Extract By Encounter Type
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Alcohol Exposure in Pregnancy
D0012 Self-reported alcohol consumption during pregnancy. A standardized serving of alcohol beverage is approx a 12oz serving of regular beer (5%), a 5oz glass of wine (12%) or a 1.5oz glass of 40% spirit (SOGC, 2010). If the amount of drinking varied over the course of the pregnancy, estimate the total number of drinks and average it out over the entire pregnancy. Select the one that represents the highest exposure or impact. 'Episodic excessive drinking (binging)'is considered the greatest impact.
None
Less than one drink per month
One drink per month
2-3 drinks per month
One drink per week
More than one drink per week
Episodic excessive drinking (binging) Binge drinking corresponds to an average-size female consuming 4 or more drinks in about 2 hours (SOGC, 2010). If mother reported drinking 'More than one drink per week' and binge drinking, select "Episodic excessive drinking (binging)'.
Exposure prior to pregnancy confirmed, amount unknown
Select if mother drank in first trimester and/or until she learned of her pregnancy.
Unknown
Chorionicity CHORION 1 chorion
2 chorion
3 chorion
4 chorion
Unknown
Complications of Pregnancy
M0531 Pregnancy related complications experienced during this pregnancy. Select all that apply.
None
August 13, 2019 Page 1 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Complications of Pregnancy
M0531 Pregnancy related complications experienced during this pregnancy. Select all that apply.
Fetal \ Anomaly(ies)
Fetal \ Isoimmunization/Alloimmunization
Fetal \ Intrauterine Growth Restriction
Fetal \ LGA
Fetal \ Oligohydramnios
Fetal \ Polyhydramnios
Fetal \ Other
Maternal \ Anemia unresponsive to therapy
Maternal \ Antepartum Bleeding (Persistent and unexplained)
Maternal \ Gestational diabetes
Maternal \ Hyperemesis Gravidarum (Requiring Hospital Admission)
Maternal \ Hypertensive Disorders in Pregnancy
Maternal \ Prelabour rupture of membranes (PROM)
Maternal \ Preterm labour prior to this admission
Maternal \ Preterm prelabour rupture of membranes (PPROM)
Maternal \ Other
Placental \ Placenta accreta
Placental \ Placenta increta
Placental \ Placenta percreta
Placental \ Placenta previa
Placental \ Placental Abruption
Placental \ Other
Unknown
August 13, 2019 Page 2 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Consanguinity FAN0019 Refers to maternal and paternal sharing of at least one ancestor in common. (Cunningham, 2005)
Cytogenetic Result Failure Reason
FAN1007FAIL Indicates the reason(s) that a cytogenetic investigation failed (for example, culture failure, etc)
Cytogenetic Result General
FAN1007 Indicates whether the individual's cytogenic results were normal or abnormal
Abnormal
Abnormal, specify:
Failed
Failed, specify reason
Normal
Normal, polymorphism detected
Variant of uncertain significance
Unknown
Cytogenetic Testing Disease Identifier
FAN1006ODI The chromosome region that was interrogated for deletion or duplication by FISH
22q11.2 deletion / DiGeorge syndrome 1, velocardiofacial 1
1p36 deletion syndrome
8q23.2-q24.1 deletion / Langer-Giedion syndrome
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
8q12.2 deletion or duplication / CHARGE syndrome
Duplication 7q11.23
Xq28 duplication / MECP2 duplication MR syndrome
22q11.2 duplication
August 13, 2019 Page 3 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Cytogenetic Testing Disease Identifier
FAN1006ODI The chromosome region that was interrogated for deletion or duplication by FISH
1q21.1 duplication
3q29 duplication
7q11.23 duplication
15q11-13 duplication
15q13.2-13.3 duplication
16p13.11 duplication
17p11.2 duplication
17q21.31 duplication
Other, free text:
Unknown
Cytogenetic Testing Disease Identifier Other
FAN1006ODIOTHER The name of the disease / region of the genome (in ISCN nomenclature) that was interrogated for deletion or duplication by FISH entered in free text
Cytogenetic Testing Method Performed
FAN1006 The method used to interrogate the individuals genome for imbalances or rearrangements
Karyotype
Microarray
Cytogenetic testing result specific
FAN1008 The result, in general terms, of the cytogenetic test performed
10p13-p14 deletion / velocardiofacial 2
11p15.5 deletion / Beckwith-Wiedemann syndrome
15q11-13 duplication
15q13.2-13.3 duplication
16p13.11 duplication
17p11.2 duplication
17q21.31 duplication
1p36 deletion syndrome
1q21 deletion / thrombocytopenia absent radius
August 13, 2019 Page 4 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Cytogenetic testing result specific
FAN1008 The result, in general terms, of the cytogenetic test performed
1q21.1 duplication
20p12 deletion / Alagille syndrome
22q11.2 deletion / DiGeorge syndrome 1, velocardiofacial 1
22q11.2 duplication
3q29 duplication
45, X (Turner syndrome)
45, X, mosaic
46, XX
46, XX (normal)
46, XY
46, XY (normal)
47, XX, +21 (trisomy 21 or Down syndrome)
47, XXX
47, XXY (Klinefelter syndrome)
47, XY, +21 (trisomy 21 or Down syndrome)
47, XYY
7q11.23 duplication
8q12.2 deletion or duplication / CHARGE syndrome
8q23.2-q24.1 deletion / Langer-Giedion syndrome
Down syndrome, mosaic
Duplication 7q11.23
Inversion, balanced
Inversion, unbalanced
August 13, 2019 Page 5 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Cytogenetic testing result specific
FAN1008 The result, in general terms, of the cytogenetic test performed
Marker chromosome
Mosaicism, specify:
Specify
Translocation, balanced
Translocation, unbalanced
Trisomy 13, mosaic
Trisomy 16, mosaic
Trisomy 18, mosaic
Xp22.31 deletion / X-linked ichthyosis
Xq28 duplication / MECP2 duplication MR syndrome
Other, free text:
Unknown
Cytogenetic testing result specific Other (free text in ISCN nomenclature)
FAN1009 The detailed results of the cytogenetic test performed in ISCN nomenclature when the result is not available in the pick list. For example, 45, XX, rob(13;21)(q10;q10) (balanced Robertsonian translocation) or arr cgh 22q11.2(D22S75)X1 (abnormal microarray)
Date of First Abnormal U/S
FAN0022 Date of first ultrasound yielding abnormal results in standard date format.
Date of First Tertiary(High Risk) Centre Ultrasound
FAN0015 Date of first high-risk centre ultrasound in standard date format.
Date of First Visit to FMU NEW0010 Date of visit with Fetal Medicine Unit in current pregnancy using standard date format.
Date of First Visit to FMU Is Unknown
NEW0010UN Indicates that the date of first visit to Fetal Medicine Unit is unknown
Date of First Visit to Prenatal Genetics
FAN0020 Date of mother's first visit to prenatal genetics unit in current pregnancy
August 13, 2019 Page 6 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Date of First Visit to Prenatal Genetics Is Unknown
FAN0020UN Indicates that the date of mother's first visit to prenatal genetics unit is unknown
Date of Referral to Prenatal Genetics
NEW0007-1 Indicates date when mother was referred to prenatal genetics during current pregnancy.
Date of Referral to Prenatal Genetics Is Unknown
NEW0007-1UN Indicates that the date when mother was referred to prenatal genetics is unknown
Date prenatal PRBC transfusion
D0072 The date that the prenatal (in utero) PRBC transfusion was performed (if there were multiple performed, enter the most recent)
Diabetes and Pregnancy D0013 Indicate Maternal diabetic status during this pregnancy Diabetes Complications/Comorbidities \ Nephropathy
Diabetes Complications/Comorbidities \ Retinopathy
None
Gestational diabetes \ Insulin \ ACE inhibitors
Gestational diabetes \ Insulin \ Statins
Gestational diabetes \ Insulin \ No Ace Inhibitors or Statins
Gestational diabetes \ No Insulin \ No Oral agents
Gestational diabetes \ No Insulin \ Oral Antihyperglycemic Agents
Gestational diabetes \ Insulin Status Unknown
Type I
Type II \ Insulin \ ACE inhibitors
Type II \ Insulin \ Statins
Type II \ Insulin \ No Ace Inhibitors or Statins
Type II \ No Insulin \ No Oral Agents
Type II \ No Insulin \ Oral Antihyperglycemic Agents
Type Unknown
August 13, 2019 Page 7 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Diabetes and Pregnancy D0013 Indicate Maternal diabetic status during this pregnancy Unknown
Drug and Substance Exposure in Pregnancy
D0014 Indicate Maternal self-reported drug and substance use during pregnancy. This refers to the use of street drugs and the inappropriate use of prescription and non-prescription drugs.
None
Cocaine Street names include: snow, powder lines, freebase, c, dust, crack, rock, coke, flake, blow.
Gas/Glue
Hallucinogens Types of hallucinogens include: LSD, mescaline, psilocybin, PCP, cannabis, ecstasy, ketamine, salvia and others.
Opioids A type of drug used to relieve pain. Examples include: morphine, codeine, fentanyl, oxycodone, heroin, and hydromorphone.
