Generated Narrative: Composition composition-provider-live-birth-babyg-quinn Profile: Composition - Provider Live Birth Report status: Final type: U.S. standard certificate of live birth - 2003 revision encounter: Encounter: extension = child; identifier = http://hospital.smarthealthit.org#9937012; 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 = 2019-02-12 13:00:00-0700 --> 2019-02-15 10:00:00-0700 date: 2019-02-12 author: Practitioner Avery Jones title: Provider supplied live birth report Document
U.S. standard certificate of live birth - 2003 revision
Provider supplied live birth report Document
Generated Narrative: Patient patient-child-babyg-quinn Profile: Patient - Child Vital Records Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702 (use: usual, )) Deceased: false Multiple Birth: 1 <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 2186-5: Not Hispanic or Latino text: Not Hispanic or Latino <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 Salt Lake City UT 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 2106-3: White text: White
Generated Narrative: Encounter encounter-birth-babyg-quinn Profile: Encounter - Birth Extension Parental Role: child identifier: http://hospital.smarthealthit.org/9937012 status: Finished class: ActCode IMP: inpatient encounter type: Under Observation or Inpatient Care Services (Including Admission and Discharge Services) subject: BabyG Quinn participant type: Birth certifier [Extended Identifier] period: 2019-02-12 13:30:00-0700 --> (ongoing) individual: Practitioner - Vital Records (Avery Jones, MD) participant type: Birth attendant [Extended Identifier] individual: Practitioner - Vital Records (Avery Jones, MD) period: 2019-02-12 13:00:00-0700 --> 2019-02-15 10:00:00-0700 Hospitalizations - Destination DischargeDisposition * East Hospital Location The patient was transferred to another healthcare facility. Locations - Location PhysicalType * Location - US Core Location (South Hospital) Hospital partOf: Maternity Encounter - Jada Ann Quinn
Under Observation or Inpatient Care Services (Including Admission and Discharge Services)
Practitioner - Vital Records (Avery Jones, MD)
The patient was transferred to another healthcare facility.
Location - US Core Location (South Hospital)
Generated Narrative: Encounter encounter-maternity-jada-ann-quinn Profile: Encounter - Maternity Extension Parental Role: mother identifier: http://hospital.smarthealthit.org/9937012 status: Finished class: ActCode IMP: inpatient encounter type: Under Observation or Inpatient Care Services (Including Admission and Discharge Services) subject: Patient - Mother (Jada Ann Quinn) Participants - Type Individual * Birth attendant [Extended Identifier] Practitioner - Vital Records (Avery Jones, MD) period: 2019-02-11 10:00:00-0700 --> 2019-02-15 10:00:00-0700 Hospitalizations - Origin AdmitSource * Location - US Core Location (North Hospital) The Patient has been transferred from another hospital for this encounter. Locations - Location PhysicalType * Location - US Core Location (South Hospital) Hospital serviceProvider: Organization - US Core Organization (South Hospital Organization)
Location - US Core Location (North Hospital)
The Patient has been transferred from another hospital for this encounter.
