NCIt Code	NCIt Preferred Term	NCIt Definition	GAIA Preferred Term	GAIA Synonym	GAIA Definition	GAIA Subset Code	GAIA Subset Name
C118677	Very Preterm Infant	A newborn infant greater than 28 weeks, 0 days and less than 34 weeks, 0 days.	Very Preterm Infant		A baby born alive with a gestational age between 28 to less than 32 weeks. (WHO)	C125481	GAIA Terminology
C127969	GAIA Level 1 Neonatal Death in a Non-viable Live Birth	Level 1 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age less than 22 weeks (a GA level of certainty of one); OR b) Birth weight less than 500g; Third, the death of the infant within the first 28 days of life must be documented.	Level 1 Neonatal Death in a Non-viable Live Birth		Level 1 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age less than 22 weeks (a GA level of certainty of one); OR b) Birth weight less than 500g; Third, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C127967	GAIA Level 3 Major Functional Defect	Level 3 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician who has some experience diagnosing functional defects; OR b) Confirmation using either individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	Level 3 Major Functional Defect		Level 3 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician who has some experience diagnosing functional defects; OR b) Confirmation using either individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	C125481	GAIA Terminology
C128015	GAIA Level 2B Assessment of Gestational Age	Level 2B Assessment of Gestational Age is defined by the following criteria: Uncertain last menstrual period (LMP) with second trimester scan (14 0/7 weeks to 27 6/7 weeks).	Level 2B Assessment of Prematurity and Gestational Age		Level 2B Assessment of Gestational Age is defined by the following criteria: Uncertain last menstrual period (LMP) with second trimester scan (14 0/7 weeks to 27 6/7 weeks).	C125481	GAIA Terminology
C128014	GAIA Level 2A Assessment of Gestational Age	Level 2A Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) Certain last menstrual period (LMP) with second trimester scan (14 0/7 weeks to 27 6/7 weeks), (If LMP and ultrasound (U/S) do not correlate, default to U/S GA assessment); OR b) Certain LMP with first trimester physical examination.	Level 2A Assessment of Prematurity and Gestational Age		Level 2A Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) Certain last menstrual period (LMP) with second trimester scan (14 0/7 weeks to 27 6/7 weeks), (If LMP and ultrasound (U/S) do not correlate, default to U/S GA assessment); OR b) Certain LMP with first trimester physical examination.	C125481	GAIA Terminology
C127968	GAIA Level 4 Major Functional Defect	Level 4 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at the time of live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts that are not due to a structural defect. Second, at least one of the following requirements must be met: a) Documented confirmation in the medical record that the anomaly was present at the time of live birth or time of fetal demise, and that the anomaly was diagnosed by a trained maternal or child health care provider who is not a qualified geneticist, neonatologist, pathologist, subspecialist, paediatrician, obstetrician, or family medicine practitioner; OR b) Confirmation by claims data (ICD-9/ICD-10 diagnoses).	Level 4 Major Functional Defect		Level 4 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at the time of live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts that are not due to a structural defect. Second, at least one of the following requirements must be met: a) Documented confirmation in the medical record that the anomaly was present at the time of live birth or time of fetal demise, and that the anomaly was diagnosed by a trained maternal or child health care provider who is not a qualified geneticist, neonatologist, pathologist, subspecialist, paediatrician, obstetrician, or family medicine practitioner; OR b) Confirmation by claims data (ICD-9/ICD-10 diagnoses).	C125481	GAIA Terminology
C128013	GAIA Level 1 Assessment of Gestational Age	Level 1 Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) the last menstrual period (LMP) or intrauterine insemination (IUI) date or embryo transfer (ET) date with confirmatory first trimester scan (less than or equal to 13 6/7 weeks); OR b) first trimester scan (less than or equal to 13 6/7 weeks).	Level 1 Assessment of Prematurity and Gestational Age		Level 1 Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) the last menstrual period (LMP) or intrauterine insemination (IUI) date or embryo transfer (ET) date with confirmatory first trimester scan (less than or equal to 13 6/7 weeks); OR b) first trimester scan (less than or equal to 13 6/7 weeks).	C125481	GAIA Terminology
C127965	GAIA Level 1 Major Functional Defect	Level 1 Major Functional Defect is defined by two criteria. First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at the time of birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts, not due to a structural defect. Second, there must be confirmation of the defect by definitive diagnostic study.	Level 1 Major Functional Defect		Level 1 Major Functional Defect is defined by two criteria. First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at the time of birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts, not due to a structural defect. Second, there must be confirmation of the defect by definitive diagnostic study.	C125481	GAIA Terminology
C127966	GAIA Level 2 Major Functional Defect	Level 2 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts that are not due to a structural defect. Second, there must be documented confirmation of a diagnosis made by a clinician who is experienced in diagnosing congenital anomalies, and who has the highest level of training in the diagnosis of functional defects for the specific setting.	Level 2 Major Functional Defect		Level 2 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts that are not due to a structural defect. Second, there must be documented confirmation of a diagnosis made by a clinician who is experienced in diagnosing congenital anomalies, and who has the highest level of training in the diagnosis of functional defects for the specific setting.	C125481	GAIA Terminology
C128011	GAIA Gestational Hypertension with Insufficient Evidence	Gestational Hypertension with Insufficient Evidence is defined by two criteria: First, a pregnancy with gestational age greater than or equal to 20 weeks; Second, one or more of the following requirements: a) The inability to measure blood pressure; b) The inability to evaluate for proteinuria.	Gestational Hypertension with Insufficient Evidence		Gestational Hypertension with Insufficient Evidence is defined by two criteria: First, a pregnancy with gestational age greater than or equal to 20 weeks; Second, one or more of the following requirements: a) The inability to measure blood pressure; b) The inability to evaluate for proteinuria.	C125481	GAIA Terminology
C127963	GAIA Level 3 Major Internal Structural Defect	Level 3 Major Internal Structural Defect is defined by two criteria: First, alterations in the internal anatomy must be present at the time of live birth, and must persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician with some experience diagnosing congenital anomalies; OR b) Confirmation using either individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	Level 3 Major Internal Structural Defect		Level 3 Major Internal Structural Defect is defined by two criteria: First, alterations in the internal anatomy must be present at the time of live birth, and must persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician with some experience diagnosing congenital anomalies; OR b) Confirmation using either individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	C125481	GAIA Terminology
C128010	GAIA Level 2 Gestational Hypertension	Level 2 Gestational Hypertension is defined by four criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the absence of any severe features (see preeclampsia with severe features category); Fourth, the absence of proteinuria (as defined by urine dipstick negative or trace).	Level 2 Gestational Hypertension		Level 2 Gestational Hypertension is defined by four criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the absence of any severe features (see preeclampsia with severe features category); Fourth, the absence of proteinuria (as defined by urine dipstick negative or trace).	C125481	GAIA Terminology
C127964	GAIA Level 4 Major Internal Structural Defect	Level 4 Major Internal Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in the internal anatomy that are present at the time of live birth, and that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in internal anatomy that are present at time of stillbirth or spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Documented confirmation in the medical record that the anomaly was present at the time of live birth or at the time of fetal demise, and that the anomaly was diagnosed by a trained maternal or a child health care provider who has minimal experience diagnosing congenital anomalies; OR b) Confirmed by claims data (ICD-9/ICD-10 diagnoses).	Level 4 Major Internal Structural Defect		Level 4 Major Internal Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in the internal anatomy that are present at the time of live birth, and that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in internal anatomy that are present at time of stillbirth or spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Documented confirmation in the medical record that the anomaly was present at the time of live birth or at the time of fetal demise, and that the anomaly was diagnosed by a trained maternal or a child health care provider who has minimal experience diagnosing congenital anomalies; OR b) Confirmed by claims data (ICD-9/ICD-10 diagnoses).	C125481	GAIA Terminology
C127961	GAIA Level 1 Major Internal Structural Defect	Level 1 Major Internal Structural Defect is defined by two criteria: First, alterations in internal anatomy must be present at the time of live birth, and must persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Confirmation by definitive imaging study or intraoperative diagnosis; OR b) Alterations in internal anatomy detected during autopsy for a stillbirth, spontaneous, or therapeutic abortion, which are confirmed by documentation by a pathologist or other relevant subspecialist.	Level 1 Major Internal Structural Defect		Level 1 Major Internal Structural Defect is defined by two criteria: First, alterations in internal anatomy must be present at the time of live birth, and must persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Confirmation by definitive imaging study or intraoperative diagnosis; OR b) Alterations in internal anatomy detected during autopsy for a stillbirth, spontaneous, or therapeutic abortion, which are confirmed by documentation by a pathologist or other relevant subspecialist.	C125481	GAIA Terminology
C127962	GAIA Level 2 Major Internal Structural Defect	Level 2 Major Internal Structural Defect is defined by two criteria: First, alterations in internal anatomy that are present at the time of live birth, and that persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician who is experienced in diagnosing congenital anomalies, and who has the highest level of morphology training for the specific setting without using definitive imaging or intraoperative evaluation; OR b) For stillbirth, spontaneous, or therapeutic abortion, an internal structural defect is visible by ultrasound or other imaging modality prenatally.	Level 2 Major Internal Structural Defect		Level 2 Major Internal Structural Defect is defined by two criteria: First, alterations in internal anatomy that are present at the time of live birth, and that persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician who is experienced in diagnosing congenital anomalies, and who has the highest level of morphology training for the specific setting without using definitive imaging or intraoperative evaluation; OR b) For stillbirth, spontaneous, or therapeutic abortion, an internal structural defect is visible by ultrasound or other imaging modality prenatally.	C125481	GAIA Terminology
C127960	GAIA Level 4 Major External Structural Defect	Level 4 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Confirmation by medical record review; OR b) Confirmed in claims data (ICD-9/ICD-10 diagnoses).	Level 4 Major External Structural Defect		Level 4 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Confirmation by medical record review; OR b) Confirmed in claims data (ICD-9/ICD-10 diagnoses).	C125481	GAIA Terminology
C128018	GAIA Level 1 Antepartum Stillbirth	Level 1 Antepartum Stillbirth is defined by four criteria: First, one or more of the following three requirements must be met: a) Prenatal ultrasound examination (e.g. basic ultrasound or special ultrasound with Doppler) documenting lack of fetal cardiac activity or movement before the onset of labor; b) Radiology findings consistent with intrauterine fetal death; c) Delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, the following three criteria must be met: a) Maternal report of lack of fetal movement for 24 hours or more; b) Maternal physical examination confirming lack of fetal movement; c) Auscultation for fetal heart tones using electronic devices (e.g. handheld Doppler or fetal heart rate monitor) OR non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of fetal heartbeat; Third, one of the following two requirements must be met: a) Attended delivery, followed by a post-delivery physical examination of the fetus by an obstetrician, a neonatologist, a paediatrician, a maternal-fetal medicine specialist, or a pathologist that is consistent with antepartum death. In a setting where access to a specialist is not feasible, diagnosis by a health care provider trained or experienced to make the diagnosis is acceptable (e.g. general practice physician, mid-wife, nurse practitioner, a physician's assistant, or other qualified trained practitioner); b) fetal/placental pathology report that is consistent with antepartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition, as assessed by maternal and/or fetal parameters (level 1 in GA assessment algorithm).	Level 1 Antepartum Stillbirth		Level 1 Antepartum Stillbirth is defined by four criteria: First, one or more of the following three requirements must be met: a) Prenatal ultrasound examination (e.g. basic ultrasound or special ultrasound with Doppler) documenting lack of foetal cardiac activity or movement before the onset of labor; b) Radiology findings consistent with intrauterine foetal death; c) Delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, the following three criteria must be met: a) Maternal report of lack of foetal movement for 24 hours or more; b) Maternal physical examination confirming lack of foetal movement; c) Auscultation for foetal heart tones using electronic devices (e.g. handheld Doppler or foetal heart rate monitor) OR non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of foetal heartbeat; Third, one of the following two requirements must be met: a) Attended delivery, followed by a post-delivery physical examination of the foetus by an obstetrician, a neonatologist, a paediatrician, a maternal-foetal medicine specialist, or a pathologist that is consistent with antepartum death. In a setting where access to a specialist is not feasible, diagnosis by a health care provider trained or experienced to make the diagnosis is acceptable (e.g. general practice physician, mid-wife, nurse practitioner, a physician's assistant, or other qualified trained practitioner); b) Foetal/placental pathology report that is consistent with antepartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition, as assessed by maternal and/or foetal parameters (level 1 in GA assessment algorithm).	C125481	GAIA Terminology
C128019	GAIA Level 2 Antepartum Stillbirth	Level 2 Antepartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, one or more of the following three requirements must be met: a) Maternal report of lack of fetal movement for 24 hours or more; b) Maternal physical examination confirming lack of fetal movement; c) Auscultation for fetal heart tones using electronic devices (e.g. handheld Doppler or fetal heart rate monitor) or non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of fetal heartbeat; Third, one or more of the following two requirements must be met: a) Attended delivery followed by a post-delivery physical examination of the fetus that is performed by specialist or qualified trained practitioner appropriate to the health care setting, and that is consistent with antepartum death; b) fetal/placental pathology report that is consistent with antepartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition, as assessed by maternal and/or fetal parameters (level 1-2 in GA assessment algorithm).	Level 2 Antepartum Stillbirth		Level 2 Antepartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, one or more of the following three requirements must be met: a) Maternal report of lack of foetal movement for 24 hours or more; b) Maternal physical examination confirming lack of foetal movement; c) Auscultation for foetal heart tones using electronic devices (e.g. handheld Doppler or foetal heart rate monitor) or non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of foetal heartbeat; Third, one or more of the following two requirements must be met: a) Attended delivery followed by a post-delivery physical examination of the foetus that is performed by specialist or qualified trained practitioner appropriate to the health care setting, and that is consistent with antepartum death; b) Foetal/placental pathology report that is consistent with antepartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition, as assessed by maternal and/or foetal parameters (level 1-2 in GA assessment algorithm).	C125481	GAIA Terminology
C128016	GAIA Level 3A Assessment of Gestational Age	Level 3A Assessment of Gestational Age is defined by the presence at least one of the following criteria: a) Certain last menstrual period (LMP) with third trimester scan (28 0/7 weeks or more); OR b) Certain LMP with confirmatory second trimester fundal height (FH); OR c) Certain LMP with birth weight; OR d) Uncertain LMP with first trimester physical examination.	Level 3A Assessment of Prematurity and Gestational Age		Level 3A Assessment of Gestational Age is defined by the presence at least one of the following criteria: a) Certain last menstrual period (LMP) with third trimester scan (28 0/7 weeks or more); OR b) Certain LMP with confirmatory second trimester fundal height (FH); OR c) Certain LMP with birth weight; OR d) Uncertain LMP with first trimester physical examination.	C125481	GAIA Terminology
C128017	GAIA Level 3B Assessment of Gestational Age	Level 3B Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) Uncertain last menstrual period (LMP) with fundal height (FH); OR b) Uncertain LMP with newborn physical assessment; OR c) Uncertain LMP with birth weight.	Level 3B Assessment of Prematurity and Gestational Age		Level 3B Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) Uncertain last menstrual period (LMP) with fundal height (FH); OR b) Uncertain LMP with newborn physical assessment; OR c) Uncertain LMP with birth weight.	C125481	GAIA Terminology
C127976	GAIA Level 2 Neonatal Death in a Preterm Live Birth	Level 2 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 28 and less than 37 weeks (where the GA level of certainty is either level one or two); OR b) Birth weight greater than or equal to 1000g but less than 2500g; Third, the death of the infant within the first 28 days of life must be documented.	Level 2 Neonatal Death in a Preterm Live Birth		Level 2 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 28 and less than 37 weeks (where the GA level of certainty is either level one or two); OR b) Birth weight greater than or equal to 1000g but less than 2500g; Third, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C128024	GAIA Level 3 Intrapartum Stillbirth	Level 3 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant who is reported to have no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no crying, no spontaneous respirations or chest movement, and full body cyanosis; Second, evidence of a live fetus prior to the onset of labor (maternal report of fetal movement prior to the onset of labor OR auscultation of fetal heart tones). NOTE: in the absence of evidence of a live fetus prior to the onset of labor, the fetal death should be reported as a stillbirth or an antepartum stillbirth; Third, non-attended delivery followed by a post-delivery physical examination that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with intrapartum death, or a verbal history that is provided by a trained health care provider, a non-medical witness, or the mother of the fetus that documents a fetus born with no signs of life and who is unresponsive to resuscitation efforts immediately after birth; Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or fetal parameters (level 2-3 in GA assessment algorithm).	Level 3 Intrapartum Stillbirth		Level 3 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant who is reported to have no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no crying, no spontaneous respirations or chest movement, and full body cyanosis; Second, evidence of a live foetus prior to the onset of labor (maternal report of foetal movement prior to the onset of labor OR auscultation of foetal heart tones). NOTE: in the absence of evidence of a live foetus prior to the onset of labor, the foetal death should be reported as a stillbirth or an antepartum stillbirth; Third, non-attended delivery followed by a post-delivery physical examination that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with intrapartum death, or a verbal history that is provided by a trained health care provider, a non-medical witness, or the mother of the foetus that documents a foetus born with no signs of life and who is unresponsive to resuscitation efforts immediately after birth; Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or foetal parameters (level 2-3 in GA assessment algorithm).	C125481	GAIA Terminology