Other For example, crystal meth
Unknown
Early Pregnancy/Detailed Anatomy Scan Date
FAN0010-1 Date of scan
Early Pregnancy/Detailed Anatomy Scan GA
FAN0010-2 GA at the time of scan
Early Pregnancy/Detailed Anatomy Scan Location
FAN0010-4 Location of scan Community ultrasound department
Tertiary centre or FMU unit
Unknown
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Normal - no anomaly detected
Abdominal Wall \ Bladder exstrophy
Abdominal Wall \ Cloacal exstrophy
Abdominal Wall \ Gastroschisis
Abdominal Wall \ Limb body wall complex (body stalk anomaly)
August 13, 2019 Page 8 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Abdominal Wall \ Not well seen
Abdominal Wall \ Omphalocele (exomphalos)
Abdominal Wall \ Other congenital malformations of abdominal wall
Abdominal Wall \ Pentalogy of Cantrell
Abdominal Wall \ Umbilical hernia
Abdominal Wall \ Umbilical Cord Cyst
Cardiovascular \ Absent Fetal Heart Beat
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
August 13, 2019 Page 9 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
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 \ 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 aneurysm
Cardiovascular \ Ductus arteriosus - premature closure
Cardiovascular \ Ductus venosus - agenesis
Cardiovascular \ Ebstein anomaly
Cardiovascular \ Echogenic intracardiac focus - Rt Ventricle
Cardiovascular \ Echogenic intracardiac focus - Lt Ventricle
Cardiovascular \ Echogenic intracardiac focus - Rt Atrium
Cardiovascular \ Echogenic intracardiac focus - Lt Atrium
August 13, 2019 Page 10 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Cardiovascular \ Echogenic intracardiac focus - Not otherwise specified
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 regurgitation
Cardiovascular \ Mitral stenosis
Cardiovascular \ Mitral valve dysplasia
Cardiovascular \ Not well seen
Cardiovascular \ Other - cardiac malformations not classified elsewhere
Cardiovascular \ Partial anomalous pulmonary venous drainage (PAPVD)
Cardiovascular \ Pericardial/Paracardial cyst
Cardiovascular \ Pericardial effusion - mild
Cardiovascular \ Pericardial effusion - moderate
Cardiovascular \ Pericardial effusion - severe
Cardiovascular \ Persistent left SVC (superior vena cava)
Cardiovascular \ Premature atrial contractions (PAC's)
Cardiovascular \ Premature closure of atrial septum (PFO)
August 13, 2019 Page 11 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
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 \ 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 \ Tricuspid atresia
Cardiovascular \ Transposition of great arteries - congenitally corrected (CCTGA)
Cardiovascular \ Transposition of great vessels (TGA)
Cardiovascular \ Tricuspid Valve regurgitation
August 13, 2019 Page 12 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Cardiovascular \ Tricuspid stenosis
Cardiovascular \ Tricuspid valve dysplasia
Cardiovascular \ Truncus arteriosis
Cardiovascular \ Vascular ring
Cardiovascular \ Ventricular septal defect (VSD)
Cardiovascular \ Ventricular tachycardia
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 \ Arms/legs-Short Femurs <2.5 %ile - Left
Extremities-skeletal \ Arms/legs-Short Femurs <2.5 %ile - Right
Extremities-skeletal \ Arms/legs-Short Femurs <2.5 %ile - Bilateral
Extremities-skeletal \ Arms/legs-Short Humerus - Left
Extremities-skeletal \ Arms/legs-Short Humerus - Right
Extremities-skeletal \ Arms/legs-Short Humerus - Bilateral
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-Overlapping Fingers
August 13, 2019 Page 13 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Extremities-skeletal \ Hands/feet-Clinodactyly - Overlapping Fingers
Extremities-skeletal \ Hands/feet-Clinodactyly - Overlapping Fingers - Right
Extremities-skeletal \ Hands/feet-Clinodactyly - Overlapping Fingers - Left
Extremities-skeletal \ Hands/feet-Clinodactyly - Overlapping Fingers - Bilateral
Extremities-skeletal \ Hands/feet-Club foot
Extremities-skeletal \ Hands/feet-Ectrodactyly (lobster-claw / cleft hand)
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 - Right
Extremities-skeletal \ Hands/feet-Sandal gap toes - Left
Extremities-skeletal \ Hands/feet-Sandal gap toes - Bilateral
Extremities-skeletal \ Other - malformations of the musculoskeletal system
Extremities-skeletal \ Other-Akinesia deformation sequence - fetal (FADS)
Extremities-skeletal \ Other-Arthrogryposis multiplex congenita
Extremities-skeletal \ Other-Congenital malformations of spine & bony thorax
Extremities-skeletal \ Other-Fixed flexion deformity
Extremities-skeletal \ Other-Fracture(s) - ribs
Extremities-skeletal \ Other-Hypomineralization
Extremities-skeletal \ Other-Limb reduction defect(s) (LRD) - lower limb
August 13, 2019 Page 14 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Extremities-skeletal \ Other-Limb reduction defect(s) (LRD) - upper limb
Extremities-skeletal \ Other-Malformation of sternum
Extremities-skeletal \ Other-Phocomelia
Extremities-skeletal \ Other-Sirenomelia
Extremities-skeletal \ Other-Skeletal dysplasia -other
Extremities-skeletal \ Not well seen
Face \ EARS-Ears - abnormal/other
Face \ EARS-Ears - absent (anotia)
Face \ EARS-Ears - low set
Face \ EARS-Ears - small (microtia) - Right
Face \ EARS-Ears - small (microtia) - Left
Face \ EARS-Ears - small (microtia) - Bilateral
Face \ EYES-Anophthalmia
Face \ EYES-Congenital cataract
Face \ EYES-Cyclops
Face \ EYES-Eyes - abnormal/other
Face \ EYES-Hypertelorism
Face \ EYES-Hypotelorism
Face \ EYES-Macrophthalmia
Face \ EYES-Microphthalmia
Face \ EYES-Retinoblastoma
Face \ MOUTH-Cleft lip
Face \ MOUTH-Cleft lip & palate
August 13, 2019 Page 15 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Face \ MOUTH-Cleft palate
Face \ MOUTH-Flat face
Face \ MOUTH-Macroglossia
Face \ MOUTH-Micrognathia
Face \ MOUTH-Mouth - abnormal/other
Face \ MOUTH-Retrognathia
Face \ NOSE-Absent nose
Face \ NOSE-Hypoplastic nasal bone (NB)
Face \ NOSE-Absent nasal bone (NB)
Face \ NOSE-Choanal atresia
Face \ NOSE-Nose - abnormal/other
Face \ NOSE-Proboscis
Face \ NOSE-Single nostril
Face \ Other - malformations of the face
Face \ Frontomaxillary Facial Angle - Abnormal
Face \ Tumour of face
Face \ Not well seen
Gastrointestinal \ Bowel obstruction small or large intestine
Gastrointestinal \ Absent (not visible) stomach
Gastrointestinal \ Absent gallbladder
Gastrointestinal \ Adrenal cyst(s)
Gastrointestinal \ Ascites
Gastrointestinal \ Asplenia
August 13, 2019 Page 16 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Gastrointestinal \ Biliary atresia
Gastrointestinal \ Choledochal cyst(s)
Gastrointestinal \ Dilated Bowel
Gastrointestinal \ Dilated gallbladder
Gastrointestinal \ Dilated stomach
Gastrointestinal \ Double bubble
Gastrointestinal \ Duodenal atresia
Gastrointestinal \ Echogenic bowel - grade I (less bright than bone)
Gastrointestinal \ Echogenic bowel - grade II (as bright as bone)
Gastrointestinal \ Echogenic bowel - grade III (brighter than bone)
Gastrointestinal \ Echogenic foci in abdomen
Gastrointestinal \ Echogenic foci in liver
Gastrointestinal \ Esophageal atresia
Gastrointestinal \ Esophageal diverticulum
Gastrointestinal \ Hepatomegaly
Gastrointestinal \ Hirschsprung's disease
Gastrointestinal \ Hyperperistalsis
Gastrointestinal \ Intra-abdominal cyst(s)
Gastrointestinal \ Liver cyst(s)
Gastrointestinal \ Liver nodule
Gastrointestinal \ Meconium ileus
Gastrointestinal \ Meconium peritonitis
Gastrointestinal \ Mesenteric cyst
August 13, 2019 Page 17 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Gastrointestinal \ Not well seen
Gastrointestinal \ Other - malformations of the gastro-intestinal tract
Gastrointestinal \ Ovarian cyst(s)
Gastrointestinal \ Pancreatic cyst(s)
Gastrointestinal \ Perinatal intestinal perforation
Gastrointestinal \ Polysplenia
Gastrointestinal \ Pyloric stenosis
Gastrointestinal \ Situs inversus - abdominal
Gastrointestinal \ Splenomegaly
Gastrointestinal \ Tracheo-esophageal fistula (TEF)
Genitourinary tract \ Ambiguous genitalia / indeterminate sex
Genitourinary tract \ Autosomal dominant polycystic kidney disease (ADPKD)
Genitourinary tract \ Autosomal recessive polycystic kidney disease (ARPKD)
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 \ Horseshoe Kidney
August 13, 2019 Page 18 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Genitourinary tract \ Hydrocoele
Genitourinary tract \ Hydronephrosis (>10 mm)- Right
Genitourinary tract \ Hydronephrosis (>10 mm)- Left
Genitourinary tract \ Hydronephrosis (>10 mm)- Bilateral
Genitourinary tract \ Hydronephrosis (>10 mm)
Genitourinary tract \ Hyperplastic & giant kidney(s)
Genitourinary tract \ Hypoplastic kidney(s)
Genitourinary tract \ Hypospadias
Genitourinary tract \ Lower urinary tract obstruction (LUTO)
Genitourinary tract \ Megacystis
Genitourinary tract \ Megaureter
Genitourinary tract \ Multicystic kidney disease (MCKD)
Genitourinary tract \ Not well seen
Genitourinary tract \ Other - malformations of female genitalia
Genitourinary tract \ Other - malformations of male genitalia
Genitourinary tract \ Other - malformations of urinary system
Genitourinary tract \ Posterior urethral valves (PUV)
Genitourinary tract \ Prune belly
Genitourinary tract \ Pyelectasis (pelviectasis) (5 - 9.9 mm AP diameter)
Genitourinary tract \ Pyelectasis (pelviectasis) (5 - 9.9 mm AP diameter)- Right
Genitourinary tract \ Pyelectasis (pelviectasis) (5 - 9.9 mm AP diameter) - Left
August 13, 2019 Page 19 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Genitourinary tract \ Pyelectasis (pelviectasis) (5 - 9.9 mm AP diameter) - Bilateral
Genitourinary tract \ Renal agenesis
Genitourinary tract \ Renal cyst
Genitourinary tract \ Renal dysplasia
Genitourinary tract \ Ureterocoele
Genitourinary tract \ Urethral atresia
Genitourinary tract \ Urethral obstruction malformation complex
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
August 13, 2019 Page 20 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Head-Cranium & Brain \ Cerebellar & posterior fossa haemorrhage
Head-Cranium & Brain \ Cerebral AVM (arteriovenous malformation)
Head-Cranium & Brain \ Choroid plexus cyst(s) (CPC) - Unilateral
Head-Cranium & Brain \ Choroid plexus cyst(s) (CPC) - Bilateral
Head-Cranium & Brain \ Choroid plexus cyst(s) (CPC) - Single
Head-Cranium & Brain \ Choroid plexus cyst(s) (CPC) - Multiple
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 \ Exencephaly
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 \ Lemon shaped head
August 13, 2019 Page 21 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Head-Cranium & Brain \ Lissenchephaly
Head-Cranium & Brain \ Macrocephaly
Head-Cranium & Brain \ Megalencephaly
Head-Cranium & Brain \ Microcephaly
Head-Cranium & Brain \ Not well seen
Head-Cranium & Brain \ Other - malformations of the head & brain
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 \ Septo-optic dysplasia
Head-Cranium & Brain \ Small cerebellum
Head-Cranium & Brain \ Strawberry shaped head
Head-Cranium & Brain \ Subarachnoid haemorrhage
Head-Cranium & Brain \ Vein of Galen aneurysm/malformation
Head-Cranium & Brain \ Ventriculomegaly - mild (10-15 mm) - Right
Head-Cranium & Brain \ Ventriculomegaly - severe (>15 mm) - Right
Head-Cranium & Brain \ Ventriculomegaly - mild (10-15 mm) - Left
Head-Cranium & Brain \ Ventriculomegaly - severe (>15 mm) - Left
Head-Cranium & Brain \ Ventriculomegaly - mild (10-15 mm) - Bilateral
Head-Cranium & Brain \ Ventriculomegaly - severe (>15 mm) - Bilateral
August 13, 2019 Page 22 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Neck \ Cervical teratoma
Neck \ Cystic hygroma - Mild
Neck \ Cystic hygroma - Moderate
Neck \ Cystic hygroma - Severe
Neck \ Cystic hygroma - Septated
Neck \ Cystic hygroma - Non Septated
Neck \ Increased nuchal fold / edema
Neck \ Increased nuchal translucency (NT) (>3.5mm)
Neck \ Increased nuchal translucency (NT) (3.0-3.4mm)
Neck \ Neck tumour-other
Neck \ Not well seen
Neck \ Other - malformations of the neck
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 \ Not well seen
Spine / Back \ Other - malformations of the spine
Spine / Back \ Sacral agenesis
Spine / Back \ Sacrococcygeal teratoma (SCT)
Spine / Back \ Sirenomelia
Structural-other \ Amniotic Bands
August 13, 2019 Page 23 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Structural-other \ Body stalk anomaly
Structural-other \ Hydrops Fetalis
Structural-other \ Not well seen
Structural-other \ Other - malformations not classified elsewhere
