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. 2012 Jul 6;3(3):258–275. doi: 10.4338/ACI-2011-12-RA-0074

Tab. 1.

122 data elements identified for the PCS

# Data Element
1 Periodontitis
2 Type of Delivery
3 Gestational Age
4 Intercurrences during prenatal period
5 Other Intercurrences during prenatal period
6 VDRL
7 Toxoplasmosis
8 Anti HIV
9 HBsAg
10 Name of complementary examination
11 Specification of complementary examination
12 Complementary examination result date
13 Complementary examination result
14 Glycated hemoglobin dosage result date
15 Glycated hemoglobin dosage result
16 Neonatal screening result: Hypothyroidism
17 Neonatal screening result: Phenylketonuria
18 Neonatal screening result: Cystic fibrosis
19 Neonatal screening result: Sickle-cell disease
20 Indirect Coombs result date
21 Indirect Coombs test result
22 Hemoglobin test result
23 Hematocrit test result
24 Fasting Glycemia test result
25 Routine urine test result
26 Urinalisys test result
27 Ultrasonography test result
28 Apgar score first minute
29 Apgar score fifth minute
30 History of dental traumatism / cause
31 Other causes of dental traumatism
32 Classification of newborns
33 Skull Perimeter
34 Intercurrences during neonatal period
35 Other Intercurrences during neonatal period
36 Measured value
37 Weight
38 Orthoses and prostheses
39 Presence of disability
40 Allergy
41 Description of Allergy
42 Name of immunobiologicals
43 Immunobiologicals dosage
44 Immunobiologicals lot number
45 Expiration date of Immunobiologicals
46 Immunobiologicals application date
47 Immunobiologicals Adverse events
48 Immunobiologicals are up-to-date
49 Consumption of Alcohol
50 Tobaccoism
51 Use of other substances / licit or illicit
52 Name of the medication
53 Posology of medication
54 Medication being used
55 Date when use of medication began
56 Medical prescription
57 Adverse effects of medication
58 Newborn Hearing Screening test
59 Hearing Screening test alterations
60 Body mass index
61 Lesions affecting the mucosa of the oral cavity
62 Fluorosis
63 Waist circumference
64 Cardiovascular risk associated with waist circumference
65 Systolic arterial pressure value
66 Diastolic arterial pressure value
67 Activities of Daily Living test – ADL – Self-care
68 Instrumental activities of daily living test – IADL
69 Falls in the last year
70 Number of falls in the last year
71 Fractures after falls
72 Activity limitation after falls
73 Incapacity after a fall
74 Compromised Mobility after a fall
75 Cognitive disability
76 Postural instability
77 Immobility
78 Incontinence
79 Iatrogenesis
80 Diagnostic impressions
81 Risk stratification for children
82 Risk stratification for adolescents
83 Risk stratification for the elderly
84 Cardiovascular risk stratification
85 Risk stratification – Diabetes
86 Risk stratification for current gestation
87 Risk stratification – Mental Health
88 Risk stratification – Tuberculosis
89 Risk stratification – Hansen’s disease
90 Risk classification – oral health
91 Number of gestations
92 Dental Caries Activity
93 Gingivitis
94 Number of Abortions
95 Number of Deliveries
96 Number of Vaginal Births
97 Number of C-Section Births
98 SISPRENATAL reference number
99 Date of Last Menstrual Period
100 Probable Date of Delivery
101 Probable Date of Delivery after first Ultrasonography test
102 Result of First Ultrasonography test
103 Prenatal Consultation Reference Number
104 Gestational Age
105 Presence of Edema
106 Description of Edema
107 Uterus
108 Uterine Height
109 Position of Fetus
110 Condition of Fetus
111 Dorsal Portion of Fetus
112 Fetal Heart Rate
113 Fetal Movements
114 Cervix
115 Dilation Condition
116 Dilation rate
117 Planned pregnancy
118 Care Plan
119 Prenatal care site
120 Relation with maternity hospital of reference
121 Scheduling Pregnant Women Group Meetings
122 Observations on Current Gestation