascular \ Ventricular tachycardia
Cardiovascular \ Other - cardiac malformations not classified elsewhere
Cardiovascular \ Other heart abnormalities
Abdominal Wall \ Bladder exstrophy
Abdominal Wall \ Body stalk anomaly (limb body wall complex)
Abdominal Wall \ Cloacal exstrophy
Abdominal Wall \ Gastroschisis
Abdominal Wall \ Limb body wall complex (body stalk anomaly)
Abdominal Wall \ Omphalocele (exomphalos)
Abdominal Wall \ Pentalogy of Cantrell
Abdominal Wall \ Umbilical hernia
August 13, 2019 Page 74 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Abdominal Wall \ Other - congenital malformations of abdominal wall
Gastrointestinal \ Abnormal Esophagus
Gastrointestinal \ Abnormal Gallbladder
Gastrointestinal \ Abnormal Large Bowel
Gastrointestinal \ Abnormal Liver
Gastrointestinal \ Abnormal Small Bowel
Gastrointestinal \ Abnormal Stomach
Gastrointestinal \ Absent gallbladder
Gastrointestinal \ Absent stomach
Gastrointestinal \ Adrenal cyst(s)
Gastrointestinal \ Ascites
Gastrointestinal \ Asplenia
Gastrointestinal \ Atresia small or large intestine
Gastrointestinal \ Biliary atresia
Gastrointestinal \ Bowel obstruction small or large intestine
Gastrointestinal \ Choledochal cyst(s)
Gastrointestinal \ Dilated gallbladder
Gastrointestinal \ Dilated stomach
Gastrointestinal \ Duodenal atresia
Gastrointestinal \ Esophageal atresia
Gastrointestinal \ Esophageal diverticulum
Gastrointestinal \ Hepatomegaly
Gastrointestinal \ Hirschsprung's disease
Gastrointestinal \ Hyperperistalsis
August 13, 2019 Page 75 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Gastrointestinal \ Imperforate anus
Gastrointestinal \ Intra-abdominal cyst(s)
Gastrointestinal \ Large bowel obstruction
Gastrointestinal \ Liver cyst(s)
Gastrointestinal \ Liver nodule
Gastrointestinal \ Meconium ileus
Gastrointestinal \ Meconium peritonitis
Gastrointestinal \ Mesenteric cyst
Gastrointestinal \ Ovarian cyst(s)
Gastrointestinal \ Pancreatic cyst(s)
Gastrointestinal \ Perinatal intestinal perforation
Gastrointestinal \ Polysplenia
Gastrointestinal \ Pyloric stenosis
Gastrointestinal \ Situs inversus - abdominal
Gastrointestinal \ Small bowel obstruction
Gastrointestinal \ Small stomach
Gastrointestinal \ Splenomegaly
Gastrointestinal \ Stenois small or large intestine
Gastrointestinal \ Tracheo-esophageal fistula (TEF)
Gastrointestinal \ Other - malformations of the gastro-intestinal tract
Genitourinary Tract \ Ambiguous genitalia / indeterminate sex
Genitourinary Tract \ Autosomal dominant polycystic kidney disease (ADPKD)
Genitourinary Tract \ Autosomal recessive polycystic kidney disease (ARPKD)
August 13, 2019 Page 76 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Genitourinary Tract \ Absent bladder
Genitourinary Tract \ Bladder diverticulum
Genitourinary Tract \ Bladder exstrophy
Genitourinary Tract \ Cloacal dysgenesis
Genitourinary Tract \ Cloacal exstrophy
Genitourinary Tract \ Cystic kidney(s) - other
Genitourinary Tract \ Duplex kidney/collecting system
Genitourinary Tract \ Echogenic kidney(s)
Genitourinary Tract \ Ectopic/pelvic kidney
Genitourinary Tract \ Hydrocoele
Genitourinary Tract \ Hydronephrosis (>10 mm)
Genitourinary Tract \ Hyperplastic & giant kidney(s)
Genitourinary Tract \ Hypoplastic kidney(s)
Genitourinary Tract \ Hypospadias
