Generated Narrative: Composition composition-jurisdiction-fetal-death-not-named identifier: c03eab8c-11e8-4d0c-ad2a-b385395e27da status: Final type: Jurisdiction fetal death report Document encounter: Encounter - Maternity (Carmen Teresa Lee) date: 2019-01-09 author: Jurisdictional Vital Records Office title: Jurisdiction fetal death report Document
Jurisdiction fetal death report Document
Patient - Decedent Fetus (Fetus Not Named)
Encounter - Maternity (Carmen Teresa Lee)
Mother (prenatal) Section on the Fetal Death Report
Observation - Planned to Deliver at Home (Carmen Teresa Lee)
Observation - Date of First Prenatal Care Visit (Carmen Teresa Lee)
Observation - Last Menstrual Period (Carmen Teresa Lee)
Observation - Number Births Now Living (Carmen Teresa Lee)
Observation - Number Births Now Dead (Carmen Teresa Lee)
Observation - Date of Last Live Birth (Carmen Teresa Lee)
Observation - Mother Height (Carmen Teresa Lee)
Observation - Mother Prepregnancy Weight (Carmen Teresa Lee)
Observation - Mother Received WIC Food (Carmen Teresa Lee)
Observation - Cigarette Smoking Before/During Pregnancy (3 months prior: Carmen Teresa Lee)
Observation - Cigarette Smoking Before/During Pregnancy (first 3 months: Carmen Teresa Lee)
Observation - Cigarette Smoking Before/During Pregnancy (last 3 months: Carmen Teresa Lee)
Observation - Cigarette Smoking Before/During Pregnancy (second 3 months: Carmen Teresa Lee)
Medical and Health Information on the Fetal Death Report
Observation - Number Previous Cesareans (Carmen Teresa Lee)
Observation - Fetal Presentation (Fetus Not Named)
Procedure - Final Route and Method of Delivery (Fetus Not Named)
Fetal delivery information section on the Fetal Death Report
Fetal delivery information Document [US Standard Report of Fetal Death]
Observation - Birth Weight (Fetus Not Named)
Observation - Gestational Age at Delivery (Fetus Not Named)
Condition - Fetal Death Cause or Condition (Fetus Not Named)
Example of Condition-fetal-death-other-significant-cause profile (Fetus Not Named)
Example of Observation-estimated-fetal-death-time-point profile (Fetus Not Named)
Example of Observation-autopsy-performed profile (Fetus Not Named)
Observation - Histological Placental Exam Performed (Fetus Not Named)
Observation - Autopsy or Histological Exam Results Used
Mother Administrative Section on the Fetal Death Report
Observation - Parent Education Level (Carmen Teresa Lee)
Observation - Edit flag estimate of gestation
Observation - Edit flag mother's date of birth
Observation - Edit flag mother's education
Observation - Edit flag mother's prepregnancy weight
Observation - Edit flag number previous cesareans
Generated Narrative: Patient patient-decedent-fetus-not-named UNK Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual, )) Deceased: true Patient Birth Place Ann Arbor MI 48103 US Core Birth Sex Extension F Extension - Patient Fetal Death - Vital Records SNOMED CT (all versions) 276507005: Fetal death (event)
Generated Narrative: Encounter encounter-maternity-carmen-teresa-lee 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, MD) 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, MD)
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 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: Race & Ethnicity - CDC 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: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.">US Core Race Extension: ombCategory: Race & Ethnicity - CDC 2054-5: Black or African American text: Black or African America
Generated Narrative: Observation observation-planned-to-deliver-at-home-not-named status: Final code: Planned to deliver at home? 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: false
Mother Planned to deliver at home [US Standard Certificate of Live Birth]
Generated Narrative: Observation observation-date-of-first-prenatal-care-visit-carmen-teresa-lee status: Final code: Date of first prenatal care visit subject: Patient - Decedent Fetus (Fetus Not Named) focus: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Avery Jones value: 2018-05-18
Generated Narrative: Observation observation-last-menstrual-period-carmen-teresa-lee status: Final code: Last menstrual period start date subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Avery Jones value: 2018-04-18
Generated Narrative: Observation observation-number-births-now-living-carmen-teresa-lee status: Final code: [#] Births.still living subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Avery Jones value: 1
Generated Narrative: Observation observation-number-births-now-dead-carmen-teresa-lee status: Final code: Previous live births now dead # subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Avery Jones value: 0
Generated Narrative: Observation observation-date-of-last-live-birth-carmen-teresa-lee status: Final code: Date of last live birth subject: Patient - Decedent Fetus (Fetus Not Named) focus: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Avery Jones value: 2016-01-28
Generated Narrative: Observation observation-mother-height-carmen-teresa-lee status: Final category: Vital Signs code: Body height Measured subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-01-10 performer: Practitioner Avery Jones value: 65 [in_i] (Details: UCUM code[in_i] = '[in_i]')
Generated Narrative: Observation observation-mother-prepregnancy-weight-carmen-teresa-lee status: Final category: Vital Signs code: Body weight --pre current pregnancy subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-05-20 performer: Practitioner Avery Jones value: 180 [lb_av] (Details: UCUM code[lb_av] = '[lb_av]')
Generated Narrative: Observation observation-mother-received-wic-food-carmen-teresa-lee status: Final code: Did mother get WIC food for herself during this pregnancy? 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: No
Did mother get WIC food for herself during this pregnancy?
