the Document

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What’s Changed? Transitioning from Niday to BORN
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In response to your requests, data elements have been added/modified to help clinical decision making and to inform practice at your
organization (i.e. Bishop score, Primary indication for Induction of labour, newborn complications)
Subject Matter Expert (SME) working groups reviewed and updated data elements to ensure consistency with current clinical practice, best
practice guidelines and changing trends in population health.
Select data elements have been re-organized and/or singled out to increase specificity, improve data quality and ease of analysis (i.e. mental
health concerns, diabetes in pregnancy)
Redundant data elements have been eliminated (i.e. ‘Early Attachment/Feeding Initiation’ replaces ‘Infant Feeding in Hospital’)
Manual Data Entry Sites
 Data elements are listed in the quick reference guide (table below)
 For a more detailed document detailing the relationship between Niday and BORN Ontario data elements, please refer to the companion
document (excel spreadsheet) sent electronically with this guide
 For the complete data set, please refer to the online Data Dictionary www.bornontario.ca/data-dictionary
Electronic uploading hospital sites
 For BORN hospital upload file specifications, Frequently Asked Questions pertaining to the upload process, etc. please refer to:
www.bornontario.ca/data/information-technology/born-build
QUICK REFERENCE GUIDE
NEW Data Elements
Name
OHIP #
ID Type
Unit # & Street
Telephone
Woman Abuse
Ancestry
Field Conformance
Rationale
M= Mandatory, C= Conditional, O = Optional
M
C
C
O
O
M
O
Continuum linking and matching
Population health risk factor
Population health risk factor
1785 Alta Vista Dr. | Suite 106 | Ottawa, ON K1G 3Y6 | P: 613.523.3781 | F: 613.523.9057 | www.BORNOntario.ca
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NEW Data Elements
Pregnancy History
EDB
EDB Determined by
Gravida
# of Previous Abortions (A)
# of Living Children (L)
# of Previous Stillbirths (S)
# of Previous Vaginal Births
# of previous VBACs
Maternal Weight at end of pregnancy
Folic Acid
Oncology Radiation Therapy Exposure in
Pregnancy
Intrapartum
Admission by Healthcare Provider
Primary Indication for Induction of Labour
Bishop Score
If C/S, Stage
Primary indication for Caesarean Section
Anesthesia for Caesarean Section
Postpartum
Maternal Outcome
Maternal Transfer To
Reason for Maternal Transfer To
Maternal Discharge Date/Time from Hospital
Barrier to Maternal Transfer
Postpartum Complications
Postpartum Breastfeeding Support
Feeding method
Field Conformance
Rationale
M= Mandatory, C= Conditional, O = Optional
M
M
M
M
M
M
M
M
M
M
Alignment with antenatal one form
Enhanced obstetrical history
Health status in pregnancy
Current practice standard
C
Risk exposure in pregnancy
M
C
C
C
C
c
Resource utilization analysis/transfer of care
To improve accuracy
Clinical practice standard
Enhanced risk assessment
To improve accuracy
Improving accuracy/enhanced risk assessment
M
C
C
M
C
M
C
O
Evaluate maternal outcomes
Birth Order
C
Date/Time of Newborn Screen Collection
C
Service utilization
Evaluate maternal outcomes
Current practice standards / BFI accreditation
Linking and matching, enhancing birth outcomes analysis
(i.e. multiples)
Current practice standard - reconcile with Newborn
Screening Ontario lab results
1785 Alta Vista Dr. | Suite 106 | Ottawa, ON K1G 3Y6 | P: 613.523.3781 | F: 613.523.9057 | www.BORNOntario.ca
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CHANGED Data Elements
Province
Primary Language
Aboriginal Identity
Pregnancy History
Pre-existing health conditions
# of fetuses
Type of Conception
Mental Health Concerns
Smoking at first prenatal visit
Resides with smoker at first prenatal visit
Smoking at time of admission for birth
Resides with smoker at time of admission
Alcohol Exposure in Pregnancy
Drug and Substance Exposure in Pregnancy
Medication exposure in pregnancy
Infection & Pregnancy
Diabetes and Pregnancy
Hypertension Disorder in Pregnancy
GBS Screening/Results
Intrapartum
Cervical Ripening
Birth Location
Newborn Resuscitation
Pregnancy Outcome
Neonatal Death
Head Circumference at Birth
Postpartum
Arterial cord blood test status
Venous cord blood test status
Newborn Congenital Anomalies
Suspected/Confirmed
Newborn screening
Breastmilk Substitute
Infant Early attachment/feeding initiation
Newborn Discharged or Transferred to
Neonatal Transfer to NICU/SCN
Description of Change/Rationale
Separated NWT & Nunavut
Updated and more specific
More specific / updated options
Re-organized by system
Replaces 'multiple gestation'
Replaces 'assisted reproductive technology'
Moved from 'pre-existing health conditions'
Enhanced risk assessment
Moved from 'pre-existing health conditions', enhanced risk assessment
Moved from 'complications in pregnancy’, enhanced risk assessment
Increased specificity; to improve data quality and support practice standards
Combined into one field
Moved from 'method of induction', to improve accuracy
To capture out of hospital births
Updated to reflect current standards
Re-grouped pick-list to capture all pregnancy outcomes
Newborn growth assessment
Improved accuracy
Increased specificity; improved data accuracy
Alignment with lab results
Clinical practice standard/ BFI accreditation
Replaces 'infant feeding in hospital', current practice standards / BFI accreditation
Re-grouped to improve data collection
1785 Alta Vista Dr. | Suite 106 | Ottawa, ON K1G 3Y6 | P: 613.523.3781 | F: 613.523.9057 | www.BORNOntario.ca
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Exclusive NICU data elements
Changed Data Elements
Neonatal Health Problems
Neonatal Therapies /Interventions
Head Circumference on Discharge from NICU
Oxygen Therapy
Non-Invasive ventilation
Mechanical Ventilation
Neonatal Drug Screen
Neonatal Drug Screen Results
Description/Rationale
Separated Necrotizing enterocolitis into 'suspected' vs. 'confirmed'
Added 'hypoxic ischaemic encephalopathy cooling protocol’
Conditional: only entered when infants are discharged home
Data value management change (captured by days)
Added 'unknown'
Added 'unknown' and 'pending'
1785 Alta Vista Dr. | Suite 106 | Ottawa, ON K1G 3Y6 | P: 613.523.3781 | F: 613.523.9057 | www.BORNOntario.ca
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