Organization - US Core Organization (South Hospital Organization)
Generated Narrative: Practitioner practitioner-vital-records-avery-jones Profiles: Practitioner - Vital Records, Practitioner - Birth Certifier, Practitioner - Birth Attendant Practitioner Role - Birth Attendant: attendant Practitioner Role - Certifier: certifier identifier: NPI/76231001 name: Avery Jones Qualifications - Code * Osteopath (occupation)
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: Patient patient-mother-jada-ann-quinn Profile: Patient - Mother Vital Records Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702 (use: usual, )) Other Id: Social Security number/132225986 (use: usual, ) Alt. Name: Jada Ann King (Name changed for Marriage) Contact Detail ph: 1-(404)555-1212(Home) jadaann.quinn@example.com 1875 West Morton Avenue Salt Lake City UT 84116 US (home) 1848 South 1300 East Salt Lake City UT 84401 US (billing) <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 2186-5: Not Hispanic or Latino text: Not Hispanic or Latino Patient Birth Place UT 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 1002-5: American Indian or Alaska Native text: White, American Indian or Alaska Native
Generated Narrative: Observation observation-date-of-first-prenatal-care-visit-jada-ann-quinn Profile: Observation - Date of First Prenatal Care Visit status: Final code: Date first prenatal visit subject: Patient - Mother (Jada Ann Quinn) focus: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: 2018-07-20
Generated Narrative: Observation observation-number-prenatal-visits-jada-ann-quinn Profile: Observation - Number of Prenatal Visits status: Final code: Prenatal visits for this pregnancy # subject: Patient - Mother (Jada Ann Quinn) focus: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: 8
Generated Narrative: Observation observation-last-menstrual-period-jada-ann-quinn Profile: Observation - Last Menstrual Period status: Final code: Last menstrual period start date subject: Patient - Mother (Jada Ann Quinn) effective: 2019-12-02 performer: Practitioner Janet Seito value: 2018-06-05
Generated Narrative: Observation observation-number-births-now-living-jada-ann-quinn Profile: Observation - Number of Births Now Living status: Final code: [#] Births.still living subject: Patient - Mother (Jada Ann Quinn) effective: 2019-12-02 performer: Practitioner Janet Seito value: 1
Generated Narrative: Observation observation-number-births-now-dead-jada-ann-quinn Profile: Observation - Number of Births Now Dead status: Final code: Previous live births now dead # subject: Patient - Mother (Jada Ann Quinn) effective: 2019-12-02 performer: Practitioner Janet Seito value: 0
Generated Narrative: Observation observation-date-of-last-live-birth-jada-ann-quinn Profile: Observation - Date of Last Live Birth status: Final code: Date of last live birth subject: Patient - Mother (Jada Ann Quinn) effective: 2019-12-02 performer: Practitioner Janet Seito value: 2014-11-20
Generated Narrative: Observation observation-number-other-pregnancy-outcomes-jada-ann-quinn Profile: Observation - Number of Other Pregnancy Outcomes status: Final code: Other pregnancy outcomes # subject: Patient - Mother (Jada Ann Quinn) effective: 2019-12-02 performer: Practitioner Janet Seito value: 0
Generated Narrative: Observation observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn Profile: Observation - Date of Last Other Pregnancy Outcome status: Final code: Date of last other pregnancy outcome subject: Patient - Mother (Jada Ann Quinn) effective: 2019-12-02 performer: Practitioner Janet Seito value: 2015-05
Generated Narrative: Coverage coverage-principal-payer-for-delivery-jada-ann-quinn Profile: Coverage - Principal Payer for Delivery status: Active type: Private Health Insurance beneficiary: Patient - Mother (Jada Ann Quinn) payor: Not asked
Generated Narrative: Observation observation-mother-delivery-weight-jada-ann-quinn Profile: Observation - Mother Delivery Weight (reported in pounds) status: Final category: Vital Signs code: Mother's body weight --at delivery subject: Patient - Mother (Jada Ann Quinn) effective: 2019-02-12 performer: Practitioner Janet Seito value: 175 [lb_av] (Details: UCUM code[lb_av] = '[lb_av]')
Generated Narrative: Observation observation-mother-height-jada-ann-quinn Profile: Observation - Mother Height status: Final category: Vital Signs code: Body height subject: Patient - Mother (Jada Ann Quinn) effective: 2019-02-10 performer: Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702 (use: usual, )) value: 67 in (Details: UCUM code[in_i] = '[in_i]')
Generated Narrative: Observation observation-mother-prepregnancy-weight-jada-ann-quinn Profile: Observation - Mother Prepregnancy Weight status: Final category: Vital Signs code: Body weight --pre current pregnancy subject: Patient - Mother (Jada Ann Quinn) effective: 2019-12-02 performer: Practitioner Janet Seito value: 145 [lb_av] (Details: UCUM code[lb_av] = '[lb_av]')