Genitourinary Tract \ Keyhole bladder/urethra
Genitourinary Tract \ Keyhole sign
Genitourinary Tract \ Lower urinary tract obstruction (LUTO)
Genitourinary Tract \ Megacystis
Genitourinary Tract \ Megaureter
Genitourinary Tract \ Multicystic kidney disease (MCKD)
Genitourinary Tract \ Posterior urethral valves (PUV)
Genitourinary Tract \ Prune belly
Genitourinary Tract \ Pseudohermaphroditism
August 13, 2019 Page 77 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Genitourinary Tract \ Renal agenesis
Genitourinary Tract \ Renal cyst
Genitourinary Tract \ Renal dysplasia
Genitourinary Tract \ Undescended testicle(s)
Genitourinary Tract \ Ureterocoele
Genitourinary Tract \ Urethral atresia
Genitourinary Tract \ Urethral obstruction malformation complex
Genitourinary Tract \ Other - malformations of female genitalia
Genitourinary Tract \ Other - malformations of male genitalia
Genitourinary Tract \ Other - malformations of urinary system
Spine - Back \ Ankylosing spondylitis
Spine - Back \ Caudal regression syndrome
Spine - Back \ NTD (neural tube defect) with hydrocephalus
Spine - Back \ NTD (neural tube defect) without hydrocephalus
Spine - Back \ Sacral agenesis
Spine - Back \ Sacrococcygeal teratoma (SCT)
Spine - Back \ Other - malformations of the spine
Extremities-skeletal \ Arms/legs-Bowed femur
Extremities-skeletal \ Arms/legs-Bowed humerus
Extremities-skeletal \ Arms/legs-Bowed radius &/or ulna
Extremities-skeletal \ Arms/legs-Bowed tibia &/or fibula
Extremities-skeletal \ Arms/legs-Fracture(s) - long bones
August 13, 2019 Page 78 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Extremities-skeletal \ Generalized/other-Akinesia deformation sequence - fetal (FADS)
Extremities-skeletal \ Generalized/other-Arthrogryposis multiplex congenita
Extremities-skeletal \ Generalized/other-Congenital malformations of spine & bony thorax
Extremities-skeletal \ Generalized/other-Fixed flexion deformity
Extremities-skeletal \ Generalized/other-Fracture(s) - ribs
Extremities-skeletal \ Generalized/other-Hip Dislocation - congenital
Extremities-skeletal \ Generalized/other-Hypomineralization
Extremities-skeletal \ Generalized/other-Limb reduction defect(s) (LRD) - lower limb
Extremities-skeletal \ Generalized/other-Limb reduction defect(s) (LRD) - upper limb
Extremities-skeletal \ Generalized/other-Malformation of sternum
Extremities-skeletal \ Generalized/other-Phocomelia
Extremities-skeletal \ Generalized/other-Sirenomelia
Extremities-skeletal \ Generalized/other-Skeletal dysplasia -other
Extremities-skeletal \ Hands/feet-Adactyly (absent fingers/ toes)
Extremities-skeletal \ Hands/feet-Brachydactyly (short fingers/toes)
Extremities-skeletal \ Hands/feet-Clenched hands (persistently)
Extremities-skeletal \ Hands/feet-Clinodactyly (fifth finger)
Extremities-skeletal \ Hands/feet-Club foot
Extremities-skeletal \ Hands/feet-Ectrodactyly (lobster-claw / cleft hand)
Extremities-skeletal \ Hands/feet-Fused toes
Extremities-skeletal \ Hands/feet-Overlapping fingers
August 13, 2019 Page 79 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Extremities-skeletal \ Hands/feet-Polydactyly (feet)
Extremities-skeletal \ Hands/feet-Polydactyly (hands)
Extremities-skeletal \ Hands/feet-Radial ray anomaly (absent thumb)