C114939	Extremely Preterm Infant	A newborn infant less than 28 weeks, 0 days gestational age.	Extremely Preterm Infant		A baby born alive with a gestational age between 28 weeks. (WHO)	C125481	GAIA Terminology
C127977	GAIA Level 3 Neonatal Death in a Preterm Live Birth	Level 3 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 7 months but less than 9 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	Level 3 Neonatal Death in a Preterm Live Birth		Level 3 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 7 months but less than 9 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C128023	GAIA Level 2 Intrapartum Stillbirth	Level 2 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and an Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry OR documentation of lack of response to resuscitation efforts; Second, evidence of a live fetus prior to the onset of labor (maternal report of fetal movement prior to the onset of labor and documentation of fetal heart tones by auscultation or hand held Doppler). NOTE: In the absence of evidence of a live fetus prior to the onset of labor, the fetal death should be reported as a stillbirth or an antepartum stillbirth; Third, attended delivery followed by post-delivery physical examination that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with intrapartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or fetal parameters (level 1-2 in GA assessment algorithm).	Level 2 Intrapartum Stillbirth		Level 2 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and an Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry OR documentation of lack of response to resuscitation efforts; Second, evidence of a live foetus prior to the onset of labor (maternal report of foetal movement prior to the onset of labor and documentation of foetal heart tones by auscultation or hand held Doppler). NOTE: In the absence of evidence of a live foetus prior to the onset of labor, the foetal death should be reported as a stillbirth or an antepartum stillbirth; Third, attended delivery followed by post-delivery physical examination that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with intrapartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or foetal parameters (level 1-2 in GA assessment algorithm).	C125481	GAIA Terminology
C85021	Preeclampsia	A systolic blood pressure of 140 mmHg or higher, or a diastolic blood pressure of 90 mmHg or higher on two occasions at least 4 hours apart (or greater than or equal to 160/110 mmHg within a short interval) after 20 weeks of gestation in a woman with previously normal blood pressure. It may present with proteinuria but if not, it may be associated with thrombocytopenia, impaired liver function, progressive renal insufficiency, pulmonary edema, or new-onset cerebral or visual disturbances.	Preeclampsia		Preeclampsia is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, a diagnosis of new onset proteinuria.	C125481	GAIA Terminology
C127978	GAIA Level 1 Neonatal Death in a Term Live Birth	Level 1 Neonatal Death in a Term Live Birth is defined by four criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 37 weeks (a GA level of certainty of one); Third, at least one of the following requirements must be met: a) Birth weight greater than 2500g; OR b) Documented intra-uterine growth retardation if weight is less than or equal to 2500g; Fourth, the death of the infant within the first 28 days of life must be documented.	Level 1 Neonatal Death in a Term Live Birth		Level 1 Neonatal Death in a Term Live Birth is defined by four criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 37 weeks (a GA level of certainty of one); Third, at least one of the following requirements must be met: a) Birth weight greater than 2500g; OR b) Documented intra-uterine growth retardation if weight is less than or equal to 2500g; Fourth, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C128025	GAIA Level 4 Intrapartum Stillbirth	Level 4 Intrapartum Stillbirth is defined by two criteria: First, report of stillbirth, but fetus is not available for physical examination after birth, thus no objective assessment can be made; Second, maternal information is insufficient to assess gestational age.	Level 4 Intrapartum Stillbirth		Level 4 Intrapartum Stillbirth is defined by two criteria: First, report of stillbirth, but foetus is not available for physical examination after birth, thus no objective assessment can be made; Second, maternal information is insufficient to assess gestational age.	C125481	GAIA Terminology
C127979	GAIA Level 2 Neonatal Death in a Term Live Birth	Level 2 Neonatal Death in a Term Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 37 weeks (a GA level of certainty of one or two) OR b) Birth weight greater than or equal to 2500g; Third, the death of the infant within the first 28 days of life must be documented.	Level 2 Neonatal Death in a Term Live Birth		Level 2 Neonatal Death in a Term Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 37 weeks (a GA level of certainty of one or two) OR b) Birth weight greater than or equal to 2500g; Third, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C128020	GAIA Level 3 Antepartum Stillbirth	Level 3 Antepartum Stillbirth is defined by three criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no crying, no spontaneous respirations or chest movement, and full body cyanosis; Second, one or more of the following three requirements must be met: a) Maternal report of lack of fetal movement for 24 hours or more prior to delivery; b) Report of auscultation for fetal heart tones using electronic devices (e.g. handheld Doppler or fetal heart rate monitor) or non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of fetal heartbeat; c) Non-attended delivery followed by a post-delivery physical examination of the fetus that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with antepartum death; d) a verbal history provided by a trained health care provider, non-medical witness, or the mother of the fetus documenting that the fetus was born with no signs of life, was unresponsive to resuscitation efforts immediately after delivery, and had physical features consistent with antepartum death; Third, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or fetal parameters.	Level 3 Antepartum Stillbirth		Level 3 Antepartum Stillbirth is defined by three criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no crying, no spontaneous respirations or chest movement, and full body cyanosis; Second, one or more of the following three requirements must be met: a) Maternal report of lack of foetal movement for 24 hours or more prior to delivery; b) Report of auscultation for foetal heart tones using electronic devices (e.g. handheld Doppler or foetal heart rate monitor) or non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of foetal heartbeat; c) Non-attended delivery followed by a post-delivery physical examination of the foetus that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with antepartum death; d) a verbal history provided by a trained health care provider, non-medical witness, or the mother of the foetus documenting that the foetus was born with no signs of life, was unresponsive to resuscitation efforts immediately after delivery, and had physical features consistent with antepartum death; Third, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or foetal parameters.	C125481	GAIA Terminology
C127972	GAIA Level 1 Neonatal Death in an Extremely Preterm Live Birth	Level 1 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 22 and less than 28 weeks (where the GA level of certainty is one); OR b) Birth weight greater than or equal to 500g but less than 1000g. Third, the death of the infant within the first 28 days of life must be documented.	Level 1 Neonatal Death in an Extremely Preterm Live Birth		Level 1 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 22 and less than 28 weeks (where the GA level of certainty is one); OR b) Birth weight greater than or equal to 500g but less than 1000g. Third, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C127973	GAIA Level 2 Neonatal Death in an Extremely Preterm Live Birth	Level 2 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 22 and less than 28 weeks (where the GA level of certainty is either level one or two) OR b) Birth weight greater than or equal to 500g but less than 1000g; Third, the death of the infant within the first 28 days of life must be documented.	Level 2 Neonatal Death in an Extremely Preterm Live Birth		Level 2 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 22 and less than 28 weeks (where the GA level of certainty is either level one or two) OR b) Birth weight greater than or equal to 500g but less than 1000g; Third, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C127974	GAIA Level 3 Neonatal Death in an Extremely Preterm Live Birth	Level 3 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 5 months but less than 7 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	Level 3 Neonatal Death in an Extremely Preterm Live Birth		Level 3 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 5 months but less than 7 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C128022	GAIA Level 1 Intrapartum Stillbirth	Level 1 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and an Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, evidence of a live fetus prior to the onset of labor (confirmed by documentation of fetal movement and of fetal heart tones by ultrasound prior to onset of labor). NOTE: In the absence of evidence of a live fetus prior to the onset of labor, the fetal death should be reported as a stillbirth or an antepartum stillbirth; Third, attended delivery followed by post-delivery physical examination by an obstetrician, a neonatologist, a paediatrician, a maternal-fetal medicine specialist, or a pathologist that is consistent with intrapartum death. In a setting where access to a specialist is not feasible, diagnosis by a health care provider trained or experienced to make the diagnosis is acceptable (e.g. general practice physician, mid-wife, or other qualified trained practitioner); Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or fetal-neonatal parameters (level 1 in GA assessment algorithm).	Level 1 Intrapartum Stillbirth		Level 1 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and an Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, evidence of a live foetus prior to the onset of labor (confirmed by documentation of foetal movement and of foetal heart tones by ultrasound prior to onset of labor). NOTE: In the absence of evidence of a live foetus prior to the onset of labor, the foetal death should be reported as a stillbirth or an antepartum stillbirth; Third, attended delivery followed by post-delivery physical examination by an obstetrician, a neonatologist, a paediatrician, a maternal-foetal medicine specialist, or a pathologist that is consistent with intrapartum death. In a setting where access to a specialist is not feasible, diagnosis by a health care provider trained or experienced to make the diagnosis is acceptable (e.g. general practice physician, mid-wife, or other qualified trained practitioner); Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or foetal-neonatal parameters (level 1 in GA assessment algorithm).	C125481	GAIA Terminology
C128021	GAIA Level 4 Antepartum Stillbirth	Level 4 Antepartum Stillbirth is defined by two criteria: First, report of a stillbirth but the fetus is not available for physical examination after birth, thus, no objective assessment can be made; Second, maternal information is insufficient to assess gestational age.	Level 4 Antepartum Stillbirth		Level 4 Antepartum Stillbirth is defined by two criteria: First, report of a stillbirth but the foetus is not available for physical examination after birth, thus, no objective assessment can be made; Second, maternal information is insufficient to assess gestational age.	C125481	GAIA Terminology
C127975	GAIA Level 1 Neonatal Death in a Preterm Live Birth	Level 1 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 28 and less than 37 weeks (where the GA level of certainty is one); OR b) Birth weight greater than or equal to 1000g but less than 2500g; Third, the death of the infant within the first 28 days of life must be documented.	Level 1 Neonatal Death in a Preterm Live Birth		Level 1 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 28 and less than 37 weeks (where the GA level of certainty is one); OR b) Birth weight greater than or equal to 1000g but less than 2500g; Third, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C112843	Severe Preeclampsia	Preeclampsia with a systolic blood pressure of 160 mmHg or higher, or a diastolic blood pressure of 110 mmHg or higher on two occasions at least 4 hours apart while on bedrest. It is associated with thrombocytopenia (platelets less than 100,000 per microliter), impaired liver function (twice normal elevation of hepatic transaminases; severe, persistent right upper quadrant or epigastric pain), progressive renal insufficiency (serum creatinine greater than 1.1 mg/dL or doubling of baseline in the absence of other renal disease), pulmonary edema, or new-onset cerebral or visual disturbances.	Preeclampsia with Severe Features		Preeclampsia with Severe Features is defined by three criteria: First, the gestational age of he pregnancy must be equal to or greater than 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure equal or greater than 140mmHg and /or diastolic blood pressure equal to or greater than 90mmHg) that is sustainedon two measurements over a minimum of one hour; Third, at least one of the criteria for severe disease.	C125481	GAIA Terminology
C127971	GAIA Level 3 Neonatal Death in a Non-viable Live Birth	Level 3 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be less than 5 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	Level 3 Neonatal Death in a Non-viable Live Birth		Level 3 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be less than 5 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C127970	GAIA Level 2 Neonatal Death in a Non-viable Live Birth	Level 2 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age less than 22 weeks (where the GA level of certainty is either level one or two) OR b) Birth weight less than 500g; Third, the death of the infant within the first 28 days of life must be documented.	Level 2 Neonatal Death in a Non-viable Live Birth		Level 2 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age less than 22 weeks (where the GA level of certainty is either level one or two) OR b) Birth weight less than 500g; Third, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C127986	GAIA Level 3 Neonatal Invasive Bloodstream Infection	Level 3 Neonatal Blood Stream Infection is defined by two criteria: First, the criteria does not meet the requirements for level 1 or 2 diagnostic certainty; Second, two or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or severe chest indrawing or grunting or cyanosis; c) Change in level of activity; d) History of feeding difficulty; e) History of convulsions.	Level 3 Neonatal Blood Stream Infection		Level 3 Neonatal Blood Stream Infection is defined by two criteria: First, the criteria does not meet the requirements for level 1 or 2 diagnostic certainty; Second, two or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or severe chest indrawing or grunting or cyanosis; c) Change in level of activity; d) History of feeding difficulty; e) History of convulsions.	C125481	GAIA Terminology
C127949	GAIA Level 3 Assessment of Preterm Labor	Level 3 Assessment of Preterm Labor is defined by the following two criteria: First, greater than four uterine contractions per hour as determined by clinical assessment; Second, documented change in cervical dilation or effacement during a two hour period, resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	Level 3 Assessment of Preterm Labor		Level 3 Assessment of Preterm Labor is defined by the following two criteria: First, greater than four uterine contractions per hour as determined by clinical assessment; Second, documented change in cervical dilation or effacement during a two hour period, resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	C125481	GAIA Terminology
C127985	GAIA Level 2 Neonatal Invasive Bloodstream Infection	Level 2 Neonatal Blood Stream Infection is defined by two criteria: First, the criteria does not meet the requirements for level 1 diagnostic certainty; Second, three or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachycardia or new or more frequent episodes of bradycardia; c) New or more frequent episodes of apnea or increased oxygen requirement or increased requirement for ventilatory support; d) Lethargy or moving only when stimulated or hypotonia or irritability; e) Difficulty in feeding or abdominal distention; f) Pallor or poor perfusion or hypotension; g) Abnormal white cell count or I/T (immature/total neutrophil) ratio greater than 0.2; h) Abnormal platelet count; i) Increased number of inflammatory markers (CRP, procalcitonin); j) Metabolic acidosis as defined by a base excess.	Level 2 Neonatal Blood Stream Infection		Level 2 Neonatal Blood Stream Infection is defined by two criteria: First, the criteria does not meet the requirements for level 1 diagnostic certainty; Second, three or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachycardia or new or more frequent episodes of bradycardia; c) New or more frequent episodes of apnea or increased oxygen requirement or increased requirement for ventilatory support; d) Lethargy or moving only when stimulated or hypotonia or irritability; e) Difficulty in feeding or abdominal distention; f) Pallor or poor perfusion or hypotension; g) Abnormal white cell count or I/T (immature/total neutrophil) ratio greater than 0.2; h) Abnormal platelet count; i) Increased number of inflammatory markers (CRP, procalcitonin); j) Metabolic acidosis as defined by a base excess.	C125481	GAIA Terminology
C127947	GAIA Level 1 Assessment of Preterm Labor	Level 1 Assessment of Preterm Labor is defined by two criteria: First, greater than than four uterine contractions per hour as determined by a tocodynometer or OR transvaginal ultrasound over a two hour period; Second, documented change in length or dilation of cervix by physical examination, with clinical criteria obtained by digital examination including: a) Cervical dilation of two centimeters or more at the internal os; b) Cervical length of one centimeter or less; c) greater than or equal to 50% effacement of cervix; resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	Level 1 Assessment of Preterm Labor		Level 1 Assessment of Preterm Labor is defined by two criteria: First, greater than than four uterine contractions per hour as determined by a tocodynometer or OR transvaginal ultrasound over a two hour period; Second, documented change in length or dilation of cervix by physical examination, with clinical criteria obtained by digital examination including: a) Cervical dilation of two centimeters or more at the internal os; b) Cervical length of one centimeter or less; c) greater than or equal to 50% effacement of cervix; resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	C125481	GAIA Terminology
C127984	GAIA Level 1 Neonatal Invasive Bloodstream Infection	Level 1 Neonatal Blood Stream Infection is defined by two criteria: First, identification of a recognized pathogen from a normally sterile site using a validated method; Second, if a normally non-pathogenic organism is isolated from blood cultures; the following two requirements must be met: a) The cultures must be obtained from two different sites OR taken at two different times; b) One or more of the level 2 criteria must be present.	Level 1 Neonatal Blood Stream Infection		Level 1 Neonatal Blood Stream Infection is defined by two criteria: First, identification of a recognized pathogen from a normally sterile site using a validated method; Second, if a normally non-pathogenic organism is isolated from blood cultures; the following two requirements must be met: a) The cultures must be obtained from two different sites OR taken at two different times; b) One or more of the level 2 criteria must be present.	C125481	GAIA Terminology
C127948	GAIA Level 2 Assessment of Preterm Labor	Level 2 Assessment of Preterm Labor is defined by two criteria: First, greater than four uterine contractions per hour as determined by a tocodynometer or clinical assessment; Second, documented change in length or dilation of cervix by physical examination, with clinical criteria obtained by digital examination including: a) Cervical dilation of two centimeters or more at the internal os; b) Cervical length of one centimeter or less; c) greater than or equal to 50% effacement of cervix, resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	Level 2 Assessment of Preterm Labor		Level 2 Assessment of Preterm Labor is defined by two criteria: First, greater than four uterine contractions per hour as determined by a tocodynometer or clinical assessment; Second, documented change in length or dilation of cervix by physical examination, with clinical criteria obtained by digital examination including: a) Cervical dilation of two centimeters or more at the internal os; b) Cervical length of one centimeter or less; c) greater than or equal to 50% effacement of cervix, resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	C125481	GAIA Terminology
