OZ Systems: Import Fields Data Dictionary. Field Name

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1 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 Contact's Race/Ethnicity Includes Hispanic

2 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

3 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 Skip this Column

4 Format Male;Female number mm/dd/yyyy hh:mm number spell out exactly as it is in esp Character Limit Hospital;Home Well Baby;NICU;Other In Process; Deceased number 1-7 number 1-7 Mother;Father, Foster Parent, Other Relationship, Adoptive Parent, Grandparent, Social Services, Medical Yes;No Yes;No Yes;No Yes;No English;Spanish;

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7 Notes esp Values Case sensitive Between 23 and 42 can also use mm/dd/yy can also be hh:mm:ss or hh:mm AM/PM 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 Contacts. Will default to 'Mother' 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 Male, Female, Not known Hospital, Home, Other Well Baby, NICU, Other In Process, Moved out of State, Deceased, Refused, Lost Contact Full, Screen Only, Disclose Only, Not Given, Not Obtained Verbal, Written 1, 2, 3, 4, 5, 6, 7 1, 2, 3, 4, 5, 6, 7 Mother;Father, Foster Parent, Other Relationship, Adoptive Parent, Grandparent, Social Services, Medical English, Spanish, French, German, Korean, Turkish, Arabic, Chinese, Vietnamese

8 Mrs., Miss, Ms., Mr., Prof., Dr. Numeric only. No ( )

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