Structural-other \ Two vessel cord - Unspecified
Structural-other \ Two vessel cord - Right Artery Absent
Structural-other \ Two vessel cord - Left Artery Absent
Thorax \ Agenesis of lung
Thorax \ Bronchopulmonary sequestration (BPS)
Thorax \ Chest wall deformity
Thorax \ Congenital cystic adenomatoid malformation of lung (CCAML)
Thorax \ Congenital diaphragmatic hernia (CDH)
Thorax \ Congenital high airway obstruction (CHAOS)
Thorax \ Echogenic lung(s)
Thorax \ Eventration of diaphragm
Thorax \ Lung cysts-other
Thorax \ Not well seen
Thorax \ Other - congenital malformations of lung
Thorax \ Other congenital malformations of diaphragm
Thorax \ Pectus carinatum
Thorax \ Pectus excavatum
Thorax \ Pleural effusion(s) (hydrothorax) - >3mm
August 13, 2019 Page 24 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Thorax \ Pleural effusion(s) (hydrothorax) - Right
Thorax \ Pleural effusion(s) (hydrothorax) - Left
Thorax \ Pleural effusion(s) (hydrothorax) - Bilateral
Thorax \ Pleural effusion(s) (hydrothorax) - Mild
Thorax \ Pleural effusion(s) (hydrothorax) - Moderate
Thorax \ Pleural effusion(s) (hydrothorax) - Severe
Thorax \ Pulmonary hypoplasia
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 \ Other - malformations of twins
Twins \ Twin-twin transfusion syndrome (TTTS)
Other Soft Markers / Obstetrical Imaging Findings \ Polyhydramnios - Not Othewise Specified
Other Soft Markers / Obstetrical Imaging Findings \ Polyhydramnios - Mild
Other Soft Markers / Obstetrical Imaging Findings \ Polyhydramnios - Moderate
Other Soft Markers / Obstetrical Imaging Findings \ Polyhydramnios - Severe
August 13, 2019 Page 25 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Other Soft Markers / Obstetrical Imaging Findings \ Oligohydramnios - Not Othewise Specified
Other Soft Markers / Obstetrical Imaging Findings \ Oligohydramnios - Mild
Other Soft Markers / Obstetrical Imaging Findings \ Oligohydramnios - Moderate
Other Soft Markers / Obstetrical Imaging Findings \ Oligohydramnios - Severe
Other Soft Markers / Obstetrical Imaging Findings \ Anhydramnios
Other Soft Markers / Obstetrical Imaging Findings \ Intrauterine growth restriction - Mild
Other Soft Markers / Obstetrical Imaging Findings \ Intrauterine growth restriction - Moderate
Other Soft Markers / Obstetrical Imaging Findings \ Intrauterine growth restriction - Severe
Other Soft Markers / Obstetrical Imaging Findings \ Intrauterine growth restriction - Symetrical
Other Soft Markers / Obstetrical Imaging Findings \ Intrauterine growth restriction - Asymetrical
Other Soft Markers / Obstetrical Imaging Findings \ Not well seen
Other Soft Markers / Obstetrical Imaging Findings \ Uterine artery notching - Unspecified
Other Soft Markers / Obstetrical Imaging Findings \ Uterine artery notching - right
Other Soft Markers / Obstetrical Imaging Findings \ Uterine artery notching - left
Other Soft Markers / Obstetrical Imaging Findings \ Uterine artery notching - bilateral
Other Soft Markers / Obstetrical Imaging Findings \ Placental thickness
Other Soft Markers / Obstetrical Imaging Findings \ Iliac angle abnormal
Other Soft Markers / Obstetrical Imaging Findings \ Echogenic Yolk Sac
August 13, 2019 Page 26 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Early Pregnancy/Detailed Anatomy Scan Result
FAN0010 Ultrasound scan for direct visualization of fetal structures for the purposes of monitoring fetal growth and detecting/monitoring congenital anomalies.
Other Soft Markers / Obstetrical Imaging Findings \ Ductus venous blood flow - Abnormal (Reversed)
Early Pregnancy/Detailed Anatomy Scan Type
FAN0010-3 Type of scan Echo
MRI
Ultrasound
Unknown
EDB Determined By NEW0005 Method by which the estimated date of birth was determined for prenatal screening
Last menstrual period
1st trimester dating ultrasound
2nd trimester ultrasound
Assisted reproductive technology
Obstetrical clinical estimate (includes S-F height)
Unknown
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
Head-Cranium & Brain \ Aqueductal stenosis
Head-Cranium & Brain \ Arachnoid cyst(s)
August 13, 2019 Page 27 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Head-Cranium & Brain \ Iniencephaly
August 13, 2019 Page 28 of 142
Encounter: Antenatal SpecialtyData 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 \ 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)
Face \ EYES-Anophthalmia
August 13, 2019 Page 29 of 142
Encounter: Antenatal SpecialtyData 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-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
Neck \ Neck tumour - other
August 13, 2019 Page 30 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Cardiovascular \ Aortic valve stenosis
August 13, 2019 Page 31 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Cardiovascular \ Double inlet ventricle (DIV)
August 13, 2019 Page 32 of 142
Encounter: Antenatal SpecialtyData 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 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)
Cardiovascular \ Premature atrial contractions (PAC's)
August 13, 2019 Page 33 of 142
Encounter: Antenatal SpecialtyData 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 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)
Cardiovascular \ Transposition of great vessels (TGA)
Cardiovascular \ Tricuspid atresia
August 13, 2019 Page 34 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Gastrointestinal \ Abnormal Gallbladder
Gastrointestinal \ Abnormal Large Bowel
August 13, 2019 Page 35 of 142
Encounter: Antenatal SpecialtyData 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 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)
Gastrointestinal \ Large bowel obstruction
Gastrointestinal \ Liver cyst(s)
August 13, 2019 Page 36 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Genitourinary Tract \ Bladder exstrophy
Genitourinary Tract \ Cloacal dysgenesis
August 13, 2019 Page 37 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Genitourinary Tract \ Renal dysplasia
Genitourinary Tract \ Undescended testicle(s)
August 13, 2019 Page 38 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Extremities-skeletal \ Generalized/other-Congenital malformations of spine & bony thorax
August 13, 2019 Page 39 of 142
Encounter: Antenatal SpecialtyData 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-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)
Extremities-skeletal \ Hands/feet-Radial ray anomaly (absent thumb)
August 13, 2019 Page 40 of 142
Encounter: Antenatal SpecialtyData 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-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
Extremities-skeletal \ Skeletal Dysplasias-Thanatophoric dysplasia
August 13, 2019 Page 41 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Anomalies Confirmed
D0023 Identifies congenital anomalies that were confirmed prenatally
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
Chromosomes \ Unbalanced translocation
August 13, 2019 Page 42 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Teratogenic Exposures \ Toluene embryopathy
August 13, 2019 Page 43 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Syndromes \ Amyloplasia Congenita
Syndromes \ Angelmans Syndrome
August 13, 2019 Page 44 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Syndromes \ Congenital Nephrotic Syndrome
Syndromes \ Cornelia Delange
August 13, 2019 Page 45 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Syndromes \ Freeman-Sheldon Syndrome
Syndromes \ Friederichs Ataxia
Syndromes \ Frontonasal dysplasia
August 13, 2019 Page 46 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Syndromes \ Hurlers Syndrome
Syndromes \ Hydrochephalus X-Linked
Syndromes \ Hydrolethalus
August 13, 2019 Page 47 of 142
Encounter: Antenatal SpecialtyData 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 \ 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)
Syndromes \ Marfan syndrome
Syndromes \ McKusick-Koffman Syndrome
Syndromes \ Meckel-Gruber syndrome
August 13, 2019 Page 48 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Syndromes \ Noonan Syndrome
Syndromes \ OculodentiodiGastrointestinalal Syndrome
Syndromes \ Opitz Syndrome
August 13, 2019 Page 49 of 142
Encounter: Antenatal SpecialtyData 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 \ 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)
Syndromes \ Protein C deficiency
Syndromes \ Proteus Syndrome
Syndromes \ Prune belly syndrome
Syndromes \ Pyruvate Carboxylase Deficiency
August 13, 2019 Page 50 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
Syndromes \ TAR (thrombocytopenia-absent radius) syndrome
Syndromes \ Tay-Sachs - gm2-gangliosidosis type 1
Syndromes \ Thalassemia-alpha
August 13, 2019 Page 51 of 142
Encounter: Antenatal SpecialtyData 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 \ 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
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
August 13, 2019 Page 52 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 53 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 54 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 55 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 56 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 57 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 58 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 59 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 60 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 61 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 62 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 63 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 64 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 65 of 142
Encounter: Antenatal SpecialtyData 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-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 66 of 142
Encounter: Antenatal SpecialtyData 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-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 67 of 142
Encounter: Antenatal SpecialtyData 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 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 68 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 69 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 70 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 71 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 72 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 73 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 74 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 75 of 142
Encounter: Antenatal SpecialtyData 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 \ 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 76 of 142
Encounter: Antenatal SpecialtyData 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 \ 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.
August 13, 2019 Page 77 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetal Therapy FAN0013 Fetal procedures or surgical interventions that were performed on the fetus during this pregnancy, including endoscopic surgical approaches and pharmacological therapy
None
Amnioinfusion
Amnioreduction
Fetal Drug Therapy
Fetal Surgery
Intrauterine Transfusion \ Packed Red Blood Cells
Intrauterine Transfusion \ Platelets
Laser ablation of placenta
Lower Urinary Tract Obstruction (LUTO) \ Bladder tap
Lower Urinary Tract Obstruction (LUTO) \ Shunt
Maternal Transplacental Drug Therapy
Pleural effusion \ Aspiration
Pleural effusion \ Shunt
Radio frequency ablation
Selective Reduction \ Discordant for anomaly
Selective Reduction \ Higher order multiples
Selective Reduction \ other
Other
Unknown
Fetus ID PS0011 Fetal ID of a multiple pregnancy Fetus A
Fetus B
Fetus C
August 13, 2019 Page 78 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Fetus ID PS0011 Fetal ID of a multiple pregnancy Fetus D
Fetus E
Fetus F
Fetus G
Fetus H
Fetus I
Fetus J
Final Diagnosis Confirmed By
FAN0031 How Fetal or Neonatal Congenital Anomalies were diagnosed
Autopsy
DNA testing
Physical examination
Chromosome analysis
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)
August 13, 2019 Page 79 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Final Diagnosis Confirmed By
FAN0031 How Fetal or Neonatal Congenital Anomalies were diagnosed
Other
First Trimester Visit M0046 Indication that mother had a prenatal care visit with a regulated health care provider during the first trimester (<13 weeks and 0 days gestation of pregnancy) of the current pregnancy.
