Coding User Manual Version 4.19
Contents
1.2. Tick the box Print Background Colours Internet Explorer Toolbars The Scottish Birth Record runs in Kiosk mode which means the application opens up Internet Explorer without any toolbars visible However to print reports we utilise the Internet Explorer window which automatically has toolbars present AutoComplete to be turned off One feature of Autocomplete is that a dialogue box will appear asking if you require assistance completing the form To switch this mode off Open Internet explorer Go to the Tools menu Click Internet Options Click on the Content tab Under Personal Information click Autocomplete Deselect the Forms check box and the usernames amp password on forms box Click ok os SS screen resolution to be set at 1024 x 768 To change your screen resolution Click on start at the bottom of your screen 1 2 Select Settings 3 Click on Control Panel 4 Double click on Display 5 Go to the Settings tab 6 Under Screen area click on and drag the slider to 1024 x 768 7 Click Apply Notes e A higher resolution reduces the size of items on your desktop e A lower resolution increases the size of your desktop e Your monitor and display adapter determine whether you can change your settings or not Any doubts please contact your IT department SBR Coding User Manual Version 4 19 Page 24 Appendix B Setting Up Icons on Your Desktop Setting up a Training SBR logo on your desktop
3. amp This page allows you to print reports and letters from the Scottish Birth Record system To do this open up the required report and use File Printto print Mother Details Sumame Chilly Sumame Chilly Forename Icey Forename s Baby Date of Birth 01 01 1990 Date of Birth 07 12 2010 Address 1 south gyle crescent EH12 9EB Sex Girl GPR Report Registration of Birth This is an application form to Open GPR Report This is the Registration of Birth form Open Registration of Birth Form register with a General Medical Practitioner Newborn Record Notification of Birth This is the Newborn Record that Open Antenatal and Birth History Page 1 you may wish to keep as your Open Initial Baby Examination Page 2 This is the Notification of Birth form Open Notification of Birth Form hard copy This reportis split Open Routine Baby Examination Page 3 into three pages Immediate Discharge Letter Newborn Hearing Screening Form This is the Newborn Hearing Screen Newborn Hearing Screening This is the immediate discharge Immediate Discharge Letter fain letter Neonatal Discharge Letter Handover to Health Visitor letter This is the Newborn Hearing Screen e Populated Newborn Hearing form with mother and GP Details Screening Coding Output This is output for coders Coding Output Back to Main Dashboard Blank Coding Output The print room allows you to print reports and letters relating to a particular record from the SBR
4. system To print the document 1 Goto File 2 Select Print The following reports can be generated from The Print Room GPR Report An application form to register with a GP New Born Record A printable version of the data relevant to a new born split into antenatal birth history physical baby examination and medical baby examination Immediate Discharge Letter A pre populated discharge letter for mother and baby Note if a mother has had no previous pregnancies then it will display on this letter as being para 0 0 Neonatal Discharge Letter A pre populated discharge letter for babies who were admitted for further neonatal care SBR Coding User Manual Version 4 19 Page 16 Handover to Heath Visitor Letter A pre populated letter containing information for the Health Visitor Coding Output A pre populated report containing a summary of all the coded data together with the OPCS4 and ICD10 codes for the baby Blank Coding Output A blank report for recording the coded data items including OPCS4 and ICD10 codes for the baby where the notes are housed elsewhere Registration of Birth A pre populated Registration of Birth form Notification of Birth A pre populated Notification of Birth form EC58 A pre populated EC58 form which is under development Newborn Hearing Screening Form A blank screening form with the patient information pre populated Pre populated Newb
5. Firstly ensure that your PC is linked to the NHSNet Right click on the desktop Select New Select Shortcut Create shortcut dialogue box appears browse to where you have your Internet Explorer usually on your local disk C D Programme Files or Plus or Internet Explorer look for the lexplore exe Double click or OK At end of address put space kspacehttp test scottishbirthrecord scot nhs uk Click on Next Type in Training Scottish Birth Record Click on Finish Setting up a live SBR logo on a desktop which is linked to the NHSNet e Firstly ensure that your PC is linked to the NHSNet e Right click on the desktop e Select New e Select Shortcut e Create shortcut dialogue box appears browse to where you have your Internet explorer usually on their local disk C D Programme Files or Plus or Internet Explorer look for the lexplore exe amp e At end of address put space kspacehtips www scottishbirthrecord scot nhs uk note this has to be EXACT or it will not work e Click on Next e Type in Live Scottish Birth Record e Click on Finish SBR Coding User Manual Version 4 19 Page 25 Appendix C Data Entry Guidance Tips General For security reasons if there has been no activity with the SBR for 20 minutes the system will log you out losing any data that has been keyed and not updated When you enter any information you must click on the LEELLE button to save the
6. H Hospital Patient Identifier Find baa A Street Any Town A City Somewhere Post Code AB25 22N F Initial Qutcome of this Baby Livebirth O PE Update dE gi E Session will time out in 17 59 Internet When a baby is transferred to you from another hospital please overwrite the Hospital Patient Identifier with your own Recording Stillbirths All births should be recorded on the SBR To record a stillbirth simply change the Initial Outcome of the Baby on the baby screen to stillbirth This field automatically defaults to livebirth unless you change it b Episode Screen Data recorded here is for baby activity only Here are some definitions that may be useful to you Admission when a baby is admitted or re admitted to any ward within a hospital that provides any neonatal care this includes normal care Transfer when a baby is transferred to another Scottish hospital for neonatal care Note before a record is transferred it should be completed with all available information a transfer should be the last thing you do with the record as currently once you transfer it you no longer have access to it Discharge when a baby is discharged from inpatient care to the community transferred to specialist non neonatal care e g cardiology or transferred to a hospital out with Scotland SBR Coding User Manual Version 4 19 Page 10 Figure 9 Date O7 05 2007 06 05 2007 Ward Level o
7. allocated Cancel button e f however you are unsure you think this baby may already be registered on CHI or you want to go back into the record to check it then please click on the Cancel button It is very important that the same baby is not allocated two CHI numbers unless the CHI number needs to be re allocated because it was based on the wrong details and therefore invalid If any of the required data for obtaining a CHI is incorrect or missing you will be shown an error message indicating what you are required to amend prior to being able to obtain a CHI number Your local administrators and also staff at the Atos helpdesk are able to unlock the CHI if an incorrect CHI has been allocated If the CHI is unlocked and another CHI allocated please ensure that the Child Health department are made aware of the CHI change so they can stop using the old one If you have any problems or need any assistance to allocate a CHI number please do not hesitate to contact the SBR Team via the Atos helpdesk Section 19 Audit Trail There is an activity log incorporated into the system at data item and username level Whenever a record is accessed or any data item is added amended the date time and username are recorded on the audit log SBR Coding User Manual Version 4 19 Page 22 Section 20 Fault Finding record not been completed refer to page 13 The system has closed down The system has automatically Log back in to t
