ICS11.020 CCSC07 4401 广州市地方标准 DB4401/T304.4—2024 卫生健康数据采集规范第4部分： 妇幼保健 Datacollectionspecificationforhealthdata —Part4:Maternalandchildhealthcare 2024-12-20发布 2025-01-20实施 广州市市场监督管理局  发布 DB4401/T304.4—2024 I目次 前言.................................................................................III 1范围................................................................................1 2规范性引用文件......................................................................1 3术语和定义..........................................................................1 4数据元属性描述规则..................................................................1 5妇幼保健数据目录....................................................................1 附录A（规范性）数据集................................................................4 A.1婚前孕前产前检查................................................................4 A.2产前产时产后检查...............................................................51 A.3出生缺陷登记...................................................................87 A.4计划生育登记...................................................................96 A.5儿童保健......................................................................104 附录B（规范性）代码表..............................................................115 B.1分娩孕产妇-高危级别代码.......................................................115 B.2分娩孕产妇-产妇结局代码.......................................................115 B.3分娩产妇子代码................................................................115 B.4分娩新生儿-脐带缠绕情况类别代码...............................................115 B.5初查记录1-目前症状代码........................................................116 B.6初查记录1-水肿检查结果类别代码................................................116 B.7初查记录1-皮肤粘膜检查结果类别代码............................................116 B.8初查记录1-浅表淋巴结检查结果类别代码..........................................116 B.9初查记录1-甲状腺检查结果类别代码..............................................117 B.10初查记录1-阴道分泌物检查结果类别代码.........................................117 B.11初查记录2代码...............................................................117 B.12初次随访代码.................................................................117 B.13初次随访-阴道清洁度代码......................................................119 B.14初次随访-PMTCT结果代码.......................................................119 B.15产前随访代码.................................................................119 B.16产后访视-乳汁情况代码........................................................121 B.17孕产妇42天随访-一般健康情况代码.............................................121 B.18孕产妇42天随访-一般心理状况评估分数代码.....................................121 B.19孕产妇42天随访-一般心理状况描述代码.........................................122 B.20孕产妇42天随访-心理评估内容代码.............................................122 B.21孕产妇42天随访-喂养方式代码.................................................122 B.22出生缺陷诊断依据代码.........................................................122 B.23接生方法代码.................................................................123 B.24血型RH代码..................................................................123 DB4401/T304.4—2024 II IIB.25儿童死亡医院诊断级别代码.....................................................123 B.26接触有害因素情况代码.........................................................123 B.27服药情况代码.................................................................124 B.28叶酸服用情况代码.............................................................124