Birth And Fetal Death (BFDR) - STU2-ballot
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Birth And Fetal Death (BFDR) - STU2-ballot, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-Preview1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-bfdr/ and changes regularly. See the Directory of published versions

Example Bundle: Bundle - Provider Fetal Death Report - Fetus Not Named


Generated Narrative: Composition

Resource Composition "composition-provider-fetal-death-not-named"

Profile: Composition - Provider Fetal Death Report

status: FINAL

type: U.S. standard report of fetal death - 2003 revision (LOINC#69045-3)

encounter: See on this page: Encounter/encounter-maternity-carmen-teresa-lee

date: 2019-01-09

author: See on this page: Practitioner/practitioner-vital-records-jessica-leung

title: Provider fetal death report Document


Prenatal records

Clinical info

Fetal delivery information Document [US Standard Report of Fetal Death]

Mother's admin info

Father's admin info

Patient's QuestionnaireResponse Section


Additional Document Content


2. http://www.example.org/fhir/Patient/patient-decedent-fetus-not-named (Patient/patient-decedent-fetus-not-named)

Anonymous Patient Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual))


3. http://www.example.org/fhir/Encounter/encounter-maternity-carmen-teresa-lee (Encounter/encounter-maternity-carmen-teresa-lee)

Not done yet


4. http://www.example.org/fhir/Patient/patient-mother-carmen-teresa-lee (Patient/patient-mother-carmen-teresa-lee)

Anonymous Patient Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual))


5. http://www.example.org/fhir/Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee (Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-date-of-first-prenatal-care-visit-carmen-teresa-lee"

Profile: Observation - Date of First Prenatal Care Visit

status: FINAL

code: Date of first prenatal care visit (LOINC#69044-6)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

focus: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: 2018-05-18


6. http://www.example.org/fhir/Observation/observation-last-menstrual-period-carmen-teresa-lee (Observation/observation-last-menstrual-period-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-last-menstrual-period-carmen-teresa-lee"

Profile: Observation - Last Menstrual Period

status: FINAL

code: Last menstrual period start date (LOINC#8665-2)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

effective: 2018-05-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: 2018-04-18


7. http://www.example.org/fhir/Observation/observation-number-births-now-living-carmen-teresa-lee (Observation/observation-number-births-now-living-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-number-births-now-living-carmen-teresa-lee"

Profile: Observation - Number of Births Now Living

status: FINAL

code: [#] Births.still living (LOINC#11638-4)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: 1


8. http://www.example.org/fhir/Observation/observation-number-births-now-dead-carmen-teresa-lee (Observation/observation-number-births-now-dead-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-number-births-now-dead-carmen-teresa-lee"

Profile: Observation - Number of Births Now Dead

status: FINAL

code: Previous live births now dead # (LOINC#68496-9)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: 0


9. http://www.example.org/fhir/Observation/observation-date-of-last-live-birth-carmen-teresa-lee (Observation/observation-date-of-last-live-birth-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-date-of-last-live-birth-carmen-teresa-lee"

Profile: Observation - Date of Last Live Birth

status: FINAL

code: Date of last live birth (LOINC#68499-3 "Date last live birth")

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: 2016-01-28


10. http://www.example.org/fhir/Observation/observation-mother-height-carmen-teresa-lee (Observation/observation-mother-height-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-mother-height-carmen-teresa-lee"

Profile: Observation - Mother Height

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Body height (LOINC#8302-2)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

effective: 2019-01-10

performer: See on this page: Patient/patient-mother-carmen-teresa-lee

value: 65 in (Details: UCUM code [in_i] = '[in_i]')


11. http://www.example.org/fhir/Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee (Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-mother-prepregnancy-weight-carmen-teresa-lee"

Profile: Observation - Mother Prepregnancy Weight

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Body weight --pre current pregnancy (LOINC#56077-1)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: 180 [lb_av] (Details: UCUM code [lb_av] = '[lb_av]')


12. http://www.example.org/fhir/Observation/observation-mother-received-wic-food-carmen-teresa-lee (Observation/observation-mother-received-wic-food-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-mother-received-wic-food-carmen-teresa-lee"

Profile: Observation - Mother Recieved WIC Food

status: FINAL

code: Mother WIC food recipient (LOINC#87303-4)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

focus: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Patient/patient-mother-carmen-teresa-lee

value: No (v2 Y/N Indicator#N)


13. http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee (Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-cig-smoking-pregnancy-1-carmen-teresa-lee"

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] (LOINC#64794-1)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

focus: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Patient/patient-mother-carmen-teresa-lee

value: 0


14. http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee (Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-cig-smoking-pregnancy-2-carmen-teresa-lee"

Profile: Observation - Cigarette Smoking Before and During Pregnancy

status: FINAL

code: Cigarettes smoked per day by Mother--1st trimester (LOINC#87298-6)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

focus: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Patient/patient-mother-carmen-teresa-lee

value: 0


15. http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee (Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-cig-smoking-pregnancy-3-carmen-teresa-lee"