Generated Narrative: Observation observation-mother-received-wic-food-jada-ann-quinn Profile: Observation - Mother Recieved WIC Food status: Final code: Mother WIC food recipient subject: Patient - Mother (Jada Ann Quinn) focus: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: Yes
Generated Narrative: Observation observation-cig-smoking-pregnancy-1-jada-ann-quinn 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 (Jada Ann Quinn) focus: BabyG Quinn effective: 2019-12-02 performer: Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702 (use: usual, )) value: 20
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-jada-ann-quinn Profile: Observation - Cigarette Smoking Before and During Pregnancy status: Final code: Cigarettes smoked per day by Mother--1st trimester subject: Patient - Mother (Jada Ann Quinn) focus: BabyG Quinn effective: 2019-12-02 performer: Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702 (use: usual, )) value: 3
Cigarettes smoked per day by Mother--1st trimester
Generated Narrative: Observation observation-cig-smoking-pregnancy-3-jada-ann-quinn Profile: Observation - Cigarette Smoking Before and During Pregnancy status: Final code: Cigarettes smoked per day by Mother--2nd trimester subject: Patient - Mother (Jada Ann Quinn) focus: BabyG Quinn effective: 2019-12-02 performer: Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702 (use: usual, )) value: 1
Cigarettes smoked per day by Mother--2nd trimester
Generated Narrative: Observation observation-cig-smoking-pregnancy-4-jada-ann-quinn 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 (Jada Ann Quinn) focus: BabyG Quinn effective: 2019-12-02 performer: Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702 (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: Condition condition-prepregnancy-diabetes-jada-ann-quinn Profile: Condition - Prepregnancy Diabetes clinicalStatus: Active category: Problem List Item, Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth] code: Diabetes mellitus (disorder) subject: Patient - Mother (Jada Ann Quinn) onset: 2015-02-12
Generated Narrative: Condition condition-gestational-hypertension-jada-ann-quinn Profile: Condition - Gestational Hypertension clinicalStatus: Active category: Problem List Item, Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth] code: Pregnancy-induced hypertension (disorder) subject: Patient - Mother (Jada Ann Quinn)
Pregnancy-induced hypertension (disorder)
Generated Narrative: Observation observation-number-previous-cesareans-jada-ann-quinn Profile: Observation - Number of Previous Cesareans status: Final code: Previous cesarean deliveries # subject: Patient - Mother (Jada Ann Quinn) effective: 2019-12-02 performer: Practitioner Janet Seito value: 1
Generated Narrative: Condition condition-infection-present-during-pregnancy-jada-ann-quinn Profile: Condition - Infection Present During Pregnancy clinicalStatus: Active category: Problem List Item, Infections present AndOr treated during this pregnancy for live birth [US Standard Certificate of Live Birth] code: Chlamydial infection (disorder) subject: Patient - Mother (Jada Ann Quinn)
Generated Narrative: Procedure procedure-obstetric-procedure-jada-ann-quinn Profile: Procedure - Obstetric status: Completed category: Obstetric procedures performed [US Standard Certificate of Live Birth] code: External cephalic version: Failed subject: Patient - Mother (Jada Ann Quinn) performed: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700 outcome: External cephalic version: Unsuccessful
Generated Narrative: Condition condition-chorioamnionitis-jada-ann-quinn Profile: Condition - Chorioamnionitis clinicalStatus: Active category: Problem List Item, Characteristics of labor and delivery [US Standard Certificate of Live Birth] code: Chorioamnionitis (disorder) subject: Patient - Mother (Jada Ann Quinn)
Generated Narrative: Procedure procedure-induction-of-labor-jada-ann-quinn Profile: Procedure - Induction of Labor status: Completed category: Characteristics of labor and delivery [US Standard Certificate of Live Birth] code: Induction of labor (procedure) subject: Patient - Mother (Jada Ann Quinn) performed: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700
Generated Narrative: Observation observation-fetal-presentation-babyg-quinn Profile: Observation - Fetal Presentation at Birth/Delivery status: Final code: Fetal presentation--at birth [US Standard Certificate of Live Birth] subject: Patient - Child (Baby G Quinn) effective: 2019-12-02 performer: Practitioner Janet Seito value: Breech presentation (finding)
Generated Narrative: Procedure procedure-final-route-method-delivery-babyg-quinn Profile: Procedure - Final Route and Method of Delivery status: Completed category: Final route and method of delivery [US Standard Certificate of Live Birth] code: Cesarean section subject: Patient - Mother (Jada Ann Quinn) performed: 2019-02-12 12:45:00-0700 --> 2019-02-12 13:15:00-0700 reasonReference: Labor trial attempted - true