Extremities-skeletal \ Hands/feet-Rocker-bottom feet
Extremities-skeletal \ Hands/feet-Sandal gap toes
Extremities-skeletal \ Hands/feet-Syndactyly (feet)
Extremities-skeletal \ Hands/feet-Syndactyly (hands)
Extremities-skeletal \ Hands/feet-Webbed fingers
Extremities-skeletal \ Hands/feet-Webbed toes
Extremities-skeletal \ Micromelia
Extremities-skeletal \ Muscle/connective tissue disorders-Duchenne muscular dystrophy (DMD)
Extremities-skeletal \ Muscle/connective tissue disorders-Ehlers-Danlos syndrome
Extremities-skeletal \ Muscle/connective tissue disorders-Hypotonia
Extremities-skeletal \ Muscle/connective tissue disorders-Spinal muscular atrophy (SMA)
Extremities-skeletal \ Muscle/connective tissue disorders-Other - malformations of the musculoskeletal system
Extremities-skeletal \ Skeletal Dysplasias-Achondrogenesis
Extremities-skeletal \ Skeletal Dysplasias-Achondroplasia
Extremities-skeletal \ Skeletal Dysplasias-Campomelic dysplasia
Extremities-skeletal \ Skeletal Dysplasias-Chondrodysplasia punctata
Extremities-skeletal \ Skeletal Dysplasias-Diastrophic dysplasia
Extremities-skeletal \ Skeletal Dysplasias-Ellis-van Creveld syndrome
August 13, 2019 Page 80 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Extremities-skeletal \ Skeletal Dysplasias-Osteogenesis imperfecta
Extremities-skeletal \ Skeletal Dysplasias-Short rib polydactyly syndrome - type VII
Extremities-skeletal \ Skeletal Dysplasias-Thanatophoric dysplasia
Structural-other \ Amniotic Bands
Structural-other \ Hydrops Fetalis
Structural-other \ Other - malformations not classified elsewhere
Chromosomes \ 45,X (Turner syndrome)
Chromosomes \ 47,XXX
Chromosomes \ 47,XXY (Klinefelter syndrome)
Chromosomes \ 47,XYY
Chromosomes \ Array CGH abnormal or other
Chromosomes \ Balanced translocation
Chromosomes \ Deletion - other
Chromosomes \ Di George Syndrome (22 q11 deletion)
Chromosomes \ Microdeletion syndrome - other
Chromosomes \ Mosaicism
Chromosomes \ Paracentric inversion
Chromosomes \ Pericentric inversion
Chromosomes \ Triploidy /polploidy
Chromosomes \ Trisomy - other
Chromosomes \ Trisomy 13
Chromosomes \ Trisomy 18
Chromosomes \ Trisomy 21 (Down syndrome)
August 13, 2019 Page 81 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Chromosomes \ Trisomy 21 (Down syndrome) - mosaic
Chromosomes \ Trisomy 21 (Down syndrome) - translocation
Chromosomes \ Unbalanced translocation
Chromosomes \ Other
Congenital Infections \ CMV (cytomegalovirus) infection - congenital
Congenital Infections \ Enterovirus infections
Congenital Infections \ Herpes simplex virus (HSV) infection - congenital
Congenital Infections \ HIV
Congenital Infections \ Rubella syndrome - congenital
Congenital Infections \ Toxoplasmosis
Congenital Infections \ Tuberculosis (TB) - congenital
Congenital Infections \ Varicella-zoster virus
Congenital Infections \ Other - infections
Teratogenic Exposures \ Diabetic Embryopathy
Teratogenic Exposures \ Etretinate embryopathy
Teratogenic Exposures \ Fetal alcohol syndrome
Teratogenic Exposures \ Fetal aminopterin/methotrexate syndrome
Teratogenic Exposures \ Fetal hydantoin syndrome
Teratogenic Exposures \ Fetal valproate syndrome
Teratogenic Exposures \ Isotretinoin teratogen syndrome
Teratogenic Exposures \ Maternal Phenylketonuria