8. blood cultures whether thought to be true bacteraemia or a contaminated sample Need for supplemental oxygen 36 weeks Receiving supplemental oxygen at 36 weeks Section 11 Submitting and Retracting a Record Once you have finished coding the record you can submit it to the SBR database and it will be removed from your current view on opening the SBR Records can be submitted when they are partially coded or fully coded If you submit partially coded records they can be retracted at a later date fully coded then submitted again To submit a record 1 Click on 3 SBR Submission Web Pag Is coding complete Yes Noj Cancel http itest scottishbi F Internet YEs Mo 2 Click on Yes for fully coded records and No for partially coded records SBR Coding User Manual Version 4 19 Page 15 Once you have submitted a record and realise you have more coding to do 1 Search for your patient See section 4 Finding Your Patient Record 2 Click on Retract under the Fully or Part Coded icon Retract 3 Open the record as detailed above Section 12 Print Room To open the Print Room ao wal 1 Click on beside the appropriate record on the main dashboard 2 Click on the document you wish to open it will appear in blue and underlined 3 Once the document is open go to File 4 Select Page set up and ensure the header and footer boxes are blank 5 Click on OK Figure 14 The Print Room
9. the SBR you are simply changing the access rights to this particular record The new location will have full read and edit access Note that if the baby is transferred to England this will be treated as a discharge Discharge Type Facility Hospital Outwith scotland as the Scottish Birth Record system is not available outside Scotland The discharge date in this instance is the date the baby leaves Scottish hospital care Tips for Transferring SBR Co Do not use the transfer screen when a baby is being moved between wards within the same hospital this should be recorded as a new episode At present once a record has been transferred you cannot access it unless the record is transferred or sent back to you Ensure that you complete the record with as much information as possible BEFORE you transfer the record as once you have transferred sent it you will no longer have access to it If you have transferred a record and have forgotten to add something please contact the designated SBR user at the receiving site If you have transferred to the wrong hospital please contact the SBR Project Team who can un do the transfer for you If you want to transfer a baby that has been born to another hospital you must ensure that the baby has been admitted on the Episode screen first If a baby has been transferred to you you must admit the baby on the Episode screen before it can be discharged A list of records that have been
10. this case it would be the discharge that would be removed first See page 13 regarding for recording of homebirths SBR Coding User Manual Version 4 19 Page 11 Transferring a Patient Figure 10 Code_Ep isode_Transfer Microsoft Internet Explorer Transfer this baby s records to another location Date Use today Hospital Transter by Hotes ee HB Please note that once this record has been transferred you will no longer hawe access to it A list of transfered records can be downloaded on the Admin screen This screen is used when the baby is being transferred from your hospital to another Scottish hospital another for continued care If they have not been admitted to the other hospital i e only visiting hospital use the send facility instead To transfer Click on on the Episode screen Complete the date click on the Use Today link to use today s date Select the hospital the patient is being transferred to To select the hospital quicker type in first letter of hospital and the box will be populated with the full name If there are several hospitals beginning with the same letter continue to hit the relevant key the first letter of the name until the Hospital you are looking for appears Enter who carried out the transfer and add any appropriate notes To complete the transfer click on To cancel the transfer click on P Close By transferring the baby s record on
11. transferred from your hospital can be viewed on the Admin page lt is hoped in the future to retain read only access to transferred baby records You would not be able to edit any transferred records ding User Manual Version 4 19 Page 12 Readmissions When a baby has been readmitted to hospital after transfer or discharge this must be entered on the episode screen To do this follow the instructions above detailing how to add an episode c Birth Screen Details on the birth can be entered and edited on the Birth screen Information here includes estimated gestation feeding on discharge and congenital anomalies Information Points OD are provided beside various data fields to give information and guidance Figure 11 brown Baby 17 08 2001 ene Bits H Special Neonatal Care Estimated Gestation O Birth weight 1 200 gram Place of Birth ConsultantUnit gt Delivered y Estimated Date of Delivery EDD Apgar Score at 5 Mins 2 Resuscitation Max Bilirubin if jaundiced i Phototherapy No Add Update Lowest Glucose i Congenital Anomaly Problems at Discharge Subsequent Weight P Date Congenital Anomaly Nion life threatening Y Feed on Discharge Formula only 7 Notes on Congenital Anomaly OFC em Jd Length C Heel angth Crown Heal lon Other Physical Problems a F Discharge Hearin g Screen Fail Refer gt Date use today s Date Pein eee Blood Spot PKU Date use tod
12. you need to change to a dashboard view that shows them i e All or Booked but not yet delivered BBNYD Figure 6 Surname Forename HFI alt HPI CHI DoB EDD B SBR_Ind Clear Mum Baby Both EDD Baby DOB mumpos _Clear e The SBR Indicator is a unique system identifier for each SBR record It can be found below the surname on the dashboard Baby Surname Forename Baby mum Baby DOB if born Hospital Patient ID CHI 6 Records in total Page 1 of 1 SBR_Ind 3600 lt de Baby 14 08 2008 not entered CB g gg FE emi Section 5 Adding a New Record Before adding a new record it is advisable to search the database to ensure a record does not already exist see above To add a new record for the Baby e Click on pendre from the main dashboard e Complete all the mandatory fields these are marked with M Click on Submit Record Please note that for multiple pregnancies each baby will require a record If a new record has been added for the Mum via the clinical section the number of records required should be already on the system SBR Coding User Manual Version 4 19 Page 7 Figure 7 New Scottish Birth Record Baby Details Coding Date of Birth Baby use today s Date Time of Birth hh mm 24 h Sex Birth Weight grams F Ethnic Group Find a Number CHI Number Hospital Patient Identifier Find haal V8 This address wil populate the Clinical SBR recom f