Generated Narrative: Condition condition-ruptured-uterus-jada-ann-quinn Profile: Condition - Ruptured Uterus clinicalStatus: Active category: Problem List Item, Maternal morbidity [US Standard Certificate of Live Birth] code: Rupture of uterus (disorder) subject: Patient - Mother (Jada Ann Quinn)
Generated Narrative: Observation observation-birth-weight-babyg-quinn Profile: Observation - Birth Weight status: Final category: Vital Signs code: Birth weight Measured subject: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: 2500 g (Details: UCUM codeg = 'g')
Generated Narrative: Observation observation-gestational-age-at-delivery-babyg-quinn Profile: Observation - Gestational Age at Delivery status: Final code: Gestational age Estimated subject: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: 36 wk (Details: UCUM codewk = 'wk')
Generated Narrative: Observation observation-apgar-score-babyg-quinn-5-min Profile: Observation - APGAR Score status: Final category: Survey code: 5 minute Apgar Score subject: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: 5
Generated Narrative: Observation observation-apgar-score-babyg-quinn-10-min Profile: Observation - APGAR Score status: Final category: Survey code: 10 minute Apgar Score subject: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: 7
Generated Narrative: Observation observation-number-live-births-this-delivery-jada-ann-quinn Profile: Observation - Number of Live Births This Delivery status: Final code: Number of infants in this delivery delivered alive subject: Patient - Mother (Jada Ann Quinn) focus: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: 2
Number of infants in this delivery delivered alive
Generated Narrative: Condition condition-congenital-anomaly-of-newborn-babyg-quinn Profile: Condition - Congenital Anomaly of Newborn clinicalStatus: Active category: Problem List Item, Congenital anomalies of the newborn [US Standard Certificate of Live Birth] code: Cyanotic congenital heart disease (disorder) subject: BabyG Quinn
Congenital anomalies of the newborn [US Standard Certificate of Live Birth]
Cyanotic congenital heart disease (disorder)
Generated Narrative: Condition condition-congenital-anomaly-of-newborn-babyg-quinn-2 Profile: Condition - Congenital Anomaly of Newborn clinicalStatus: Active category: Problem List Item, Congenital anomalies of the newborn [US Standard Certificate of Live Birth] code: Anomaly of chromosome pair 21 (disorder) subject: Patient - Child (Baby G Quinn) Evidences - Code * Karyotype determination pending
Anomaly of chromosome pair 21 (disorder)
Generated Narrative: Observation observation-infant-living-babyg-quinn Profile: Observation - Infant Living status: Final code: Infant living at time of report [US Standard Certificate of Live Birth] subject: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: true
Infant living at time of report [US Standard Certificate of Live Birth]
Generated Narrative: Observation observation-infant-breastfed-at-discharge-babyg-quinn Profile: Observation - Infant Breastfed at Discharge status: Final code: Infant is being breastfed at discharge [US Standard Certificate of Live Birth] subject: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: true
Generated Narrative: Observation observation-mother-married-during-pregnancy-jada-ann-quinn Profile: Observation - Mother Married During Pregnancy status: Final code: Mother was married at any time during pregnancy subject: Patient - Mother (Jada Ann Quinn) focus: BabyG Quinn effective: 2019-12-02 value: Yes
Generated Narrative: Observation observation-parent-education-level-jada-ann-quinn Profile: Observation - Education Level Vital Records status: Final code: Highest level of education Mother subject: Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702 (use: usual, )) focus: Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702 (use: usual, )) effective: 2019-12-02 performer: Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702 (use: usual, )) value: Doctoral or post graduate education
Generated Narrative: Observation observation-present-job-jada-ann-quinn Profile: Observation - Present Job Extension Parental Role: mother status: Final code: History of Occupation subject: Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702 (use: usual, )) focus: Jada Ann Quinn - Mother effective: 2019-01-09 --> (ongoing) value: Carpenter Components - Code Value[x] * History of Occupation industry Construction