Teratogenic Exposures \ Retinoic acid embryopathy
August 13, 2019 Page 82 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Teratogenic Exposures \ Rhesus Disease
Teratogenic Exposures \ Thalidomide embryopathy
Teratogenic Exposures \ Toluene embryopathy
Teratogenic Exposures \ Vitamin A teratogenicity
Teratogenic Exposures \ Warfarin dysmorphism
Teratogenic Exposures \ Other -teratogenic embryopathy
Teratogenic Exposures \ Other-antiepileptic embryopathy
Twins \ Acardiac twin
Twins \ Conjoined twins
Twins \ Dichorionic (DC) twins
Twins \ Discordant DC twin growth
Twins \ Discordant MC twin growth
Twins \ Discordant twin anomaly
Twins \ Mono-amniotic (MA) twins
Twins \ Monochorionic diamniotic (MC/DA) twins
Twins \ Twin-twin transfusion syndrome (TTTS)
Twins \ Other - malformations of twins
Syndromes \ Aarskogs Syndrome
Syndromes \ Achondrogenesis
Syndromes \ Achondroplasia
Syndromes \ Acroesomelic Dysplasia
Syndromes \ Acrofacial Dysostosis
Syndromes \ Adrenal Hyperplasia
August 13, 2019 Page 83 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Syndromes \ Alpha-1-Antitrypsin
Syndromes \ Alports Syndrome
Syndromes \ Amyloplasia Congenita
Syndromes \ Angelmans Syndrome
Syndromes \ Anophthalmia
Syndromes \ Aqueductal stenosis - X linked (L1 syndrome)
Syndromes \ Arthrogryposis Multiplex Congenitia
Syndromes \ Ataxia-telangiectasis
Syndromes \ Autosomal dominant polycystic kidney disease
Syndromes \ Autosomal Recessive Polycystic Kidney Disease
Syndromes \ Beckwith-Wiedemann
Syndromes \ Biotinidase deficiency (BIOT)
Syndromes \ CADASIL
Syndromes \ Congenital Adrenal Hyperplasia (CAH)
Syndromes \ Camptomelic dysplaia
Syndromes \ Carnitine uptake defect (CUD)
Syndromes \ Caudal regression syndrome
Syndromes \ Cerebral Palsy
Syndromes \ Charcot-Marie-Tooth
Syndromes \ CHARGE association
Syndromes \ Chronrodysplasia Punctata
Syndromes \ Cleidocranial Dysplasia
Syndromes \ Coffin-Lowry syndrome
August 13, 2019 Page 84 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Syndromes \ Congenital hypothyroidism (HYPOTH)
Syndromes \ Congenital Myotonic Dystrophy
Syndromes \ Congenital Nephrotic Syndrome
Syndromes \ Cornelia Delange
Syndromes \ CPS (Carbamyl Phosphate Deficiency)
Syndromes \ Craniosynotsis Saethre-Crouzon
Syndromes \ Cri-du-Chat Syndrome
Syndromes \ Crouzon's syndrome
Syndromes \ Cryptophthalmus
Syndromes \ Cystic Fibrosis
Syndromes \ Dandy-walker syndrome
Syndromes \ Dextrocardia
Syndromes \ Diastrophic dysplasia
Syndromes \ Digeorge Syndrome
Syndromes \ Dysautonomia - familial
Syndromes \ Ectodermal Dysplasia
Syndromes \ Ehlers-Danlos syndrome
Syndromes \ Ellis Van Creveld Syndrome
Syndromes \ Epidermolysis Bullosa
Syndromes \ F-HYPDRR Familial hypophosphatemia
Syndromes \ Fabry's Disease
Syndromes \ Factor V
Syndromes \ Fanconi Anemia
Syndromes \ Fragile X Syndrome
August 13, 2019 Page 85 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Syndromes \ Fraser Syndrome - cryptophthalmos syndrome
Syndromes \ Freeman-Sheldon Syndrome
Syndromes \ Friederichs Ataxia
Syndromes \ Frontonasal dysplasia
Syndromes \ FSHD (Fascioscapulohumeral Muscular Dystrophy)
Syndromes \ Galactosemia (GALT)
Syndromes \ Gaucher
Syndromes \ Gilbert's disease
Syndromes \ Glucose-6-phosphate dehydrogenase (G6PD)
Syndromes \ Glutaric acidemia type I (GA I)