C127983	GAIA Level 3 Maternal Immunization	Level 3 Maternal immunization is defined by two criteria: First, the woman/medical attendant reports the pregnancy; Second, the woman reports receipt of vaccination during pregnancy, but no formal recording of the immunization is available.	Level 3 Maternal Immunisation		Level 3 Maternal immunisation is defined by two criteria: First, the woman/medical attendant reports the pregnancy; Second, the woman reports receipt of vaccination during pregnancy, but no formal recording of the immunisation is available.	C125481	GAIA Terminology
C127989	GAIA Level 3a Neonatal Infectious Meningitis	Level 3a Neonatal Meningitis is defined by four criteria: First, CSF pleocytosis; Second, NO recognized pathogen is identified, using a validated method, from a normally sterile site; Third, temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Fourth, three or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	Level 3a Neonatal Bacterial/Fungal/Viral Meningitis		Level 3a Neonatal Meningitis is defined by four criteria: First, CSF pleocytosis; Second, NO recognized pathogen is identified, using a validated method, from a normally sterile site; Third, temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Fourth, three or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	C125481	GAIA Terminology
C127988	GAIA Level 2 Neonatal Infectious Meningitis	Level 2 Neonatal Meningitis is defined by four criteria: First, CSF pleocytosis OR positive IgM antibodies to a specific pathogen in the CSF; Second, a recognized pathogen is identified, using a validated method from a normally sterile site other than the CSF; Third, a temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Fourth, one or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	Level 2 Neonatal Meningitis		Level 2 Neonatal Meningitis is defined by four criteria: First, CSF pleocytosis OR positive IgM antibodies to a specific pathogen in the CSF; Second, a recognized pathogen is identified, using a validated method from a normally sterile site other than the CSF; Third, a temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Fourth, one or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	C125481	GAIA Terminology
C127987	GAIA Level 1 Neonatal Infectious Meningitis	Level 1 Neonatal Meningitis is defined by two criteria: First, the recognized pathogen must be identified, using a validated method, from cerebrospinal fluid (CSF); Second, if an organism normally considered to be non-pathogenic is identified from the CSF, level 1 of diagnostic certainty additionally requires all level 2 criteria: i.e. CSF pleocytosis AND temperature criteria AND one or more clinical criteria.	Level 1 Neonatal Meningitis		Level 1 Neonatal Meningitis is defined by two criteria: First, the recognized pathogen must be identified, using a validated method, from cerebrospinal fluid (CSF); Second, if an organism normally considered to be non-pathogenic is identified from the CSF, level 1 of diagnostic certainty additionally requires all level 2 criteria: i.e. CSF pleocytosis AND temperature criteria AND one or more clinical criteria.	C125481	GAIA Terminology
C127945	GAIA Level 2 Assessment of Premature Preterm Rupture of Membranes	Level 2 Assessment of Premature Preterm Rupture of Membranes is defined by three criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with a clinical history of rupture of membranes; Second, visible leakage of fluid on vaginal speculum examination; Third, one of the following two requirements must be met: a) Visible arborization (ferning) on microscopy of amniotic fluid or documented membrane rupture by one of the following diagnostic tests: positive intra-amniotic dye-injection method, positive result on amniotic fluid alpha-fetoprotein test kit, amniotic fluid pH measurement (nitrazine paper test), amniotic fluid placental alpha macroglobulin-1 protein assay (PAMG-1) test (AmniSure test), or amniotic fluid insulin-like growth factor binding protein (IGFBP-1) test (Actim PROM test); or b) Ultrasound with oligohydramnios (amniotic fluid index (AFI) less than 5 or maximum vertical pocket (MVP) less than 2).	Level 2 Assessment of Premature Preterm Rupture of Membranes		Level 2 Assessment of Premature Preterm Rupture of Membranes is defined by three criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with a clinical history of rupture of membranes; Second, visible leakage of fluid on vaginal speculum examination; Third, one of the following two requirements must be met: a) Visible arborization (ferning) on microscopy of amniotic fluid or documented membrane rupture by one of the following diagnostic tests: positive intra-amniotic dye-injection method, positive result on amniotic fluid alpha-fetoprotein test kit, amniotic fluid pH measurement (nitrazine paper test), amniotic fluid placental alpha macroglobulin-1 protein assay (PAMG-1) test (AmniSure test), or amniotic fluid insulin-like growth factor binding protein (IGFBP-1) test (Actim PROM test); or b) Ultrasound with oligohydramnios (amniotic fluid index (AFI) less than 5 or maximum vertical pocket (MVP) less than 2).	C125481	GAIA Terminology
C127946	GAIA Level 3 Assessment of Premature Preterm Rupture of Membranes	Level 3 Assessment of Premature Preterm Rupture of Membranes is defined by two criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with clinical history of rupture of membranes; Second, visible leakage of presumed amniotic fluid on vaginal speculum examination, or on inspection of the perineum (wet perineum due to leakage of fluid from the vagina), fluid soaked cloth, clothes, or sanitary pad.	Level 3 Assessment of Premature Preterm Rupture of Membranes		Level 3 Assessment of Premature Preterm Rupture of Membranes is defined by two criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with clinical history of rupture of membranes; Second, visible leakage of presumed amniotic fluid on vaginal speculum examination, or on inspection of the perineum (wet perineum due to leakage of fluid from the vagina), fluid soaked cloth, clothes, or sanitary pad.	C125481	GAIA Terminology
C127944	GAIA Level 1 Assessment of Premature Preterm Rupture of Membranes	Level 1 Assessment of Premature Preterm Rupture of Membranes is defined by four criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with a clinical history of rupture of membranes; Second, visible leakage of fluid on vaginal speculum exam; Third, one of the two following requirements must be met: a) Visible arborization (ferning) on microscopy of amniotic fluid; b) Ultrasound with oligohydramnios (amniotic fluid index (AFI) less than 5 or maximum vertical pocket (MVP) less than 2); Fourth, the following criterion is optional: Documented membrane rupture by one of the following diagnostic tests: a) Positive intra-amniotic dye-injection method; b) Positive result on amniotic fluid alpha-fetoprotein test kit; c) Amniotic fluid pH measurement (nitrazine paper test); d) Amniotic fluid placental alpha macroglobulin-1 protein assay (PAMG-1) test (AmniSure test); e) Amniotic fluid insulin-like growth factor binding protein (IGFBP-1) test (Actim PROM test).	Level 1 Assessment of Premature Preterm Rupture of Membranes		Level 1 Assessment of Premature Preterm Rupture of Membranes is defined by four criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with a clinical history of rupture of membranes; Second, visible leakage of fluid on vaginal speculum exam; Third, one of the two following requirements must be met: a) Visible arborization (ferning) on microscopy of amniotic fluid; b) Ultrasound with oligohydramnios (amniotic fluid index (AFI) less than 5 or maximum vertical pocket (MVP) less than 2); Fourth, the following criterion is optional: Documented membrane rupture by one of the following diagnostic tests: a) Positive intra-amniotic dye-injection method; b) Positive result on amniotic fluid alpha-fetoprotein test kit; c) Amniotic fluid pH measurement (nitrazine paper test); d) Amniotic fluid placental alpha macroglobulin-1 protein assay (PAMG-1) test (AmniSure test); e) Amniotic fluid insulin-like growth factor binding protein (IGFBP-1) test (Actim PROM test).	C125481	GAIA Terminology
C4371	Gestational Hypertension	A blood pressure elevation after 20 weeks of gestation in the absence of either proteinuria or systemic findings like thrombocytopenia, impaired liver function, progressive renal insufficiency, pulmonary edema or the new-onset of cerebral or visual disturbances.	Gestational Hypertension		Gestational Hypertension is defined by four criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the absence of any severe features (see preeclampsia with severe features category); Fourth, the absence of proteinuria.	C125481	GAIA Terminology
C111860	Maternal Mortality	The death of a woman while pregnant or within 42 days of the end of the pregnancy, irrespective of the duration or anatomic site of the pregnancy, due to any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes.	Maternal Death		The death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy (as defined by Maternal Death guidelines: http:www.brightoncollaboration.org).	C125481	GAIA Terminology
C127981	GAIA Level 1 Maternal Immunization	Level 1 Maternal immunization is defined by three criteria: First, the pregnancy must be confirmed by either a positive pregnancy test or by ultrasound confirmation; Second, the date/time of the immunization of the pregnant woman must be recorded in medical records by the health care worker who administered/witnessed administration of vaccine; Third, the details of vaccine must include lot number and date of immunization.	Level 1 Maternal Immunisation		Level 1 Maternal immunisation is defined by three criteria: First, the pregnancy must be confirmed by either a positive pregnancy test or by ultrasound confirmation; Second, the date/time of the immunisation of the pregnant woman must be recorded in medical records by the health care worker who administered/witnessed administration of vaccine; Third, the details of vaccine must include lot number and date of immunisation.	C125481	GAIA Terminology
C127982	GAIA Level 2 Maternal Immunization	Level 2 Maternal immunization is defined by three criteria: First, pregnancy must be confirmed by both the patient's report of cessation of menstrual period and by physical exam revealing a gravid uterus; Second, the date (at least month and year) of the immunization of the pregnant woman must be recorded in medical records by the health care worker who administered/witnessed administration of vaccine; Third, the medical record must contain details of disease against which the individual was vaccinated.	Level 2 Maternal Immunisation		Level 2 Maternal immunisation is defined by three criteria: First, pregnancy must be confirmed by both the patient's report of cessation of menstrual period and by physical exam revealing a gravid uterus; Second, the date (at least month and year) of the immunisation of the pregnant woman must be recorded in medical records by the health care worker who administered/witnessed administration of vaccine; Third, the medical record must contain details of disease against which the individual was vaccinated.	C125481	GAIA Terminology
C127980	GAIA Level 3 Neonatal Death in a Term Live Birth	Level 3 Neonatal Death in a Term Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 9 months according to parent/ family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	Level 3 Neonatal Death in a Term Live Birth		Level 3 Neonatal Death in a Term Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 9 months according to parent/ family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	C125481	GAIA Terminology
C127958	GAIA Level 2 Major External Structural Defect	Level 2 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, there must be documented confirmation of a diagnosis made by a clinician with some experience diagnosing congenital anomalies.	Level 2 Major External Structural Defect		Level 2 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, there must be documented confirmation of a diagnosis made by a clinician with some experience diagnosing congenital anomalies.	C125481	GAIA Terminology
C127995	GAIA Level 2 Non-reassuring Fetal Status	Level 2 Non-reassuring Fetal Status is defined by the presence of at least one of the following criteria: First, category III fetal heart rate tracings detected via continuous cardiotocography as defined by NICHD, including absent baseline fetal heart rate variability AND any of the following: recurrent late decelerations, recurrent variable deceleration, bradycardia (less than 110 bpm); Second, sinusoidal pattern.	Level 2 Non-reassuring Fetal Status		Level 2 Non-reassuring Fetal Status is defined by the presence of at least one of the following criteria: First, category III fetal heart rate tracings detected via continuous cardiotocography as defined by NICHD, including absent baseline fetal heart rate variability AND any of the following: recurrent late decelerations, recurrent variable deceleration, bradycardia (less than 110 bpm); Second, sinusoidal pattern.	C125481	GAIA Terminology
C128042	Moderate to Late Preterm Infant	A baby born alive with a gestational age between 32 to less than 37 weeks.	Moderate to Late Preterm Infant		A baby born alive with a gestational age between 32 to less than 37 weeks. (WHO)	C125481	GAIA Terminology
C127994	GAIA Level 1 Non-reassuring Fetal Status	Level 1 Non-reassuring Fetal Status is defined by two criteria: First, one of the following requirements must be met: a) Category III fetal heart rate tracings detected via continuous cardiotocography as defined by NICHD, including absent baseline fetal heart rate variability AND any of the following: recurrent late decelerations, recurrent variable deceleration, bradycardia (less than 110 bpm); b) Sinusoidal pattern; Second, umbilical cord blood analysis that is consistent with metabolic acidosis (pH less than 7.0 and base deficit greater than 12mmol/L).	Level 1 Non-reassuring Fetal Status		Level 1 Non-reassuring Fetal Status is defined by two criteria: First, one of the following requirements must be met: a) Category III fetal heart rate tracings detected via continuous cardiotocography as defined by NICHD, including absent baseline fetal heart rate variability AND any of the following: recurrent late decelerations, recurrent variable deceleration, bradycardia (less than 110 bpm); b) Sinusoidal pattern; Second, umbilical cord blood analysis that is consistent with metabolic acidosis (pH less than 7.0 and base deficit greater than 12mmol/L).	C125481	GAIA Terminology
C127959	GAIA Level 3 Major External Structural Defect	Level 3 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a trained maternal or child health care provider with at least minimal experience diagnosing congenital anomalies; OR b) For live births, confirmed using individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	Level 3 Major External Structural Defect		Level 3 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a trained maternal or child health care provider with at least minimal experience diagnosing congenital anomalies; OR b) For live births, confirmed using individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	C125481	GAIA Terminology
C127997	GAIA Level 1 Maternal Death	Level 1 Maternal Death is defined by three criteria: First, diagnosis of a pregnancy as established by any one of the following documented requirements: a) Ultrasound examination; b) Fetal heart tones; c) Positive serum or urine human chorionic gonadotropin pregnancy test; d) Delivery of a neonate or other products of conception (abortus, stillborn); Second, death of the mother while pregnant or within 42 days of the termination of a pregnancy, irrespective of the duration and site of the pregnancy; Third, documentation of the maternal cause of death as one of the following: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental.	Level 1 Maternal Death		Level 1 Maternal Death is defined by three criteria: First, diagnosis of a pregnancy as established by any one of the following documented requirements: a) Ultrasound examination; b) Fetal heart tones; c) Positive serum or urine human chorionic gonadotropin pregnancy test; d) Delivery of a neonate or other products of conception (abortus, stillborn); Second, death of the mother while pregnant or within 42 days of the termination of a pregnancy, irrespective of the duration and site of the pregnancy; Third, documentation of the maternal cause of death as one of the following: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental.	C125481	GAIA Terminology
C127996	GAIA Level 3 Non-reassuring Fetal Status	Level 3 Non-reassuring Fetal Status is defined by the presence of the following criteria: A fetal heart pattern that is detected via intermittent auscultation, and that is suggestive of fetal hypoxia, including the following requirements that must be met: a) Baseline fetal heart rate less than 110 bpm or greater than 160 bpm; b) Presence of repetitive or prolonged (greater than 3 minutes) decelerations; c) More than five contractions in a ten minute period.	Level 3 Non-reassuring Fetal Status		Level 3 Non-reassuring Fetal Status is defined by the presence of the following criteria: A fetal heart pattern that is detected via intermittent auscultation, and that is suggestive of fetal hypoxia, including the following requirements that must be met: a) Baseline fetal heart rate less than 110 bpm or greater than 160 bpm; b) Presence of repetitive or prolonged (greater than 3 minutes) decelerations; c) More than five contractions in a ten minute period.	C125481	GAIA Terminology
C127999	GAIA Level 3 Maternal Death	Level 3 Maternal Death is defined by three criteria: First, the absence of level 1 or 2 criteria for establishing diagnosis of pregnancy, and both the uncertainty of the individual's last menstrual period and no documented clinical examination; Second, death of the mother temporal to pregnancy, childbirth, or the postpartum period when exact timing of death is unknown; Third, documentation of the maternal cause of death wherein one of the following requirements must be met: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non-obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental; d) Unspecified: unknown or undetermined.	Level 3 Maternal Death		Level 3 Maternal Death is defined by three criteria: First, the absence of level 1 or 2 criteria for establishing diagnosis of pregnancy, and both the uncertainty of the individual's last menstrual period and no documented clinical examination; Second, death of the mother temporal to pregnancy, childbirth, or the postpartum period when exact timing of death is unknown; Third, documentation of the maternal cause of death wherein one of the following requirements must be met: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non-obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental; d) Unspecified: unknown or undetermined.	C125481	GAIA Terminology
C127998	GAIA Level 2 Maternal Death	Level 2 Maternal Death is defined by three criteria: First, diagnosis of a pregnancy, in the absence of level 1 criteria, as established by any one of the following requirements: a) last menstrual period date; b) Serial symphysio fundal height examinations; Second, death of the mother while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy; Third, documentation of the maternal cause of death wherein one of the following requirements must be met: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental; d) Unspecified: unknown or undetermined.	Level 2 Maternal Death		Level 2 Maternal Death is defined by three criteria: First, diagnosis of a pregnancy, in the absence of level 1 criteria, as established by any one of the following requirements: a) last menstrual period date; b) Serial symphysio fundal height examinations; Second, death of the mother while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy; Third, documentation of the maternal cause of death wherein one of the following requirements must be met: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental; d) Unspecified: unknown or undetermined.	C125481	GAIA Terminology
C49151	Stillbirth	A fetus of at least 20 weeks gestation, or of a birth weight of at least 350 grams if the gestational age is unknown, that is born without signs of life at the time of delivery, and with an Apgar score of zero at both one and five minutes.	Stillbirth		Foetal death occurring before birth after a selected, pre-defined duration of gestation. The death of the foetus could have occurred before the onset of labor (antepartum) or at the time of delivery (intrapartum). For all levels of diagnostic certainty, the definition of stillbirth is defined by the two following criteria: First, determination of absence of signs of life in the foetus or newborn; Second, determination of foetal/newborn gestational age through maternal information or through foetal/newborn evaluation.	C125481	GAIA Terminology
C114091	Live Birth	The complete expulsion or extraction from the mother of a fetus, irrespective of the duration of pregnancy, which, after such expulsion or extraction, breathes or shows any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles.	Live Birth	Live Born	An infant delivered, that breathes/shows any evidence of life (e.g. beating heart, pulsation of umbilical cord) or definite movement of voluntary muscles.	C125481	GAIA Terminology