13. Add the consultant responsible Add the date of main operation Click on the update button oe a You can enter 2 or more OPCS4 codes that are the same as long as the dates of the operations procedures are different The functionality to remove OPCS4 and ICD10 codes as well as a free text box at the bottom of the screen for comments is also provided Please note that only codes relating to the baby should be entered on this screen and not any codes relating to the Mother A Coding Output document is available from the Printroom if required SBR Coding User Manual Version 4 19 Page 14 e VLBW Screen The Very Low Birth Weight VLBW screen is where information on CRIB and Morbidity data are recorded This screen only appears if the baby meets the VLBW criteria the baby is either less than 1500 grams or that they are less than 32 weeks gestation Completion of this screen is not mandatory for the Information Services return and only needs to be completed where the VLBW study is being conducted Figure 13 brown Baby 17 08 2001 Post Mortem nes Ifthe baby died was there will there be a post mortem Lowest appropriate FiO2 lt 12 hours Please refer to blood gas charts and nursing charts to determine what was lowest appropriate Fi02 Highest appropriate FiO2 lt 12 hours Please refer to blood gas charts and nursing charts to determine what was highest appropriate Fi02 Baby too well to be monitored Baby s oxygena
14. B see Postcode and Address Finder below for more details If the connection is slow please do not continually click on the Add Record button when creating a new record as this will create multiple records SBR Coding User Manual Version 4 19 Page 26 GP Practice Finder If you know the GP Practice Code and the GP s GMC number you can type these into the relevant data fields The built in search allows you to find any GP in Scotland and any GP Practice throughout the UK The more specific your search the quicker it will run 3 GP Practice Finder Web Page Dialog GP Practice Finder deanery search on all GP Practices in the UK but will only return GMC Numbers for GPs practising GP Surname jones GP Forename Address Use this field to search on address details c Postcode EH Clear Close Search Results 70516 3303995 Jones Colin 24 Gracemount Drive Edinburgh EH16 6RN 0131 664 2377 76137 3205499 Jones Neil North Berwick Health Centre St Baldred s Road North Berwick EH394PU 01620 892169 7036 4746391 Jones Valerie Eastfield Medical Practice Eastfield Farm Road Penicuik EH268E2Z 01968 675576 76109 2983390 Jones lan Fauldhouse Health Centre Blackfaulds Place Fauldhouse EH4 79AS 01501 770282 76255 461266 Jones Lucy Howden Health Centre Howden Road West Livingston Vest Lothian EH546TP 01506 423800 Select Find e Click on to the left of the GP Practice Cod
15. BR records which have an invalid baby CHI entered e g only 4 digits e Invalid baby dates of birth SBR records where the baby date of birth is entered at that time to make the baby over 10 years old or an incorrect date of birth e g 40 07 07 or 21 13 06 e By ward Everyone recorded as currently being within the selected ward When you first enter the system it defaults to display the current records You can change to any of the views mentioned above by clicking on the drop down box on the Dashboard View box User Alerts B aie Its This will warn users to the following e Identify any booked but not yet delivered records that are more than 4 weeks past the recorded Estimated Date of Delivery e CHls to be allocated SBR records which do not have a baby CHI entered on them e Invalid CHIs SBR records which have an invalid baby CHI entered e g only 4 digits SBR Update Log Clicking on the SBR update log will take you to the SBR website Details of version updates as well as User Manuals and Quick Guides can be accessed here Baby Death Indicator Identifies a baby Stillborn or baby death on the dashboard as a dark blue dot next to the Baby forename Baby Surname Forenamy Baby mum Baby DOB fif borm Hospital Patient ID CHI Thursda Bab 05 06 2008 not entered oo Send GD gx 1441 Records in total Page 3 of Section 4 Finding Your Patient Record The record you are looking for may already exist on the SBR eit
16. NHS National Services Scotland The Scottish Birth Record Coding User Manual June 2011 SBR Coding User Manual Version 4 19 Page 1 Contents Section 1 Background amp Introduction Section 2 Log In Section 3 The Coding Dashboard Section 4 Finding your patient record Section 5 Adding a new record Section 6 Opening Record Section 7 Multiple Births Section 8 Saving a record Section 9 Deleting a Record Section 10 Entering Patient Information Section 11 Section 12 Section 13 Section 14 Section 15 Section 16 Section 17 Section 18 Section 19 Section 20 Baby Screen Episode Screen o Transferring a patient o Readmissions Birth Screen o Recording Homebirths Codes Screen VLBW Screen Submitting and Retracting a Record Print Room System and Password Administration Reports Export Data Contact Logging Out CHI Interface Audit Trail Fault Finding Appendix A Technical Pre Requisites Appendix B Setting the icons on your desktop Appendix C Data Entry Guidance Tips Appendix D Glossary Appendix E Blank Coding Output Form SBR Coding User Manual Y Oo OOOoOoOonaoN Oo Bw WW OO N ND PNP PO m pNP Pp po po a a 2 2 2 2 4 O oO O Oo A OO N O O O WON DO DO OF BW O W PO l Version 4 19 Page 2 Section 1 Background amp Introduction Welcome to the Scottish Birth Record SBR Coding User Manual There are two separate yet depen
17. RO Child Health Report This report gives a list of all the babies born within the hospital can include still births if requested for a specified period of time e SIRS Report A more detailed list of all the babies born within the hospital for a specified time period N B The initial outcome field must be set for baby to appear in this report e Episode Activity Management This is a report required primarily for finance The user can choose to limit this report by specifying a date range for the following dates o Date of birth o Date of admission o Internal transfer date o Date of discharge o External transfer date e Patient List reports on patients by either dates of birth gestation birth weight ICD or OPCS codes e Annual Report shows full birth details including gestation birthweight feed on discharge discharge type multiples top 10 diagnosis 4 digits top 10 diagnosis 3 digits ITU days ITU ALOS HDU days HDU ALOS SCBU days SCBU ALOS Vent days VENT ALOS HFO days HFO ALOS CPAP days CPAP ALOS and percentage of total by selected year ALOS average length of stay e Monthly Report cover the previous six months and they display the following Birth Number Outcome Place of Birth Birthweight Gestation Feed on Discharge Parity Onset of Labour General Anaesthetic Epidural Anaesthetic Local Anaesthetic Spinal Anaesthetic Blood Loss Placenta Delivery Tears Episiotomy Type of Deli
18. ay s Date Blood Spot CH Date use today s Date Blood Spot CF Date use today s Date Blood Spot Repeat ha Date use today s Date Any notes on congenital anomalies made by clinical staff will appear under the congenital anomaly problems at discharge section The Special Neonatal care box shows any diagnosis or procedures entered by the clinical staff This information may be useful to you when you are adding CD10 and OPCS4 codes to the record Recording Homebirths Homebirths can also be recorded on the SBR Simply change the place of birth field on the birth screen to either Home Birth Plan N K Home Birth Planned or Home Birth Unplanned The baby can be admitted as a homebirth on the episode screen by selecting Level of Care Homecare and then select Discharge Type as Homebirth The record will remain in the current view of records unless the baby is discharged from care SBR Coding User Manual Version 4 19 Page 13 d Codes Screen Figure 12 Smith John 30 03 2011 ICD10 Coding Diagnosis Main Condition Code e ree Other preterm infants Bacterial sepsis of newborn unspecified OPCS4 Coding Operations Main Operation Code 1a Consultant Responsible a Consultant Responsible Consultant Responsible Other Operations Consultant Responsible a f ao Consultant Responsible f a a Consultant Responsible OPCS4 Code Desc
