Introduction: The concept, "most responsible provider" has a specific definition in the Canadian National Discharge Abstract Database (DAD). Variation exists in how care providers are defined in administrative data.
Methods: We compared chart data with administrative data to understand how "most responsible provider" was identified in these two data sources.
Results: We found a 3% discrepancy between data sources. Differences between data sources were attributable to transfers in care that occurred at birth.
Discussion: "Most responsible provider" should consider the full trajectory of care when assigning outcomes in order to understand how to best support optimal health among low-risk births.
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