Generated Narrative: Composition composition-jurisdiction-fetal-death-not-named Profile: Composition - Jurisdiction Fetal Death Report status: Final type: Jurisdiction fetal death report Document encounter: Encounter: extension = mother; identifier = http://hospital.smarthealthit.org#8937015; status = finished; class = inpatient encounter (ActCode#IMP); type = Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.; period = 2019-01-08 10:00:00-0700 --> 2019-01-09 17:00:00-0700 date: 2019-01-09 author: Organization Jurisdictional Vital Records Office title: Jurisdiction fetal death report Document
Jurisdiction fetal death report Document
Generated Narrative: Patient patient-decedent-fetus-not-named Profile: Patient - Decedent Fetus null (official) Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual, )) Deceased: true Multiple Birth: 3 <td style="background-color: #f3f5da" title="This Extension profile represents the reported age of the parent (either the gestational mother or the natural father - as defined by NCHS) at the delivery time of the newborn or fetus. #xA;A required code indicates whether the mother or father's age is provided. It can optionally contain a reference to the reporter (**US Core Patient Profile** or **US Core RelatedPerson Profile**).">Reported Parent Age At Delivery Vital Records: reportedAge: 34 a (Details: UCUM codea = 'a') motherOrFather: mother <td style="background-color: #f3f5da" title="This Extension profile represents the reported age of the parent (either the gestational mother or the natural father - as defined by NCHS) at the delivery time of the newborn or fetus. #xA;A required code indicates whether the mother or father's age is provided. It can optionally contain a reference to the reporter (**US Core Patient Profile** or **US Core RelatedPerson Profile**).">Reported Parent Age At Delivery Vital Records: reportedAge: 35 a (Details: UCUM codea = 'a') motherOrFather: father Patient Birth Place Ann Arbor MI 48103 US Core Birth Sex Extension F
Generated Narrative: Encounter encounter-maternity-carmen-teresa-lee Profile: Encounter - Maternity Extension Parental Role: mother identifier: http://hospital.smarthealthit.org/8937015 status: Finished class: ActCode IMP: inpatient encounter type: Under Observation or Inpatient Care Services (Including Admission and Discharge Services) subject: Patient - Mother (Carmen Teresa Lee) Participants - Type Individual * Birth attendant [Extended Identifier] Practitioner - Vital Records (Janet Seito, DO) period: 2019-01-08 10:00:00-0700 --> 2019-01-09 17:00:00-0700 Locations - Location PhysicalType * Location - US Core Location (South Hospital) Hospital serviceProvider: Organization - US Core Organization (South Hospital Organization)
Under Observation or Inpatient Care Services (Including Admission and Discharge Services)
Practitioner - Vital Records (Janet Seito, DO)
Location - US Core Location (South Hospital)
Organization - US Core Organization (South Hospital Organization)
Generated Narrative: Organization organization-jurisdictional-vital-records-office active: true name: Jurisdictional Vital Records Office
Generated Narrative: Patient patient-mother-carmen-teresa-lee Profile: Patient - Mother Vital Records Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) Alt. Name: Carmen Teresa Santos (Name changed for Marriage) Contact Detail 3670 Miller Road Ann Arbor MI 48103 US (home) Links: Also see: RelatedPerson Carmen Teresa Lee (official) <td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension: ombCategory: CDC Race and Ethnicity 2135-2: Hispanic or Latino text: Hispanic or Latino Patient Birth Place PR US Core Birth Sex Extension F <td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.">US Core Race Extension: ombCategory: CDC Race and Ethnicity 2054-5: Black or African American text: Black or African America
Generated Narrative: Observation observation-date-of-first-prenatal-care-visit-carmen-teresa-lee Profile: Observation - Date of First Prenatal Care Visit status: Final code: Date first prenatal visit subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: 2018-05-18
Patient - Decedent Fetus (Fetus Not Named)
Generated Narrative: Observation observation-last-menstrual-period-carmen-teresa-lee Profile: Observation - Last Menstrual Period status: Final code: Last menstrual period start date subject: Patient - Mother (Carmen Teresa Lee) effective: 2018-05-02 performer: Practitioner Janet Seito value: 2018-04-18
Generated Narrative: Observation observation-number-births-now-living-carmen-teresa-lee Profile: Observation - Number of Births Now Living status: Final code: [#] Births.still living subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Janet Seito value: 1
Generated Narrative: Observation observation-number-births-now-dead-carmen-teresa-lee Profile: Observation - Number of Births Now Dead status: Final code: Previous live births now dead # subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Janet Seito value: 0
Generated Narrative: Observation observation-date-of-last-live-birth-carmen-teresa-lee Profile: Observation - Date of Last Live Birth status: Final code: Date of last live birth subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Janet Seito value: 2016-01-28