Folic Acid D0020 Maternal use of folic acid prior to and during pregnancy None
Pre-conception only
During pregnancy only
Preconception and during pregnancy
Unknown
GA at First Abnormal U/S FAN0025 Gestational Age at first ultrasound yielding abnormal results in standard GA format.
GA at First Tertiary U/S FAN0026 Gestational Age at first ultrasound done at a high-risk centre in standard GA format.
GA at first visit to FMU FAN0027 GA at first visit with Fetal Medicine Unit in current pregnancy using GA format. Stored in days
GA at first visit to PNU/MG
FAN0030
Generic Comment D0021 Hospital specific comment
Genetic testing molecular result detail
ASGENTSTD Genetic testing molecular result detail c.1274_1277dupTATC or c.1278insTATC
c.1421+1G>C or IVS12(+1)G>C
c.805G>A (or G269S)
c.433-2A>G
c.693C>A (or Y231X)
c.854A>C (or E285A)
c.914C>A (or A305E)
c.2881del6/ins7 or (Y736)
August 13, 2019 Page 80 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Genetic testing molecular result detail
ASGENTSTD Genetic testing molecular result detail c.2204+6T>C (or R696P)
IVS20(+6)T>C
c.67delG+c.37C>T or c.322delG
IVS3(-2)A>G (or G116_N152del)
c.511_6943del (or 6.4kb deletion)
c.406-2A>G or IVS3(-2)A>G
c.911T>C (or L302P)
c.996delC (or 1bp delfsP330)
c.1493G>T (or R496L)
c.1828_1830del (or delta R608)
c.1521_1523delCTT (or dF508)
45-54
55-59
60-69
70-79
80-89
90-99
100-109
110-119
120-129
130-139
140-200
50-149
150-1000
August 13, 2019 Page 81 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Genetic testing molecular result detail
ASGENTSTD Genetic testing molecular result detail >2000
Other
Other, specify
Unknown
Gestational Age At Scan F0016SC
Gravida (G) M0030 Indicates number of pregnancies the women has experienced, including current pregnancy
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
August 13, 2019 Page 82 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Gravida (G) M0030 Indicates number of pregnancies the women has experienced, including current pregnancy
19
20
21
22
23
24
25
Unknown
HOSP Name ORGHOSP001 Hospital Site Name
Hypertension Disorder in Pregnancy
D0016 Identification of all hypertensive conditions and the progression of hypertensive conditions the women experienced during this pregnancy
None
Eclampsia
Gestational Hypertension
HELLP
Preeclampsia
Preeclampsia requiring magnesium sulfate
Pre-existing Hypertension with superimposed preeclampsia
Unknown
Infection and Pregnancy D0017 Identification of infections affecting this pregnancy. Select all that apply.
None
Bacterial Infection
C-Difficile
Chlamydia
CMV (cytomegalovirus) infection
August 13, 2019 Page 83 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Infection and Pregnancy D0017 Identification of infections affecting this pregnancy. Select all that apply.
Enterovirus infections
Gonorrhea
Group B Streptococcus GBS infection is selected when there is an infection present in pregnancy and culture indicates GBS. The culture can come from blood, urine or swab.
Hepatitis A
Hepatitis B
Hepatitis C
Herpes simplex virus (HSV) infection
HIV
HPV
Methicillin-Resistant Staphylococcus Aureus (MRSA)
Other Infections
Rubella syndrome
Seasonal Influenza
Suspected Chorioamnionitis
Syphillis
Toxoplasmosis
Trichomonas
Tuberculosis (TB)
Urinary Tract Infection (UTI)
Varicella-Zoster virus
Viruses - Other
Unknown
Maternal Ancestry M0012 Mother's ethnic background to identify the patient as a member of a specific ethnic group to assess genetic risks.
East Asian
August 13, 2019 Page 84 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Ancestry M0012 Mother's ethnic background to identify the patient as a member of a specific ethnic group to assess genetic risks.
Asian Description: Indian, Pakistani, Bangladeshi
Black Description: African, Caribbean, African-American
Caucasian Description: European, Middle Eastern, North African, Hispanic
Other
Unknown
Maternal Antenatal HCP M0106 Designation of health care providers (HCP) that provided antenatal care.
None
Obstetrician
Family Physician
Midwife Registered midwife or traditionally trained Aboriginal midwife
Nurse
Nurse Practitioner (APN/CNS)
Other
Unknown
Maternal BMI M0019 Maternal pre-pregnancy Body Mass Index (BMI) defined as weight in kilograms divided by the square of the height in metres (kg/m2).
Maternal Canadian Postal Code at Conception
M0006 The postal code of mother's usual or permanent address closest to the time of conception.
Maternal Education Level M0011 Mothers highest level of education completed at time of birth.Create Father Education level field
Grade School Completed
High School not Completed
High School Completed
College/University not Completed
College/University Completed
August 13, 2019 Page 85 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Education Level M0011 Mothers highest level of education completed at time of birth.Create Father Education level field
Unknown
Maternal Family History NEW0012 Family health history of birth mother at time of data collection. If egg donor then document in Source of Gametes on Pregnancy tab.
None
Autism
Chromosome Abnormality
Chromosome Rearrangement
Congenital hearing loss
Congenital Heart Defect
Congenital visual impairment
Connective Tissue Disorders
Craniofacial Anomalies
Cystic Fibrosis
Developmental Delay (Mental Retardation)
Fragile X
Hemoglobinopathy
Hemophilia/bleeding Disorders
Learning Disabilities
Limb reduction defects
Metabolic Disorder
Neuromuscular Disorders
Skeletal Dysplasia
Spina Bifida/Neural Tube Defects
Tay Sachs
August 13, 2019 Page 86 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Family History NEW0012 Family health history of birth mother at time of data collection. If egg donor then document in Source of Gametes on Pregnancy tab.
Other
Unknown
Maternal Health Condition Other
M0013-2 Please specify maternal health condition and/or complications that could impact maternal, pregnancy or birth outcomes
Maternal Health Conditions
M0013 Select all maternal health conditions and/or complications including those pre-exisitng, diagnosed during pregnancy or active during pregnancy.
None Select None if not on available pick list.
Autoimmune \ Lupus
Autoimmune \ Other
Autoimmune \ Rheumatoid Arthritis
Cancer \ Diagnosed in Pregnancy
Cancer \ Prior to Pregnancy
Cardiovascular \ Acquired Heart Disease
Cardiovascular \ Antihypertensive Therapy outside of pregnancy
Cardiovascular \ Cardiovascular Disease
Cardiovascular \ Congenital Heart Defect
Cardiovascular \ Congenital Heart Disease
Cardiovascular \ Other
Cardiovascular \ Pre-existing Hypertension
Cardiovascular \ Renal Disease
Craniofacial \ Cleft Lip and/or palate
Craniofacial \ Craniosynostosis
Craniofacial \ Other
Diabetes \ Diabetes Type I
August 13, 2019 Page 87 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Health Conditions
M0013 Select all maternal health conditions and/or complications including those pre-exisitng, diagnosed during pregnancy or active during pregnancy.
Diabetes \ Diabetes Type II - No Insulin \ Diet management only
Diabetes \ Diabetes Type II - No Insulin \ Oral Anthyperglycemic Agents
Diabetes \ Diabetes Type II - No Insulin
Diabetes \ Diabetes Type Unknown
Endocrine \ Hypothyroidism | Managed
Endocrine \ Hypothyroidism | Unmanaged
Endocrine \ Hypothyroidism | Management Unknown
Endocrine \ Hyperthyroidism | Managed
Endocrine \ Hyperthyroidism | Unmanaged
Endocrine \ Hyperthyroidism | Management Unknown
Endocrine \ Other
Gastrointestinal \ Colitis
Gastrointestinal \ Crohns
Gastrointestinal \ Hepatitis
Gastrointestinal \ Liver/Gallbaldder | Cholecystitis
Gastrointestinal \ Liver/Gallbladder | Intrahepatic cholestasis of pregnancy
Gastrointestinal \ Liver/Gallbladder | Other
Gastrointestinal \ Other
Genetics \ CGH Microarray abnormality polymorphism
Genetics \ Chromosome Abnormality
Genetics \ Chromosome Rearrangement (balanced)
Genetics \ Other birth defects
August 13, 2019 Page 88 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Health Conditions
M0013 Select all maternal health conditions and/or complications including those pre-exisitng, diagnosed during pregnancy or active during pregnancy.
Genetics \ Other genetic inherited disorders/syndromes
Genito Urinary \ Acquired Renal(insufficiency - chronic infections)
Genito Urinary \ Congenital/Genetic Renal (renal agenesis - pelvic kidney)
Genito Urinary \ Other
Genito Urinary \ Renal Disease
Genito Urinary \ Uterine Anomalies
Haematology \ Chronic Anemia
Haematology \ Gestational Thrombocytopenia
Haematology \ Haemophilia (A and B Von Willibrands)
Haematology \ Idiopathic Thrombocytopenia
Haematology \ Other
Haematology \ Sickle Cell Disease
Haematology \ Thalassemia
Haematology \ Thrombophilia
Musculoskeletal \ Achondroplasia
Musculoskeletal \ Limb Reduction Defects
Musculoskeletal \ Muscular Dystrophy/Neuromuscular disorder
Musculoskeletal \ Myotonic Dystrophy
Musculoskeletal \ Osteogenesis Imperfecta
Musculoskeletal \ Musculoskeletal (Unspecified)
Neurodevelopmental \ Autism
Neurodevelopmental \ Developmental Delay (Mental Retardation)
Neurodevelopmental \ Fragile X
August 13, 2019 Page 89 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Health Conditions
M0013 Select all maternal health conditions and/or complications including those pre-exisitng, diagnosed during pregnancy or active during pregnancy.
Neurodevelopmental \ Hearing Disorder
Neurodevelopmental \ Learning Disabilities
Neurodevelopmental \ Vision Disorder
Neurodevelopmental \ Other
Neurology \ Cerebral palsy
Neurology \ Epilepsy/Seizures | Pre-existing Select if epilepsy and/or seizures were pre-exisiting prior to pregnancy.
Neurology \ Epilepsy/Seizures | Seizure occurred in current pregnancy
Select if onset of epilepsy and/or seizures was during pregnancy or if epilepsy/seizure were pre-exisiting and a seizure occurred during the pregnancy.
Neurology \ Multiple Sclerosis
Neurology \ Myasthenia Gravis
Neurology \ Spina Bifida/NTD
Neurology \ Other
Pulmonary \ Asthma | Pre-existing Select if asthma was pre-exisiting prior to pregnancy.