Generated Narrative: Observation observation-input-race-and-ethnicity-jada-ann-quinn Profile: Observation - Input Race and Ethnicity Vital Records status: Final code: Mother Input Race and Ethnicity subject: Patient - Mother (Jada Ann Quinn) component code: White value: true component code: Black Or African American value: false 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: true 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: Hispanic Mexican value: No component code: Hispanic Cuban value: No component code: Hispanic Puerto Rican value: No component code: Hispanic Other value: No
Generated Narrative: Observation observation-ssn-requested-for-child-babyg-quinn Profile: Observation - Social Security Number Requested For Child status: Final code: Social Security Number was requested subject: BabyG Quinn focus: Patient - Mother (Jada Ann Quinn) effective: 2019-12-02 performer: Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702 (use: usual, )) value: true
Generated Narrative: RelatedPerson relatedperson-father-natural-james-brandon-quinn Profile: RelatedPerson - Father Natural Vital Records RelatedPerson Birth Place Vital Records: NY identifier: Social Security number/132225987 active: true patient: Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702 (use: usual, )) relationship: Natural Father name: James Brandon Quinn (Official) gender: Male birthDate: 1972-11-24
Generated Narrative: Observation observation-paternity-acknowledgement-signed-james-quinn Profile: Observation - Paternity Acknowledgement Signed status: Final code: Paternity acknowledgment form signed Father subject: Patient - Child (Baby G Quinn) focus: RelatedPerson - Father (James Brandon Quinn) effective: 2019-12-02 performer: Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702 (use: usual, )) value: Yes
RelatedPerson - Father (James Brandon Quinn)
Generated Narrative: Observation observation-parent-education-level-james-quinn Profile: Observation - Education Level Vital Records status: Final code: Highest level of education Father subject: Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702 (use: usual, )) focus: RelatedPerson James Brandon Quinn (official) effective: 2019-12-02 performer: Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702 (use: usual, )) value: Doctoral or post graduate education
Generated Narrative: Observation observation-present-job-james-brandon-quinn Profile: Observation - Present Job Extension Parental Role: father status: Final code: History of Occupation subject: Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702 (use: usual, )) focus: James Brandon Quinn - Father effective: 2019-01-09 --> (ongoing) value: Lawyer Components - Code Value[x] * History of Occupation industry Legal Services
Generated Narrative: Observation observation-input-race-and-ethnicity-james-quinn Profile: Observation - Input Race and Ethnicity Vital Records status: Final code: Father Input Race and Ethnicity subject: BabyG Quinn focus: RelatedPerson James Brandon Quinn (official) component code: White value: true component code: Black Or African American value: false component code: American Indian Or Alaska Native value: false 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: No component code: Hispanic Cuban value: No component code: Hispanic Puerto Rican value: No component code: Hispanic Other value: No
Generated Narrative: QuestionnaireResponse QuestionnaireResponse-mothers-live-birth-jada-quinn LinkID Text Definition Answer QuestionnaireResponse-mothers-live-birth-jada-quinn Questionnaire:Questionnaire - Mother's Worksheet for Child's Birth Certificate #xD; mother-current-legal-name What is your current legal name? #xD; mother-first-name First Jada #xD; mother-middle-name Middle Ann #xD; mother-last-name Last Quinn #xD; child-name What will be your baby's legal name (as it should appear on the birth certificate)? #xD; child-first-name First Baby #xD; child-middle-name Middle G #xD; child-last-name Last Quinn #xD; mother-address Where do you usually live - that is - where is your household/residence located? #xD; mother-nbr-street Complete number and street (do not enter rural route numbers) 1875 West Morton Avenue #xD; mother-city City, Town, or Location Salt Lake City #xD; mother-county County Salt Lake #xD; mother-state State (or U.S. Territory, Canadian Province) UT #xD; mother-zip Zip Code 84116 #xD; inside-city-limits Is this household inside city limits (inside the incorporated limits of the city, town, or location where you live)? v2 Y/N Indicator Y: Yes #xD; mother-mail What is your mailing address #xD; mother-mail-same Same as residence [Go to next question] false #xD; mother-mail-nbr-street Complete number and street 1848 South 1300 East #xD; mother-mail-city City, Town, or Location Salt Lake City #xD; mother-mail-state State (or U.S. Territory, Canadian Province) UT #xD; mother-mail-zip Zip Code 84401 #xD; mother-dob What is your date of birth? 