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Table 1 National Birth Defects Prevention Network (NBDPN) levels of data quality performance measures for completeness, timeliness, and accuracy

From: Development and implementation of the first national data quality standards for population-based birth defects surveillance programs in the United States

NBDPN Data Quality (DQ) Performance Measures

Level 1

Level 2

Level 3

Completeness

DQ1.1 Types of data sources used systematically and routinely to identify potential cases at a population-based level

Each of the following sources:

The data sources in level 1 and any additional sources of natal or postnatal data

The data sources in levels 1 and 2, as well as routine reporting from any of the following data sources b for systematic specialized ascertainment of prenatally diagnosed defects.

• Vital record data

• Additional source for case identification

DQ1.2 Birth defects included using standard NBDPN case definitions a

All of the NBDPN “core” birth defects

All of the NBDPN “recommended” birth defects

Major structural malformations beyond those birth defects identified on the NBDPN list

DQ1.3 Pregnancy outcomes included

Live births

Live births, stillbirths

Live births, stillbirths, and other pregnancy loss

DQ1.4 Systematic and routine identification of cases (age of diagnosis) during ascertainment period

Identification of cases diagnosed through 1 month of age

Identification of cases diagnosed through 1 year of age

Identification of cases diagnosed beyond 1 year of age

DQ1.5 Data elements collected a

All “core” data elements

All “recommended” data elements

All “enhanced” data elements

Timeliness

DQ2.1 Time of case data completion for NBDPN “core” list

≥75 % of all “core” NBDPN birth defects - reported cases complete within 2 years of delivery.

≥95 % of all “core” NBDPN birth defects - reported cases complete within 2 years of delivery.

≥99 % of all “core” NBDPN birth defects - reported cases complete within 2 years of delivery.

DQ2.2 Time of case data completion for NBDPN “recommended” list

≥75 % of all “recommended” NBDPN birth defects list-reported cases complete within 2 years of delivery.

≥95 % of all “recommended” NBDPN birth defects list-reported cases complete within 2 years of delivery.

≥99 % of a “recommended” NBDPN birth defects list-reported cases complete within 2 years of delivery.

Accuracy

DQ3.1 Data quality procedures for verification of case diagnosis

Minimal data quality procedure for case verification, majority of cases accepted as reported

Verification using “some” method, e.g., clinical case report from a specialty clinic, agreement across multiple data sources, agreement between procedure and diagnostic codes, laboratory reports

Verification using method beyond level 2, e.g., medical records

DQ3.2 Scope of birth defects verified

Special projects, selected diagnoses, or samples only

Verification for all “core” birth defects

Verification for all “recommended” birth defects

DQ3.3 Level of expertise for individuals who perform case diagnosis verification

Staff with no or minimal disease coding or clinical expertise perform routine case reviews

Staff with expertise in disease coding or clinical training perform routine case reviews

Clinical geneticist, dysmorphologist or other high level expert depending on defect routinely performs case reviews

DQ3.4 Database quality assurance process

Quality checks are performed for “core” NBDPN data elements.

Quality checks are performed for “recommended” NBDPN data elements.

Quality checks are performed for “enhanced” NBDPN data elements.

  1. aNBDPN list of birth defects and data elements are available at www.nbdpn.org
  2. bSee supplementary material for a list of the data sources