C127950	GAIA Level 1 Assessment of Provider Initiated Preterm Delivery	Level 1 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, documentation in the healthcare record by the delivering provider of the absence of any signs or symptoms of spontaneous onset of preterm labor; Second, additional documentation of the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	Level 1 Assessment of Provider-Initiated Preterm Delivery		Level 1 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, documentation in the healthcare record by the delivering provider of the absence of any signs or symptoms of spontaneous onset of preterm labor; Second, additional documentation of the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	C125481	GAIA Terminology
C127951	GAIA Level 2 Assessment of Provider Initiated Preterm Delivery	Level 2 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, a report from the delivering provider based on recall that there were no signs or symptoms of spontaneous onset of preterm labor; Second, additional documentation of the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	Level 2 Assessment of Provider-Initiated Preterm Delivery		Level 2 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, a report from the delivering provider based on recall that there were no signs or symptoms of spontaneous onset of preterm labor; Second, additional documentation of the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	C125481	GAIA Terminology
C128000	GAIA Level 1 Postpartum Hemorrhage	Level 1 Postpartum Haemorrhage is defined by the presence of genital bleeding after delivery, leading to severe maternal outcome (maternal death or maternal near miss) as defined by WHO.	Level 1 Postpartum Haemorrhage		Level 1 Postpartum Haemorrhage is defined by the presence of genital bleeding after delivery, leading to severe maternal outcome (maternal death or maternal near miss) as defined by WHO.	C125481	GAIA Terminology
C127952	GAIA Level 3 Assessment of Provider Initiated Preterm Delivery	Level 3 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, a report from the patient based on recall that there were no signs or symptoms of spontaneous onset of preterm labor; Second, the patient reports from recall that the healthcare provider indicated the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	Level 3 Assessment of Provider-Initiated Preterm Delivery		Level 3 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, a report from the patient based on recall that there were no signs or symptoms of spontaneous onset of preterm labor; Second, the patient reports from recall that the healthcare provider indicated the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	C125481	GAIA Terminology
C127953	GAIA Level 1 Assessment of Insufficient Cervix	Level 1 Assessment of Insufficient Cervix is defined by two criteria: First, the following three requirements must all be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or with preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, dilation of the internal cervical os greater than two centimeters as determined by transvaginal ultrasound or digital examination and less than or equal to four contractions per hour.	Level 1 Assessment of Insufficient Cervix		Level 1 Assessment of Insufficient Cervix is defined by two criteria: First, the following three requirements must all be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or with preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, dilation of the internal cervical os greater than two centimeters as determined by transvaginal ultrasound or digital examination and less than or equal to four contractions per hour.	C125481	GAIA Terminology
C128002	GAIA Level 3 Postpartum Hemorrhage	Level 3 Postpartum Haemorrhage is defined by the presence of the genital bleeding after delivery estimated at 1000ml or more.	Level 3 Postpartum Haemorrhage		Level 3 Postpartum Haemorrhage is defined by the presence of the genital bleeding after delivery estimated at 1000ml or more.	C125481	GAIA Terminology
C127954	GAIA Level 2 Assessment of Insufficient Cervix	Level 2 Assessment of Insufficient Cervix is defined by two criteria: First, the following three requirements must be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, dilation of the internal cervical os greater than two centimeters as determined by digital examination and less than or equal to four contractions per hour.	Level 2 Assessment of Insufficient Cervix		Level 2 Assessment of Insufficient Cervix is defined by two criteria: First, the following three requirements must be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, dilation of the internal cervical os greater than two centimeters as determined by digital examination and less than or equal to four contractions per hour.	C125481	GAIA Terminology
C128001	GAIA Level 2 Postpartum Hemorrhage	Level 2 Postpartum Haemorrhage is defined by the presence of the following criteria: Genital bleeding after delivery with at least one of the following: a) Measured abnormal bleeding (1000ml or more); or b) Any bleeding leading to hypotension or blood transfusion.	Level 2 Postpartum Haemorrhage		Level 2 Postpartum Haemorrhage is defined by the presence of the following criteria: Genital bleeding after delivery with at least one of the following: a) Measured abnormal bleeding (1000ml or more); or b) Any bleeding leading to hypotension or blood transfusion.	C125481	GAIA Terminology
C127955	GAIA Level 3 Assessment of Insufficient Cervix	Level 3 Assessment of Insufficient Cervix is defined by three criteria: First, the following three requirements must be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, patient reported fetal delivery without painful contractions; Third, the patient's history excludes other causes of mid-trimester delivery.	Level 3 Assessment of Insufficient Cervix		Level 3 Assessment of Insufficient Cervix is defined by three criteria: First, the following three requirements must be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, patient reported fetal delivery without painful contractions; Third, the patient's history excludes other causes of mid-trimester delivery.	C125481	GAIA Terminology
C127956	Major Congenital Anomaly	A major congenital anomaly is a structural or functional defect with the following three characteristics: 1) Of prenatal origin; 2) Present at the time of live birth or fetal demise, or in utero; 3) Affecting (or has the propensity to affect) the health, survival, or physical or cognitive functioning of the individual.	Major Congenital Anomaly		A major congenital anomaly is a structural or functional defect with the following three characteristics: 1) Of prenatal origin; 2) Present at the time of live birth or fetal demise, or in utero; 3) Affecting (or has the propensity to affect) the health, survival, or physical or cognitive functioning of the individual.	C125481	GAIA Terminology
C128004	GAIA Level 2 Preeclampsia	Level 2 Preeclampsia is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, a diagnosis of new onset proteinuria that is a level 2 diagnostic certainty: proteinuria diagnosed with greater than or equal to 1+ protein on urine dipstick.	Level 2 Preeclampsia		Level 2 Preeclampsia is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, a diagnosis of new onset proteinuria that is a level 2 diagnostic certainty: proteinuria diagnosed with greater than or equal to 1+ protein on urine dipstick.	C125481	GAIA Terminology
C127957	GAIA Level 1 Major External Structural Defect	Level 1 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, there must be documented confirmation of a diagnosis made by a clinician who is both experienced in diagnosing congenital anomalies and who has the highest level of morphology training for the specific setting.	Level 1 Major External Structural Defect		Level 1 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, there must be documented confirmation of a diagnosis made by a clinician who is both experienced in diagnosing congenital anomalies and who has the highest level of morphology training for the specific setting.	C125481	GAIA Terminology
C128003	GAIA Level 1 Preeclampsia	Level 1 Preeclampsia is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, a diagnosis of new onset proteinuria that is a level one diagnostic certainty: proteinuria diagnosed with greater than or equal to 300 mg of protein on 24 hour urine collection OR greater than or equal to 0.3 on spot protein:creatinine ratio.	Level 1 Preeclampsia		Level 1 Preeclampsia is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, a diagnosis of new onset proteinuria that is a level one diagnostic certainty: proteinuria diagnosed with greater than or equal to 300 mg of protein on 24 hour urine collection OR greater than or equal to 0.3 on spot protein:creatinine ratio.	C125481	GAIA Terminology
C49642	Preterm Infant	A newborn infant less than 37 weeks, 0 days gestational age.	Preterm Infant		A baby born alive before 37 weeks of pregnancy are completed. (WHO)	C125481	GAIA Terminology
C113382	Intrapartum Stillbirth	Fetal death greater than or equal to 20 weeks of gestation during labor with Apgar scores of 0 at 1 minute, 5 minutes and beyond.	Intrapartum Stillbirth		A condition characterized by foetal death occurring after the onset of labor and prior to delivery. The infant is born without signs of life. Documentation of a live foetus prior to or at the onset of labor exists. Additional findings that might be helpful to differentiate between antepartum and intrapartum stillbirth at the time of delivery include the following criteria: a) Physical Examination: foetuses who died antepartum can have skin changes consistent with maceration, tissue injury, meconium staining, and edema; b) Laboratory/pathology: autopsy examination of the foetus and/or the placenta.	C125481	GAIA Terminology
C128005	GAIA Preeclampsia with Insufficient Evidence	Preeclampsia with Insufficient Evidence is defined as a pregnancy with gestational age greater than or equal to 20 weeks and either a) The inability to measure blood pressure OR b) The inability to evaluate for proteinuria.	Preeclampsia with Insufficient Evidence		Preeclampsia with Insufficient Evidence is defined as a pregnancy with gestational age greater than or equal to 20 weeks and either a) The inability to measure blood pressure OR b) The inability to evaluate for proteinuria.	C125481	GAIA Terminology
C128006	GAIA Level 1 Preeclampsia with Severe Features	Level 1 Preeclampsia with Severe Features is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour); Third, the presence of one or more of the following requirements: a) Systolic blood pressure greater than or equal to 160mmHg and/or diastolic blood pressure greater than or equal to 110mmHg, which is confirmed after only minutes; b) Development of severe, persistent headache; c) Development of visual changes; d) Eclampsia; e) New onset thrombocytopenia (platelets less than 100,000/microliter); f) New onset unremitting epigastric pain; g) AST and ALT elevated to twice upper limit of normal; h) Evidence of liver capsular hematoma or liver rupture (diagnosed on clinical exam or with imaging); i) Worsening renal function, as evidenced by serum creatinine level greater than 1.1 mg/dL or a doubling of the serum creatinine (absent other renal disease) or oliguria (less than 500 cc/24 hours); j) Pulmonary edema (confirmed on imaging with chest x?ray, or on clinical exam).	Level 1 Preeclampsia with Severe Features		Level 1 Preeclampsia with Severe Features is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour); Third, the presence of one or more of the following requirements: a) Systolic blood pressure greater than or equal to 160mmHg and/or diastolic blood pressure greater than or equal to 110mmHg, which is confirmed after only minutes; b) Development of severe, persistent headache; c) Development of visual changes; d) Eclampsia; e) New onset thrombocytopenia (platelets less than 100,000/microliter); f) New onset unremitting epigastric pain; g) AST and ALT elevated to twice upper limit of normal; h) Evidence of liver capsular hematoma or liver rupture (diagnosed on clinical exam or with imaging); i) Worsening renal function, as evidenced by serum creatinine level greater than 1.1 mg/dL or a doubling of the serum creatinine (absent other renal disease) or oliguria (less than 500 cc/24 hours); j) Pulmonary edema (confirmed on imaging with chest x-ray, or on clinical exam).	C125481	GAIA Terminology
C128007	GAIA Level 2 Preeclampsia with Severe Features	Level 2 Preeclampsia with Severe Features is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the diagnosis of new onset nausea and vomiting.	Level 2 Preeclampsia with Severe Features		Level 2 Preeclampsia with Severe Features is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the diagnosis of new onset nausea and vomiting.	C125481	GAIA Terminology
C128008	GAIA Insufficient Evidence Preeclampsia with Severe Features	Preeclampsia with Severe Features with Insufficient Evidence is defined as a pregnancy with gestational age greater than or equal to 20 weeks with the inability to measure blood pressure.	Insufficient Evidence Preeclampsia with Severe Features		Preeclampsia with Severe Features with Insufficient Evidence is defined as a pregnancy with gestational age greater than or equal to 20 weeks with the inability to measure blood pressure.	C125481	GAIA Terminology
C128009	GAIA Level 1 Gestational Hypertension	Level 1 Gestational Hypertension is defined by four criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the absence of any severe features (see preeclampsia with severe features category); Fourth, the absence of proteinuria (as defined by 24 hour urine collection less than 300 mg, spot protein:creatinine ratio less than 0.3).	Level 1 Gestational Hypertension		Level 1 Gestational Hypertension is defined by four criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the absence of any severe features (see preeclampsia with severe features category); Fourth, the absence of proteinuria (as defined by 24 hour urine collection less than 300 mg, spot protein:creatinine ratio less than 0.3).	C125481	GAIA Terminology
C25155	Birth	The event of being born.	Delivery		The birth of an offspring, which breathes or shows evidence of life, or is born without signs of life at an estimated gestation of 24 weeks or more (as defined by Preterm Birth guidelines: http:www.brightoncollaboration.org).	C125481	GAIA Terminology
C113381	Antepartum Stillbirth	Fetal death greater than or equal to 20 weeks of gestation prior to labor with Apgar scores of 0 at 1 minute, 5 minutes and beyond.	Antepartum Stillbirth		Foetal death occurring during pregnancy and prior to delivery, before the onset of labor. It is usually diagnosed prior to delivery, but may not be diagnosed until after the infant is delivered. The infant is born without signs of life.	C125481	GAIA Terminology
C127990	GAIA Level 3b Neonatal Infectious Meningitis	Level 3b Neonatal Meningitis is defined by three criteria: First, No lumbar puncture done or no sample available; Second, temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Third, four or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	Level 3b Neonatal Meningitis		Level 3b Neonatal Meningitis is defined by three criteria: First, No lumbar puncture done or no sample available; Second, temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Third, four or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	C125481	GAIA Terminology
C127991	GAIA Level 1 Neonatal Respiratory Tract Infection	Level 1 Neonatal Respiratory Tract Infection is defined by two criteria: First, new or progressive or persistent infiltrate or shadowing or fluid in the intrapleural cavity or interlobar fissure on chest X-ray OR a recognized virus identified using a validated assay from an upper respiratory sample OR a recognized pathogen identified, using a validated method, from a normally sterile site; Second, three or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or nasal flaring or chest indrawing or grunting; c) Desaturations or increased oxygen requirements or increased ventilator requirements or oxygen saturation less than 95%; d) Apnea; e) Increased respiratory secretions or increased suctioning requirements; f) Cough, wheeze, or crepitations; g) Increased CRP or procalcitonin.	Level 1 Neonatal Respiratory Tract Infection		Level 1 Neonatal Respiratory Tract Infection is defined by two criteria: First, new or progressive or persistent infiltrate or shadowing or fluid in the intrapleural cavity or interlobar fissure on chest X-ray OR a recognized virus identified using a validated assay from an upper respiratory sample OR a recognized pathogen identified, using a validated method, from a normally sterile site; Second, three or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or nasal flaring or chest indrawing or grunting; c) Desaturations or increased oxygen requirements or increased ventilator requirements or oxygen saturation less than 95%; d) Apnea; e) Increased respiratory secretions or increased suctioning requirements; f) Cough, wheeze, or crepitations; g) Increased CRP or procalcitonin.	C125481	GAIA Terminology
C127992	GAIA Level 2 Neonatal Respiratory Tract Infection	Level 2 Neonatal Respiratory Tract Infection is defined by two criteria: First, new or progressive or persistent infiltrate or shadowing or fluid in the intrapleural cavity or interlobar fissure on chest X-ray; Second, four or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or nasal flaring or chest indrawing or grunting; c) Desaturations or increased oxygen requirements or increased ventilator requirements or oxygen saturation less than 95%; d) Apnea; e) Increased respiratory secretions or increased suctioning requirements; f) Cough, wheeze, or crepitations; g) Increased CRP or procalcitonin.	Level 2 Neonatal Respiratory Tract Infection		Level 2 Neonatal Respiratory Tract Infection is defined by two criteria: First, new or progressive or persistent infiltrate or shadowing or fluid in the intrapleural cavity or interlobar fissure on chest X-ray; Second, four or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or nasal flaring or chest indrawing or grunting; c) Desaturations or increased oxygen requirements or increased ventilator requirements or oxygen saturation less than 95%; d) Apnea; e) Increased respiratory secretions or increased suctioning requirements; f) Cough, wheeze, or crepitations; g) Increased CRP or procalcitonin.	C125481	GAIA Terminology
C127993	GAIA Level 3 Neonatal Respiratory Tract Infection	Level 3 Neonatal Respiratory Tract Infection is defined by the presence of two or more of the following criteria: a) Difficulty in breathing/tachypnea; b) Severe chest indrawing; c) Nasal flaring; d) Grunting; e) Wheeze; f) Stridor.	Level 3 Neonatal Respiratory Tract Infection		Level 3 Neonatal Respiratory Tract Infection is defined by the presence of two or more of the following criteria: a) Difficulty in breathing/tachypnea; b) Severe chest indrawing; c) Nasal flaring; d) Grunting; e) Wheeze; f) Stridor.	C125481	GAIA Terminology