Generated Narrative: Observation observation-cig-smoking-pregnancy-1-carmen-teresa-lee 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 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 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 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 status: Final code: Previous cesarean deliveries # subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Avery Jones value: 1
Generated Narrative: Observation observation-fetal-presentation-not-named 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 Avery Jones value: Breech presentation (finding)
Fetal presentation--at birth [US Standard Certificate of Live Birth]
Generated Narrative: Procedure procedure-final-route-method-delivery-not-named status: Completed 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 status: Final category: Vital Signs code: Birth weight Measured subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-02-10 performer: Practitioner Avery Jones value: 1530 g (Details: UCUM codeg = 'g')
Generated Narrative: Observation observation-gestational-age-at-delivery-not-named status: Final code: Gestational age Estimated subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Avery Jones value: 20 wk (Details: UCUM codewk = 'wk')
Generated Narrative: Condition condition-fetal-death-cause-or-condition-not-named 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 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 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 Avery Jones value: Fetal intrapartum death after first assessment (event)
Estimated timing of fetal death [US Standard Report of Fetal Death]
Fetal intrapartum death after first assessment (event)
Generated Narrative: Observation observation-autopsy-performed-not-named status: Final code: Autopsy was performed subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Avery Jones value: Autopsy performed (situation)
Generated Narrative: Observation observation-histological-placental-exam-performed-not-named 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 Avery Jones value: Performed
Histological placental examination was performed [US Standard Report of Fetal Death]
Generated Narrative: Observation observation-autopsy-histological-exam-results-used-not-named 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 Avery Jones value: Yes
Autopsy or histological placental examination results were used [US Standard Report of Fetal Death]
Generated Narrative: Observation observation-parent-education-level-carmen-teresa-lee 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-edit-flag-delivery-wgt-not-named status: Final code: Birth weight Edit flag subject: Decedent Fetus Not Named effective: 2019-12-02 performer: Organization Jurisdictional Vital Records Office value: Off
Generated Narrative: Observation observation-edit-flag-est-gestation-not-named status: Final code: Gestation age Edit flag subject: Decedent Fetus Not Named effective: 2019-12-02 performer: Organization Jurisdictional Vital Records Office value: Off
Generated Narrative: Observation observation-edit-flag-mothers-dob-not-named status: Final code: Mothers birthdate Edit flag subject: Decedent Fetus Not Named effective: 2019-12-02 performer: Organization Jurisdictional Vital Records Office value: Edit Passed
Generated Narrative: Observation observation-edit-flag-mothers-education-not-named status: Final code: Mothers education Edit flag subject: Decedent Fetus Not Named effective: 2019-12-02 performer: Organization Jurisdictional Vital Records Office value: Edit Passed
Generated Narrative: Observation observation-edit-flag-mothers-height-not-named status: Final code: Mothers height Edit flag subject: Decedent Fetus Not Named effective: 2019-12-02 performer: Organization Jurisdictional Vital Records Office value: Edit Passed
Generated Narrative: Observation observation-edit-flag-mothers-prepreg-wgt-not-named status: Final code: Mothers Prepregnancy Weight Edit flag subject: Decedent Fetus Not Named effective: 2019-12-02 performer: Organization Jurisdictional Vital Records Office value: Edit Passed
Generated Narrative: Observation observation-edit-flag-nbr-previous-cesareans-not-named status: Final code: Previous Cesarians Edit flag subject: Decedent Fetus Not Named effective: 2019-12-02 performer: Organization Jurisdictional Vital Records Office value: Edit Passed
Generated Narrative: Observation observation-edit-flag-plurality-not-named status: Final code: Plurality Edit flag subject: Decedent Fetus Not Named effective: 2019-12-02 performer: Organization Jurisdictional Vital Records Office value: Queried, and Correct
Generated Narrative: Practitioner practitioner-vital-records-janet-seito identifier: NPI/223347044 name: Avery Jones Qualifications - Code * Osteopath (occupation)
Generated Narrative: Location location-south-hospital identifier: NPI/116441967701 status: Active name: South Hospital type: 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 active: true patient: Patient - Decedent Fetus (Fetus Not Named) relationship: Gestational Mother name: Carmen Teresa Lee (Official) gender: Female birthDate: 1986-02-15