19. cation or want to Save it to a secure location Note once downloaded the data becomes your responsibility This data must be treated with care in accordance with data protection legislation Please remember that the data will remain on the hard disk of your computer after you close the SBR and that data may still be retrievable even after deletion The following downloads are available e Clinical Maternity Data All maternity data extracts based on a particular year for the current hospital e Clinical Neonatal Data All neonatal data extracts based on a particular year for the current hospital e Deleted Records A list of all records that have been marked as deleted for the current hospital e Booked but not yet delivered all records with have no baby date of birth recorded e Coding Data All coding data based on a particular year for the current hospital e ICD10 Coding Data A dump of all the ICD10 codes assigned to each SBR for the current hospital e OPCS4 Coding Data A dump of all the OPCS4 codes assigned to each SBR for the current hospital e Episode History Data A list of all episode events for the current hospital SBR Coding User Manual Version 4 19 Page 19 Alongside each data extract is a Data Definitions document detailing the content of each extract In addition there is a section on Useful Tips for displaying data that may be helpful to you In order to view these definition docu
20. data Don t worry if you forget and change screen A warning message will appear notifying you that data you have entered has not been saved Click OK to save or Cancel to close the screen without saving Information Points Ci appear throughout the system hover your mouse over them to view DO NOT use BACKSPACE on the keyboard if you are not clicked within a field data may be lost as this moves you back a screen Where possible data items shaded in blue should be completed These are required for the National reporting lt is important to fill out all fields using correct grammar and spelling as the information recorded can be used within the discharge letters and other documents When creating a new record those fields which are accompanied xl by an asterisk are mandatory and must be completed before the AN Forename cannot be blank new record can be added to the SBR If a mandatory field is missing a warning box will appear providing details of the missing data item s which is needed to be completed before the record can be submitted To find a GP and or GP Practice please use the find button located to the left of the GP Practice Code field see GP and Practice Finder below for further details It is advisable to use the find button when entering addresses as this automatically populates the fields in a standard format When entering a postcode you must include a Space e g FK104QB should be recorded as FK10 4Q
21. dent modules to the SBR system There is the clinical module which can be completed by midwifery neonatal and paediatric staff as well as administrative staff where appropriate This then feeds the relevant data items into the smaller coding module The coding module is then amended and checked by trained coding staff Amendments to clinical data items by coding staff do not change the entries made on the clinical side The coding staff also add any diagnostic codes ICD10 and procedural codes OPCS4 where appropriate and submit the record to the national central database Until 1996 every baby was entered onto the SMR11 scheme At that time it was decided that details of healthy babies should reside on SMRO2 maternity and the SMR11 would be reserved for sick babies and those with congenital anomalies However this did not prove successful and there was confusion over what constituted a sick baby There was also an unacceptably low level of reporting of congenital anomalies The SBR has replaced the SMR11 reporting scheme and every baby born in Scotland will have one and only one Scottish Birth Record All sick babies born from the 1 April 2003 are being entered onto the SBR system In due course we aim to record all births in Scotland including homebirths and stillbirths The SBR system provides the functionality to record all of a baby s neonatal care in Scotland including readmissions and transfers in one record The
22. e baby is unknown A grey background indicates a record over 7 months old A count of records together with the number of pages is provided for information Again these are described in detail later Figure 4 Baby Surname Forename Baby mum Baby DOB Cif born Hospital Patient ID CHI SBR_Ind 3600 Orange Baby 14 08 2008 not entered SBR_ ihe ee a SS 14 08 2008 not entered SBR_Ind 3599 Baby Dig 19 09 2007 not entered Fig Ind 1396 11 months old SBR_Ind 1395 11 months old Sssss o 16 03 2006 not entered SBR_Ind 1016 29 months old 160306 SBR Coding User Manual 6 Records in total Page 1 of 1 Part Coded Retract Fully Coded Retract Version 4 19 Page 5 Viewing Alternative Dashboard Displays The option for dashboard displays are e Current Records which have a baby s date of birth recorded but do not have a discharge entry this excludes still births home births and babies recorded as being born outwith scotland unless they are subsequently admitted to your hospital Note All births pre 2004 are excluded from current views e All Every record which is stored within the system at your hospital e Booked not yet delivered Any mum which has been booked into the system but is still to deliver e Four weeks after EDD Any Mum which has gone 4 weeks or more past their EDD e CHls to be allocated SBR records which do not have a baby CHI entered on them e Invalid CHIs S
23. e field Search on either the GP s surname and or the Practice address Click on SE oc Highlight click on the relevant entry from the list presented of possible GPs and Practices Click select The GP Practice Code and GP s GMC number are now automatically completed Hints amp Tips for Searching e For surnames beginning with O just search using O and include some other GP or Practice detail such as forename or partial practice address e For patients in the Armed Forces who are not registered with a GP in the UK please use GP practice Code 99976 When searching on the practice address enter details in the first line only see below If you do not find the GP practice you are looking for you can widen the search by removing the address or the GP forename Be careful if you are looking for a common name such as Dr Smith it is advisable to put in the first initial to avoid a large set of results being returned SBR Coding User Manual Version 4 19 Page 27 Postcode amp Address Finder It is recommended that you use the built in search facility to enter the address and postcode Address Finder Web Page Dialog Address Finder street NB Do not use numbers in the Street name Town village Region County Postcode EH12 JEB Search Clear Close Search Results 13 3 south Gyle Crescent Edinburgh Midlothian EH12 9EB 157 South Gyle Crescent Edinburgh Wlidlothian EH12 9EB 15 6 South Gyle Crescent Edi
24. eas Needing 2 1 nursing care Transported by a trained nurse alone Special Care In the SBR this relates to babies who are receiving any special care regardless of which ward they are in Normal Care In the SBR this relates to babies who are receiving normal care usually on the post natal ward with Mum SBR Coding User Manual Version 4 19 Page 29 Appendix E Blank Coding Output Form Baby Identification Surname GP Practice Code Address Forename rid Ethnic Group 2nd a CHI Number Forename DoB Hospital Patient Id Postcode Sex ra Birth Details No of Births Phototherapy Hearing Screen Estimated Gestation rs Max Bilirubin Blood Spot PKU Birth Weight rid OFC Blood Spot CH Place of Birth rs Length Crown Heel Blood Spot CF EDD rs Lowest Glucose Blood Spot Repeat Apgar Score at 5 rs Subsequent Weight Congenital Anomaly mins er Resuscitation Subsequent Weight Date Notes on Congenital Anomaly Feed on Discharge Other Physical Problems Comments Episode Details Date Level of Care Obstetrician Paediatrician Midwife Nurse Codes ICD10 Code Description Stay No Notes OPCS4 Code Description Consultant Date Stay No SBR Coding User Manual Version 4 19 Page 30