C127958	GAIA Level 2 Major External Structural Defect	Level 2 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, there must be documented confirmation of a diagnosis made by a clinician with some experience diagnosing congenital anomalies.	Level 2 Major External Structural Defect		Level 2 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, there must be documented confirmation of a diagnosis made by a clinician with some experience diagnosing congenital anomalies.	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127959	GAIA Level 3 Major External Structural Defect	Level 3 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a trained maternal or child health care provider with at least minimal experience diagnosing congenital anomalies; OR b) For live births, confirmed using individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	Level 3 Major External Structural Defect		Level 3 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a trained maternal or child health care provider with at least minimal experience diagnosing congenital anomalies; OR b) For live births, confirmed using individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127967	GAIA Level 3 Major Functional Defect	Level 3 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician who has some experience diagnosing functional defects; OR b) Confirmation using either individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	Level 3 Major Functional Defect		Level 3 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician who has some experience diagnosing functional defects; OR b) Confirmation using either individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127968	GAIA Level 4 Major Functional Defect	Level 4 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at the time of live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts that are not due to a structural defect. Second, at least one of the following requirements must be met: a) Documented confirmation in the medical record that the anomaly was present at the time of live birth or time of fetal demise, and that the anomaly was diagnosed by a trained maternal or child health care provider who is not a qualified geneticist, neonatologist, pathologist, subspecialist, paediatrician, obstetrician, or family medicine practitioner; OR b) Confirmation by claims data (ICD-9/ICD-10 diagnoses).	Level 4 Major Functional Defect		Level 4 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at the time of live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts that are not due to a structural defect. Second, at least one of the following requirements must be met: a) Documented confirmation in the medical record that the anomaly was present at the time of live birth or time of fetal demise, and that the anomaly was diagnosed by a trained maternal or child health care provider who is not a qualified geneticist, neonatologist, pathologist, subspecialist, paediatrician, obstetrician, or family medicine practitioner; OR b) Confirmation by claims data (ICD-9/ICD-10 diagnoses).	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127965	GAIA Level 1 Major Functional Defect	Level 1 Major Functional Defect is defined by two criteria. First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at the time of birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts, not due to a structural defect. Second, there must be confirmation of the defect by definitive diagnostic study.	Level 1 Major Functional Defect		Level 1 Major Functional Defect is defined by two criteria. First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at the time of birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts, not due to a structural defect. Second, there must be confirmation of the defect by definitive diagnostic study.	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127966	GAIA Level 2 Major Functional Defect	Level 2 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts that are not due to a structural defect. Second, there must be documented confirmation of a diagnosis made by a clinician who is experienced in diagnosing congenital anomalies, and who has the highest level of training in the diagnosis of functional defects for the specific setting.	Level 2 Major Functional Defect		Level 2 Major Functional Defect is defined by two criteria: First, at least one of the following requirements must be met: a) For live births there must be alterations in functioning of one or more organs or body parts that are not due to a structural defect, that are present at live birth (or propensity to develop alteration present at live birth), and that persist beyond the immediate peripartum period, unless treated through gene therapy or stem cell transplantation; OR b) For stillbirths or spontaneous or therapeutic abortions there must be alterations in function of one or more organs or body parts that are not due to a structural defect. Second, there must be documented confirmation of a diagnosis made by a clinician who is experienced in diagnosing congenital anomalies, and who has the highest level of training in the diagnosis of functional defects for the specific setting.	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127963	GAIA Level 3 Major Internal Structural Defect	Level 3 Major Internal Structural Defect is defined by two criteria: First, alterations in the internal anatomy must be present at the time of live birth, and must persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician with some experience diagnosing congenital anomalies; OR b) Confirmation using either individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	Level 3 Major Internal Structural Defect		Level 3 Major Internal Structural Defect is defined by two criteria: First, alterations in the internal anatomy must be present at the time of live birth, and must persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician with some experience diagnosing congenital anomalies; OR b) Confirmation using either individual (ICD-9/ICD-10) codes or as part of an ICD-9/ICD-10 code based algorithm, where the outcome (individual code or algorithm) has been validated.	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127964	GAIA Level 4 Major Internal Structural Defect	Level 4 Major Internal Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in the internal anatomy that are present at the time of live birth, and that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in internal anatomy that are present at time of stillbirth or spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Documented confirmation in the medical record that the anomaly was present at the time of live birth or at the time of fetal demise, and that the anomaly was diagnosed by a trained maternal or a child health care provider who has minimal experience diagnosing congenital anomalies; OR b) Confirmed by claims data (ICD-9/ICD-10 diagnoses).	Level 4 Major Internal Structural Defect		Level 4 Major Internal Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in the internal anatomy that are present at the time of live birth, and that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in internal anatomy that are present at time of stillbirth or spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Documented confirmation in the medical record that the anomaly was present at the time of live birth or at the time of fetal demise, and that the anomaly was diagnosed by a trained maternal or a child health care provider who has minimal experience diagnosing congenital anomalies; OR b) Confirmed by claims data (ICD-9/ICD-10 diagnoses).	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127961	GAIA Level 1 Major Internal Structural Defect	Level 1 Major Internal Structural Defect is defined by two criteria: First, alterations in internal anatomy must be present at the time of live birth, and must persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Confirmation by definitive imaging study or intraoperative diagnosis; OR b) Alterations in internal anatomy detected during autopsy for a stillbirth, spontaneous, or therapeutic abortion, which are confirmed by documentation by a pathologist or other relevant subspecialist.	Level 1 Major Internal Structural Defect		Level 1 Major Internal Structural Defect is defined by two criteria: First, alterations in internal anatomy must be present at the time of live birth, and must persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Confirmation by definitive imaging study or intraoperative diagnosis; OR b) Alterations in internal anatomy detected during autopsy for a stillbirth, spontaneous, or therapeutic abortion, which are confirmed by documentation by a pathologist or other relevant subspecialist.	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127956	Major Congenital Anomaly	A major congenital anomaly is a structural or functional defect with the following three characteristics: 1) Of prenatal origin; 2) Present at the time of live birth or fetal demise, or in utero; 3) Affecting (or has the propensity to affect) the health, survival, or physical or cognitive functioning of the individual.	Major Congenital Anomaly		A major congenital anomaly is a structural or functional defect with the following three characteristics: 1) Of prenatal origin; 2) Present at the time of live birth or fetal demise, or in utero; 3) Affecting (or has the propensity to affect) the health, survival, or physical or cognitive functioning of the individual.	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127957	GAIA Level 1 Major External Structural Defect	Level 1 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, there must be documented confirmation of a diagnosis made by a clinician who is both experienced in diagnosing congenital anomalies and who has the highest level of morphology training for the specific setting.	Level 1 Major External Structural Defect		Level 1 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, there must be documented confirmation of a diagnosis made by a clinician who is both experienced in diagnosing congenital anomalies and who has the highest level of morphology training for the specific setting.	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127962	GAIA Level 2 Major Internal Structural Defect	Level 2 Major Internal Structural Defect is defined by two criteria: First, alterations in internal anatomy that are present at the time of live birth, and that persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician who is experienced in diagnosing congenital anomalies, and who has the highest level of morphology training for the specific setting without using definitive imaging or intraoperative evaluation; OR b) For stillbirth, spontaneous, or therapeutic abortion, an internal structural defect is visible by ultrasound or other imaging modality prenatally.	Level 2 Major Internal Structural Defect		Level 2 Major Internal Structural Defect is defined by two criteria: First, alterations in internal anatomy that are present at the time of live birth, and that persist beyond the immediate peripartum period unless surgically repaired. Second, at least one of the following requirements must be met: a) Documented confirmation of a diagnosis made by a clinician who is experienced in diagnosing congenital anomalies, and who has the highest level of morphology training for the specific setting without using definitive imaging or intraoperative evaluation; OR b) For stillbirth, spontaneous, or therapeutic abortion, an internal structural defect is visible by ultrasound or other imaging modality prenatally.	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127960	GAIA Level 4 Major External Structural Defect	Level 4 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Confirmation by medical record review; OR b) Confirmed in claims data (ICD-9/ICD-10 diagnoses).	Level 4 Major External Structural Defect		Level 4 Major External Structural Defect is defined by two criteria: First, at least one of the following requirements must be met: a) Alterations in external anatomy visible at the time of live birth that persist beyond the immediate peripartum period unless surgically repaired; OR b) Alterations in external anatomy visible in a stillbirth or in the products of conception of a spontaneous or therapeutic abortion. Second, at least one of the following requirements must be met: a) Confirmation by medical record review; OR b) Confirmed in claims data (ICD-9/ICD-10 diagnoses).	C126852	GAIA Major Congenital Anomalies Level of Diagnostic Certainty Terminology
C127983	GAIA Level 3 Maternal Immunization	Level 3 Maternal immunization is defined by two criteria: First, the woman/medical attendant reports the pregnancy; Second, the woman reports receipt of vaccination during pregnancy, but no formal recording of the immunization is available.	Level 3 Maternal Immunisation		Level 3 Maternal immunisation is defined by two criteria: First, the woman/medical attendant reports the pregnancy; Second, the woman reports receipt of vaccination during pregnancy, but no formal recording of the immunisation is available.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127969	GAIA Level 1 Neonatal Death in a Non-viable Live Birth	Level 1 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age less than 22 weeks (a GA level of certainty of one); OR b) Birth weight less than 500g; Third, the death of the infant within the first 28 days of life must be documented.	Level 1 Neonatal Death in a Non-viable Live Birth		Level 1 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age less than 22 weeks (a GA level of certainty of one); OR b) Birth weight less than 500g; Third, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C114091	Live Birth	The complete expulsion or extraction from the mother of a fetus, irrespective of the duration of pregnancy, which, after such expulsion or extraction, breathes or shows any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles.	Live Birth	Live Born	An infant delivered, that breathes/shows any evidence of life (e.g. beating heart, pulsation of umbilical cord) or definite movement of voluntary muscles.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127976	GAIA Level 2 Neonatal Death in a Preterm Live Birth	Level 2 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 28 and less than 37 weeks (where the GA level of certainty is either level one or two); OR b) Birth weight greater than or equal to 1000g but less than 2500g; Third, the death of the infant within the first 28 days of life must be documented.	Level 2 Neonatal Death in a Preterm Live Birth		Level 2 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 28 and less than 37 weeks (where the GA level of certainty is either level one or two); OR b) Birth weight greater than or equal to 1000g but less than 2500g; Third, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127977	GAIA Level 3 Neonatal Death in a Preterm Live Birth	Level 3 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 7 months but less than 9 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	Level 3 Neonatal Death in a Preterm Live Birth		Level 3 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 7 months but less than 9 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127978	GAIA Level 1 Neonatal Death in a Term Live Birth	Level 1 Neonatal Death in a Term Live Birth is defined by four criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 37 weeks (a GA level of certainty of one); Third, at least one of the following requirements must be met: a) Birth weight greater than 2500g; OR b) Documented intra-uterine growth retardation if weight is less than or equal to 2500g; Fourth, the death of the infant within the first 28 days of life must be documented.	Level 1 Neonatal Death in a Term Live Birth		Level 1 Neonatal Death in a Term Live Birth is defined by four criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 37 weeks (a GA level of certainty of one); Third, at least one of the following requirements must be met: a) Birth weight greater than 2500g; OR b) Documented intra-uterine growth retardation if weight is less than or equal to 2500g; Fourth, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127979	GAIA Level 2 Neonatal Death in a Term Live Birth	Level 2 Neonatal Death in a Term Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 37 weeks (a GA level of certainty of one or two) OR b) Birth weight greater than or equal to 2500g; Third, the death of the infant within the first 28 days of life must be documented.	Level 2 Neonatal Death in a Term Live Birth		Level 2 Neonatal Death in a Term Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 37 weeks (a GA level of certainty of one or two) OR b) Birth weight greater than or equal to 2500g; Third, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127972	GAIA Level 1 Neonatal Death in an Extremely Preterm Live Birth	Level 1 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 22 and less than 28 weeks (where the GA level of certainty is one); OR b) Birth weight greater than or equal to 500g but less than 1000g. Third, the death of the infant within the first 28 days of life must be documented.	Level 1 Neonatal Death in an Extremely Preterm Live Birth		Level 1 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 22 and less than 28 weeks (where the GA level of certainty is one); OR b) Birth weight greater than or equal to 500g but less than 1000g. Third, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127973	GAIA Level 2 Neonatal Death in an Extremely Preterm Live Birth	Level 2 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 22 and less than 28 weeks (where the GA level of certainty is either level one or two) OR b) Birth weight greater than or equal to 500g but less than 1000g; Third, the death of the infant within the first 28 days of life must be documented.	Level 2 Neonatal Death in an Extremely Preterm Live Birth		Level 2 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 22 and less than 28 weeks (where the GA level of certainty is either level one or two) OR b) Birth weight greater than or equal to 500g but less than 1000g; Third, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127974	GAIA Level 3 Neonatal Death in an Extremely Preterm Live Birth	Level 3 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 5 months but less than 7 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	Level 3 Neonatal Death in an Extremely Preterm Live Birth		Level 3 Neonatal Death in an Extremely Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 5 months but less than 7 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127975	GAIA Level 1 Neonatal Death in a Preterm Live Birth	Level 1 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 28 and less than 37 weeks (where the GA level of certainty is one); OR b) Birth weight greater than or equal to 1000g but less than 2500g; Third, the death of the infant within the first 28 days of life must be documented.	Level 1 Neonatal Death in a Preterm Live Birth		Level 1 Neonatal Death in a Preterm Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age greater than or equal to 28 and less than 37 weeks (where the GA level of certainty is one); OR b) Birth weight greater than or equal to 1000g but less than 2500g; Third, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127971	GAIA Level 3 Neonatal Death in a Non-viable Live Birth	Level 3 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be less than 5 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	Level 3 Neonatal Death in a Non-viable Live Birth		Level 3 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be less than 5 months according to parent/family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127970	GAIA Level 2 Neonatal Death in a Non-viable Live Birth	Level 2 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age less than 22 weeks (where the GA level of certainty is either level one or two) OR b) Birth weight less than 500g; Third, the death of the infant within the first 28 days of life must be documented.	Level 2 Neonatal Death in a Non-viable Live Birth		Level 2 Neonatal Death in a Non-viable Live Birth is defined by three criteria: First, the infant must be live born; Second, at least one of the following requirements must be met: a) Gestational age less than 22 weeks (where the GA level of certainty is either level one or two) OR b) Birth weight less than 500g; Third, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127981	GAIA Level 1 Maternal Immunization	Level 1 Maternal immunization is defined by three criteria: First, the pregnancy must be confirmed by either a positive pregnancy test or by ultrasound confirmation; Second, the date/time of the immunization of the pregnant woman must be recorded in medical records by the health care worker who administered/witnessed administration of vaccine; Third, the details of vaccine must include lot number and date of immunization.	Level 1 Maternal Immunisation		Level 1 Maternal immunisation is defined by three criteria: First, the pregnancy must be confirmed by either a positive pregnancy test or by ultrasound confirmation; Second, the date/time of the immunisation of the pregnant woman must be recorded in medical records by the health care worker who administered/witnessed administration of vaccine; Third, the details of vaccine must include lot number and date of immunisation.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127982	GAIA Level 2 Maternal Immunization	Level 2 Maternal immunization is defined by three criteria: First, pregnancy must be confirmed by both the patient's report of cessation of menstrual period and by physical exam revealing a gravid uterus; Second, the date (at least month and year) of the immunization of the pregnant woman must be recorded in medical records by the health care worker who administered/witnessed administration of vaccine; Third, the medical record must contain details of disease against which the individual was vaccinated.	Level 2 Maternal Immunisation		Level 2 Maternal immunisation is defined by three criteria: First, pregnancy must be confirmed by both the patient's report of cessation of menstrual period and by physical exam revealing a gravid uterus; Second, the date (at least month and year) of the immunisation of the pregnant woman must be recorded in medical records by the health care worker who administered/witnessed administration of vaccine; Third, the medical record must contain details of disease against which the individual was vaccinated.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127980	GAIA Level 3 Neonatal Death in a Term Live Birth	Level 3 Neonatal Death in a Term Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 9 months according to parent/ family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	Level 3 Neonatal Death in a Term Live Birth		Level 3 Neonatal Death in a Term Live Birth is defined by three criteria: First, the infant must be live born; Second, the gestational age must be greater than or equal to 9 months according to parent/ family member/delivery attendant (a GA level of certainty of either level two or three); Third, the death of the infant within the first 28 days of life must be documented.	C126853	GAIA Neonatal Death Level of Diagnostic Certainty Terminology
C127986	GAIA Level 3 Neonatal Invasive Bloodstream Infection	Level 3 Neonatal Blood Stream Infection is defined by two criteria: First, the criteria does not meet the requirements for level 1 or 2 diagnostic certainty; Second, two or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or severe chest indrawing or grunting or cyanosis; c) Change in level of activity; d) History of feeding difficulty; e) History of convulsions.	Level 3 Neonatal Blood Stream Infection		Level 3 Neonatal Blood Stream Infection is defined by two criteria: First, the criteria does not meet the requirements for level 1 or 2 diagnostic certainty; Second, two or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or severe chest indrawing or grunting or cyanosis; c) Change in level of activity; d) History of feeding difficulty; e) History of convulsions.	C126854	GAIA Neonatal Infections Level of Diagnostic Certainty Terminology
