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 |
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 |
73779-1
|
Down syndrome karyotype status |
73811-2
|
Estimated time of fetal death |
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 |
73763-5
|
Mother was transferred for maternal medical or fetal indications for delivery |
73777-5
|
Name of facility mother transferred from |
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 |