25. f Care Consultant Obstetrician Consultant Paediatrician Midwife Nurse This baby has been discharged Discharge Type Home Normal Katherine Armstrong Episode Status Patient Discharged on 07 05 2007 Home To add an episode Complete the boxes within the Admission Internal Transfers for this baby box at the top of the screen the green area If you want to use today s date click on the Use Today link above the date field NB the admission date defaults to the baby s DOB You must have either an obstetrician paediatrician or midwife selected to record an episode Click on WEEL to save the episode The last episode added would always be populated in the Admission Internal Transfers for this baby box to add a new episode overtype the existing data and click on Update To add a discharge Complete the Discharge from hospital for this baby box at the bottom of the screen the pink area If you want to use today s date click on the Use Today link below the date field Select the Type of discharge Click on Wiliedibebeh to save the discharge The discharge will be added to the top of the episode history box Note You always read the episode history box from the bottom upwards as new episodes of care are added to the top of the list If you want to remove a line in the Episode History box then simply click on the remove button next to each line and start from the top down so in
26. growth of Internet technology has allowed us to devise a web based reporting scheme Although the SBR is a web based system it does not reside on the public Internet instead it is on the NHSNet which is the NHS private version of the Internet All interactions are password protected and the system now has a full audit trail We are planning further work to build on the SBR s ability to share data This will bring additional benefits to areas such as direct patient care service management planning and research Already the SBR extracts data from clinical maternity systems and Patient Administration Systems and can be used to interface with the system which generates Community Health Index CHI numbers 62 of babies in Scotland already get their CHI number this way We plan to build further interfaces so that data can be more effectively shared amongst all relevant systems maternity neonatal and child health surveillance The end result shall be a clinical and coding system which will play a pivotal role as a key node aggregator in the future sharing of data SBR Coding User Manual Version 4 19 Page 3 Section 2 Log In There are two Scottish Birth Record SBR systems in operation Live and Training To access these systems e Double click on the relevant icon TrainSBR or Live 3BR see Appendix B Setting Up Icons on Your Desktop e Enter a username and password e Click on Login button Figure 1 U
27. he system if and returned to the initial log closed as it has not been you want to continue inputting in screen used for 20 minutes any data unsaved data will be lost The system continually There appears to be a Inform your IT department crashes problem with the hardware the PC itself The data you have just added The update button has not The lost data will have to be is no longer there been clicked and so the data added again ensuring that has not been saved to the the update button is used database You are unable to view the The screen resolution on Please refer to the system entire screen your pc is incorrect for this pre requisites in Appendix A application A message appears saying Another member of staff in Once they have closed this that this record is locked for your Hospital has this record record you will be able to editing open access it yourself You are unable to access the Please report the fault to the excel file in the Reports Project Team at Information section Services A dialogue box appears Your pc has the incorrect Please refer to the pre asking you if you need help AutoComplete setting requisites in Appendix A completing the form The background colour on The Print settings for Internet Follow the steps in Appendix is being printed background Page cannot be found error The NHSNet is currently Report the problem to your IT displays down or there i
28. her having been manually keyed by another user imported from an existing hospital system or if the baby has been transferred to your hospital in utero It is therefore always advisable to ensure the record does not already exist on the SBR before adding a new one If the baby was born or has been treated at another hospital the record may still be with this site If this is the case you should contact the SBR contact for that site in the first instance Alternatively contact the SBR team via the ATOS helpdesk See section 16 Contacting Us Finding a Record The search facility can be found on the top of the dashboard SBR Coding User Manual Version 4 19 Page 6 e Search for mother baby or both using partial surname forename HPI alternative HPI Community Health Index CHI number Expected Date of Delivery EDD Baby DOB Mum DOD or SBR Indicator Enter the data you are searching on i e surname DOB CHI Click on the Search button Results will also include any alternative previous surnames Remember to select mum baby or both it is recommended that you select both There are two boxes in the section for searching on EDD Baby DOB or Mum DOB If you want to search just on a singular date you can enter this in either box If you want to search on a range of dates put the start date in the left box and the end date in the right hand side box e Remember that if you want to search for certain records i e those with EDD dates
29. ith the dashboard a screen showing summary patient details that also gives you access to system administration and enhanced system functionality The top section identifies the user site and relevant NHS Board It also provides access to additional functions Add new record Accessing alternative dashboard displays Searching for records System and password administration Reports Exporting Data Contact Logging out User alerts where records require attention SBR Update Log These functions are described in detail later Figure 3 Scottish Birth Record for Borders General Hospital Louise Scott Logged onto Train Add New Admin Reports _ Export Data Feedback lt Log Out Current Dashboard View NI HS Borders 146 SBR s this year 3 12 16 PM Surname Forename alt HPI DoB EDD SBR_Ind ee E E g Alerts Mum Baby Both EDD pabypop mMumpos C Clear SBR update log The lower section provides access to your patient records It also Provides access to the print room Provides ability to delete a record Provides ability to send a record to another location Provides access to the CHI interface where implemented Indicates the transfer sent status of a record Provides access for submitting records to ISD Indicates the coding status of each record If a record has a blue background it is a boy if it has a pink background it is a girl and yellow backgrounds are when the sex of th