Pulmonary \ Asthma | Occurred in current pregnancy
Select if onset of asthma was during pregnancy or if asthma was pre-exisiting and an asthma attack or exacerbation occurred during the pregnancy.
Pulmonary \ Cystic Fibrosis
Pulmonary \ Previous Pulmonary Embolism/DVT
Pulmonary \ Pulmonary Hypertension
Pulmonary \ Other
Recurrent Spontaneous Abortion
Other, specify: This pick list value includes Health conditions that are not included in the specified available categories. For example, hip displasia, congenital abnormality.
Unknown
Musculoskeletal \ Other
August 13, 2019 Page 90 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Height (cm) M0017 Maternal height, measured in imperial or metric units. Reported in metric units.
Maternal Height Is Unknown
M0017UN
Maternal Height value entered by user through UI
M0017USERVAL
Maternal Marital Status M0010 Marital status of mother at time of collection (Maternal Serum Screen).
Married/Common Law
Separated/Divorced
Single
Unknown
Maternal Occupation M0015 Mother's paid occupation. Agriculture \ Natural Resources \ Agriculture \ Farm Worker
Agriculture \ Natural Resources \ Environmental Field worker
Agriculture \ Natural Resources \ Environmentalist
Agriculture \ Natural Resources \ Farmer
Agriculture \ Natural Resources \ Fisherman
Agriculture \ Natural Resources \ Forestry Worker
Agriculture \ Natural Resources \ Hunter
Agriculture \ Natural Resources \ Landscaper \ Gardener
Agriculture \ Natural Resources \ Miner
Agriculture \ Natural Resources \ Nuclear Plant Worker
Agriculture \ Natural Resources \ Oil & Gas Worker
Agriculture \ Natural Resources \ Other
Art \ Culture \ Sport \ Actor
August 13, 2019 Page 91 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Occupation M0015 Mother's paid occupation. Art \ Culture \ Sport \ Archivist
Art \ Culture \ Sport \ Artist
Art \ Culture \ Sport \ Athlete
Art \ Culture \ Sport \ Coach
Art \ Culture \ Sport \ Conductor
Art \ Culture \ Sport \ Conservator
Art \ Culture \ Sport \ Curator
Art \ Culture \ Sport \ Dancer
Art \ Culture \ Sport \ Director
Art \ Culture \ Sport \ Editor
Art \ Culture \ Sport \ Events co-ordinator
Art \ Culture \ Sport \ Exotic Dancer
Art \ Culture \ Sport \ Fashion Designer
Art \ Culture \ Sport \ Film producer
Art \ Culture \ Sport \ Fitness instructor
Art \ Culture \ Sport \ Golf course superintendant
Art \ Culture \ Sport \ Graphic Designer
Art \ Culture \ Sport \ Interior Designer
Art \ Culture \ Sport \ Jewellery designer
Art \ Culture \ Sport \ Journalist
Art \ Culture \ Sport \ Librarian
Art \ Culture \ Sport \ Musician
Art \ Culture \ Sport \ Other
Art \ Culture \ Sport \ Personal trainer
August 13, 2019 Page 92 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Occupation M0015 Mother's paid occupation. Art \ Culture \ Sport \ Photographer
Art \ Culture \ Sport \ Producer
Art \ Culture \ Sport \ Singer
Art \ Culture \ Sport \ Writer \ Author
Govt. \ Business \ Admin.\ Finance \ Accountant
Govt. \ Business \ Admin.\ Finance \ Actuary
Govt. \ Business \ Admin.\ Finance \ Administrative Officer
Govt. \ Business \ Admin.\ Finance \ Auditor
Govt. \ Business \ Admin.\ Finance \ Bank Teller
Govt. \ Business \ Admin.\ Finance \ Banker
Govt. \ Business \ Admin.\ Finance \ Bookkeeper
Govt. \ Business \ Admin.\ Finance \ Business analyst
Govt. \ Business \ Admin.\ Finance \ Civil servant
Govt. \ Business \ Admin.\ Finance \ Clerk
Govt. \ Business \ Admin.\ Finance \ Company executive
Govt. \ Business \ Admin.\ Finance \ Consultant
Govt. \ Business \ Admin.\ Finance \ Director
Govt. \ Business \ Admin.\ Finance \ Executive assistant
Govt. \ Business \ Admin.\ Finance \ Financial Advisor \ Officer
Govt. \ Business \ Admin.\ Finance \ Government Official \ Legislator
Govt. \ Business \ Admin.\ Finance \ Human Resources Worker
Govt. \ Business \ Admin.\ Finance \ Import \ Export
Govt. \ Business \ Admin.\ Finance \ Insurance
August 13, 2019 Page 93 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Occupation M0015 Mother's paid occupation. Govt. \ Business \ Admin.\ Finance \ Investment Advisor
Govt. \ Business \ Admin.\ Finance \ Manager
Govt. \ Business \ Admin.\ Finance \ Mortgage broker
Govt. \ Business \ Admin.\ Finance \ Other
Govt. \ Business \ Admin.\ Finance \ Secretary \ Clerical
Govt. \ Business \ Admin.\ Finance \ Securities Agent
Govt. \ Business \ Admin.\ Finance \ Stock Broker
Healthcare \ Aesthetician
Healthcare \ Behavioural therapist
Healthcare \ Chiropractor
Healthcare \ Dental Assistant
Healthcare \ Dental Hygienist
Healthcare \ Dentist
Healthcare \ Denturist
Healthcare \ Dietary Aide
Healthcare \ Dietician
Healthcare \ Genetic Counsellor
Healthcare \ Lab Technician
Healthcare \ LPN (licenced practical nurse)
Healthcare \ Massage therapist
Healthcare \ Medical receptionist
Healthcare \ Medical Technologist \ Technician
Healthcare \ Midwife
August 13, 2019 Page 94 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Occupation M0015 Mother's paid occupation. Healthcare \ MRI technologist
Healthcare \ Nurse (RN or BScN)
Healthcare \ Nutritionist
Healthcare \ Occupational Therapist (OT)
Healthcare \ Optician \ Optometrist
Healthcare \ Other
Healthcare \ Paramedic
Healthcare \ Patient relations
Healthcare \ Personal care worker
Healthcare \ Pharmaceutical Rep.
Healthcare \ Pharmacist
Healthcare \ Pharmacy technician
Healthcare \ Physician
Healthcare \ Physiotherapist
Healthcare \ Prosthetist
Healthcare \ Psychologist
Healthcare \ Psychotherapist
Healthcare \ Public health inspector
Healthcare \ Radiation therapist
Healthcare \ Recreation worker
Healthcare \ Respiratory therapist
Healthcare \ Speech Therapist
Healthcare \ Veterinarian
Home \ other \ Homemaker
August 13, 2019 Page 95 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Occupation M0015 Mother's paid occupation. Home \ other \ Other
Home \ other \ Recently immigrated - not working yet
Home \ other \ Self employed
Home \ other \ Unemployed
Home \ other \ Unknown
Police \ Military \ Fire \ Airport screening officer
Police \ Military \ Fire \ Firefighter
Police \ Military \ Fire \ Law enforcement officer - other
Police \ Military \ Fire \ Military \ Soldier
Police \ Military \ Fire \ Other
Police \ Military \ Fire \ Police
Police \ Military \ Fire \ Private detective
Police \ Military \ Fire \ Sailor
Police \ Military \ Fire \ Security guard
Processing \ Manufacturing \ Chemical Plant Worker
Processing \ Manufacturing \ Delivery \ supplies
Processing \ Manufacturing \ Distribution supervisor
Processing \ Manufacturing \ Factory \ Assembly Line Worker
Processing \ Manufacturing \ Fish Plant Worker
Processing \ Manufacturing \ Food processing
Processing \ Manufacturing \ Foundry Worker
Processing \ Manufacturing \ Inventory auditor - warehouse
Processing \ Manufacturing \ Labourer (Processing)
August 13, 2019 Page 96 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Occupation M0015 Mother's paid occupation. Processing \ Manufacturing \ Mineral \ Metal Processing Operator
Processing \ Manufacturing \ Other
Processing \ Manufacturing \ Printer
Processing \ Manufacturing \ Product manager
Processing \ Manufacturing \ Quality control
Processing \ Manufacturing \ Rubber Plant Worker
Processing \ Manufacturing \ Sheet metal worker
Processing \ Manufacturing \ Shipping \ Receiving
Processing \ Manufacturing \ Supervisor (Processing)
Processing \ Manufacturing \ Textile \ Dye Worker
Processing \ Manufacturing \ Warehouse manager
Sales \ Service \ Animal Control Officer
Sales \ Service \ Automobile detailing
Sales \ Service \ Babysitter \ Nanny
Sales \ Service \ Baker
Sales \ Service \ Bartender
Sales \ Service \ Butcher
Sales \ Service \ Car rental agency
Sales \ Service \ Cashier
Sales \ Service \ Chef \ Cook
Sales \ Service \ Childcare Worker
Sales \ Service \ Cleaner
Sales \ Service \ Concierge
August 13, 2019 Page 97 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Occupation M0015 Mother's paid occupation. Sales \ Service \ Customer service agent
Sales \ Service \ Dry Cleaning \ Laundry Worker
Sales \ Service \ Esthetician
Sales \ Service \ Exterminator
Sales \ Service \ Funeral director
Sales \ Service \ Hairdresser \ Barber
Sales \ Service \ Housekeeper
Sales \ Service \ Insurance Agent
Sales \ Service \ Letter Carrier \ Postal Worker
Sales \ Service \ Manager
Sales \ Service \ Marketing
Sales \ Service \ Other
Sales \ Service \ Realtor
Sales \ Service \ Restauranteur
Sales \ Service \ Sales Rep.\ Salesperson
Sales \ Service \ Stocker
Sales \ Service \ Supervisor (sales\service)
Sales \ Service \ Telemarketer \ call centre agent
Sales \ Service \ Travel Agent
Sales \ Service \ Waitress \ Waiter \ Restaurant worker
Sales \ Service \ Wholesaler
Science \ IT \ Architect
Science \ IT \ Computer Programmer
Science \ IT \ Data entry
August 13, 2019 Page 98 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Occupation M0015 Mother's paid occupation. Science \ IT \ Draftsman \ Designer
Science \ IT \ Engineer
Science \ IT \ IT (Information Technology)
Science \ IT \ Other
Science \ IT \ Project manager
Science \ IT \ Research assistant
Science \ IT \ Research scientist
Science \ IT \ Scientist
Science \ IT \ Statistician
Science \ IT \ Systems Analyst
Science \ IT \ Technician \ Technologist
Science \ IT \ Web designer
Soc. Science \ Education \ Religion \ Child & Youth worker
Soc. Science \ Education \ Religion \ Early Childhood Educator \ Daycare worker
Soc. Science \ Education \ Religion \ Judge
Soc. Science \ Education \ Religion \ Lawyer
Soc. Science \ Education \ Religion \ Military
Soc. Science \ Education \ Religion \ Minister \ Pastor
Soc. Science \ Education \ Religion \ Notary Public
Soc. Science \ Education \ Religion \ Other
Soc. Science \ Education \ Religion \ Post graduate studies
Soc. Science \ Education \ Religion \ Professor
Soc. Science \ Education \ Religion \ Psychologist
August 13, 2019 Page 99 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Occupation M0015 Mother's paid occupation. Soc. Science \ Education \ Religion \ Recreation therapist
Soc. Science \ Education \ Religion \ Religious Leader
Soc. Science \ Education \ Religion \ Social Worker
Soc. Science \ Education \ Religion \ Student (college)
Soc. Science \ Education \ Religion \ Student (high school)
