This page is part of the Vital Records Birth and Fetal Death Reporting (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
This example provides a narrative description of the fetal report for Fetus Not Named
, following the fetal death report.
This information is transmitted in both a Provider bundle to the VRO
, and in a Jurisdiction bundle to NCHS
. The main difference between the two bundles is the inclusion of edit flags.
Field(s) | Example Instance |
---|---|
Decedent Fetus | Fetus Not Named |
Mother | Carmen Teresa Lee |
Father | Tom Yan Lee . Only included in questionnaire |
Attendant | Janet Seito |
Maternity Encounter | Maternity Encounter |
Author | Jessica Leung |
Intiating Cause of Fetal Death | Premature Rupture of Membrances |
Other Causes of Fetal Death | Placental insufficiency |
Newborn Birthweight | 1530g |
Obstetric Estimate of Gestation | 20 wk |
Fetal Death Time Point | Fetal intrapartum death after first assessment |
Autopsy Performed | Yes |
Placental Exam | Performed |
Histological Exam Results Used | Yes |
Mother's Education | Some secondary or high school education |
Mother's Present Job-Occupation | Secretary |
Mother's Present Job-Industry | State Agency |
Mother's Race and Ethnicity | White/Black/AIAN/Hispanic |
Father's Present Job-Occupation | Teaching Assistant |
Father's Present Job-Industry | Elementary and Secondary Schools |
First Prenatal Care Visit Date | 2018-05-18 |
Mother's Height | 65 in |
Mother's Prepregnancy Weight | 180 lb |
Mother WIC Food | No |
Number of Previous Live Births | Living = 1 , Dead = 0 |
Last Live Birth Date | 2016-01-28 |
Cigarette Smoking | First Trimester = 0 , Second Trimester = 0 , Third Trimester = 1 , Fourth Trimester = 0 |
Last Normal Menses Date | 2018-04-18 |
Number of Deaths this Delivery | 1 |
Mother Transferred | No |
Risk Factors During Pregnancy | Gestational Diabetes |
Number of Previous Cesareans | Cesareans = 1 |
Fetal Presentation | Breech |
Final Route/Method of Delivery | Vaginal |