30. ments you will need to have Adobe Acrobat Reader on your computer If you experience any problems opening up these Reports please try the following Open up Windows Explorer go to Tools Folder Options File Types scroll down to CSV and click on the Change button and change it so that the association is with Excel You should now be able to open up the SBR file and either save it as an Excel or CSV file If not please contact the SBR Team Statistics from the SBR As the data entered into the SBR is up to date this will give you more accurate timely analysis of different types of data Each Scottish Birth Record has its own unique number which is generated by the SBR system This is called the SBR Indicator You should use this field to link data with and to eliminate any duplicate episodes If there is any specific analyses you require or you just need help getting the data out of the excel spreadsheets then contact the SBR Project Team via the Atos Helpdesk Section 16 Contact The SBR helpdesk is maintained by Atos Origin and is available 24 7 You can contact them in a number of ways e Use the pambaman Mia on the dashboard and complete the form e Email itservicedesk nhss ns atos net e Telephone 0845 957 2700 Atos Origin is the first point of contact if you require assistance They can help immediately with the following e Find an SBR User Reset passwords Provide details of who you should contact to get a record
31. message box will appear notifying you the data you entered has not been saved Click OK to save or Cancel to close the record without saving Section 9 Deleting a Record There are a number of reasons why you may want to delete a record from the SBR If you need a record deleted you should contact your local SBR administrator to do this for you A list of administrators will appear if you click on the red cross You should also contact the SBR Project Team if you identify that there is a duplicate record for either the mother or the baby or if you SBR Coding User Manual Version 4 19 Page 8 accidentally delete a record and you wish it to be retrieved Note that the deleted record will remain on the main database with a note of who has deleted the record and why To delete a record e Click on K beside the appropriate record e Select the reason for the record to be deleted from the following options o Error duplicate record entered by mistake o Miscarriage loss of pregnancy prior to 24 weeks gestation o intra uterine death any fetal death after 24 weeks gestation but before onset of labour o Moved outwith the area either no forwarding address for transfer of care or moved out with Scotland prior to delivery o Termination therapeutic abortion e Click on EPn Section 10 Entering Patient Information Access to Patient Records Once you have created found your patient click on the Code button on the main dashboard next to the appr
32. nburgh Midlothian EH12 SEB 17 South Gyle Crescent Edinburgh Mlidlothian EH1 z SEB 17A South Gyle Crescent Edinburgh Midlothian EHI 9EB Select Find l Click on to the left of the address field Search on either the postcode or part of the address Cli Search ick on Highlight click on the relevant address from the list presented Click select The address and postcode are now automatically completed Hints amp Tips for Searching e The more specific your search is the quicker it will run For example if you are searching for a common street name such as High Street you should also include the town village e Do not enter a house name or number in the address search e When searching on a postcode you must include a space in the postcode e g EH3 9AW instead of EHS9AW If an invalid postcode is manually entered a warning will appear on screen Where possible try to find the correct postcode However if you Know the address and postcode you can type them in to the relevant fields SBR Coding User Manual Version 4 19 Page 28 Appendix D Glossary Discharge when a baby is discharged from inpatient care to the community transferred to specialist non neonatal care e g cardiology or transferred to a hospital outwith Scotland Transfer when a baby is transferred to another Scottish hospital for neonatal care Note before a record is transferred it should be completed with all available information a t
33. opriate record to access it The following tabs will be displayed Baby Episode Birth Codes VLBW only when the baby s details have been entered meet the very low birth weight study criteria To access the tabs click on the appropriate header These can be accessed in any order some of the data items may already be recorded either as they were entered manually when adding a new record or the data was imported from an existing hospital system If you require clarification on definitions and standards for the SBR data items please contact the SBR Team see section 16 Contacting Us a Baby Screen This screen enables you to edit any of the patient or demographic fields associated with a baby including his her name and GP practice Please note that the Mother s address and HPI on the right hand side of this screen cannot be edited here Between the hours of midnight and 6am the Use today s date link will be hidden forcing you to manually enter the date This has been introduced to reduce the number of incorrect dates of birth entered on the system for babies born during the night SBR Coding User Manual Version 4 19 Page 9 Figure 8 Episode Birth Codes BI DEDA SANANE fo Mothers Address ree Alternative Surname First Forename Second Forename Mothers H P I is 8254896 Date of Birth Baby Use today Time of Birth hh mm 24 h Sex gt Find lop Practice Code Ethnic Group gt CHI Number
34. or hoth Mother and Baby TA Submit Record Cancel indicates mandatory data field e Click on zetedavs Date to default the baby s date of birth to today s date e There is an Q Information Point next to the Birth Weight field This field should be entered in grams and stored as 4 digits Preceding zeros should be entered if the weight is less than 1000g e lf the connection is slow please do not keep clicking on the Submit Record button as this may create multiple records Section 6 Opening a Record Once you have entered records into the system an abbreviated record will appear on the dashboard including details of Baby Surname SBR Indicator Baby Forename Baby DOB and Baby HPI where appropriate Simply clicking on the Code button next to each record will take you into the main body of that record If there are a lot of records on your current dashboard you will need to use the surname HPI search facility to find the record you want Section 7 Multiple births To record multiple births a separate record must be completed for each baby lf a new record has been added for the Mum via the clinical section the number of records required should be already on the system Section 8 Saving a Record Update Before you move screens within the SBR or exit the record click on to save the information you have entered If you try to change screens or exit the record without updating first a
35. orn Hearing Screening form this is prepopulated with GP and Mother details Section 13 System and Password Administration To access the Admin screen click on pp Admin 03 from the main dashboard This screen allows you access to the following functions User administration SBR User Manuals and Quick Guides Automated imports Record movement Tools User Administration Your view of this section will vary depending on the type of user you are e Coding User This is where you can change your password SBR User Manuals and Quick Guides Click the link to open a new browser window and view the up to date SBR User Documentation This lists all the current manuals and guides which can be downloaded Automated Imports If you are automatically sending files to the SBR database then you can access your own Automated Import Log This enables you to view a log of the files you have sent in how many records were in each file and if it was successfully imported into the SBR Record Movement This allows you to view a list of records which have been in utero transfers transferred or sent from your hospital via the SBR SBR Coding User Manual Version 4 19 Page 17 Section 14 Reports Clicking on nafas from the main dashboard allows access to reports and graphical analyses of the data entered into the system Figure 15 Scottish Birth Record for Borders General Hospital ISD SBR Team Logged onto Train 160 SBR s this yea