Soc. Science \ Education \ Religion \ Teacher
Soc. Science \ Education \ Religion \ Teacher's aide \ Tutor
Trades\Transport \ Aircraft technician
Trades\Transport \ Autobody shop
Trades\Transport \ Boiler maker
Trades\Transport \ Bus Driver
Trades\Transport \ Carpenter
Trades\Transport \ Construction worker
Trades\Transport \ Contractor
Trades\Transport \ Electrician
Trades\Transport \ Flight Attendant
Trades\Transport \ Flooring contractor
Trades\Transport \ Forklift operator
Trades\Transport \ Garbage Collector
Trades\Transport \ Gas Fitter
Trades\Transport \ Handyman
Trades\Transport \ Heavy equipment operator
Trades\Transport \ Janitor
August 13, 2019 Page 100 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Occupation M0015 Mother's paid occupation. Trades\Transport \ Labourer (Builder)
Trades\Transport \ Mechanic
Trades\Transport \ Miner
Trades\Transport \ Oil rig worker
Trades\Transport \ Other
Trades\Transport \ Packer
Trades\Transport \ Painter
Trades\Transport \ Pilot
Trades\Transport \ Plumber
Trades\Transport \ Power Station Operator
Trades\Transport \ Project manager
Trades\Transport \ Railway Conductor \ Worker
Trades\Transport \ Roofer
Trades\Transport \ Security \ Commissionaire
Trades\Transport \ Supervisor
Trades\Transport \ Tailor \ Dressmaker
Trades\Transport \ Taxi Driver
Trades\Transport \ Telecommunication \ Cable Worker
Trades\Transport \ Telephone technician
Trades\Transport \ Tool & Die Maker
Trades\Transport \ Transportation Controller
Trades\Transport \ Truck Driver
Trades\Transport \ Welder
August 13, 2019 Page 101 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Maternal Occupation M0015 Mother's paid occupation. Unknown
Maternal smoking at first prenatal visit
M0020-1 Self-reported amount of smoking per day at time of first prenatal visit
None
10-20 cigarettes/day
>20 cigarettes/day
Amount unknown
Unknown
Medication Exposure in Pregnancy
D0018 Indicate type of prescription and non-prescription (over-the-counter) medications taken during this pregnancy
None
Amphetamines
Antibiotics
Anticonvulsants
Anti-emetics
Antihistamines
Antinflammatory
Antiretrovirals
Antirheumatic
Antiviral
Cardiovascular
Chemotherapeutic Agents
Contraceptives
Gastrointestinal Agents
General anaesthetic
Herbal or homeopathic remedies
Insulin
August 13, 2019 Page 102 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Medication Exposure in Pregnancy
D0018 Indicate type of prescription and non-prescription (over-the-counter) medications taken during this pregnancy
Methadone/Subutex Prescription medications for the treatment of opioid addiction, they reduce cravings for the drug and suppress symptoms of opioid withdrawal.
Opioids Opioids are a type of drug used to relieve pain. Examples include: morphine, codeine, fentanyl, oxycodone, heroin, and hydromorphone. Opiates are naturally occurring narcotics whereas opioids include synthetic narcotics. (PCMCH Neonatal Abstinency Syndrome (NAS) Clinical Practice Guidelines, March 30, 2012).
Other over the counter medications
Other prescription
Psychotropic
Selective Seritonin Reuptake Inhibitors
Thyroid Medication
Vitamin A & Congeners
Vitamins
Other
Unknown
Mental Health Concerns M0048 Indicate any maternal mental health concerns during this pregnancy including those pre-existing, diagnosed during pregnancy or active during pregnancy. Both diagnosed or self reported.
None
Anxiety
Depression
History of Postpartum Depression
Addiction
Bipolar
Schizophrenia
Other
Unknown
August 13, 2019 Page 103 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Microarray genomic build / assembly
FAN1008-1 Indicates the human genome sequence assembly that was used to design and interpret the microarray data. In order to interpret any given microarray result (other than normal), the correct genome build/assembly must be used.
GRCh37/hg19
NCBI36/hg18
Unknown
Microarray results FAN1008-2 A comparison of patient DNA to ‘normal’ DNA (comparative genomic hybridization) used to assess gains and/or losses in DNA content.
Molecular Genetic Testing Details in Standard Nomenclature
FAN1005 The molecular results of the investigations, either selected from the pick list or entered in standard c.DNA nomenclature (for example, c.1274_1277dupTATC)
Molecular Genetic Testing Gene(s)
FAN1003 The gene on which molecular testing was performed Alpha globin
Aspartoacylase
Beta globin
CFTR
DMPK
Factor IX
Factor VIII
FANCC
FMR1
Hexosaminidase A
IKBKAP
MCOLN1
RecQ DNA helicase
SMPD1
Specify gene
August 13, 2019 Page 104 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Molecular Genetic Testing Gene(s) Other
FAN1010 The gene on which molecular testing was performed if the gene does not exist in the provided pick list
Molecular Genetic Testing Result General
FAN1004 Indicates whether an individual is affected with the disease, is a carrier of the disease or whether no mutations were identified
Affected
Affected (> 201 repeats), specify repeat size
Affected, specify mutations
Affected, specify repeat size (>49 repeats)
Carrier
Carrier, specify mutation
No mutations detected
Normal repeat size (>35 repeats) specify repeat size
Normal repeat size (5-44 repeats)
Premutation carrier (>44 repeats and >201 repeats) specify repeat size
Premutation carrier (35-49 repeats) specify repeat size
Unknown
Mother resides with smoker at first prenatal visit
M0020-2 At time of first prenatal visit, self-reported indication of whether woman resides with smoker
NT level MMMSS0017 Measurement of the nuchal translucency (NT), an echolucent area seen in longitudinal views of the back of the neck on ultrasound reported in millimeters. (Cunningham, 2005)
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
2
3
4
August 13, 2019 Page 105 of 142
Encounter: Antenatal SpecialtyData 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.
5
6
7
8
Unknown
Number of Living Children (L)
D0011 Number of living children at the time of pregnancy. Biological only, carried by mother, not necessarily cared for by mother and excludes adopted because this refers to mother's pregnancy history.
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
August 13, 2019 Page 106 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Number of Living Children (L)
D0011 Number of living children at the time of pregnancy. Biological only, carried by mother, not necessarily cared for by mother and excludes adopted because this refers to mother's pregnancy history.
Unknown
Number of Previous Abortions (A)
M0038 The total number of spontaneous or therapeutic abortions occurring prior to 20 completed weeks gestation. Spontaneous losses include ectopic pregnancy, missed abortion, blighted ova, and molar pregnancy.
0
1
2
3
4
5
6
10
11
12
13
14
15
16
17
18
19
20
Unknown
August 13, 2019 Page 107 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Number of Previous Cesarean Births
M0035 The total number of previous pregnancies resulting in a cesarean birth occurring at greater than or equal to 20 weeks and 0 days gestation. Number excludes current pregnancy. Multiple gestations are counted as one birth event.
0
1
2
3
4
5
≥6
Unknown
Number of Previous Preterm Pregnancies (P)
M0032 The total number of previous pregnancies delivered at less than 37 weeks and 0 days gestation. Multiple gestations are counted as one birth event.
0
1
2
3
4
5
6
7
8
9
10
Unknown
August 13, 2019 Page 108 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Number of Previous Stillbirths (S)
M0033 The total number of previous pregnancies resulting in a stillbirth. A stillbirth is defined as a product of conception weighing 500 grams or more or of 20 or more weeks gestation which, after being completely delivered, shows no sign of life. Intentional termination of pregnancy that meet either criterion are also classified as stillbirths in Ontario (1). Vital Statistics, Ontario Office of Registrar General (ORG), ServiceOntario.
0
1
2
3
4
5
6
Unknown
Number of Previous Term Pregnancies (T)
M0031 The total number of previous pregnancies delivered at greater than or equal to 37 weeks and 0 days gestation. Multiple gestations are counted as one birth event
0
1
2
3
4
5
6
7
8
9
10
11
August 13, 2019 Page 109 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Number of Previous Term Pregnancies (T)
M0031 The total number of previous pregnancies delivered at greater than or equal to 37 weeks and 0 days gestation. Multiple gestations are counted as one birth event
12
13
14
15
16
Unknown
Number of Previous Vaginal Births
M0034 The total number of prior pregnancies resulting in a vaginal birth occurring at greater than or equal to 20 completed weeks gestation. Number excludes current pregnancy. Multiple gestations are counted as one birth event.
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
August 13, 2019 Page 110 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Number of Previous Vaginal Births
M0034 The total number of prior pregnancies resulting in a vaginal birth occurring at greater than or equal to 20 completed weeks gestation. Number excludes current pregnancy. Multiple gestations are counted as one birth event.
16
Unknown
Number of previous VBACs
M0036 The total number of previous vaginal births after cesarean section (VBAC).
0
1
2
3
4
5
6
Unknown
Oncology Radiation Therapy Exposure In Pregnancy
D0015 Indicate whether this women underwent radiation therapy if there is a diagnosis of cancer prior to or during this pregnancy
Parity NEW1101 The number of previous births (term + preterm). This is automatically calculated.
Paternal Age P0001 Age of father at the time of data collection expressed in completed years.
Paternal Ancestry P0003 Father's ethnic background to identify the patient as a member of a specific racial or ethnic group to assess genetic risks.
East Asian
Asian Description: Indian, Pakistani, Bangladeshi
Black Description: African, Caribbean, African-American
Caucasian Description: European, Middle Eastern, North African, Hispanic
Other
Unknown
August 13, 2019 Page 111 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Family History NEW0013 Family health history of intended father at time of data collection. If sperm donor then document in Source of Gametes on Pregnancy tab.