C127985	GAIA Level 2 Neonatal Invasive Bloodstream Infection	Level 2 Neonatal Blood Stream Infection is defined by two criteria: First, the criteria does not meet the requirements for level 1 diagnostic certainty; Second, three or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachycardia or new or more frequent episodes of bradycardia; c) New or more frequent episodes of apnea or increased oxygen requirement or increased requirement for ventilatory support; d) Lethargy or moving only when stimulated or hypotonia or irritability; e) Difficulty in feeding or abdominal distention; f) Pallor or poor perfusion or hypotension; g) Abnormal white cell count or I/T (immature/total neutrophil) ratio greater than 0.2; h) Abnormal platelet count; i) Increased number of inflammatory markers (CRP, procalcitonin); j) Metabolic acidosis as defined by a base excess.	Level 2 Neonatal Blood Stream Infection		Level 2 Neonatal Blood Stream Infection is defined by two criteria: First, the criteria does not meet the requirements for level 1 diagnostic certainty; Second, three or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachycardia or new or more frequent episodes of bradycardia; c) New or more frequent episodes of apnea or increased oxygen requirement or increased requirement for ventilatory support; d) Lethargy or moving only when stimulated or hypotonia or irritability; e) Difficulty in feeding or abdominal distention; f) Pallor or poor perfusion or hypotension; g) Abnormal white cell count or I/T (immature/total neutrophil) ratio greater than 0.2; h) Abnormal platelet count; i) Increased number of inflammatory markers (CRP, procalcitonin); j) Metabolic acidosis as defined by a base excess.	C126854	GAIA Neonatal Infections Level of Diagnostic Certainty Terminology
C127984	GAIA Level 1 Neonatal Invasive Bloodstream Infection	Level 1 Neonatal Blood Stream Infection is defined by two criteria: First, identification of a recognized pathogen from a normally sterile site using a validated method; Second, if a normally non-pathogenic organism is isolated from blood cultures; the following two requirements must be met: a) The cultures must be obtained from two different sites OR taken at two different times; b) One or more of the level 2 criteria must be present.	Level 1 Neonatal Blood Stream Infection		Level 1 Neonatal Blood Stream Infection is defined by two criteria: First, identification of a recognized pathogen from a normally sterile site using a validated method; Second, if a normally non-pathogenic organism is isolated from blood cultures; the following two requirements must be met: a) The cultures must be obtained from two different sites OR taken at two different times; b) One or more of the level 2 criteria must be present.	C126854	GAIA Neonatal Infections Level of Diagnostic Certainty Terminology
C127989	GAIA Level 3a Neonatal Infectious Meningitis	Level 3a Neonatal Meningitis is defined by four criteria: First, CSF pleocytosis; Second, NO recognized pathogen is identified, using a validated method, from a normally sterile site; Third, temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Fourth, three or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	Level 3a Neonatal Bacterial/Fungal/Viral Meningitis		Level 3a Neonatal Meningitis is defined by four criteria: First, CSF pleocytosis; Second, NO recognized pathogen is identified, using a validated method, from a normally sterile site; Third, temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Fourth, three or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	C126854	GAIA Neonatal Infections Level of Diagnostic Certainty Terminology
C127988	GAIA Level 2 Neonatal Infectious Meningitis	Level 2 Neonatal Meningitis is defined by four criteria: First, CSF pleocytosis OR positive IgM antibodies to a specific pathogen in the CSF; Second, a recognized pathogen is identified, using a validated method from a normally sterile site other than the CSF; Third, a temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Fourth, one or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	Level 2 Neonatal Meningitis		Level 2 Neonatal Meningitis is defined by four criteria: First, CSF pleocytosis OR positive IgM antibodies to a specific pathogen in the CSF; Second, a recognized pathogen is identified, using a validated method from a normally sterile site other than the CSF; Third, a temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Fourth, one or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	C126854	GAIA Neonatal Infections Level of Diagnostic Certainty Terminology
C127987	GAIA Level 1 Neonatal Infectious Meningitis	Level 1 Neonatal Meningitis is defined by two criteria: First, the recognized pathogen must be identified, using a validated method, from cerebrospinal fluid (CSF); Second, if an organism normally considered to be non-pathogenic is identified from the CSF, level 1 of diagnostic certainty additionally requires all level 2 criteria: i.e. CSF pleocytosis AND temperature criteria AND one or more clinical criteria.	Level 1 Neonatal Meningitis		Level 1 Neonatal Meningitis is defined by two criteria: First, the recognized pathogen must be identified, using a validated method, from cerebrospinal fluid (CSF); Second, if an organism normally considered to be non-pathogenic is identified from the CSF, level 1 of diagnostic certainty additionally requires all level 2 criteria: i.e. CSF pleocytosis AND temperature criteria AND one or more clinical criteria.	C126854	GAIA Neonatal Infections Level of Diagnostic Certainty Terminology
C127990	GAIA Level 3b Neonatal Infectious Meningitis	Level 3b Neonatal Meningitis is defined by three criteria: First, No lumbar puncture done or no sample available; Second, temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Third, four or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	Level 3b Neonatal Meningitis		Level 3b Neonatal Meningitis is defined by three criteria: First, No lumbar puncture done or no sample available; Second, temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; Third, four or more of the following requirements must be met: a) History of convulsions; b) Lethargy or irritability; c) Coma; d) Apnea; e) Bulging fontanel; f) Neck stiffness.	C126854	GAIA Neonatal Infections Level of Diagnostic Certainty Terminology
C127991	GAIA Level 1 Neonatal Respiratory Tract Infection	Level 1 Neonatal Respiratory Tract Infection is defined by two criteria: First, new or progressive or persistent infiltrate or shadowing or fluid in the intrapleural cavity or interlobar fissure on chest X-ray OR a recognized virus identified using a validated assay from an upper respiratory sample OR a recognized pathogen identified, using a validated method, from a normally sterile site; Second, three or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or nasal flaring or chest indrawing or grunting; c) Desaturations or increased oxygen requirements or increased ventilator requirements or oxygen saturation less than 95%; d) Apnea; e) Increased respiratory secretions or increased suctioning requirements; f) Cough, wheeze, or crepitations; g) Increased CRP or procalcitonin.	Level 1 Neonatal Respiratory Tract Infection		Level 1 Neonatal Respiratory Tract Infection is defined by two criteria: First, new or progressive or persistent infiltrate or shadowing or fluid in the intrapleural cavity or interlobar fissure on chest X-ray OR a recognized virus identified using a validated assay from an upper respiratory sample OR a recognized pathogen identified, using a validated method, from a normally sterile site; Second, three or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or nasal flaring or chest indrawing or grunting; c) Desaturations or increased oxygen requirements or increased ventilator requirements or oxygen saturation less than 95%; d) Apnea; e) Increased respiratory secretions or increased suctioning requirements; f) Cough, wheeze, or crepitations; g) Increased CRP or procalcitonin.	C126854	GAIA Neonatal Infections Level of Diagnostic Certainty Terminology
C127992	GAIA Level 2 Neonatal Respiratory Tract Infection	Level 2 Neonatal Respiratory Tract Infection is defined by two criteria: First, new or progressive or persistent infiltrate or shadowing or fluid in the intrapleural cavity or interlobar fissure on chest X-ray; Second, four or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or nasal flaring or chest indrawing or grunting; c) Desaturations or increased oxygen requirements or increased ventilator requirements or oxygen saturation less than 95%; d) Apnea; e) Increased respiratory secretions or increased suctioning requirements; f) Cough, wheeze, or crepitations; g) Increased CRP or procalcitonin.	Level 2 Neonatal Respiratory Tract Infection		Level 2 Neonatal Respiratory Tract Infection is defined by two criteria: First, new or progressive or persistent infiltrate or shadowing or fluid in the intrapleural cavity or interlobar fissure on chest X-ray; Second, four or more of the following requirements must be met: a) Temperature greater than or equal to 37.5 degrees C or less than 35.5 degrees C; b) Tachypnea or nasal flaring or chest indrawing or grunting; c) Desaturations or increased oxygen requirements or increased ventilator requirements or oxygen saturation less than 95%; d) Apnea; e) Increased respiratory secretions or increased suctioning requirements; f) Cough, wheeze, or crepitations; g) Increased CRP or procalcitonin.	C126854	GAIA Neonatal Infections Level of Diagnostic Certainty Terminology
C127993	GAIA Level 3 Neonatal Respiratory Tract Infection	Level 3 Neonatal Respiratory Tract Infection is defined by the presence of two or more of the following criteria: a) Difficulty in breathing/tachypnea; b) Severe chest indrawing; c) Nasal flaring; d) Grunting; e) Wheeze; f) Stridor.	Level 3 Neonatal Respiratory Tract Infection		Level 3 Neonatal Respiratory Tract Infection is defined by the presence of two or more of the following criteria: a) Difficulty in breathing/tachypnea; b) Severe chest indrawing; c) Nasal flaring; d) Grunting; e) Wheeze; f) Stridor.	C126854	GAIA Neonatal Infections Level of Diagnostic Certainty Terminology
C49642	Preterm Infant	A newborn infant less than 37 weeks, 0 days gestational age.	Preterm Infant		A baby born alive before 37 weeks of pregnancy are completed. (WHO)	C126855	GAIA Preterm Birth Level of Diagnostic Certainty Terminology
C118677	Very Preterm Infant	A newborn infant greater than 28 weeks, 0 days and less than 34 weeks, 0 days.	Very Preterm Infant		A baby born alive with a gestational age between 28 to less than 32 weeks. (WHO)	C126855	GAIA Preterm Birth Level of Diagnostic Certainty Terminology
C128042	Moderate to Late Preterm Infant	A baby born alive with a gestational age between 32 to less than 37 weeks.	Moderate to Late Preterm Infant		A baby born alive with a gestational age between 32 to less than 37 weeks. (WHO)	C126855	GAIA Preterm Birth Level of Diagnostic Certainty Terminology
C128016	GAIA Level 3A Assessment of Gestational Age	Level 3A Assessment of Gestational Age is defined by the presence at least one of the following criteria: a) Certain last menstrual period (LMP) with third trimester scan (28 0/7 weeks or more); OR b) Certain LMP with confirmatory second trimester fundal height (FH); OR c) Certain LMP with birth weight; OR d) Uncertain LMP with first trimester physical examination.	Level 3A Assessment of Prematurity and Gestational Age		Level 3A Assessment of Gestational Age is defined by the presence at least one of the following criteria: a) Certain last menstrual period (LMP) with third trimester scan (28 0/7 weeks or more); OR b) Certain LMP with confirmatory second trimester fundal height (FH); OR c) Certain LMP with birth weight; OR d) Uncertain LMP with first trimester physical examination.	C126855	GAIA Preterm Birth Level of Diagnostic Certainty Terminology
C128017	GAIA Level 3B Assessment of Gestational Age	Level 3B Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) Uncertain last menstrual period (LMP) with fundal height (FH); OR b) Uncertain LMP with newborn physical assessment; OR c) Uncertain LMP with birth weight.	Level 3B Assessment of Prematurity and Gestational Age		Level 3B Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) Uncertain last menstrual period (LMP) with fundal height (FH); OR b) Uncertain LMP with newborn physical assessment; OR c) Uncertain LMP with birth weight.	C126855	GAIA Preterm Birth Level of Diagnostic Certainty Terminology
C128015	GAIA Level 2B Assessment of Gestational Age	Level 2B Assessment of Gestational Age is defined by the following criteria: Uncertain last menstrual period (LMP) with second trimester scan (14 0/7 weeks to 27 6/7 weeks).	Level 2B Assessment of Prematurity and Gestational Age		Level 2B Assessment of Gestational Age is defined by the following criteria: Uncertain last menstrual period (LMP) with second trimester scan (14 0/7 weeks to 27 6/7 weeks).	C126855	GAIA Preterm Birth Level of Diagnostic Certainty Terminology
C114939	Extremely Preterm Infant	A newborn infant less than 28 weeks, 0 days gestational age.	Extremely Preterm Infant		A baby born alive with a gestational age between 28 weeks. (WHO)	C126855	GAIA Preterm Birth Level of Diagnostic Certainty Terminology
C128014	GAIA Level 2A Assessment of Gestational Age	Level 2A Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) Certain last menstrual period (LMP) with second trimester scan (14 0/7 weeks to 27 6/7 weeks), (If LMP and ultrasound (U/S) do not correlate, default to U/S GA assessment); OR b) Certain LMP with first trimester physical examination.	Level 2A Assessment of Prematurity and Gestational Age		Level 2A Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) Certain last menstrual period (LMP) with second trimester scan (14 0/7 weeks to 27 6/7 weeks), (If LMP and ultrasound (U/S) do not correlate, default to U/S GA assessment); OR b) Certain LMP with first trimester physical examination.	C126855	GAIA Preterm Birth Level of Diagnostic Certainty Terminology
C128013	GAIA Level 1 Assessment of Gestational Age	Level 1 Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) the last menstrual period (LMP) or intrauterine insemination (IUI) date or embryo transfer (ET) date with confirmatory first trimester scan (less than or equal to 13 6/7 weeks); OR b) first trimester scan (less than or equal to 13 6/7 weeks).	Level 1 Assessment of Prematurity and Gestational Age		Level 1 Assessment of Gestational Age is defined by the presence of at least one of the following criteria: a) the last menstrual period (LMP) or intrauterine insemination (IUI) date or embryo transfer (ET) date with confirmatory first trimester scan (less than or equal to 13 6/7 weeks); OR b) first trimester scan (less than or equal to 13 6/7 weeks).	C126855	GAIA Preterm Birth Level of Diagnostic Certainty Terminology
C49151	Stillbirth	A fetus of at least 20 weeks gestation, or of a birth weight of at least 350 grams if the gestational age is unknown, that is born without signs of life at the time of delivery, and with an Apgar score of zero at both one and five minutes.	Stillbirth		Foetal death occurring before birth after a selected, pre-defined duration of gestation. The death of the foetus could have occurred before the onset of labor (antepartum) or at the time of delivery (intrapartum). For all levels of diagnostic certainty, the definition of stillbirth is defined by the two following criteria: First, determination of absence of signs of life in the foetus or newborn; Second, determination of foetal/newborn gestational age through maternal information or through foetal/newborn evaluation.	C126856	GAIA Stillbirth Level of Diagnostic Certainty Terminology
C128024	GAIA Level 3 Intrapartum Stillbirth	Level 3 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant who is reported to have no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no crying, no spontaneous respirations or chest movement, and full body cyanosis; Second, evidence of a live fetus prior to the onset of labor (maternal report of fetal movement prior to the onset of labor OR auscultation of fetal heart tones). NOTE: in the absence of evidence of a live fetus prior to the onset of labor, the fetal death should be reported as a stillbirth or an antepartum stillbirth; Third, non-attended delivery followed by a post-delivery physical examination that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with intrapartum death, or a verbal history that is provided by a trained health care provider, a non-medical witness, or the mother of the fetus that documents a fetus born with no signs of life and who is unresponsive to resuscitation efforts immediately after birth; Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or fetal parameters (level 2-3 in GA assessment algorithm).	Level 3 Intrapartum Stillbirth		Level 3 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant who is reported to have no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no crying, no spontaneous respirations or chest movement, and full body cyanosis; Second, evidence of a live foetus prior to the onset of labor (maternal report of foetal movement prior to the onset of labor OR auscultation of foetal heart tones). NOTE: in the absence of evidence of a live foetus prior to the onset of labor, the foetal death should be reported as a stillbirth or an antepartum stillbirth; Third, non-attended delivery followed by a post-delivery physical examination that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with intrapartum death, or a verbal history that is provided by a trained health care provider, a non-medical witness, or the mother of the foetus that documents a foetus born with no signs of life and who is unresponsive to resuscitation efforts immediately after birth; Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or foetal parameters (level 2-3 in GA assessment algorithm).	C126856	GAIA Stillbirth Level of Diagnostic Certainty Terminology
C128023	GAIA Level 2 Intrapartum Stillbirth	Level 2 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and an Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry OR documentation of lack of response to resuscitation efforts; Second, evidence of a live fetus prior to the onset of labor (maternal report of fetal movement prior to the onset of labor and documentation of fetal heart tones by auscultation or hand held Doppler). NOTE: In the absence of evidence of a live fetus prior to the onset of labor, the fetal death should be reported as a stillbirth or an antepartum stillbirth; Third, attended delivery followed by post-delivery physical examination that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with intrapartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or fetal parameters (level 1-2 in GA assessment algorithm).	Level 2 Intrapartum Stillbirth		Level 2 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and an Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry OR documentation of lack of response to resuscitation efforts; Second, evidence of a live foetus prior to the onset of labor (maternal report of foetal movement prior to the onset of labor and documentation of foetal heart tones by auscultation or hand held Doppler). NOTE: In the absence of evidence of a live foetus prior to the onset of labor, the foetal death should be reported as a stillbirth or an antepartum stillbirth; Third, attended delivery followed by post-delivery physical examination that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with intrapartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or foetal parameters (level 1-2 in GA assessment algorithm).	C126856	GAIA Stillbirth Level of Diagnostic Certainty Terminology
C128025	GAIA Level 4 Intrapartum Stillbirth	Level 4 Intrapartum Stillbirth is defined by two criteria: First, report of stillbirth, but fetus is not available for physical examination after birth, thus no objective assessment can be made; Second, maternal information is insufficient to assess gestational age.	Level 4 Intrapartum Stillbirth		Level 4 Intrapartum Stillbirth is defined by two criteria: First, report of stillbirth, but foetus is not available for physical examination after birth, thus no objective assessment can be made; Second, maternal information is insufficient to assess gestational age.	C126856	GAIA Stillbirth Level of Diagnostic Certainty Terminology
C128020	GAIA Level 3 Antepartum Stillbirth	Level 3 Antepartum Stillbirth is defined by three criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no crying, no spontaneous respirations or chest movement, and full body cyanosis; Second, one or more of the following three requirements must be met: a) Maternal report of lack of fetal movement for 24 hours or more prior to delivery; b) Report of auscultation for fetal heart tones using electronic devices (e.g. handheld Doppler or fetal heart rate monitor) or non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of fetal heartbeat; c) Non-attended delivery followed by a post-delivery physical examination of the fetus that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with antepartum death; d) a verbal history provided by a trained health care provider, non-medical witness, or the mother of the fetus documenting that the fetus was born with no signs of life, was unresponsive to resuscitation efforts immediately after delivery, and had physical features consistent with antepartum death; Third, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or fetal parameters.	Level 3 Antepartum Stillbirth		Level 3 Antepartum Stillbirth is defined by three criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no crying, no spontaneous respirations or chest movement, and full body cyanosis; Second, one or more of the following three requirements must be met: a) Maternal report of lack of foetal movement for 24 hours or more prior to delivery; b) Report of auscultation for foetal heart tones using electronic devices (e.g. handheld Doppler or foetal heart rate monitor) or non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of foetal heartbeat; c) Non-attended delivery followed by a post-delivery physical examination of the foetus that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with antepartum death; d) a verbal history provided by a trained health care provider, non-medical witness, or the mother of the foetus documenting that the foetus was born with no signs of life, was unresponsive to resuscitation efforts immediately after delivery, and had physical features consistent with antepartum death; Third, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or foetal parameters.	C126856	GAIA Stillbirth Level of Diagnostic Certainty Terminology
