OZ Systems: Import Fields Data Dictionary. Field Name

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Field Name Patient's First Name Patient's Last Name *

Patient's Medical Record Number * Patient's Medicaid Number Patient's Gender (Male, Female) * Patient's GA (in weeks)

Patient's Date of Birth * Patient's Time of Birth

Patient's Race/Ethnicity Includes White Patient's Race/Ethnicity Includes Hispanic

Patient's Race/Ethnicity Includes American Indian/Alaskan Native Patient's Race/Ethnicity Includes Black

Patient's Race/Ethnicity Includes Asian Patient's Race/Ethnicity Includes Pacific Island Patient's Birth Weight (in grams)

Patient's Birth Hospital

Patient's Birth Location (Hospital, Home) Patient's Nursery (Well Baby, NICU)

Patient's Case Status (In Process, Deceased) Patient's Consent Type (Full, Screen Only) Patient's Consent Type Method (Verbal, Written) Patient's Order of Birth

Patient's Order of Birth (of)

Patient's Contact Relationship (Mother, Father, Other) Contact is Primary (yes, no)

Contact is Legal Guardian (yes, no) Contact to Receive Reports (yes, no) Contact is Consent Signatory (yes, no) Contact's First Name

Contact's Last Name Contact's Medicaid Number

Contact's Language (English, Spanish) Contact's Race/Ethnicity Includes White

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Contact's Race/Ethnicity Includes American Indian/Alaskan Native Contact's Race/Ethnicity Includes Black

Contact's Race/Ethnicity Includes Asian Contact's Race/Ethnicity Includes Pacific Island Contact's Race/Ethnicity Includes No Race Specified Contact's Title (Mr., Mrs., Dr.)

Contact's Address Contact's Apt. No. Contact's City Contact's State Contact's County Contact's Zipcode Contact's Phone

HRI Family History of Hearing Loss

HRI NICU > 5 days

HRI Bacterial Meningitis

HRI Congenital Infection

HRI APGAR 0-4 at 1 minute

HRI Cranio-facial anomalies

HRI Birth Weight < 1500 g

HRI Exchange Transfusion for Elevated Bilirubin

HRI Ototoxic Medications Administered

HRI Mechanical Ventilation > 5 days

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HRI Head Injury

HRI Neurodegenerative Disorder

HRI APGAR 0-6 at 5 minutes

HRI Parental Concern regarding Hearing Status

HRI Otitis media > 3 months (middle ear infection)

HRI Syndrome

HRI Other postnatal infection

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Format Character Limit 35 35 30 10 Male;Female number mm/dd/yyyy hh:mm 0=no;1=yes 0=no;1=yes 0=no;1=yes 0=no;1=yes 0=no;1=yes 0=no;1=yes number

spell out exactly as it is in eSP Hospital;Home

Well Baby;NICU;Other In Process; Deceased

number 1-7

Mother;Father, Foster Parent, Other Relationship, Adoptive Parent, Grandparent, Social Services, Medical Yes;No Yes;No Yes;No Yes;No 35 35 10 English;Spanish;… 0=no;1=yes 0=no;1=yes OZ Systems Copyright 2004

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0=no;1=yes 0=no;1=yes 0=no;1=yes 0=no;1=yes 0=no;1=yes 9 50 50 50 2 50 10 20 0=unknown;1=not present; 2=present

0=unknown;1=not present; 2=present

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0=unknown;1=not present; 2=present

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Notes eSP Values

Case sensitive Male, Female, Not known

Between 23 and 42 can also use mm/dd/yy

can also be hh:mm:ss or hh:mm AM/PM

can also be No;Yes or True;False (not case sensitive) can also be No;Yes or True;False (not case sensitive) can also be No;Yes or True;False (not case sensitive) can also be No;Yes or True;False (not case sensitive) can also be No;Yes or True;False (not case sensitive) can also be No;Yes or True;False (not case sensitive) Between 500 and 6000

Case sensitive, exactly as entered in Oz. Will be defaulted to current origin if not found

Case sensitive - must match choices in Add Patients screen exactly

Hospital, Home, Other Case sensitive - must match choices in Add Patients

screen exactly

Well Baby, NICU, Other Case sensitive - must match choices in Add Patients

screen exactly

In Process, Moved out of State, Deceased, Refused, Lost Contact Case sensitive - must match choices in Add Patients

screen exactly

Full, Screen Only, Disclose Only, Not Given, Not Obtained Case sensitive - must match choices in Add Patients

screen exactly

Verbal, Written 1, 2, 3, 4, 5, 6, 7 1, 2, 3, 4, 5, 6, 7 Case sensitive, must match choices in Add Contacts

screen exactly. Will default to 'Mother'

Mother;Father, Foster Parent, Other Relationship, Adoptive Parent, Grandparent, Social Services, Medical can also be True;False. Not case-sensitive

can also be True;False. Not case-sensitive can also be True;False. Not case-sensitive can also be True;False. Not case-sensitive

Case sensitive - must match choices in Add Patients screen exactly

English, Spanish, French, German, Korean, Turkish, Arabic, Chinese, Vietnamese can also be No;Yes or True;False (not case sensitive)

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can also be No;Yes or True;False (not case sensitive) can also be No;Yes or True;False (not case sensitive) can also be No;Yes or True;False (not case sensitive) can also be No;Yes or True;False (not case sensitive) can also be No;Yes or True;False (not case sensitive) Case sensitive - must match choices in Add Patients screen exactly

Mrs., Miss, Ms., Mr., Prof., Dr.

Numeric only. No ( )

Can also be Unknown;Present;Absent or

Unknown;False;True or Unknown;No;Yes. Not case-sensitive

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