36. r 2 44 53 PM Add New Admin Reports Export Data Contact Log Out Add New Neonstsl Record JD N S Current T Dashboard View Borders alerts Reports GRO Child Health Report by DOB Birth List Gol to The default is live births check this box for Stillbirths O SIRS Report by DOB re Go Episode Activity Management Activity Mensgement use this option to select criteria on the Activity Msansgement datas View Definitions Select By Date of Birth From to Go Patient List Select DoB citeris for your pstient list slongwith options Gestation range Birthweight range ICD10 codes list or OPCS4 codes list CD16 P se DoB Geststion Birthweight nati grins Go from to om to Codes Sane Codes z E From to ves code list delimited by 7753 oode list delimited by Statistical Data Reports Annusl Reports Monthly Reports Plesse select year and press GO to get your annuel statistics 2009 Go View reports for previous 6 months Go Coding Status This will disolsy a report of the records thst have not been submitted to ISD ie they have not been coded or sre only osrtislly coded Show only partially coded records Coding Ststus Report a Coding Ststus Chart This will disolsy a chert of coded partially coded and yet to be coded records by month Plesse choose which yaar 2009 gt Go Back to Main Dashboard The following reports are available e G
37. ransfer should be the last thing you do with the record as currently once you transfer it you no longer have access to it It is important to remember that the transfer facility should only be used if the mother baby has been admitted to you first If not then you must use the send facility Admission when a baby is admitted or re admitted to any ward within a hospital that provides any neonatal care this includes normal care Categories of care definitions based on BAPM 2001 Intensive Care ICU1 e Needing 1 1 nursing care by 405 equivalent Intubated 24 hours post extubation NCPAP lt 5 days old for any part of the day NCPAP lt 1000g for any part of the day NCPAP lt 1000g 24 hours after stopping NCPAP lt 29 weeks lt 48 hours of age Pre operative and 24 hours post operative Requiring complex clinical procedures Exchange peritoneal dialysis or treatment with Inotropes pulmonary vasodilator or prostaglandin 24 hours after stopping treatment with inotropes pulmonary vasodilator or prostaglandin e On day of death e Transported by a team including medical ANNP and nursing staff High Dependency Care previously IC U2 NCPAP for any part of the day and not fulfilling criteria for intensive care lt 1000g and not fulfilling criteria for intensive care Receiving TPN Convulsions Oxygen lt 1500g Neonatal Abstinence Syndrome UAC UVC IA chest drain tracheotomy partial exchange transfusion Severe apno
38. ription Blue Main Green Other Consultant Date a x339 Unspecified other blood transfusion Sirajuddin Ahmed 11 02 2011 Coding Notes PY CD CD EA ly This screen enables you to enter ICD10 and OPCS4 codes for each stay the baby has in hospital It is important to check you are coding the correct stay number to check for the dates of each stay please refer to the Episode screen The screen above shows this baby has 2 stays A stay is classed from admission to discharge from hospital Therefore each time a baby is readmitted to hospital after a discharge transfer it has a different stay number A stay can be comprised of a number of transfers within the one hospital or between different hospitals To enter ICD10 codes 1 Select the stay you want to code by clicking on the drop drown box at the top right of the screen and selecting the appropriate number 2 Enter the main condition code and any other conditions if required into the appropriate fields 3 To enter multiple ICD10 codes put a between codes for the Other Conditions There is no limit to the number of codes you may enter 4 Click on the update button at the bottom of the screen and the textual description then appears in the history box To enter the OPCS4 codes 1 Select the stay you want to code by clicking on the drop drown box at the top right of the screen and selecting the appropriate number Enter the operation code into the appropriate fields
39. s a fault with helpdesk the SBR have forgotten your Please contact your local ame Password Administrator If the SBR seems to be going slow here is a tip that you can try to improve performance Empty your browser s temp files After constant use of the browser this is the program you use to actually access the SBR system your pc becomes blocked up with temporary files stored in a temporary files folder It is wise to empty i e delete these files from time to time To delete the Temporary Files Internet Click on Explorer Go to TOOLS Go to INTERNET OPTIONS Select the GENERAL tab Under the section Temporary Internet Files click on the button DELETE FILES Check the box Delete all offline content Click OK lt may take a minute or two depending on the amount of TEMP files Once it is completed click OK eo eae eS SBR Coding User Manual Version 4 19 Page 23 Appendix A Technical Pre Requisites Internet Explorer Pre Requisites for the Scottish Birth Record Web Based System Version For the Scottish Birth Record to work version 5 5 or later 128 bit of Internet Explorer must be installed Printing To print the reports standard letters and forms your computer will have to be connected to a colour printer You need to ensure that you have print Background Colours enabled This can be found by Right clicking on Esere Go to Properties Go to Advanced Scroll down to PRINT OPTIONS
40. sername Password C Remember me Clear To exit click here for press ALT FH NB If you tick the remember me box the system will automatically remember the last username entered so that you will not have to enter it again when logging back in The Training System Please contact your local administrator or the SBR Team to confirm the username for your hospital Your training system password is training 1 PLEASE NOTE The training system does not reside on a secure website therefore please DO NOT enter any CONFIDENTIAL DATA The Live System To access the live SBR you will require a unique username You can obtain this from your local SBR Administrator or the SBR Team see Section 16 Contacting Us Figure 2 Username yom Mew Password Curia Mew Passwurd Cancel For first time users or if your password has been reset the password is password Once you have entered your login details you will be prompted to provide your own secure personal password that must be at least 6 characters long with 1 number PLEASE NOTE you must only enter the system using your own unique username and password If you have any problems accessing the SBR including forgetting your password please contact your local SBR Administrator or the SBR Team via the ATOS helpdesk for advice SBR Coding User Manual Version 4 19 Page 4 Section 3 The Coding Dashboard Once logged in you will be presented w
41. that this is a new registration please select ALLOCATE NEW CHP to proceed with a new CHI registration This would also apply to a record for a TAIN or if you need to re allocate a CHI number Tyou are MOT SURE how to proceed please select CANCEL and ask for help From SBR From CHI 1604105003 keep Existing CHI Allocate Mew CHI Forename Baby i Baby Surname Egg Egg Date of Birth 16042010 1604 2010 Sex Female Female Address THE HOLISE THE H Post Code FH 12 SEB EH12 SEB Cancel ce O O A A S p The above screen means that the data you are sending to the CHI system appears to match an existing record please check carefully before you proceed Keep Existing CHI button e Click on this button if the details are for the same patient and you are not trying to re allocate the CHI number You will then retrieve the CHI number previously allocated to that baby Allocate New CHI button SBR Coding User Manual Version 4 19 Page 21 e lf after checking the details you are confident that the details that already exist on CHI belong to a different baby then you can go ahead and get a CHI number by clicking on this button This option would be used for a multiple birth e f you are reallocating a CHI number to a baby and this message is displayed click on the Allocate New CHI button to get a new CHI number This option would be used where the wrong details had been entered e g wrong sex the first time that the CHI was
