Manuals, Data Collection Forms & Calculation Charts
2013 Forms and Materials
2013 Forms
2013 Patient Data Booklet, Release 17.0
2013 Delivery Room Death Booklet, Release 17.0
2013 Patient and Transfer Logs
2013 Calculation Charts
Date of Day 28
Date of Week 36
Day Number
Fahrenheit to Centigrade Conversion
2012 Forms and Materials
2012 Forms
2012 Patient Data Booklet, Release 16.0
2012 Delivery Room Death Booklet, Release 16.0
2012 Patient and Transfer Logs
2012 Data Finalization Documents
2012 Data Finalization Guidelines
2012 Procedures for Submitting Data for Infants Still Hospitalized
2012 Calculation Charts
Date of Day 28
Date of Week 36
Day Number
Fahrenheit to Centigrade Conversion
2011 Forms and Materials
2011 Manual Part 2, Data Definitions, Data Forms, & Submission Timeline, Release 15.2
2011 Forms
2011 Patient Data Booklet, Release 15.1
2011 Delivery Room Death Booklet, Release 15.0
2011 Patient and Transfer Logs
2011 Data Finalization Documents
2011 Data Finalization Guidelines
2011 Calculation Charts
Date of Day 28
Date of Week 36
Day Number
Fahrenheit to Centigrade Conversion
2010 Forms and Materials
2010 Manual Release 14.0
2010 Forms
2010 Patient Data Booklet, Release 14.0
2010 Delivery Room Death Booklet, Release 14.0
2010 Transfer and Readmission Form, Release 14.0
2010 Patient and Transfer Logs, Release 14.1
2010 Supplemental Data Form, Release 14.0
2009 Birth Year
2009 Manual Release 13.2
Revisions to Manuals
Revisions to Manual of Operations Part 1 v1.0
Revisions to 2011 Manual 15.2
Revisions to 2011 Manual 15.1
Revisions to 2009 Manual 13.2
Revisions to 2009 Manual 13.1
We have included the data collection
forms (Patient Data Booklet, Delivery Room Death Booklet and Transfer and Readmission Form) and logs (Patient Log and Transfer Log)
on our website in a printable format for your convenience.
This will ensure that data collection forms are available as needed.
The data collection forms are in PDF format. If you have questions about the forms, please refer to the Manual
of Operations for the corresponding year or contact your Vermont Oxford Network Account Manager.