1985-01-15 #xD; mother-birthplace In what State, U.S. territory, or foreign country were you born? Please specify one of the following: #xD; mother-birthplace-state State UT #xD; mother-education What is the highest level of schooling that you have completed at the time of delivery? (Check the box that best describes your education. If you are currently enrolled, check the box that indicates the previous grade or highest degree received). Education Level POSTG: Doctoral or post graduate education #xD; mother-ethnicity false #xD; mother-race #xD; mother-race-white White true #xD; mother-race-aian American Indian or Alaskan Native true #xD; receive-wic Did you receive WIC (Women, Infants and Children) food for yourself during this pregnancy? v2 Y/N Indicator Y: Yes #xD; infertility-treatment Did this pregnancy result from infertility treatment? (If yes, please answer 12a and 12b) true #xD; drugs-ai-ii If yes, did this pregnancy result from fertility-enhancing drugs, artificial insemination, or intrauterine insemination? false #xD; art-ivf-gift If yes, did this pregnancy result from assisted reproductive technology (e.g., in-vitro fertilization (IVF), gamete intrafallopian transfer (GIFT))? true #xD; mothers-height What is your height? #xD; mothers-height-feet Feet 5 ft (Details: UCUM codeft = 'ft') #xD; mothers-height-inches Inches 7 [in_i] (Details: UCUM code[in_i] = '[in_i]') #xD; mothers-prepregnancy-weight 145 [lb_av] (Details: UCUM code[lb_av] = '[lb_av]') #xD; mothers-smoking How many cigarettes OR packs of cigarettes did you smoke on an average day during each of the following time periods? If you NEVER smoked, enter zero for each time period. #xD; mothers-smoking-3-months-prior Three months before pregnancy #xD; mothers-smoking-3-months-prior-cig # of cigarettes* 0 #xD; mothers-smoking-3-months-prior-pck # of packs 1 #xD; mothers-smoking-trimester-1 First three months of pregnancy #xD; mothers-smoking-trimester-1-cig # of cigarettes* 3 #xD; mothers-smoking-trimester-1-pck # of packs 0 #xD; mothers-smoking-trimester-2 Second three months of pregnancy #xD; mothers-smoking-trimester-2-cig # of cigarettes* 1 #xD; mothers-smoking-trimester-2-pck # of packs 0 #xD; mothers-smoking-trimester-3 Third trimester of pregnancy #xD; mothers-smoking-trimester-3-cig # of cigarettes* 0 #xD; mothers-smoking-trimester-3-pck # of packs 0 #xD; mother-prior-name What name did you use prior to your first marriage? #xD; mother-prior-first-name First Jada #xD; mother-prior-middle-name Middle Ann #xD; mother-prior-last-name Last King #xD; married-conception Were you married at the time you conceived this child, at the time of birth, or at any time between conception and giving birth? [If yes, please go to question 19; If no, please see below] true #xD; father-current-legal-name What is the current legal name of your baby's father? #xD; father-first-name First James #xD; father-middle-name Middle Brandon #xD; father-last-name Last Quinn #xD; father-dob What the father's date of birth? 1983-09-27 #xD; father-birthplace In what State, U.S. territory, or foreign country was the father born? Please specify one of the following: #xD; father-birthplace-state State NY #xD; father-education What is the highest level of schooling that the father will have completed at the time of delivery? (Check the box that best describes his education. If he is currently enrolled, check the box that indicates the previous grade or highest degree received). Education Level POSTG: Doctoral or post graduate education #xD; father-ethnicity false #xD; father-race #xD; father-race-white White true #xD; parents-ssn Furnishing parent(s) Social Security Number(s) (SSNs) is required by Federal Law, 42 USC 405(c) (section 205(c) of the Social Security Act). The number(s) will be made available to the (State Social Services Agency) to assist with child support enforcement activities and to the Internal Revenue Service for the purpose of determining Earned Income Tax Credit compliance. #xD; mother-ssn What is your Social Security Number? 132-22-5986 #xD; father-ssn What is the father’s Social Security Number? If you are not married, and if a paternity acknowledgment has not been completed, leave this item blank. 132-22-5987 #xD; baby-ssn Do you want a Social Security Number issued for your baby? [If yes, please sign request below false #xD; informant-name If other than the mother, what is the name of the person providing information for this worksheet? #xD; informant-first-name First Jane #xD; informant-last-name Last King #xD; informant-relationship What is your relationship to the baby's mother? Local BFDR Codes rel_otherrelative: Other relative #xD; Documentation for this format
What will be your baby's legal name (as it should appear on the birth certificate)?
Where do you usually live - that is - where is your household/residence located?
Complete number and street (do not enter rural route numbers)
State (or U.S. Territory, Canadian Province)
Is this household inside city limits (inside the incorporated limits of the city, town, or location where you live)?