Syndromes \ Goldenhar Syndrome
Syndromes \ Gorlin Syndrome
Syndromes \ GSD (Glycogen Storage Disease)
Syndromes \ Hard +/- e syndrome
Syndromes \ Harlequin Icthyosis
Syndromes \ Hemi-hypertrophy
Syndromes \ Hemophilia A/ B
Syndromes \ Hereditary nephritis
Syndromes \ Hereditary Hemorrhagic Telangiectasia (HHT)
Syndromes \ Hereditary Multiple Exostoses (HME)
Syndromes \ Holt-Oram
Syndromes \ Homocystinosis
Syndromes \ Homocystinuria (HCY)
August 13, 2019 Page 86 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Syndromes \ Hunter Syndrome
Syndromes \ Hurlers Syndrome
Syndromes \ Hydrochephalus X-Linked
Syndromes \ Hydrolethalus
Syndromes \ Hypochondroplasia
Syndromes \ Hypoglycemia
Syndromes \ Hypophosphatasia
Syndromes \ Ichthyosis (non X-linked)
Syndromes \ Ichthyosis X-linked (STS deficiency)
Syndromes \ Idiopathic hypoparathyroidism
Syndromes \ Incontinentia Pigmenti
Syndromes \ Isovaleric academia (IVA)
Syndromes \ Ivemark Syndrome
Syndromes \ Jourbert Syndrome
Syndromes \ Klippel-Trenaunay Syndrome
Syndromes \ Krabbe
Syndromes \ Larsen Syndrome
Syndromes \ LCHAD
Syndromes \ Leigh's Syndrome
Syndromes \ Lesch Nyhan
Syndromes \ Limb-Girdle Muscular Dystrophy
Syndromes \ Long Q-T Syndrome
Syndromes \ Lysosmal Storage Disease (IEM)
Syndromes \ Machado-Joseph Disease
August 13, 2019 Page 87 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Syndromes \ Maple syrup urine disease (MSUD)
Syndromes \ Marfan syndrome
Syndromes \ McKusick-Koffman Syndrome
Syndromes \ Meckel-Gruber syndrome
Syndromes \ Medium chain acyl-CoA dehydrogenase deficiency (MCAD)
Syndromes \ MELAS
Syndromes \ Menkes
Syndromes \ MERFF
Syndromes \ Metachromatic Leukodystrophy
Syndromes \ Methylenetetrahydrofolate Reductase Deficiency
Syndromes \ Methylmalonic Acidemia
Syndromes \ Methylmalonic acidemia (Cbl A and B)
Syndromes \ Methylmalonic acidemia (mutase deficiency) (MUT)
Syndromes \ Miller-Dieker Syndrome
Syndromes \ Morquio Syndrome
Syndromes \ MPS (Mucopolysaccharidosis)
Syndromes \ Multiple carboxylase deficiency (MCD)
Syndromes \ Multiple Congenital Anomalies (Unknown Origin)
Syndromes \ Multiple pterygium syndrome
Syndromes \ Myotonic Dystrophy
Syndromes \ Nail-Patella Syndrome
Syndromes \ Neurofibromatosis 1
Syndromes \ Neurofibromatosis 2
August 13, 2019 Page 88 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Syndromes \ Nieman-Pick
Syndromes \ Noonan Syndrome
Syndromes \ OculodentiodiGastrointestinalal Syndrome
Syndromes \ Opitz Syndrome
Syndromes \ Oromandibular Limb Hypogenesis
Syndromes \ Osteogenesis Imperfecta
Syndromes \ OTC Deficiency
Syndromes \ Otosclerosis
Syndromes \ Pallister-Hall Syndrome
Syndromes \ Pelizaeus-merzbacher-like disease
Syndromes \ Peters' anomaly (brachymesomelia)
Syndromes \ Peutz-Jeghers Syndrome
Syndromes \ Pfeiffer Syndrome
Syndromes \ Pick's Disease
Syndromes \ Pierre Robin
Syndromes \ PKU
Syndromes \ Poland Sequence Syndrome
Syndromes \ Pompe's disease
Syndromes \ Porphyria
Syndromes \ Potter's Syndrome
Syndromes \ Prader Willi
Syndromes \ Progeria
Syndromes \ Progressive Spinobulbar muscular atrophy
August 13, 2019 Page 89 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Syndromes \ Propionic acidemia (PROP)
Syndromes \ Protein C deficiency
Syndromes \ Proteus Syndrome
