This page is part of the Vital Records Birth and Fetal Death Reporting (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. 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 |
---|---|
Child | Fetus Not Named |
Mother | Carmen Teresa Lee |
Father | Tom Yan Lee . Only included in questionnaire |
Attendant | Janet Seito |
Planned to deliver at home | No |
Maternity Encounter | Maternity Encounter |
Author | Jessica Leung |
Mother’s Education | Secondary |
Mother’s Race and Ethnicity | White / Non-Hispanic |
Mother’s Usual Work-Occupation | Secretary |
Mother’s Usual Work-Industry | State Agency |
Father’s Usual Work-Occupation | Teaching Assistant |
Father’s Usual Work-Industry | Elementary and Secondary Schools |
Mother Transferred | Maternity Encounter |
Intiating Cause of Fetal Death | Premature Rupture of Membrances |
Other Causes of Fetal Death | Placental insufficiency |
Fetal Death Time Point | Fetal intrapartum death after first assessment |
Autopsy Performed | Yes |
Placental Exam | Performed |
Histological Exam Results Used | Yes |
Number of deaths this delivery | 1 |
First Prenatal Care | 2018-05-18 |
Mother’s Height | 56 in |
Mother’s Prepregnancy Weight | 180 lb |
Mother WIC Food | No |
Cigarette Smoking | First Trimester = 0 , Second Trimester = 0 , THird Trimester = 1 , Fourth Trimester = 0 |
Number of Previous Live Births | Living = 1 , Dead = 0 |
Last Live Outcome | 2016-01-28 |
Last Normal Menses | Last Normal Menses |
Risk Factors During Pregnancy | Gestational Diabetes , Cesareans = 1 |
Final Route/Method of Delivery | Vaginal with trial labor attempted |
Fetal Presentation | Breech |
Newborn Birthweight | 1530g |
Obstetric Estimate of Gestation | 20 wk |