Birth details - To be completed by health professional
  Name of child: ____________________________________
            Sex: __
            
  Neonatal Information
    Birth Weight (kg): ___________
    Birth Length (cm): ___________
    Vitamin K given  : __
             1st dose: ___________
             2nd dose: ___________
    Hep B given      : __
      Date given     : ___________
    Abnormalities noted at birth:
      _______________________________________________
<status value="draft"/><subjectType value="Patient"/><date value="2013-02-19"/><publisher value="HL7 International / FHIR Infrastructure"/><contact><telecom><system value="url"/><value value="http://www.hl7.org/Special/committees/fiwg"/></telecom></contact><description value="NSW Government My Personal Health Record"/><jurisdiction><coding><system value="urn:iso:std:iso:3166"/><code value="AU"/></coding></jurisdiction><item><linkId value="birthDetails"/><text value="Birth details - To be completed by health professional"/><type value="group"/><item><linkId value="group"/><type value="group"/><item><linkId value="nameOfChild"/><text value="Name of child"/><type value="string"/></item><item><linkId value="sex"/><text value="Sex"/><type value="coding"/><answerOption><valueCoding><code value="F"/></valueCoding></answerOption><answerOption><valueCoding><code value="M"/></valueCoding></answerOption></item></item><item><linkId value="neonatalInformation"/><text value="Neonatal Information"/><type value="group"/><item><linkId value="birthWeight"/><text value="Birth weight (kg)"/><type value="decimal"/></item><item><linkId value="birthLength"/><text value="Birth length (cm)"/><type value="decimal"/></item><item><linkId value="vitaminKgiven"/><text value="Vitamin K given"/><type value="coding"/><answerOption><valueCoding><code value="INJECTION"/></valueCoding></answerOption><answerOption><valueCoding><code value="INTRAVENOUS"/></valueCoding></answerOption><answerOption><valueCoding><code value="ORAL"/></valueCoding></answerOption><item><linkId value="vitaminKgivenDoses"/><type value="group"/><enableWhen><question value="vitaminKgiven"/><operator value="exists"/><answerBoolean value="true"/></enableWhen><item><linkId value="vitaminKDose1"/><text value="1st dose"/><type value="dateTime"/></item><item><linkId value="vitaminKDose2"/><text value="2nd dose"/><type value="dateTime"/></item></item></item><item><linkId value="hepBgiven"/><text value="Hep B given y / n"/><type value="boolean"/><item><linkId value="hepBgivenDate"/><text value="Date given"/><type value="date"/></item></item><item><linkId value="abnormalitiesAtBirth"/><text value="Abnormalities noted at birth"/><type value="string"/></item></item></item></Questionnaire>