C128022	GAIA Level 1 Intrapartum Stillbirth	Level 1 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and an Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, evidence of a live fetus prior to the onset of labor (confirmed by documentation of fetal movement and of fetal heart tones by ultrasound prior to onset of labor). NOTE: In the absence of evidence of a live fetus prior to the onset of labor, the fetal death should be reported as a stillbirth or an antepartum stillbirth; Third, attended delivery followed by post-delivery physical examination by an obstetrician, a neonatologist, a paediatrician, a maternal-fetal medicine specialist, or a pathologist that is consistent with intrapartum death. In a setting where access to a specialist is not feasible, diagnosis by a health care provider trained or experienced to make the diagnosis is acceptable (e.g. general practice physician, mid-wife, or other qualified trained practitioner); Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or fetal-neonatal parameters (level 1 in GA assessment algorithm).	Level 1 Intrapartum Stillbirth		Level 1 Intrapartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and an Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, evidence of a live foetus prior to the onset of labor (confirmed by documentation of foetal movement and of foetal heart tones by ultrasound prior to onset of labor). NOTE: In the absence of evidence of a live foetus prior to the onset of labor, the foetal death should be reported as a stillbirth or an antepartum stillbirth; Third, attended delivery followed by post-delivery physical examination by an obstetrician, a neonatologist, a paediatrician, a maternal-foetal medicine specialist, or a pathologist that is consistent with intrapartum death. In a setting where access to a specialist is not feasible, diagnosis by a health care provider trained or experienced to make the diagnosis is acceptable (e.g. general practice physician, mid-wife, or other qualified trained practitioner); Fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or foetal-neonatal parameters (level 1 in GA assessment algorithm).	C126856	GAIA Stillbirth Level of Diagnostic Certainty Terminology
C128021	GAIA Level 4 Antepartum Stillbirth	Level 4 Antepartum Stillbirth is defined by two criteria: First, report of a stillbirth but the fetus is not available for physical examination after birth, thus, no objective assessment can be made; Second, maternal information is insufficient to assess gestational age.	Level 4 Antepartum Stillbirth		Level 4 Antepartum Stillbirth is defined by two criteria: First, report of a stillbirth but the foetus is not available for physical examination after birth, thus, no objective assessment can be made; Second, maternal information is insufficient to assess gestational age.	C126856	GAIA Stillbirth Level of Diagnostic Certainty Terminology
C113382	Intrapartum Stillbirth	Fetal death greater than or equal to 20 weeks of gestation during labor with Apgar scores of 0 at 1 minute, 5 minutes and beyond.	Intrapartum Stillbirth		A condition characterized by foetal death occurring after the onset of labor and prior to delivery. The infant is born without signs of life. Documentation of a live foetus prior to or at the onset of labor exists. Additional findings that might be helpful to differentiate between antepartum and intrapartum stillbirth at the time of delivery include the following criteria: a) Physical Examination: foetuses who died antepartum can have skin changes consistent with maceration, tissue injury, meconium staining, and edema; b) Laboratory/pathology: autopsy examination of the foetus and/or the placenta.	C126856	GAIA Stillbirth Level of Diagnostic Certainty Terminology
C128018	GAIA Level 1 Antepartum Stillbirth	Level 1 Antepartum Stillbirth is defined by four criteria: First, one or more of the following three requirements must be met: a) Prenatal ultrasound examination (e.g. basic ultrasound or special ultrasound with Doppler) documenting lack of fetal cardiac activity or movement before the onset of labor; b) Radiology findings consistent with intrauterine fetal death; c) Delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, the following three criteria must be met: a) Maternal report of lack of fetal movement for 24 hours or more; b) Maternal physical examination confirming lack of fetal movement; c) Auscultation for fetal heart tones using electronic devices (e.g. handheld Doppler or fetal heart rate monitor) OR non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of fetal heartbeat; Third, one of the following two requirements must be met: a) Attended delivery, followed by a post-delivery physical examination of the fetus by an obstetrician, a neonatologist, a paediatrician, a maternal-fetal medicine specialist, or a pathologist that is consistent with antepartum death. In a setting where access to a specialist is not feasible, diagnosis by a health care provider trained or experienced to make the diagnosis is acceptable (e.g. general practice physician, mid-wife, nurse practitioner, a physician's assistant, or other qualified trained practitioner); b) fetal/placental pathology report that is consistent with antepartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition, as assessed by maternal and/or fetal parameters (level 1 in GA assessment algorithm).	Level 1 Antepartum Stillbirth		Level 1 Antepartum Stillbirth is defined by four criteria: First, one or more of the following three requirements must be met: a) Prenatal ultrasound examination (e.g. basic ultrasound or special ultrasound with Doppler) documenting lack of foetal cardiac activity or movement before the onset of labor; b) Radiology findings consistent with intrauterine foetal death; c) Delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, the following three criteria must be met: a) Maternal report of lack of foetal movement for 24 hours or more; b) Maternal physical examination confirming lack of foetal movement; c) Auscultation for foetal heart tones using electronic devices (e.g. handheld Doppler or foetal heart rate monitor) OR non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of foetal heartbeat; Third, one of the following two requirements must be met: a) Attended delivery, followed by a post-delivery physical examination of the foetus by an obstetrician, a neonatologist, a paediatrician, a maternal-foetal medicine specialist, or a pathologist that is consistent with antepartum death. In a setting where access to a specialist is not feasible, diagnosis by a health care provider trained or experienced to make the diagnosis is acceptable (e.g. general practice physician, mid-wife, nurse practitioner, a physician's assistant, or other qualified trained practitioner); b) Foetal/placental pathology report that is consistent with antepartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition, as assessed by maternal and/or foetal parameters (level 1 in GA assessment algorithm).	C126856	GAIA Stillbirth Level of Diagnostic Certainty Terminology
C128019	GAIA Level 2 Antepartum Stillbirth	Level 2 Antepartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, one or more of the following three requirements must be met: a) Maternal report of lack of fetal movement for 24 hours or more; b) Maternal physical examination confirming lack of fetal movement; c) Auscultation for fetal heart tones using electronic devices (e.g. handheld Doppler or fetal heart rate monitor) or non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of fetal heartbeat; Third, one or more of the following two requirements must be met: a) Attended delivery followed by a post-delivery physical examination of the fetus that is performed by specialist or qualified trained practitioner appropriate to the health care setting, and that is consistent with antepartum death; b) fetal/placental pathology report that is consistent with antepartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition, as assessed by maternal and/or fetal parameters (level 1-2 in GA assessment algorithm).	Level 2 Antepartum Stillbirth		Level 2 Antepartum Stillbirth is defined by four criteria: First, delivery of an infant with no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no respirations, and Apgar score of 0 at both 1 and 5 minutes. Determination of the absence of signs of life is made by physical examination after delivery, with or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry; Second, one or more of the following three requirements must be met: a) Maternal report of lack of foetal movement for 24 hours or more; b) Maternal physical examination confirming lack of foetal movement; c) Auscultation for foetal heart tones using electronic devices (e.g. handheld Doppler or foetal heart rate monitor) or non-electronic devices (e.g. stethoscope, fetoscope or Pinard horn) that documents the absence of foetal heartbeat; Third, one or more of the following two requirements must be met: a) Attended delivery followed by a post-delivery physical examination of the foetus that is performed by specialist or qualified trained practitioner appropriate to the health care setting, and that is consistent with antepartum death; b) Foetal/placental pathology report that is consistent with antepartum death; Fourth, gestational age within the pre-defined range for selected stillbirth definition, as assessed by maternal and/or foetal parameters (level 1-2 in GA assessment algorithm).	C126856	GAIA Stillbirth Level of Diagnostic Certainty Terminology
C113381	Antepartum Stillbirth	Fetal death greater than or equal to 20 weeks of gestation prior to labor with Apgar scores of 0 at 1 minute, 5 minutes and beyond.	Antepartum Stillbirth		Foetal death occurring during pregnancy and prior to delivery, before the onset of labor. It is usually diagnosed prior to delivery, but may not be diagnosed until after the infant is delivered. The infant is born without signs of life.	C126856	GAIA Stillbirth Level of Diagnostic Certainty Terminology
C127995	GAIA Level 2 Non-reassuring Fetal Status	Level 2 Non-reassuring Fetal Status is defined by the presence of at least one of the following criteria: First, category III fetal heart rate tracings detected via continuous cardiotocography as defined by NICHD, including absent baseline fetal heart rate variability AND any of the following: recurrent late decelerations, recurrent variable deceleration, bradycardia (less than 110 bpm); Second, sinusoidal pattern.	Level 2 Non-reassuring Fetal Status		Level 2 Non-reassuring Fetal Status is defined by the presence of at least one of the following criteria: First, category III fetal heart rate tracings detected via continuous cardiotocography as defined by NICHD, including absent baseline fetal heart rate variability AND any of the following: recurrent late decelerations, recurrent variable deceleration, bradycardia (less than 110 bpm); Second, sinusoidal pattern.	C126857	GAIA Non-Reassuring Fetal Status Level of Diagnostic Certainty Terminology
C127994	GAIA Level 1 Non-reassuring Fetal Status	Level 1 Non-reassuring Fetal Status is defined by two criteria: First, one of the following requirements must be met: a) Category III fetal heart rate tracings detected via continuous cardiotocography as defined by NICHD, including absent baseline fetal heart rate variability AND any of the following: recurrent late decelerations, recurrent variable deceleration, bradycardia (less than 110 bpm); b) Sinusoidal pattern; Second, umbilical cord blood analysis that is consistent with metabolic acidosis (pH less than 7.0 and base deficit greater than 12mmol/L).	Level 1 Non-reassuring Fetal Status		Level 1 Non-reassuring Fetal Status is defined by two criteria: First, one of the following requirements must be met: a) Category III fetal heart rate tracings detected via continuous cardiotocography as defined by NICHD, including absent baseline fetal heart rate variability AND any of the following: recurrent late decelerations, recurrent variable deceleration, bradycardia (less than 110 bpm); b) Sinusoidal pattern; Second, umbilical cord blood analysis that is consistent with metabolic acidosis (pH less than 7.0 and base deficit greater than 12mmol/L).	C126857	GAIA Non-Reassuring Fetal Status Level of Diagnostic Certainty Terminology
C127996	GAIA Level 3 Non-reassuring Fetal Status	Level 3 Non-reassuring Fetal Status is defined by the presence of the following criteria: A fetal heart pattern that is detected via intermittent auscultation, and that is suggestive of fetal hypoxia, including the following requirements that must be met: a) Baseline fetal heart rate less than 110 bpm or greater than 160 bpm; b) Presence of repetitive or prolonged (greater than 3 minutes) decelerations; c) More than five contractions in a ten minute period.	Level 3 Non-reassuring Fetal Status		Level 3 Non-reassuring Fetal Status is defined by the presence of the following criteria: A fetal heart pattern that is detected via intermittent auscultation, and that is suggestive of fetal hypoxia, including the following requirements that must be met: a) Baseline fetal heart rate less than 110 bpm or greater than 160 bpm; b) Presence of repetitive or prolonged (greater than 3 minutes) decelerations; c) More than five contractions in a ten minute period.	C126857	GAIA Non-Reassuring Fetal Status Level of Diagnostic Certainty Terminology
C127997	GAIA Level 1 Maternal Death	Level 1 Maternal Death is defined by three criteria: First, diagnosis of a pregnancy as established by any one of the following documented requirements: a) Ultrasound examination; b) Fetal heart tones; c) Positive serum or urine human chorionic gonadotropin pregnancy test; d) Delivery of a neonate or other products of conception (abortus, stillborn); Second, death of the mother while pregnant or within 42 days of the termination of a pregnancy, irrespective of the duration and site of the pregnancy; Third, documentation of the maternal cause of death as one of the following: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental.	Level 1 Maternal Death		Level 1 Maternal Death is defined by three criteria: First, diagnosis of a pregnancy as established by any one of the following documented requirements: a) Ultrasound examination; b) Fetal heart tones; c) Positive serum or urine human chorionic gonadotropin pregnancy test; d) Delivery of a neonate or other products of conception (abortus, stillborn); Second, death of the mother while pregnant or within 42 days of the termination of a pregnancy, irrespective of the duration and site of the pregnancy; Third, documentation of the maternal cause of death as one of the following: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental.	C126858	GAIA Maternal Death Level of Diagnostic Certainty Terminology
C127999	GAIA Level 3 Maternal Death	Level 3 Maternal Death is defined by three criteria: First, the absence of level 1 or 2 criteria for establishing diagnosis of pregnancy, and both the uncertainty of the individual's last menstrual period and no documented clinical examination; Second, death of the mother temporal to pregnancy, childbirth, or the postpartum period when exact timing of death is unknown; Third, documentation of the maternal cause of death wherein one of the following requirements must be met: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non-obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental; d) Unspecified: unknown or undetermined.	Level 3 Maternal Death		Level 3 Maternal Death is defined by three criteria: First, the absence of level 1 or 2 criteria for establishing diagnosis of pregnancy, and both the uncertainty of the individual's last menstrual period and no documented clinical examination; Second, death of the mother temporal to pregnancy, childbirth, or the postpartum period when exact timing of death is unknown; Third, documentation of the maternal cause of death wherein one of the following requirements must be met: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non-obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental; d) Unspecified: unknown or undetermined.	C126858	GAIA Maternal Death Level of Diagnostic Certainty Terminology
C127998	GAIA Level 2 Maternal Death	Level 2 Maternal Death is defined by three criteria: First, diagnosis of a pregnancy, in the absence of level 1 criteria, as established by any one of the following requirements: a) last menstrual period date; b) Serial symphysio fundal height examinations; Second, death of the mother while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy; Third, documentation of the maternal cause of death wherein one of the following requirements must be met: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental; d) Unspecified: unknown or undetermined.	Level 2 Maternal Death		Level 2 Maternal Death is defined by three criteria: First, diagnosis of a pregnancy, in the absence of level 1 criteria, as established by any one of the following requirements: a) last menstrual period date; b) Serial symphysio fundal height examinations; Second, death of the mother while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy; Third, documentation of the maternal cause of death wherein one of the following requirements must be met: a) Direct: abortive outcome, hypertensive disorder, obstetric hemorrhage, pregnancy related infection, other obstetric complications, unanticipated complications; b) Indirect: non obstetric complications; c) Death during pregnancy, childbirth, and the puerperium: other or coincidental; d) Unspecified: unknown or undetermined.	C126858	GAIA Maternal Death Level of Diagnostic Certainty Terminology
C111860	Maternal Mortality	The death of a woman while pregnant or within 42 days of the end of the pregnancy, irrespective of the duration or anatomic site of the pregnancy, due to any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes.	Maternal Death		The death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy (as defined by Maternal Death guidelines: http:www.brightoncollaboration.org).	C126859	GAIA Postpartum Hemorrhage Level of Diagnostic Certainty Terminology
C25155	Birth	The event of being born.	Delivery		The birth of an offspring, which breathes or shows evidence of life, or is born without signs of life at an estimated gestation of 24 weeks or more (as defined by Preterm Birth guidelines: http:www.brightoncollaboration.org).	C126859	GAIA Postpartum Hemorrhage Level of Diagnostic Certainty Terminology
C128000	GAIA Level 1 Postpartum Hemorrhage	Level 1 Postpartum Haemorrhage is defined by the presence of genital bleeding after delivery, leading to severe maternal outcome (maternal death or maternal near miss) as defined by WHO.	Level 1 Postpartum Haemorrhage		Level 1 Postpartum Haemorrhage is defined by the presence of genital bleeding after delivery, leading to severe maternal outcome (maternal death or maternal near miss) as defined by WHO.	C126859	GAIA Postpartum Hemorrhage Level of Diagnostic Certainty Terminology
C128002	GAIA Level 3 Postpartum Hemorrhage	Level 3 Postpartum Haemorrhage is defined by the presence of the genital bleeding after delivery estimated at 1000ml or more.	Level 3 Postpartum Haemorrhage		Level 3 Postpartum Haemorrhage is defined by the presence of the genital bleeding after delivery estimated at 1000ml or more.	C126859	GAIA Postpartum Hemorrhage Level of Diagnostic Certainty Terminology
C128001	GAIA Level 2 Postpartum Hemorrhage	Level 2 Postpartum Haemorrhage is defined by the presence of the following criteria: Genital bleeding after delivery with at least one of the following: a) Measured abnormal bleeding (1000ml or more); or b) Any bleeding leading to hypotension or blood transfusion.	Level 2 Postpartum Haemorrhage		Level 2 Postpartum Haemorrhage is defined by the presence of the following criteria: Genital bleeding after delivery with at least one of the following: a) Measured abnormal bleeding (1000ml or more); or b) Any bleeding leading to hypotension or blood transfusion.	C126859	GAIA Postpartum Hemorrhage Level of Diagnostic Certainty Terminology
