| Patient demographics | ||||
| NHS number | Other identifier | |||
| SMITH, Mark | 28-Jul-2012 | Male | Unverified - 993 254 1280 [Trace needs to be resolved] |
Local identifier - K12345 |
|
Home Address Appleton House |
|
|
GP Practice |
|
| Dr De Hopper and Partners |
Address Freshney Green PCCGrimsby DN34 4GB |
Phone 01634111222 |
|
GP Practice Code V396F |
| Document Created | 11-Sep-2012, 14:00 |
|---|---|
| Document Owner | LEEDS TEACHING HOSPITALS NHS TRUST |
| Authored by | Ms Niral Singh - Midwife - Specialist Practitioner, St James Hospital on 11-Sep-2012, 14:00 |
| NHS Number | 9932541276 |
| Name | Mrs Shelly Smith |
| Address | Appleton House Lanchester Road Grimsby DN3 1UJ |
| Gestational age | 40 Weeks |
| Birth order | 01 |
| Number of births in confinement | 1 |
| Birth weight | 2887 grams |
| Children's hearing test | ||
|---|---|---|
| Results | 11-Sep-2012 14:30 | Hearing screening programme completed, no clear response in one ear, follow-up required |
| Referral | 15-Sep-2012 14:30 | Referral for audiology |
| Phenylketonuria screening test | |
|---|---|
| Results | Not screened/screening incomplete |
| Result Interpretation | Re-evaluated Result: Laboratory Confirm as Correct |
| Screening Sub Status | Not contactable, reasonable efforts made |
| Reason Text | Newborn blood spot sampling |
| Supplementary Text | Performed by midwife |
| Sickle cell disease screening test | |
| Results | Not screened/screening incomplete |
| Screening Sub Status | Not contactable, reasonable efforts made |
| Reason Text | Newborn blood spot sampling |
| Supplementary Text | Performed by midwife |
| Cystic fibrosis screening test | |
| Results | Repeat / Further sample required |
| Result Interpretation | Re-evaluated Result: Laboratory Confirm as Correct |
| Screening Sub Status | Too soon after transfusion (less than 72 hours) |
| Reason Text | Newborn blood spot sampling |
| Supplementary Text | Performed by midwife |
| Congenital hypothyroidism screening test | |
| Results | Not screened/screening incomplete |
| Screening Sub Status | Not contactable, reasonable efforts made |
| Reason Text | Newborn blood spot sampling |
| Supplementary Text | Performed by midwife |
| Medium-chain acyl-coenzyme A dehydrogenase deficiency screening test | |
| Results | Not screened/screening incomplete |
| Screening Sub Status | Not contactable, reasonable efforts made |
| Reason Text | Newborn blood spot sampling |
| Supplementary Text | Performed by midwife |
| Maple syrup urine disease screening test | |
| Results | Repeat / Further sample required |
| Result Interpretation | Re-evaluated Result: Laboratory Confirm as Correct |
| Screening Sub Status | Unsuitable sample |
| Reason Text | Newborn blood spot sampling |
| Supplementary Text | Performed by midwife |
| Homocystinuria screening test | |
| Results | Repeat / Further sample required |
| Result Interpretation | Re-evaluated Result: Laboratory Confirm as Correct |
| Screening Sub Status | Insufficient sample |
| Reason Text | Newborn blood spot sampling |
| Supplementary Text | Performed by midwife |
| Isovaleric acidaemia screening test | |
| Results | Repeat / Further sample required |
| Result Interpretation | Re-evaluated Result: Laboratory Confirm as Correct |
| Screening Sub Status | Unsuitable sample |
| Reason Text | Newborn blood spot sampling |
| Supplementary Text | Performed by midwife |
| Glutaric aciduria type 1 screening test | |
| Results | Repeat / Further sample required |
| Result Interpretation | Re-evaluated Result: Laboratory Confirm as Correct |
| Screening Sub Status | Insufficient sample |
| Reason Text | Newborn blood spot sampling |
| Supplementary Text | Performed by midwife |
| Newborn and Infant Physical Examination Screening Programme, hip examination | Incomplete |
|---|---|
| Newborn and Infant Physical Examination Screening Programme, heart examination | No abnormalities with risk factors |
| Newborn and Infant Physical Examination Screening Programme, eye examination | Unilateral abnormality suspected (Left) with risk factors |
| Newborn and Infant Physical Examination Screening Programme, testis examination | Bi-lateral abnormality suspected |