Syndromes \ Prune belly syndrome
Syndromes \ Pyruvate Carboxylase Deficiency
Syndromes \ Pyruvate Dehydrogenase Deficiency
Syndromes \ Renal Adysplasia
Syndromes \ Restrictive Dermopathy
Syndromes \ Retinis Pigmentosa
Syndromes \ Retinoblastoma
Syndromes \ Rubenstein-Taybi Syndrome
Syndromes \ Russell-Silver Syndrome
Syndromes \ Short rib polydactyly syndrome - type VII
Syndromes \ Short-rib-Polydactyly Syndrome
Syndromes \ Sialidosis
Syndromes \ Sickle Cell Anemia
Syndromes \ Situs Ambiguous
Syndromes \ Sjogren syndrome
Syndromes \ Smith-Lemli-Opitz
Syndromes \ Smith-Magenis Syndrome
Syndromes \ Sotos Syndrome
Syndromes \ Spinal Muscular Atrophy
Syndromes \ Stickler Syndrome
Syndromes \ Sturge-Weber Syndrome
August 13, 2019 Page 90 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS newborn final diagnosis
MMMSCNAN001 Syndromes \ Syndrome not otherwise specified
Syndromes \ TAR (thrombocytopenia-absent radius) syndrome
Syndromes \ Tay-Sachs - gm2-gangliosidosis type 1
Syndromes \ Thalassemia-alpha
Syndromes \ Thalassemia-beta
Syndromes \ Thanantrophic dysplasis
Syndromes \ Treacher Collins syndrome
Syndromes \ Tuberous Sclerosis
Syndromes \ Tumours (Sacrococcygeal Teratoma - Paragangliomata)
Syndromes \ Tyrosinemia type I (TYR I)
Syndromes \ VATER syndrome
Syndromes \ Very long-chain acyl-CoA dehydrogenase deficiency (VLCAD)
Syndromes \ Von Willibrand Disease
Syndromes \ Waardenberg Syndrome
Syndromes \ Walker-Warburg Syndrome
Syndromes \ Williams syndrome (idiopathic hypercalcaemia)
Syndromes \ Wilson Disease
Syndromes \ Wolf-hirschhorn syndrome
Syndromes \ Xeroderma Pigmentosum
Syndromes \ Zellweger (cerebro-hepato-renal) syndrome
Unknown More information is needed and/or there is no documentation to indicate whether or not any congenital anomalies are suspected or confirmed.
PS specimen number MMMSS0010
August 13, 2019 Page 91 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
PS specimen number - 2nd sample
D0031 SERUM only: Specimen number of the second sample or second trimester sample assigned by the individual screening lab. PS MSH lab: specimen number assigned to second trimester samples; Other PS labs (except for PS NYGH lab): specimen number of the second sample received by the laboratory (eg IPS2)
PS Testing Centre MMMSS0083 Unique identification number and name of testing centre (lab) where PS specimen has been analyzed.
PS Type of increased risk PNS10018 Indicates the initial results of a woman's prenatal screen Positive for Down syndrome
Negative for Down syndrome
Positive for Trisomy 18
Negative for Trisomy 18
Positive for ONTD
Negative for ONTD
Not screened for ONTD
Increased NT (3.0mm – 3.49mm)
Increased NT (>3.5mm)
Result not yet available
Reasons for Reclassification from Positive
MMMSS0089 Reason(s) a prenatal screen result was amended Discrepancy between ultrasound and LMP dating
Incomplete data provided on requisition
Incorrect data provided on requisition
IDDM
IVF
Multiple pregnancy
Race
Smoking
August 13, 2019 Page 92 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Reasons for Reclassification from Positive
MMMSS0089 Reason(s) a prenatal screen result was amended Weight
Other
Referral for genetic counselling
MMMSS0090 Indication as to whether clinical follow-up services were offered and/or accepted.