C85021	Preeclampsia	A systolic blood pressure of 140 mmHg or higher, or a diastolic blood pressure of 90 mmHg or higher on two occasions at least 4 hours apart (or greater than or equal to 160/110 mmHg within a short interval) after 20 weeks of gestation in a woman with previously normal blood pressure. It may present with proteinuria but if not, it may be associated with thrombocytopenia, impaired liver function, progressive renal insufficiency, pulmonary edema, or new-onset cerebral or visual disturbances.	Preeclampsia		Preeclampsia is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, a diagnosis of new onset proteinuria.	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C128011	GAIA Gestational Hypertension with Insufficient Evidence	Gestational Hypertension with Insufficient Evidence is defined by two criteria: First, a pregnancy with gestational age greater than or equal to 20 weeks; Second, one or more of the following requirements: a) The inability to measure blood pressure; b) The inability to evaluate for proteinuria.	Gestational Hypertension with Insufficient Evidence		Gestational Hypertension with Insufficient Evidence is defined by two criteria: First, a pregnancy with gestational age greater than or equal to 20 weeks; Second, one or more of the following requirements: a) The inability to measure blood pressure; b) The inability to evaluate for proteinuria.	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C128010	GAIA Level 2 Gestational Hypertension	Level 2 Gestational Hypertension is defined by four criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the absence of any severe features (see preeclampsia with severe features category); Fourth, the absence of proteinuria (as defined by urine dipstick negative or trace).	Level 2 Gestational Hypertension		Level 2 Gestational Hypertension is defined by four criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the absence of any severe features (see preeclampsia with severe features category); Fourth, the absence of proteinuria (as defined by urine dipstick negative or trace).	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C128004	GAIA Level 2 Preeclampsia	Level 2 Preeclampsia is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, a diagnosis of new onset proteinuria that is a level 2 diagnostic certainty: proteinuria diagnosed with greater than or equal to 1+ protein on urine dipstick.	Level 2 Preeclampsia		Level 2 Preeclampsia is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, a diagnosis of new onset proteinuria that is a level 2 diagnostic certainty: proteinuria diagnosed with greater than or equal to 1+ protein on urine dipstick.	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C128003	GAIA Level 1 Preeclampsia	Level 1 Preeclampsia is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, a diagnosis of new onset proteinuria that is a level one diagnostic certainty: proteinuria diagnosed with greater than or equal to 300 mg of protein on 24 hour urine collection OR greater than or equal to 0.3 on spot protein:creatinine ratio.	Level 1 Preeclampsia		Level 1 Preeclampsia is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, a diagnosis of new onset proteinuria that is a level one diagnostic certainty: proteinuria diagnosed with greater than or equal to 300 mg of protein on 24 hour urine collection OR greater than or equal to 0.3 on spot protein:creatinine ratio.	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C128005	GAIA Preeclampsia with Insufficient Evidence	Preeclampsia with Insufficient Evidence is defined as a pregnancy with gestational age greater than or equal to 20 weeks and either a) The inability to measure blood pressure OR b) The inability to evaluate for proteinuria.	Preeclampsia with Insufficient Evidence		Preeclampsia with Insufficient Evidence is defined as a pregnancy with gestational age greater than or equal to 20 weeks and either a) The inability to measure blood pressure OR b) The inability to evaluate for proteinuria.	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C112843	Severe Preeclampsia	Preeclampsia with a systolic blood pressure of 160 mmHg or higher, or a diastolic blood pressure of 110 mmHg or higher on two occasions at least 4 hours apart while on bedrest. It is associated with thrombocytopenia (platelets less than 100,000 per microliter), impaired liver function (twice normal elevation of hepatic transaminases; severe, persistent right upper quadrant or epigastric pain), progressive renal insufficiency (serum creatinine greater than 1.1 mg/dL or doubling of baseline in the absence of other renal disease), pulmonary edema, or new-onset cerebral or visual disturbances.	Preeclampsia with Severe Features		Preeclampsia with Severe Features is defined by three criteria: First, the gestational age of he pregnancy must be equal to or greater than 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure equal or greater than 140mmHg and /or diastolic blood pressure equal to or greater than 90mmHg) that is sustainedon two measurements over a minimum of one hour; Third, at least one of the criteria for severe disease.	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C4371	Gestational Hypertension	A blood pressure elevation after 20 weeks of gestation in the absence of either proteinuria or systemic findings like thrombocytopenia, impaired liver function, progressive renal insufficiency, pulmonary edema or the new-onset of cerebral or visual disturbances.	Gestational Hypertension		Gestational Hypertension is defined by four criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the absence of any severe features (see preeclampsia with severe features category); Fourth, the absence of proteinuria.	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C128006	GAIA Level 1 Preeclampsia with Severe Features	Level 1 Preeclampsia with Severe Features is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour); Third, the presence of one or more of the following requirements: a) Systolic blood pressure greater than or equal to 160mmHg and/or diastolic blood pressure greater than or equal to 110mmHg, which is confirmed after only minutes; b) Development of severe, persistent headache; c) Development of visual changes; d) Eclampsia; e) New onset thrombocytopenia (platelets less than 100,000/microliter); f) New onset unremitting epigastric pain; g) AST and ALT elevated to twice upper limit of normal; h) Evidence of liver capsular hematoma or liver rupture (diagnosed on clinical exam or with imaging); i) Worsening renal function, as evidenced by serum creatinine level greater than 1.1 mg/dL or a doubling of the serum creatinine (absent other renal disease) or oliguria (less than 500 cc/24 hours); j) Pulmonary edema (confirmed on imaging with chest x?ray, or on clinical exam).	Level 1 Preeclampsia with Severe Features		Level 1 Preeclampsia with Severe Features is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour); Third, the presence of one or more of the following requirements: a) Systolic blood pressure greater than or equal to 160mmHg and/or diastolic blood pressure greater than or equal to 110mmHg, which is confirmed after only minutes; b) Development of severe, persistent headache; c) Development of visual changes; d) Eclampsia; e) New onset thrombocytopenia (platelets less than 100,000/microliter); f) New onset unremitting epigastric pain; g) AST and ALT elevated to twice upper limit of normal; h) Evidence of liver capsular hematoma or liver rupture (diagnosed on clinical exam or with imaging); i) Worsening renal function, as evidenced by serum creatinine level greater than 1.1 mg/dL or a doubling of the serum creatinine (absent other renal disease) or oliguria (less than 500 cc/24 hours); j) Pulmonary edema (confirmed on imaging with chest x-ray, or on clinical exam).	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C128007	GAIA Level 2 Preeclampsia with Severe Features	Level 2 Preeclampsia with Severe Features is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the diagnosis of new onset nausea and vomiting.	Level 2 Preeclampsia with Severe Features		Level 2 Preeclampsia with Severe Features is defined by three criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the diagnosis of new onset nausea and vomiting.	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C128008	GAIA Insufficient Evidence Preeclampsia with Severe Features	Preeclampsia with Severe Features with Insufficient Evidence is defined as a pregnancy with gestational age greater than or equal to 20 weeks with the inability to measure blood pressure.	Insufficient Evidence Preeclampsia with Severe Features		Preeclampsia with Severe Features with Insufficient Evidence is defined as a pregnancy with gestational age greater than or equal to 20 weeks with the inability to measure blood pressure.	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C128009	GAIA Level 1 Gestational Hypertension	Level 1 Gestational Hypertension is defined by four criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the absence of any severe features (see preeclampsia with severe features category); Fourth, the absence of proteinuria (as defined by 24 hour urine collection less than 300 mg, spot protein:creatinine ratio less than 0.3).	Level 1 Gestational Hypertension		Level 1 Gestational Hypertension is defined by four criteria: First, the gestational age of the pregnancy must be greater than or equal to 20 weeks; Second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmHg and/or diastolic blood pressure greater than or equal to 90mmHg) that is sustained on two measurements over a minimum of one hour; Third, the absence of any severe features (see preeclampsia with severe features category); Fourth, the absence of proteinuria (as defined by 24 hour urine collection less than 300 mg, spot protein:creatinine ratio less than 0.3).	C126860	GAIA Preeclampsia Level of Diagnostic Certainty Terminology
C127949	GAIA Level 3 Assessment of Preterm Labor	Level 3 Assessment of Preterm Labor is defined by the following two criteria: First, greater than four uterine contractions per hour as determined by clinical assessment; Second, documented change in cervical dilation or effacement during a two hour period, resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	Level 3 Assessment of Preterm Labor		Level 3 Assessment of Preterm Labor is defined by the following two criteria: First, greater than four uterine contractions per hour as determined by clinical assessment; Second, documented change in cervical dilation or effacement during a two hour period, resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology
C127947	GAIA Level 1 Assessment of Preterm Labor	Level 1 Assessment of Preterm Labor is defined by two criteria: First, greater than than four uterine contractions per hour as determined by a tocodynometer or OR transvaginal ultrasound over a two hour period; Second, documented change in length or dilation of cervix by physical examination, with clinical criteria obtained by digital examination including: a) Cervical dilation of two centimeters or more at the internal os; b) Cervical length of one centimeter or less; c) greater than or equal to 50% effacement of cervix; resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	Level 1 Assessment of Preterm Labor		Level 1 Assessment of Preterm Labor is defined by two criteria: First, greater than than four uterine contractions per hour as determined by a tocodynometer or OR transvaginal ultrasound over a two hour period; Second, documented change in length or dilation of cervix by physical examination, with clinical criteria obtained by digital examination including: a) Cervical dilation of two centimeters or more at the internal os; b) Cervical length of one centimeter or less; c) greater than or equal to 50% effacement of cervix; resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology
C127948	GAIA Level 2 Assessment of Preterm Labor	Level 2 Assessment of Preterm Labor is defined by two criteria: First, greater than four uterine contractions per hour as determined by a tocodynometer or clinical assessment; Second, documented change in length or dilation of cervix by physical examination, with clinical criteria obtained by digital examination including: a) Cervical dilation of two centimeters or more at the internal os; b) Cervical length of one centimeter or less; c) greater than or equal to 50% effacement of cervix, resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	Level 2 Assessment of Preterm Labor		Level 2 Assessment of Preterm Labor is defined by two criteria: First, greater than four uterine contractions per hour as determined by a tocodynometer or clinical assessment; Second, documented change in length or dilation of cervix by physical examination, with clinical criteria obtained by digital examination including: a) Cervical dilation of two centimeters or more at the internal os; b) Cervical length of one centimeter or less; c) greater than or equal to 50% effacement of cervix, resulting in fetal delivery between 24 0/7 and 36 6/7 weeks gestation.	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology
C127950	GAIA Level 1 Assessment of Provider Initiated Preterm Delivery	Level 1 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, documentation in the healthcare record by the delivering provider of the absence of any signs or symptoms of spontaneous onset of preterm labor; Second, additional documentation of the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	Level 1 Assessment of Provider-Initiated Preterm Delivery		Level 1 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, documentation in the healthcare record by the delivering provider of the absence of any signs or symptoms of spontaneous onset of preterm labor; Second, additional documentation of the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology
C127951	GAIA Level 2 Assessment of Provider Initiated Preterm Delivery	Level 2 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, a report from the delivering provider based on recall that there were no signs or symptoms of spontaneous onset of preterm labor; Second, additional documentation of the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	Level 2 Assessment of Provider-Initiated Preterm Delivery		Level 2 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, a report from the delivering provider based on recall that there were no signs or symptoms of spontaneous onset of preterm labor; Second, additional documentation of the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology
C127952	GAIA Level 3 Assessment of Provider Initiated Preterm Delivery	Level 3 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, a report from the patient based on recall that there were no signs or symptoms of spontaneous onset of preterm labor; Second, the patient reports from recall that the healthcare provider indicated the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	Level 3 Assessment of Provider-Initiated Preterm Delivery		Level 3 Assessment of Provider-Initiated Preterm Delivery is defined by two criteria: First, a report from the patient based on recall that there were no signs or symptoms of spontaneous onset of preterm labor; Second, the patient reports from recall that the healthcare provider indicated the need to induce labor or to perform a cesarean delivery between 24 0/7 and 36 6/7 weeks gestation, causing the preterm delivery.	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology
C127953	GAIA Level 1 Assessment of Insufficient Cervix	Level 1 Assessment of Insufficient Cervix is defined by two criteria: First, the following three requirements must all be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or with preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, dilation of the internal cervical os greater than two centimeters as determined by transvaginal ultrasound or digital examination and less than or equal to four contractions per hour.	Level 1 Assessment of Insufficient Cervix		Level 1 Assessment of Insufficient Cervix is defined by two criteria: First, the following three requirements must all be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or with preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, dilation of the internal cervical os greater than two centimeters as determined by transvaginal ultrasound or digital examination and less than or equal to four contractions per hour.	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology
C127954	GAIA Level 2 Assessment of Insufficient Cervix	Level 2 Assessment of Insufficient Cervix is defined by two criteria: First, the following three requirements must be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, dilation of the internal cervical os greater than two centimeters as determined by digital examination and less than or equal to four contractions per hour.	Level 2 Assessment of Insufficient Cervix		Level 2 Assessment of Insufficient Cervix is defined by two criteria: First, the following three requirements must be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, dilation of the internal cervical os greater than two centimeters as determined by digital examination and less than or equal to four contractions per hour.	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology
C127945	GAIA Level 2 Assessment of Premature Preterm Rupture of Membranes	Level 2 Assessment of Premature Preterm Rupture of Membranes is defined by three criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with a clinical history of rupture of membranes; Second, visible leakage of fluid on vaginal speculum examination; Third, one of the following two requirements must be met: a) Visible arborization (ferning) on microscopy of amniotic fluid or documented membrane rupture by one of the following diagnostic tests: positive intra-amniotic dye-injection method, positive result on amniotic fluid alpha-fetoprotein test kit, amniotic fluid pH measurement (nitrazine paper test), amniotic fluid placental alpha macroglobulin-1 protein assay (PAMG-1) test (AmniSure test), or amniotic fluid insulin-like growth factor binding protein (IGFBP-1) test (Actim PROM test); or b) Ultrasound with oligohydramnios (amniotic fluid index (AFI) less than 5 or maximum vertical pocket (MVP) less than 2).	Level 2 Assessment of Premature Preterm Rupture of Membranes		Level 2 Assessment of Premature Preterm Rupture of Membranes is defined by three criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with a clinical history of rupture of membranes; Second, visible leakage of fluid on vaginal speculum examination; Third, one of the following two requirements must be met: a) Visible arborization (ferning) on microscopy of amniotic fluid or documented membrane rupture by one of the following diagnostic tests: positive intra-amniotic dye-injection method, positive result on amniotic fluid alpha-fetoprotein test kit, amniotic fluid pH measurement (nitrazine paper test), amniotic fluid placental alpha macroglobulin-1 protein assay (PAMG-1) test (AmniSure test), or amniotic fluid insulin-like growth factor binding protein (IGFBP-1) test (Actim PROM test); or b) Ultrasound with oligohydramnios (amniotic fluid index (AFI) less than 5 or maximum vertical pocket (MVP) less than 2).	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology
C127946	GAIA Level 3 Assessment of Premature Preterm Rupture of Membranes	Level 3 Assessment of Premature Preterm Rupture of Membranes is defined by two criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with clinical history of rupture of membranes; Second, visible leakage of presumed amniotic fluid on vaginal speculum examination, or on inspection of the perineum (wet perineum due to leakage of fluid from the vagina), fluid soaked cloth, clothes, or sanitary pad.	Level 3 Assessment of Premature Preterm Rupture of Membranes		Level 3 Assessment of Premature Preterm Rupture of Membranes is defined by two criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with clinical history of rupture of membranes; Second, visible leakage of presumed amniotic fluid on vaginal speculum examination, or on inspection of the perineum (wet perineum due to leakage of fluid from the vagina), fluid soaked cloth, clothes, or sanitary pad.	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology
C127955	GAIA Level 3 Assessment of Insufficient Cervix	Level 3 Assessment of Insufficient Cervix is defined by three criteria: First, the following three requirements must be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, patient reported fetal delivery without painful contractions; Third, the patient's history excludes other causes of mid-trimester delivery.	Level 3 Assessment of Insufficient Cervix		Level 3 Assessment of Insufficient Cervix is defined by three criteria: First, the following three requirements must be met: a) Presentation between 16 and 23 6/7 weeks gestation; b) Advanced cervical dilation greater than two centimeters, resulting in either treatment with a cerclage (cervical stitch) or preterm delivery; c) Not in preterm labor, having less than or equal to four contractions per hour documented on a tocodynometer (with anything greater than four contractions per hour falling into the category of preterm labor); Second, patient reported fetal delivery without painful contractions; Third, the patient's history excludes other causes of mid-trimester delivery.	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology
C127944	GAIA Level 1 Assessment of Premature Preterm Rupture of Membranes	Level 1 Assessment of Premature Preterm Rupture of Membranes is defined by four criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with a clinical history of rupture of membranes; Second, visible leakage of fluid on vaginal speculum exam; Third, one of the two following requirements must be met: a) Visible arborization (ferning) on microscopy of amniotic fluid; b) Ultrasound with oligohydramnios (amniotic fluid index (AFI) less than 5 or maximum vertical pocket (MVP) less than 2); Fourth, the following criterion is optional: Documented membrane rupture by one of the following diagnostic tests: a) Positive intra-amniotic dye-injection method; b) Positive result on amniotic fluid alpha-fetoprotein test kit; c) Amniotic fluid pH measurement (nitrazine paper test); d) Amniotic fluid placental alpha macroglobulin-1 protein assay (PAMG-1) test (AmniSure test); e) Amniotic fluid insulin-like growth factor binding protein (IGFBP-1) test (Actim PROM test).	Level 1 Assessment of Premature Preterm Rupture of Membranes		Level 1 Assessment of Premature Preterm Rupture of Membranes is defined by four criteria: First, presentation between 24 0/7 and 36 6/7 weeks gestation with a clinical history of rupture of membranes; Second, visible leakage of fluid on vaginal speculum exam; Third, one of the two following requirements must be met: a) Visible arborization (ferning) on microscopy of amniotic fluid; b) Ultrasound with oligohydramnios (amniotic fluid index (AFI) less than 5 or maximum vertical pocket (MVP) less than 2); Fourth, the following criterion is optional: Documented membrane rupture by one of the following diagnostic tests: a) Positive intra-amniotic dye-injection method; b) Positive result on amniotic fluid alpha-fetoprotein test kit; c) Amniotic fluid pH measurement (nitrazine paper test); d) Amniotic fluid placental alpha macroglobulin-1 protein assay (PAMG-1) test (AmniSure test); e) Amniotic fluid insulin-like growth factor binding protein (IGFBP-1) test (Actim PROM test).	C126861	GAIA Pathways to Preterm Birth Level of Diagnostic Certainty Terminology