|
Code
|
Display
|
|
74498-7
|
Autopsy or histological placental examination results were used |
|
73768-4
|
Autopsy was performed |
|
87286-1
|
Birth attendant details |
|
73764-3
|
Birth attendant title |
|
62329-8
|
Birth hospital facility ID |
|
62330-6
|
Birth Hospital Facility Name |
|
57722-1
|
Birth plurality |
|
11638-4
|
Births.still living |
|
80905-3
|
Body disposition method |
|
56077-1
|
Body weight ^ pre current pregnancy |
|
69461-2
|
Body weight^ at delivery |
|
8339-4
|
Body weight^at birth |
|
73780-9
|
Congenital anomalies of the newborn |
|
69044-6
|
Date first prenatal visit |
|
30947-6
|
Date form completed |
|
68499-3
|
Date last live birth |
|
8665-2
|
Date last menstrual period |
|
68500-8
|
Date last other pregnancy outcome |
|
76061-1
|
Death cause other significant conditions |
|
73811-2
|
Estimated time of fetal death |
|
87296-0
|
Father’s reported age in years |
|
87300-0
|
Father's education |
|
87289-5
|
Date of fetal death registration |
|
73761-9
|
Fetal presentation at birth |
|
88241-5
|
Fetal remains disposition method |
|
73762-7
|
Final Route and Method of Delivery |
|
11884-4
|
Gestational age |
|
73767-6
|
Histological placental examination was performed |
|
73760-1
|
If cesarean, a trial of labor was attempted |
|
73769-2
|
Infections present AndOr treated during this pregnancy for fetal death |
|
76060-3
|
Initiating cause of death or condition |
|
68496-9
|
Live births.now dead |
|
73781-7
|
Maternal morbidity |
|
87301-8
|
Mother Married at conception, birth, or between |
|
87303-4
|
Mother Receive WIC food |
|
73763-5
|
Mother was transferred for maternal medical or fetal indications for delivery |
|
83846-6
|
Mother’s body height |
|
57712-2
|
Mother’s education |
|
73777-5
|
Name of facility mother transferred from |
|
87298-6
|
Number of Cigarettes Smoked in 1st 3 months |
|
87299-4
|
Number of Cigarettes Smoked in 2nd 3 months |
|
64794-1
|
Number of Cigarettes Smoked in 3 months prior to Pregnancy |
|
64795-8
|
Number of Cigarettes Smoked in third or last trimester |
|
73772-6
|
Number of fetal deaths delivered |
|
73773-4
|
Number of infants in this delivery born alive |
|
69043-8
|
Other pregnancy outcomes |
|
88081-5
|
Person completing form title |
|
73766-8
|
Place where birth occurred |
|
73765-0
|
Planned to deliver at home |
|
68493-6
|
Prenatal visits for this pregnancy |
|
68497-7
|
Previous cesarean deliveries |
|
73775-9
|
Risk Factors in this Pregnancy |
|
73778-3
|
Suspected chromosomal disorder karyotype status |