Accepted
Declined
Not offered
No Response
Result Amendment MMMSS0087 Indication maternal serum screening result was amended.
Soft markers of ultrasound
PNFU0080-1 Variants of normal development detected by obstetrical ultrasound at specific periods during gestation which may increase the risk of a fetal anomaly and / or adverse obstetrical outcome
Anhydramnios
Brachycephaly
Choroid plexus cysts
Clinodactyly
Cystic hygroma
Ductus venosus blood flow
Echogenic yolk sac
Enlarged cisterna magna
Frontomaxillary facial angle
Hydronephrosis
Hyperechogenic bowel
Iliac angle
Intracardiac echogenic focus / focii
Intrauterine growth retardation
August 13, 2019 Page 93 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Soft markers of ultrasound
PNFU0080-1 Variants of normal development detected by obstetrical ultrasound at specific periods during gestation which may increase the risk of a fetal anomaly and / or adverse obstetrical outcome
Nasal bone, absent
Nasal bone, hypoplastic
Nuchal fold / edema, increased
Nuchal translucency, increased
Oligohydramnios
Pericardial effusion
Placental thickness
Pleural effusion
Polyhydramnios
Renal pelves
Pyelectasis
Sandal gap
Short femur
Short humerus
Small ear length
Tricuspid valve regurgitation
Two vessel cord / single umbilical artery
Umbilical cord cyst
Uterine artery notching
Ventriculomegaly
Soft markers of ultrasound (level 2)
PNFU0080-2 The detailed description of the soft marker or obstetrical ultrasound finding where available
Mild
Moderate
Severe
August 13, 2019 Page 94 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Soft markers of ultrasound (level 2)
PNFU0080-2 The detailed description of the soft marker or obstetrical ultrasound finding where available
Septated
Not septated
Normal
Abnormal (reversed)
Not otherwise specified
Biventricular
L ventricle
R ventricle
L atrium
R atrium
Single
Multiple
Grade I (less bright than bone)
Grade II (as bright as bone)
Grade III (brighter than bone)
Right
Left
Bilateral
Unilateral
Right artery absent
Left artery absent
Symmetrical
Asymmetrical
N/a
August 13, 2019 Page 95 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Soft markers of ultrasound (level 2)
PNFU0080-2 The detailed description of the soft marker or obstetrical ultrasound finding where available
Unknown
Soft markers of ultrasound Measurement Name
PNFU0080-3 Name of the soft marker or obstetrical imaging finding Right Dimension (mm)
Left Dimension (mm)
Measurement (mm)
Right Measurement (mm)
Left Measurement (mm)
HC Percentile
BPD Percentile
AC Percentile
FL Percentile
AFI (amniotic fluid index)
Right Percentile
Left Percentile
Degree of Angle
NT MoM
Delta NT
Soft markers of ultrasound Measurement Value
PNFU0080-4 Measurement of the soft marker or obstetrical imaging finding
Type of Prenatal Screen MMMSS0012 Type of Prenatal Screen (screen modality) Fetus A
Fetus B
Fetus C
Fetus D
Fetus E
August 13, 2019 Page 96 of 97
Encounter: PSP Follow-upData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Type of Prenatal Screen MMMSS0012 Type of Prenatal Screen (screen modality) Fetus F
Fetus G
Fetus H
Fetus I
Fetus J
Type of Prenatal Screen Amended
MMMSS0016 What is the new type of prenatal screen (screen modality)
Ultrasound Fetal Assessment (Level II)
MMMSS0092 Indication that a level II ultrasound was offered by the follow up clinic where the woman was seen. If the level II ultrasound was offered by the woman's primary health care provider, select "By Physician"
Accepted
Declined
By physician
August 13, 2019 Page 97 of 97