Indicate reason that HBHC (Parkyn) screen is not completed. Indicate Healthy Baby Healthy Children (HBHC or Parkyn) Screen completion status.

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1 D0021 Generic Comment Hospital specific comment. N0030 N0029 HBHC Reason Not Completed Healthy Baby Healthy Children (HBHC) Screen Indicate reason that HBHC (Parkyn) screen is not completed. Indicate Healthy Baby Healthy Children (HBHC or Parkyn) Screen completion status. ORGHOSP001 HOSP Name Hospital Site Name. M Maternal Disposition The day/month/year of maternal discharge from hospital. Date M0523 Maternal Disposition Time The time (24 hour clock) of maternal discharge from hospital. M0537 Maternal Outcome Maternal disposition. D0045 Maternal Transfer Indicates which hospital a woman goes to when a mother is transferred Hospital To out. ORGMPG001 MPG Name MPG Name. Consent signed but left hospital before completing Language barrier Mother refused Transferred Other Completed Completed and not sent to H.U. Not completed No Transfer Discharged Home Maternal Death - Not related to Pregnancy or Birth Maternal Death - Related to Pregnancy or Birth Transfer to other hospital Transfer to ICU/CCU Last Updated: January 30,

2 MW0009 MW - Billability Type Indication of whether the record is Billable or non-billable and selection of determination information. No- Less than 12 weeks of careand no-midwifeattended birth No-Care also provided and billed by another practice No-Non-resident or privately insured Yes- Partial payment (religious or cultural reasons) Yes-12 weeks of care and/or midwife attended birth MW0011 MW - Care by other MPG Indication that care was provided to this client by another Ontario midwifery Practice Group. MW0025 MW - Client OHIP Indication of maternal OHIP coverage. coverage MW0069 MW - Discharge Date The calendar date of the last midwife visit provided to the client. from Midwifery Care MW0016P MW - Discharge from Care during postpartum N0057 MW0007 NEW0002 MW - Infant Discharged with Mother MW - Midwife Attend Birth MW - Midwife Number - Billing For hospital births, indication of whether newborn was discharged with mother. Indication of whether a midwife attended the birth. The provider number of midwife billing for this Course of Care. MW0001 MW - Midwife The provider number of the midwifery care coordinator. This can be the Last Updated: January 30,

3 Number - Coordinating same or a different provider number as that selected as the billing midwife. MW0002 MW - Midwife Number - Primary Attending The provider number of the Primary Attending Midwife at the birth. Leave blank if no Midwife attended the labour, birth or immediate postpartum. MW0003 MW MW MW MW MW MW0056 MW0015 D0109 MW - Midwife Number - Second Midwife MW - Number Postpartum Visits Clinic MW - Number Postpartum Visits Home MW - Number Postpartum Visits Hospital MW - Number Visits Postpartum-Primary MW MW - Number Visits Postpartum-Second MW Admission to hospital Consult Outpatient (+ The provider number of the Second Midwife at the labour, birth or immediate postpartum. Leave blank if no Second Midwife attended. This number must be different than the provider number of the Primary Attending Midwife. The number of postpartum visits (appointments) that took place during at the midwifery clinic. The number of postpartum visits (appointments) that took place at home. The number of postpartum visits (appointments) that took place at the hospital. The total number of postpartum visits (appointments) with the Primary Midwife. The total number of postpartum visits (appointments) with the Second Midwife. For each listed postpartum maternal condition or complication, indication of need for admission to hospital in the postpartum period. Indication of whether there was a consultation with a physician for each listed maternal condition or complication in the postpartum period. For each listed postpartum maternal condition or complication, indication of need for outpatient hospital services in the postpartum period. Last Updated: January 30,

4 Emergency) Services MW0058 MW0057 MW0057A MW0018 M0536 MW0006 Period Transfer of Care Returned Reason for Consult Reason for Consult All Transfer of Care MW - Provider who Caught Baby MW - Second Attendant Type if no For each transfer from midwifery care, indication of whether care was returned in the postpartum period. List of postpartum maternal conditions or complications resulting in consultation with physician and/or transfer of care and/or use of hospital services. For each listed postpartum maternal condition or complication, indication whether there was a transfer from midwifery care in the postpartum period. The care provider who caught the baby. If no Second Midwife, indication of type of second attendant at birth. Breastfeeding problems Infection - postpartum Postpartum - Other maternal medical conditions Postpartum depression Postpartum hemorrhage Retained placenta Breastfeeding problems Infection - postpartum Postpartum - Other maternal medical conditions Postpartum depression Postpartum hemorrhage Retained placenta Family physician Midwife Obstetrician Other Surgeon CMO approved TAPA Not Eligible Last Updated: January 30,

5 Second Midwife Senior Student MWUNRETC MW - Unreturned Transfer of Care MWPM011 N0051 MW - Was care of client transferred back to midwifery Postpartum Breastfeeding Support Indicate breastfeeding support provided in the first 48 hrs. After initial breastfeeding, mother was assisted with breastfeeding within 6 hours post birth Frequent skin to skin Hand expression of breastmilk demonstrated/taught Latch achieved prior to discharge Not applicable M0529 Postpartum Complication Indicate maternal medical complications occurring in the postpartum period. None Postpartum hemorrhage Uterine atony Fever Perineal hematoma Hysterectomy Perineal infection Abdominal incision infection Urinary tract infection Amniotic fluid embolus Pulmonary embolism Last Updated: January 30,

6 Thrombophlebitis Mastitis Postpartum Depression Other R0052TO MW0062 Reason for maternal transfer (To) Total Number Of Midwives Providing Care Indicates the primary reason for maternal transfer (To). Total number of midwives providing care determined at time of discharge from care Fetal health concern Lack of nursing coverage Lack of physician coverage Maternal medical/obstetrical problem No beds available Organization evacuation Birth outside of hospital prior to admission Last Updated: January 30,

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