None
Autism
Chromosome Abnormality
Chromosome Rearrangement
Congenital hearing loss
Congenital Heart Defect
Congenital visual impairment
Connective Tissue Disorders
Craniofacial Anomalies
Cystic Fibrosis
Developmental Delay (Mental Retardation)
Fragile X
Hemoglobinopathy
Hemophilia/bleeding Disorders
Learning Disabilities
Limb reduction defects
Metabolic Disorder
Neuromuscular Disorders
Skeletal Dysplasia
Spina Bifida/Neural Tube Defects
Tay Sachs
Other
Unknown
August 13, 2019 Page 112 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Health History P0004 Health history of father at time of data collection. None
Autism
Chromosome Abnormality
Chromosome Rearrangement
Congenital hearing loss
Congenital Heart Defect
Congenital visual impairment
Connective Tissue Disorders
Craniofacial Anomalies
Cystic Fibrosis
Developmental Delay (Mental Retardation)
Fragile X
Hemoglobinopathy
Hemophilia/bleeding Disorders
Learning Disabilities
Limb reduction defects
Metabolic Disorder
Neuromuscular Disorders
Skeletal Dysplasia
Spina Bifida/Neural Tube Defects
Tay Sachs
Other
Unknown
Paternal Occupation P0002 Paternal Occupation at time of data collection. Agriculture \ Natural Resources \ Agriculture \ Farm Worker
August 13, 2019 Page 113 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Occupation P0002 Paternal Occupation at time of data collection. Agriculture \ Natural Resources \ Environmental Field worker
Agriculture \ Natural Resources \ Environmentalist
Agriculture \ Natural Resources \ Farmer
Agriculture \ Natural Resources \ Fisherman
Agriculture \ Natural Resources \ Forestry Worker
Agriculture \ Natural Resources \ Hunter
Agriculture \ Natural Resources \ Landscaper \ Gardener
Agriculture \ Natural Resources \ Miner
Agriculture \ Natural Resources \ Nuclear Plant Worker
Agriculture \ Natural Resources \ Oil & Gas Worker
Agriculture \ Natural Resources \ Other
Art \ Culture \ Sport \ Actor
Art \ Culture \ Sport \ Archivist
Art \ Culture \ Sport \ Artist
Art \ Culture \ Sport \ Athlete
Art \ Culture \ Sport \ Coach
Art \ Culture \ Sport \ Conductor
Art \ Culture \ Sport \ Conservator
Art \ Culture \ Sport \ Curator
Art \ Culture \ Sport \ Dancer
Art \ Culture \ Sport \ Director
Art \ Culture \ Sport \ Editor
Art \ Culture \ Sport \ Events co-ordinator
August 13, 2019 Page 114 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Occupation P0002 Paternal Occupation at time of data collection. Art \ Culture \ Sport \ Exotic Dancer
Art \ Culture \ Sport \ Fashion Designer
Art \ Culture \ Sport \ Film producer
Art \ Culture \ Sport \ Fitness instructor
Art \ Culture \ Sport \ Golf course superintendant
Art \ Culture \ Sport \ Graphic Designer
Art \ Culture \ Sport \ Interior Designer
Art \ Culture \ Sport \ Jewellery designer
Art \ Culture \ Sport \ Journalist
Art \ Culture \ Sport \ Librarian
Art \ Culture \ Sport \ Musician
Art \ Culture \ Sport \ Other
Art \ Culture \ Sport \ Personal trainer
Art \ Culture \ Sport \ Photographer
Art \ Culture \ Sport \ Producer
Art \ Culture \ Sport \ Singer
Art \ Culture \ Sport \ Writer \ Author
Govt. \ Business \ Admin.\ Finance \ Accountant
Govt. \ Business \ Admin.\ Finance \ Actuary
Govt. \ Business \ Admin.\ Finance \ Administrative Officer
Govt. \ Business \ Admin.\ Finance \ Auditor
Govt. \ Business \ Admin.\ Finance \ Bank Teller
Govt. \ Business \ Admin.\ Finance \ Banker
Govt. \ Business \ Admin.\ Finance \ Bookkeeper
August 13, 2019 Page 115 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Occupation P0002 Paternal Occupation at time of data collection. Govt. \ Business \ Admin.\ Finance \ Business analyst
Govt. \ Business \ Admin.\ Finance \ Civil servant
Govt. \ Business \ Admin.\ Finance \ Clerk
Govt. \ Business \ Admin.\ Finance \ Company executive
Govt. \ Business \ Admin.\ Finance \ Consultant
Govt. \ Business \ Admin.\ Finance \ Director
Govt. \ Business \ Admin.\ Finance \ Executive assistant
Govt. \ Business \ Admin.\ Finance \ Financial Advisor \ Officer
Govt. \ Business \ Admin.\ Finance \ Government Official \ Legislator
Govt. \ Business \ Admin.\ Finance \ Human Resources Worker
Govt. \ Business \ Admin.\ Finance \ Import \ Export
Govt. \ Business \ Admin.\ Finance \ Insurance
Govt. \ Business \ Admin.\ Finance \ Investment Advisor
Govt. \ Business \ Admin.\ Finance \ Manager
Govt. \ Business \ Admin.\ Finance \ Mortgage broker
Govt. \ Business \ Admin.\ Finance \ Other
Govt. \ Business \ Admin.\ Finance \ Secretary \ Clerical
Govt. \ Business \ Admin.\ Finance \ Securities Agent
Govt. \ Business \ Admin.\ Finance \ Stock Broker
Healthcare \ Aesthetician
Healthcare \ Behavioural therapist
Healthcare \ Chiropractor
August 13, 2019 Page 116 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Occupation P0002 Paternal Occupation at time of data collection. Healthcare \ Dental Assistant
Healthcare \ Dental Hygienist
Healthcare \ Dentist
Healthcare \ Denturist
Healthcare \ Dietary Aide
Healthcare \ Dietician
Healthcare \ Genetic Counsellor
Healthcare \ Lab Technician
Healthcare \ LPN (licenced practical nurse)
Healthcare \ Massage therapist
Healthcare \ Medical receptionist
Healthcare \ Medical Technologist \ Technician
Healthcare \ Midwife
Healthcare \ MRI technologist
Healthcare \ Nurse (RN or BScN)
Healthcare \ Nutritionist
Healthcare \ Occupational Therapist (OT)
Healthcare \ Optician \ Optometrist
Healthcare \ Other
Healthcare \ Paramedic
Healthcare \ Patient relations
Healthcare \ Personal care worker
Healthcare \ Pharmaceutical Rep.
Healthcare \ Pharmacist
August 13, 2019 Page 117 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Occupation P0002 Paternal Occupation at time of data collection. Healthcare \ Pharmacy technician
Healthcare \ Physician
Healthcare \ Physiotherapist
Healthcare \ Prosthetist
Healthcare \ Psychologist
Healthcare \ Psychotherapist
Healthcare \ Public health inspector
Healthcare \ Radiation therapist
Healthcare \ Recreation worker
Healthcare \ Respiratory therapist
Healthcare \ Speech Therapist
Healthcare \ Veterinarian
Home \ other \ Homemaker
Home \ other \ Other
Home \ other \ Recently immigrated - not working yet
Home \ other \ Self employed
Home \ other \ Unemployed
Home \ other \ Unknown
Police \ Military \ Fire \ Airport screening officer
Police \ Military \ Fire \ Firefighter
Police \ Military \ Fire \ Law enforcement officer - other
Police \ Military \ Fire \ Military \ Soldier
Police \ Military \ Fire \ Other
Police \ Military \ Fire \ Police
August 13, 2019 Page 118 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Occupation P0002 Paternal Occupation at time of data collection. Police \ Military \ Fire \ Private detective
Police \ Military \ Fire \ Sailor
Police \ Military \ Fire \ Security guard
Processing \ Manufacturing \ Chemical Plant Worker
Processing \ Manufacturing \ Delivery \ supplies
Processing \ Manufacturing \ Distribution supervisor
Processing \ Manufacturing \ Factory \ Assembly Line Worker
Processing \ Manufacturing \ Fish Plant Worker
Processing \ Manufacturing \ Food processing
Processing \ Manufacturing \ Foundry Worker
Processing \ Manufacturing \ Inventory auditor - warehouse
Processing \ Manufacturing \ Labourer (Processing)
Processing \ Manufacturing \ Mineral \ Metal Processing Operator
Processing \ Manufacturing \ Other
Processing \ Manufacturing \ Printer
Processing \ Manufacturing \ Product manager
Processing \ Manufacturing \ Quality control
Processing \ Manufacturing \ Rubber Plant Worker
Processing \ Manufacturing \ Sheet metal worker
Processing \ Manufacturing \ Shipping \ Receiving
Processing \ Manufacturing \ Supervisor (Processing)
Processing \ Manufacturing \ Textile \ Dye Worker
August 13, 2019 Page 119 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Occupation P0002 Paternal Occupation at time of data collection. Processing \ Manufacturing \ Warehouse manager
Sales \ Service \ Animal Control Officer
Sales \ Service \ Automobile detailing
Sales \ Service \ Babysitter \ Nanny
Sales \ Service \ Baker
Sales \ Service \ Bartender
Sales \ Service \ Butcher
Sales \ Service \ Car rental agency
Sales \ Service \ Cashier
Sales \ Service \ Chef \ Cook
Sales \ Service \ Childcare Worker
Sales \ Service \ Cleaner
Sales \ Service \ Concierge
Sales \ Service \ Customer service agent
Sales \ Service \ Dry Cleaning \ Laundry Worker
Sales \ Service \ Esthetician
Sales \ Service \ Exterminator
Sales \ Service \ Funeral director
Sales \ Service \ Hairdresser \ Barber
Sales \ Service \ Housekeeper
Sales \ Service \ Insurance Agent
Sales \ Service \ Letter Carrier \ Postal Worker
Sales \ Service \ Manager
Sales \ Service \ Marketing
August 13, 2019 Page 120 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Occupation P0002 Paternal Occupation at time of data collection. Sales \ Service \ Other
Sales \ Service \ Realtor
Sales \ Service \ Restauranteur
Sales \ Service \ Sales Rep.\ Salesperson
Sales \ Service \ Stocker
Sales \ Service \ Supervisor (sales\service)
Sales \ Service \ Telemarketer \ call centre agent
Sales \ Service \ Travel Agent
Sales \ Service \ Waitress \ Waiter \ Restaurant worker
Sales \ Service \ Wholesaler
Science \ IT \ Architect
Science \ IT \ Computer Programmer
Science \ IT \ Data entry
Science \ IT \ Draftsman \ Designer
Science \ IT \ Engineer
Science \ IT \ IT (Information Technology)
Science \ IT \ Other
Science \ IT \ Project manager
Science \ IT \ Research assistant
Science \ IT \ Research scientist
Science \ IT \ Scientist
Science \ IT \ Statistician
Science \ IT \ Systems Analyst
Science \ IT \ Technician \ Technologist
August 13, 2019 Page 121 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Occupation P0002 Paternal Occupation at time of data collection. Science \ IT \ Web designer
Soc. Science \ Education \ Religion \ Child & Youth worker
Soc. Science \ Education \ Religion \ Early Childhood Educator \ Daycare worker
Soc. Science \ Education \ Religion \ Judge
Soc. Science \ Education \ Religion \ Lawyer
Soc. Science \ Education \ Religion \ Military
Soc. Science \ Education \ Religion \ Minister \ Pastor
Soc. Science \ Education \ Religion \ Notary Public
Soc. Science \ Education \ Religion \ Other
Soc. Science \ Education \ Religion \ Post graduate studies
Soc. Science \ Education \ Religion \ Professor
Soc. Science \ Education \ Religion \ Psychologist
Soc. Science \ Education \ Religion \ Recreation therapist
Soc. Science \ Education \ Religion \ Religious Leader
Soc. Science \ Education \ Religion \ Social Worker
Soc. Science \ Education \ Religion \ Student (college)
Soc. Science \ Education \ Religion \ Student (high school)
Soc. Science \ Education \ Religion \ Teacher
Soc. Science \ Education \ Religion \ Teacher's aide \ Tutor
Trades\Transport \ Aircraft technician
Trades\Transport \ Autobody shop
Trades\Transport \ Boiler maker
August 13, 2019 Page 122 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Occupation P0002 Paternal Occupation at time of data collection. Trades\Transport \ Bus Driver
Trades\Transport \ Carpenter
Trades\Transport \ Construction worker
Trades\Transport \ Contractor
Trades\Transport \ Electrician
Trades\Transport \ Flight Attendant
Trades\Transport \ Flooring contractor
Trades\Transport \ Forklift operator
Trades\Transport \ Garbage Collector
Trades\Transport \ Gas Fitter
Trades\Transport \ Handyman
Trades\Transport \ Heavy equipment operator
Trades\Transport \ Janitor
Trades\Transport \ Labourer (Builder)
Trades\Transport \ Mechanic
Trades\Transport \ Miner
Trades\Transport \ Oil rig worker
Trades\Transport \ Other
Trades\Transport \ Packer
Trades\Transport \ Painter
Trades\Transport \ Pilot
Trades\Transport \ Plumber
Trades\Transport \ Power Station Operator
Trades\Transport \ Project manager
August 13, 2019 Page 123 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Paternal Occupation P0002 Paternal Occupation at time of data collection. Trades\Transport \ Railway Conductor \ Worker
Trades\Transport \ Roofer
Trades\Transport \ Security \ Commissionaire
Trades\Transport \ Supervisor
Trades\Transport \ Tailor \ Dressmaker
Trades\Transport \ Taxi Driver
Trades\Transport \ Telecommunication \ Cable Worker
Trades\Transport \ Telephone technician
Trades\Transport \ Tool & Die Maker
Trades\Transport \ Transportation Controller
Trades\Transport \ Truck Driver
Trades\Transport \ Welder
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.
