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Manuals, Data Collection Forms & Calculation Charts



2014 Forms and Materials


2014 Forms
2014 Patient Data Booklet, Release 18.0
2014 Delivery Room Death Booklet, Release 18.0
2014 Patient and Transfer Logs (pdf)
2014 Patient Log (excel spreadsheet format)
2014 Transfer Log (excel spreadsheet format)

2014 Data Finalization Documents
2014 Still Hospitalized Instructions
2014 Calculation Charts
Date of Day 28
Date of Week 36
Day Number
Fahrenheit to Centigrade Conversion

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 Data Finalization Documents
2013 Still Hospitalized Instructions
2013 Data Finalization Guidelines
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 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.


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