Generated Narrative: Observation observation-mother-height-carmen-teresa-lee-w-edit Profile: Observation - Mother Height status: Final category: Vital Signs code: Body height subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-01-10 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 56 in (Details: UCUM code[in_i] = '[in_i]')
Generated Narrative: Observation observation-mother-prepregnancy-weight-carmen-teresa-lee-w-edit Profile: Observation - Mother Prepregnancy Weight status: Final category: Vital Signs code: Body weight --pre current pregnancy subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Janet Seito value: 180 [lb_av] (Details: UCUM code[lb_av] = '[lb_av]')
Generated Narrative: Observation observation-mother-received-wic-food-carmen-teresa-lee Profile: Observation - Mother Recieved WIC Food status: Final code: Mother WIC food recipient subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: No
Generated Narrative: Observation observation-cig-smoking-pregnancy-1-carmen-teresa-lee Profile: Observation - Cigarette Smoking Before and During Pregnancy status: Final code: In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day [PhenX] subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 0
In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day [PhenX]
Generated Narrative: Observation observation-cig-smoking-pregnancy-2-carmen-teresa-lee Profile: Observation - Cigarette Smoking Before and During Pregnancy status: Final code: Cigarettes smoked per day by Mother--1st trimester subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 0
Cigarettes smoked per day by Mother--1st trimester
Generated Narrative: Observation observation-cig-smoking-pregnancy-3-carmen-teresa-lee Profile: Observation - Cigarette Smoking Before and During Pregnancy status: Final code: Cigarettes smoked per day by Mother--2nd trimester subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 1
Cigarettes smoked per day by Mother--2nd trimester
Generated Narrative: Observation observation-cig-smoking-pregnancy-4-carmen-teresa-lee Profile: Observation - Cigarette Smoking Before and During Pregnancy status: Final code: In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day [PhenX] subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 0
In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day [PhenX]
Generated Narrative: Observation observation-number-previous-cesareans-carmen-teresa-lee-w-edit Profile: Observation - Number of Previous Cesareans status: Final code: Previous cesarean deliveries # subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Janet Seito value: 1
Generated Narrative: Condition condition-gestational-diabetes-carmen-teresa-lee Profile: Condition - Gestational Diabetes clinicalStatus: Active category: Problem List Item, Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth] code: Gestational diabetes mellitus (disorder) subject: Patient - Mother (Carmen Teresa Lee) onset: 2018-12-12
Gestational diabetes mellitus (disorder)
Generated Narrative: Observation observation-fetal-presentation-not-named Profile: Observation - Fetal Presentation at Birth/Delivery status: Final code: Fetal presentation--at birth [US Standard Certificate of Live Birth] subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: Breech presentation (finding)
Generated Narrative: Procedure procedure-final-route-method-delivery-not-named Profile: Procedure - Final Route and Method of Delivery status: Completed category: Final route and method of delivery [US Standard Certificate of Live Birth] code: Spontaneous vaginal delivery subject: Patient - Mother (Carmen Teresa Lee) performed: 2019-01-19 18:00:00-0700 --> 2019-01-19 18:23:00-0700
Generated Narrative: Observation observation-birth-weight-not-named-w-edit Profile: Observation - Birth Weight status: Final category: Vital Signs code: Birth weight Measured subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-02-10 performer: Organization Jurisdictional Vital Records Office value: 1530 g (Details: UCUM codeg = 'g')
Generated Narrative: Observation observation-gestational-age-at-delivery-not-named-w-edit Profile: Observation - Gestational Age at Delivery status: Final code: Gestational age Estimated subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: 20 wk (Details: UCUM codewk = 'wk')
Generated Narrative: Condition condition-fetal-death-cause-or-condition-not-named Profile: Condition - Fetal Death Initiating Cause or Condition category: Encounter Diagnosis, Initiating cause or condition of fetal death [US Standard Report of Fetal Death] code: Premature rupture of membranes (disorder) subject: Patient - Decedent Fetus (Fetus Not Named)
Initiating cause or condition of fetal death [US Standard Report of Fetal Death]
Premature rupture of membranes (disorder)
Generated Narrative: Condition condition-fetal-death-other-significant-cause-not-named Profile: Condition - Fetal Death Other Cause or Condition category: Encounter Diagnosis, Other significant causes or conditions of fetal death [US Standard Report of Fetal Death] code: Placental insufficiency (disorder) subject: Patient - Decedent Fetus (Fetus Not Named)
Other significant causes or conditions of fetal death [US Standard Report of Fetal Death]
Generated Narrative: Observation observation-fetal-death-time-point-not-named Profile: Observation - Fetal Death Time Point status: Final code: Estimated timing of fetal death [US Standard Report of Fetal Death] subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: Fetal intrapartum death after first assessment (event)