42. the SBR or has been entered manually into the relevant field on the Baby screen then this CHI button will not be available to you e You will be presented with a screen that will show you the details you are sending to CHI to register this baby in order to get a CHI number back Please ensure that these details are correct if not please cancel go back to the record and amend where necessary When allocating a CHI number the background colour of the pop up box will correspond to the gender of the baby Blue Boy Pink Girl e Once you have obtained a CHI number via the SBR it will automatically populate the CHI field on the Baby screen and you will not be able to edit this field In order to obtain a CHI number the record you are sending must have a baby surname baby forename default Baby is valid valid postcode it must include a space sex baby date of birth and first line of address lt is important that if you are registering multiple births where the baby has no forename and the default Baby is being used please use Baby Baby Il Baby Ill etc as the validation will not accept numeric characters Figure 17 E http test scottishbirthrecord scot ohs uk CHI Microsoft Internet Explorer POSSIBLE DUPLICATE FOUND Baby ii Egg Ifyou AGREE that the details retrieved from CHI are for the same patient please select KEEP EXISTING CHP to importthe existing CHI number into the SBR record Ifyou are sure
43. tion not monitored in first 12 hours Worst base deficit 12 hours Largest negative value Please refer to blood gas chart include capillary and arterial samples but exclude cord blood gas CRIB Data Morbidity Data Intraventricular haemorrhage 3 On USS definite and persistent increase in echogenic are within brain parenchyma surrounding lateral Intraventricular haemorrhage 4 gt ventricles consistent with intracerebral extension of intraventricular haemorrhage Parenchymal cysts On USS cyctic changes in one or more areas of brain parenchyma Postheamorrhagic hydrocephalus gt Following intraventricular haemorrhage lateral ventricle gt 4mm larger than 97th centile Retinopathy date first screened Truri date of first examination by ophthalmologist Retinopathy required treatment gt treatment with laserfcryotherapy needed Necrotising enterocolitis clinical diag gt Please make an assessment from notes xray reports and surgical PM reports Clinically clear NEC Symptoms and signs fone or more of poor feed tolerationvomiting abdo distension blood in stools abdo tenderness with diagnostic radiological signs intramuralfintrahepatic air perofration fixed loop Necrotising enterocolitis proven at surgery gt self explanatory Positive blood culture gt Please refer to bacteriology reports Any positive blood Update ee Ctose culture after 48 hours of age Please quote all positive
44. transferred Add new postcodes to the system Unlock the baby CHI Any other problems or queries will be passed to the SBR team who will get in touch with you during normal office hours It is important that you do not use any confidential data in emails The SBR Identifier should be used to identify records that are being queried see Section 4 Finding Your Patient Record Section 17 Logging Out Always click on 0g Hut from the main dashboard to exit the system To close down the system click on Exit or press Alt F4 If you have any problems closing the system down please contact us If the system freezes you can use the Alt and FF buttons together Remember that if you have not pressed the Update button on your current screen then any data items you have entered will be lost and not saved SBR Coding User Manual Version 4 19 Page 20 The SBR system will automatically log you out of the system if it has not been used for 20 minutes However any unsaved data will be lost Section 18 CHI Interface The Scottish Birth Record system has the facility to obtain a Community Health Index CHI number for babies shortly after birth If your hospital is participating in this functionality a CHI button will be visible on the main dashboard To obtain a CHI e Click on the CHI button on the main dashboard next to the record you want to get a CHI number for Note that if a CHI number for this baby has already been obtained via
45. very e Birth Weight Provides an analysis of the birth weights for the current hospital with a national comparison SBR Coding User Manual Version 4 19 Page 18 e Baby Sex Provides an analysis of the baby genders for the current hospital with a national comparison e Coding Status Report This report will show all the records that have not been submitted to ISD i e they have not been coded or only partly coded e Coding Status Chart This will display a chart of coded partially coded and yet to be coded records by month for a specified year Section 15 Export Data Clicking on p ENRON SEEE o from the main dashboard allows information to be taken from the SBR and printed out or analysed in a local system Figure 16 Exporting Data This will allow you to download your data to your local computer These data contain patient identifiers such as names and addresses as well as confidential information Once downloaded they become your responsibility They must therefore be treated with care in accordance with data protection legislation In particular they should be stored appropriately according to local guidelines for the storage of such data on computers On selecting your download you will be given the choice of saving it locally or opening it directly on your PC See useful Tips for displaying data Clinical Maternity Data This is the Clinical Maternity Data Extract of the Scottish Birth Record Data By Year 2007 Go
46. view Definitions Clinical Neonatal Data This is the Clinical Neonatal Data Extract of the Scottish Birth Record Data By Peal 2007 gt Go view Definitions When you delete an SBR Record it is not physcially deleted from the database it is only maed as deleted By Year 2007 gt Go view Definitions This is an extract of SBR Records for when the Mother has been booked on the system but the baby has not yet been delivered View Definitions This is the main Coding Data By Year 2007 View Coding Data Definitions This is ICD10 Coding showing all the other codes for ICD10 OPCS4 Coding Data This is OPCS4 Coding showing all OPCS4 Operation codes and descriptions View OPCS4 Definitions Episode History Data This is the Episode History details showing all episode events for your hospital Back to Main Dashboard Data entered into the SBR can be downloaded then printed out or analysed locally These SBR data extracts and reports contain up to the minute information that has been entered at your hospital The download is in a pure text format enabling you to import it into any programme for analyses Please note that you require Office 2000 to be able to view the data from this page To download the information Click on Export Data from the main dashboard select the year beside the appropriate dataset you wish to extract i e Clinical Neonatal Data Click on Go Select if you wish to Open the data from its current lo
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