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 \ 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 SubTest Name
PSDP004SUB The name of the specific test that was performed as selected from the defined pick list. See "Prenatal Diagnostic Procedures" tab for additional info
Prenatal Diagnosis Test Category
PSDP003 The category(-ies) of prenatal diagnostic testing offered. Unknown
August 13, 2019 Page 124 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
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
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
August 13, 2019 Page 125 of 142
Encounter: Antenatal SpecialtyData 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 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
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)
August 13, 2019 Page 126 of 142
Encounter: Antenatal SpecialtyData 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.
Connective Tissue disorders
Cystic Fibrosis
Embryoscopy
Entero Viruses
Fetoscopy
FISH
Fragile X
Hemoglobinopathy
Hemophilia
Herpes Simplex Virus (HSV)
HIV
Human Parvo Virus
Karyotype
Microarray
Muscle
Myotonic dystrophy
Neuromuscular disorders
QF-PCR
Rubella
Skeletal disorder
Syphilis
Tay Sachs only
Toxoplasmosis
Varicella-Zoster Virus
August 13, 2019 Page 127 of 142
Encounter: Antenatal SpecialtyData 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.
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
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
August 13, 2019 Page 128 of 142
Encounter: Antenatal SpecialtyData 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.
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
60-69
150-1000
>2000
70-79
List of: Alpha/Beta/Both
Factor IX
80-89
90-99
Factor VIII
45, X (Turner syndrome)
August 13, 2019 Page 129 of 142
Encounter: Antenatal SpecialtyData 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 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)
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
August 13, 2019 Page 130 of 142
Encounter: Antenatal SpecialtyData 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 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
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
August 13, 2019 Page 131 of 142
Encounter: Antenatal SpecialtyData 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 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
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
August 13, 2019 Page 132 of 142
Encounter: Antenatal SpecialtyData 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 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
XXX
Triploidy
Mosaic, sex chromosomes
Mosaic, autosomes
Uninterpretable
1278insTATC
G269S
IVS12(+1)G>C
Other, specify:
Unknown
August 13, 2019 Page 133 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Prenatal Diagnostic Procedure Date
PSDP001DT Prenatal Diagnostic Procedure Date
Prenatal Diagnostic Procedure Offered
PSDP001OF Accepted
Declined
Not offered
Unknown
Deferred
Prenatal Diagnostic Procedure Organization
PSDP001ORG Prenatal Diagnostic Procedure Organization
Pre-pregnancy Maternal Weight (kg)
M0018 The mother's self-reported weight closest to conception and no later than 12 weeks of gestation (metric or imperial units).
Pre-pregnancy Maternal Weight Is Unknown
M0018UN
Pre-pregnancy Maternal Weight unit of measure used for data entry on the UI
M0018UOM
Pre-pregnancy Maternal Weight value entered by user through UI
M0018USERVAL Pre-pregnancy Maternal Weight value entered by user through UI
Primary Reason for Referral
FAN0023 Primary reason for the mothers' first referral to a tertiary centre for prenatal care during current pregnancy
History of Congenital Abnormality \ Maternal
History of Congenital Abnormality \ Paternal
History of Congenital Abnormality \ Sibling
History of Congenital Abnormality \ Previous Pregnancy
History of Congenital Abnormality \ Other
History of Congenital Abnormality \ Unknown
History of Inherited Condition \ Maternal
August 13, 2019 Page 134 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Primary Reason for Referral
FAN0023 Primary reason for the mothers' first referral to a tertiary centre for prenatal care during current pregnancy
History of Inherited Condition \ Paternal
History of Inherited Condition \ Sibling
History of Inherited Condition \ Other
History of Inherited Condition \ Unknown
Maternal Diseases
Maternal Exposure
Mother's Age > 35
Other
Positive Prenatal Screen
Ultrasound Abnormality
Unknown
No referral
Referral Date to FMU FAN0021 Date referral was received by the Fetal Medicine Unit in current pregnancy using standard date format.
Referral Date to FMU Is Unknown
FAN0021UN Indicates that the referral date to the Fetal Medicine Unit is unknown
Referral to FMU NEW0008 Indicates whether mother was referred to fetal medicine unit during current pregnancy.
Referral to Prenatal Genetics
NEW0007 Indicates whether mother was referred to prenatal genetics during current pregnancy.
Referred to FAN by FAN0024 Name and provider number of health care provider who initiates referral to Fetal Alert Network.
Family Physician
Medical Genetics
Medical Specialist
Midwife
Nursing practitioner
Obstetrician
August 13, 2019 Page 135 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Referred to FAN by FAN0024 Name and provider number of health care provider who initiates referral to Fetal Alert Network.
Perinatologist
Other
Unknown
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
Nasal bone, absent
Nasal bone, hypoplastic
Nuchal fold / edema, increased
Nuchal translucency, increased
Oligohydramnios
Pericardial effusion
August 13, 2019 Page 136 of 142
Encounter: Antenatal SpecialtyData 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
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
Septated
Not septated
Normal
Abnormal (reversed)
Not otherwise specified
Biventricular
August 13, 2019 Page 137 of 142
Encounter: Antenatal SpecialtyData 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
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
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)
August 13, 2019 Page 138 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Soft markers of ultrasound Measurement Name
PNFU0080-3 Name of the soft marker or obstetrical imaging finding 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
Source of Gametes NEW0004 Source of sperm and egg for this pregnancy; reflects biological parents as documented or source(s) if reproductive assistance was required.
Donor egg
Donor Sperm
Donor sperm and egg
Parents as documented
Unknown
Subspecialty Consults FAN0012 Any sub-specialty consults undertaken during the course of prenatal care.
Anesthesia
Cardiology
Chaplaincy
Clinical Nurse Specialist/Advanced Practice Nurse (CNS/APN)
August 13, 2019 Page 139 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Subspecialty Consults FAN0012 Any sub-specialty consults undertaken during the course of prenatal care.
Endocrine
General Surgery
Genetic Counsellor
Geneticist
MFM second opinion
Neonatology
Nephrology
Neurology
Neurosurgery
None
Orthopaedics
Other
Palliative care
Plastic Surgery
Psychiatry
Psychology
Rehab Centre
Social Work
Urology
Unknown
Time between Referral and first visit to FMU in days
FAN105 Calculated. Measured in days
August 13, 2019 Page 140 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Time between Referral and first visit to PNU/Genetics in days
FAN104 A calculated Time between Referral and first visit to PNU/Genetics in days
Time prenatal PRBC transfusion
D0073 The time that the prenatal (in utero) PRBC transfusion was performed (if there were multiple performed, enter the most recent)
Type of Conception M0201 Method of conception for this pregnancy; indicates if reproductive assistance was required to achieve current pregnancy
Spontaneous Assisted reproductive technology was not used
Intrauterine insemination alone Sperm is instilled directly into the uterine cavity through a syringe and catheter. Can be partner or donor sperm. Referred to as IUI.
Intrauterine insemination with ovulation induction but no IVF
Same as intrauterine insemination (IUI) but woman received drugs to stimulate ovulation prior to the IUI. The woman may produce one or many eggs as the result of the stimulation protocol. Multiple births are a risk with this procedure. Sometimes, an ultrasound is performed prior to the IUI to determine how many follicles have matured and the procedure may not be carried out if many eggs are produced.
Ovulation Induction without IVF ( ie clomid or FSH)
Drugs are given to stimulate ovulation. Normal intercourse, IUI (intrauterine insemination) or vaginal insemination follows but no other manipulation of the egg or sperm.
IVF In Vitro fertilization - Eggs are retrieved from the ovaries through a transvaginal (usually) procedure, guided by ultrasound that shows where the mature follicles are. Eggs are then placed in a sperm solution and fertilization occurs. Fertilized embryos are grown in the lab for a few days (3 or 5) and then a certain number are transferred back into the uterus. The remainder of viable embryos may be frozen for future use.
IVF ICSI In Vitro Fertilization with Intra Cellular Sperm Injection - A single sperm is chosen from the sperm sample and injected directly into the egg for fertilization. The embryo(s) fertilized are then transferred into the uterus as in a regular IVF procedure and/or frozen for future use.
Surrogate A Gestational Carrier. Another women carries the embryo/fetus for the couple who are unable to carry a pregnancy for whatever reason. The baby is surrendered at birth to the fertility patient.
Vaginal insemination
Unknown
August 13, 2019 Page 141 of 142
Encounter: Antenatal SpecialtyData Element Name BORN ID Data Element Definition Pick List Value Pick List Definition
Woman Abuse D0019 The self-disclosed threat of or actual physical, sexual, psychological, emotional or financial abuse.
No disclosure Asked but no abuse disclosed or asked and responded 'No'
Disclosure
Unable to ask Not asked, for any reason. Not documented in the chart.
Zygosity M0200 The nature of the zygotes from which individuals are derived; e.g., whether by separation of the division of one zygote (monozygotic) , in which case they will be genetically identical, or from two separate fertilized ova (dizygotic).
Unknown
August 13, 2019 Page 142 of 142