Fetal intrapartum death after first assessment (event)
Generated Narrative: Observation observation-autopsy-performed-not-named Profile: Observation - Autopsy Performed Indicator status: Final code: Autopsy was performed subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: Performed
Generated Narrative: Observation observation-histological-placental-exam-performed-not-named Profile: Observation - Histological Placental Exam Performed status: Final code: Histological placental examination was performed [US Standard Report of Fetal Death] subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: Performed
Generated Narrative: Observation observation-autopsy-histological-exam-results-used-not-named Profile: Observation - Autopsy or Histological Exam Results Used status: Final code: Autopsy or histological placental examination results were used [US Standard Report of Fetal Death] subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: Yes
Autopsy or histological placental examination results were used [US Standard Report of Fetal Death]
Generated Narrative: Observation observation-number-deaths-this-delivery-carmen-teresa-lee Profile: Observation - Number of Fetal Deaths This Delivery status: Final code: Number of fetal deaths delivered subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: 1
Generated Narrative: Observation observation-parent-education-level-carmen-teresa-lee-w-edit Profile: Observation - Education Level Vital Records status: Final code: Highest level of education Mother subject: Patient - Decedent Fetus (Fetus Not Named) focus: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 9th through 12th grade; no diploma
Generated Narrative: Observation observation-present-job-carmen-teresa-lee Profile: Observation - Present Job Extension Parental Role: mother status: Final code: History of Occupation subject: null (official) Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual, )) focus: RelatedPerson Carmen Teresa Lee (official) effective: 2019-01-09 --> (ongoing) value: Secretary Components - Code Value[x] * History of Occupation industry State Agency
Generated Narrative: Observation observation-present-job-tom-yan-lee Profile: Observation - Present Job Extension Parental Role: father status: Final code: History of Occupation subject: null (official) Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual, )) focus: RelatedPerson Tom Yan Lee (official) effective: 2019-01-09 --> (ongoing) value: Teaching Assistant Components - Code Value[x] * History of Occupation industry Elementary and Secondary Schools
Generated Narrative: Observation observation-input-race-and-ethnicity-carmen-teresa-lee Profile: Observation - Input Race and Ethnicity Vital Records status: Final code: Mother Input Race and Ethnicity subject: Patient - Mother (Carmen Teresa Lee) component code: White value: true component code: Black Or African American value: true component code: American Indian Or Alaska Native value: true component code: Asian Indian value: false component code: Chinese value: false component code: Filipino value: false component code: Japanese value: false component code: Korean value: false component code: Vietnamese value: false component code: Other Asian value: false component code: Native Hawaiian value: false component code: Guamanian Or Chamorro value: false component code: Samoan value: false component code: Other Pacific Islander value: false component code: Other Race value: false component code: First Other Asian Literal value: Malaysian component code: First American Indian Or Alaska Native Literal value: Arikara component code: Hispanic Mexican value: Yes component code: Hispanic Cuban value: Yes component code: Hispanic Puerto Rican value: Yes component code: Hispanic Other value: No
Generated Narrative: Practitioner practitioner-vital-records-janet-seito Profile: Practitioner - Vital Records Practitioner Role - Birth Attendant: attendant Practitioner Role - Certifier: certifier identifier: NPI/223347044 name: Janet Seito Qualifications - Code * Osteopath (occupation)
Generated Narrative: Location location-south-hospital Profile: Birth and Fetal Death Location identifier: NPI/116441967701 status: Active name: South Hospital type: Hospital, Birth Location address: 2100 North Ave Salt Lake City UT 84116 US Positions - Longitude Latitude * 40.8 111.9 managingOrganization: Organization - South Hospital
Generated Narrative: Organization organization-south-hospital identifier: NPI/5555512 active: true type: Hospital name: South Hospital telecom: +1-555-555-1111, mail@southhospital.com address: 2100 North Ave Salt Lake City UT 84116 US
Generated Narrative: RelatedPerson relatedperson-mother-carmen-teresa-lee Profile: RelatedPerson - Mother Vital Records active: true patient: Patient - Decedent Fetus (Fetus Not Named) relationship: Gestational Mother name: Carmen Teresa Lee (Official) gender: Female birthDate: 1986-02-15
Generated Narrative: RelatedPerson relatedperson-father-natural-tom-yan-lee Profile: RelatedPerson - Father Natural Vital Records RelatedPerson Birth Place Vital Records: NY active: true patient: Patient - Decedent Fetus (Fetus Not Named) relationship: Natural Father name: Tom Yan Lee (Official) gender: Male birthDate: 1984-02-27