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. For a full list of available versions, see the Directory of published versions
This example provides a narrative description of the live birth report for Baby Girl Quinn
, following the birth report form.
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 | Baby Girl Quinn , Time of Birth: 2019-02-12 07:00 |
Mother | Jada Ann Quinn |
Father | James Brandon Quinn |
Certifier | Avery Jones |
Birth Encounter | Birth Encounter |
Mother Married During Pregancy | Married |
Paternity Acknowledgement Signed | Yes |
SSN Requested for Child | True |
Mother's Education | Doctoral or Post-Graduate |
Mother's Present Job-Occupation | Carpenter |
Mother's Present Job-Industry | Construction |
Mother's Race and Ethnicity | White/AIAN/OtherAsian, Non-Hispanic |
Father's Education | Doctoral or Post-Graduate |
Father's Present Job-Occupation | Lawyer |
Father's Present Job-Industry | Legal Services |
Father's Race and Ethnicity | White/AIAN/OtherAsian, Non-Hispanic |
Place of Birth | Birth at South Hospital , Discharge to East Hospital |
Attendant | Avery Jones |
Mother Transferred | Yes |
First Prenatal Care Visit Date | 2018-07-20 |
Number of Prenatal Care Visits | 8 |
Mother's Height | 67 in |
Mother's Prepregnancy Weight | 145 lb |
Mother's Weight at Delivery | 175 lb |
Mother WIC Food | Yes |
Number of Previous Live Births | Living = 1 , Dead = 0 |
Number of Other Pregnancy Outcomes | Other Outcomes = 0 |
Cigarette Smoking | Prepregnancy = 20 , First Trimester = 3 , Second Trimester = 1 , Third Trimester = 0 |
Principal Source of Payment | Private Health Insurance |
Last Live Birth Date | 2014-11-20 |
Last Other Outcomes Date | 2015-05 |
Last Normal Menses Date | 2018-06-05 |
Risk Factors During Pregnancy | Gestational Hypertension , Prepregnancy Diabetes , Infertility Treatment , Artificial Insemination , Previous Caesarean = 1'] |
Infections During Pregnancy | Chlamydial Infection |
Obstetric Procedures | External Cephalic Version - Unsuccessful |
Characteristics of Labor and Delivery | Induction , Antibiotics , Chorioamnionitis , Epidural |
Fetal Presentation | Breech |
Final Route/Method of Delivery | Cesarean with trial labor attempted |
Maternal Morbidity | Ruptured Uterus |
Newborn Birthweight | 2500g |
Obstetric Estimate of Gestation | 36 wk |
Apgar Score | 5min = 5 , 10min = 7 |
Number of Live Births this Delivery | 2 |
Plurality / Birth Order | Plurality = 1 , Order = 1 |
Abnormal Conditions of the Newborn | Antibiotics Received |
Congenital Anomolies of the Newborn | Cyanotic Congenital Heart Disease , Anomaly of Chromosome Pair 21 |
Infant Transferred | Yes |
Infant Living | True |
Infant Breastfed at Discharge | True |