CD JSON Generator

Age

Days of Life

Gestational Age At Birth

Days

Corrected Age At Birth

Blood Group

Mothers

Baby

Family History

Consanguineous Marriage

YesNo

Blood Disorder

YesNo

Previous Infant With

Severe NNJ

Exchange Transfusion

Kernicterus

Neonatal Death

Anthropometric

Day Of Life Of Onset Of Nnj

Day 1 (0-24 Hours)After Day 1

Duration of Jaundice

(if duration > 14 days in term or 21 days in preterm refer to as prolonged jaundice)

Fever

YesNo

Poor Feeding

YesNo

Type Of Feeding

Formula Milk Breast Milk Mix Feeding

Vomiting

YesNo

Lethargy

YesNo

Seizures/Fits

YesNo

Reduced Urinary Output

YesNo

Dark Colored/Tea Colored Urine

YesNo

Pale Stool

YesNo

G6pd Deficiency

Maternal History

Mother Parity

Antenatal Rash

YesNo

Maternal Diabetes

YesNo

Intrapartum Fever

YesNo

Prolonged Rom

YesNo

Mode Of Delivery

Traditional Herb Intake During Breast Feeding

YesNo

Instrumental / Difficult Delivery

YesNo

Diagnosis

Serum Bilirubin (Ummol/L) (1st Specimen)

Fbc

COOMB'S Test

Other Investigations And Result

Orders

Comments

Plan