In what State, U.S. territory, or foreign country were you born? Please specify one of the following:
What is the highest level of schooling that you have completed at the time of delivery? (Check the box that best describes your education. If you are currently enrolled, check the box that indicates the previous grade or highest degree received).
Did you receive WIC (Women, Infants and Children) food for yourself during this pregnancy?
Did this pregnancy result from infertility treatment? (If yes, please answer 12a and 12b)
If yes, did this pregnancy result from fertility-enhancing drugs, artificial insemination, or intrauterine insemination?
If yes, did this pregnancy result from assisted reproductive technology (e.g., in-vitro fertilization (IVF), gamete intrafallopian transfer (GIFT))?
How many cigarettes OR packs of cigarettes did you smoke on an average day during each of the following time periods? If you NEVER smoked, enter zero for each time period.
What name did you use prior to your first marriage?
Were you married at the time you conceived this child, at the time of birth, or at any time between conception and giving birth? [If yes, please go to question 19; If no, please see below]
What is the current legal name of your baby's father?
In what State, U.S. territory, or foreign country was the father born? Please specify one of the following:
What is the highest level of schooling that the father will have completed at the time of delivery? (Check the box that best describes his education. If he is currently enrolled, check the box that indicates the previous grade or highest degree received).
Furnishing parent(s) Social Security Number(s) (SSNs) is required by Federal Law, 42 USC 405(c) (section 205(c) of the Social Security Act). The number(s) will be made available to the (State Social Services Agency) to assist with child support enforcement activities and to the Internal Revenue Service for the purpose of determining Earned Income Tax Credit compliance.
What is the father’s Social Security Number? If you are not married, and if a paternity acknowledgment has not been completed, leave this item blank.
Do you want a Social Security Number issued for your baby? [If yes, please sign request below
If other than the mother, what is the name of the person providing information for this worksheet?
What is your relationship to the baby's mother?
Generated Narrative: Location location-east-hospital Profile: Birth and Fetal Death Location status: Active name: East Hospital type: Hospital, Transfer-to Location
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: Location location-north-hospital Profile: Birth and Fetal Death Location status: Active name: North Hospital type: Hospital, Transfer-from Location
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: Observation observation-labor-trial-attempted-babyg-quinn Profile: Observation - Labor Trial Attempted status: Final code: If cesarean, a trial of labor was attempted [US Standard Certificate of Live Birth] subject: Patient - Mother (Jada Ann Quinn) focus: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: true
If cesarean, a trial of labor was attempted [US Standard Certificate of Live Birth]
Generated Narrative: Procedure procedure-infertility-treatment-jada-ann-quinn Profile: Procedure - Infertility Treatment status: Completed category: Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth] code: Procedure related to reproduction (procedure) subject: Patient - Mother (Jada Ann Quinn) performed: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700
Generated Narrative: Procedure procedure-artificial-insemination-jada-ann-quinn version: 1; Last updated: 2023-06-21 01:45:22+0000 Profile: Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination status: Completed category: Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth] code: Artificial insemination (procedure) subject: Patient - Mother (Jada Ann Quinn) performed: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700
Generated Narrative: Observation observation-antibiotics-during-labor-jada-ann-quinn Profile: Observation - Antibiotics Administered During Labor status: Final code: Characteristics of labor and delivery subject: Patient - Mother (Jada Ann Quinn) focus: BabyG Quinn effective: 2019-12-02 performer: Practitioner Janet Seito value: Antibiotics received during labor
Characteristics of labor and delivery [US Standard Certificate of Live Birth]
Generated Narrative: Procedure procedure-antibiotic-sepsis-babyg-quinn Profile: Procedure - Antibiotic for Suspected Neonatal Sepsis status: Completed category: Abnormal conditions of the newborn [US Standard Certificate of Live Birth] code: Antibiotic given for suspected neonatal sepsis (situation) subject: BabyG Quinn performed: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700
Antibiotic given for suspected neonatal sepsis (situation)
Generated Narrative: Procedure procedure-epidural-or-spinal-anesthesia-jada-ann-quinn Profile: Procedure - Epidural or Spinal Anesthesia status: Completed category: Characteristics of labor and delivery [US Standard Certificate of Live Birth] code: Epidural anesthesia (procedure) subject: Patient - Mother (Jada Ann Quinn) performed: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700