Profile: Observation - Cigarette Smoking Before and During Pregnancy

status: FINAL

code: Cigarettes smoked per day by Mother--2nd trimester (LOINC#87299-4)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

focus: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Patient/patient-mother-carmen-teresa-lee

value: 1


16. http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee (Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-cig-smoking-pregnancy-4-carmen-teresa-lee"

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] (LOINC#64795-8)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

focus: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Patient/patient-mother-carmen-teresa-lee

value: 0


17. http://www.example.org/fhir/Observation/observation-number-previous-cesareans-carmen-teresa-lee (Observation/observation-number-previous-cesareans-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-number-previous-cesareans-carmen-teresa-lee"

Profile: Observation - Number of Previous Cesareans

status: FINAL

code: Previous cesarean deliveries # (LOINC#68497-7)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: 1


18. http://www.example.org/fhir/Condition/condition-gestational-diabetes-carmen-teresa-lee (Condition/condition-gestational-diabetes-carmen-teresa-lee)

Generated Narrative: Condition

Resource Condition "condition-gestational-diabetes-carmen-teresa-lee"

Profile: Condition - Gestational Diabetes

clinicalStatus: Active (Condition Clinical Status Codes#active)

category: Problem List Item (Condition Category Codes#problem-list-item), Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth] (LOINC#73775-9)

code: Gestational diabetes mellitus (disorder) (SNOMED CT#11687002)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

onset: 2018-12-12


19. http://www.example.org/fhir/Observation/observation-fetal-presentation-not-named (Observation/observation-fetal-presentation-not-named)

Generated Narrative: Observation

Resource Observation "observation-fetal-presentation-not-named"

Profile: Observation - Fetal Presentation at Birth/Delivery

status: FINAL

code: Fetal presentation--at birth [US Standard Certificate of Live Birth] (LOINC#73761-9)

subject: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: Breech presentation (finding) (SNOMED CT#6096002)


20. http://www.example.org/fhir/Procedure/procedure-final-route-method-delivery-not-named (Procedure/procedure-final-route-method-delivery-not-named)

Generated Narrative: Procedure

Resource Procedure "procedure-final-route-method-delivery-not-named"

Profile: Procedure - Final Route and Method of Delivery

status: COMPLETED

category: Final route and method of delivery [US Standard Certificate of Live Birth] (LOINC#73762-7)

code: Spontaneous vaginal delivery (SNOMED CT#700000006 "Vaginal delivery of fetus (procedure)")

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)


21. http://www.example.org/fhir/Observation/observation-birth-weight-not-named (Observation/observation-birth-weight-not-named)

Generated Narrative: Observation

Resource Observation "observation-birth-weight-not-named"

Profile: Observation - Birth Weight

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Birth weight Measured (LOINC#8339-4)

subject: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-01-10

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: 1530 g (Details: UCUM code g = 'g')


22. http://www.example.org/fhir/Observation/observation-gestational-age-at-delivery-not-named (Observation/observation-gestational-age-at-delivery-not-named)

Generated Narrative: Observation

Resource Observation "observation-gestational-age-at-delivery-not-named"

Profile: Observation - Gestational Age at Delivery

status: FINAL

code: Gestational age Estimated (LOINC#11884-4)

subject: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: 20 wk (Details: UCUM code wk = 'wk')


23. http://www.example.org/fhir/Condition/condition-fetal-death-cause-or-condition-not-named (Condition/condition-fetal-death-cause-or-condition-not-named)

Generated Narrative: Condition

Resource Condition "condition-fetal-death-cause-or-condition-not-named"

Profile: Condition - Fetal Death Cause or Condition

category: Encounter Diagnosis (Condition Category Codes#encounter-diagnosis), Initiating cause or condition of fetal death [US Standard Report of Fetal Death] (LOINC#76060-3)

code: Premature rupture of membranes (disorder) (SNOMED CT#44223004)

subject: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)


24. http://www.example.org/fhir/Condition/condition-fetal-death-other-significant-cause-not-named (Condition/condition-fetal-death-other-significant-cause-not-named)

Generated Narrative: Condition

Resource Condition "condition-fetal-death-other-significant-cause-not-named"

Profile: Condition - Fetal Death Other Cause or Condition

category: Encounter Diagnosis (Condition Category Codes#encounter-diagnosis), Other significant causes or conditions of fetal death [US Standard Report of Fetal Death] (LOINC#76061-1)

code: Placental insufficiency (disorder) (SNOMED CT#237292005)

subject: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)


25. http://www.example.org/fhir/Observation/observation-fetal-death-time-point-not-named (Observation/observation-fetal-death-time-point-not-named)

Generated Narrative: Observation

Resource Observation "observation-fetal-death-time-point-not-named"

Profile: Observation - Fetal Death Time Point

status: FINAL

code: Estimated timing of fetal death [US Standard Report of Fetal Death] (LOINC#73811-2)

subject: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: Fetal intrapartum death after first assessment (event) (SNOMED CT#434631000124100)


26. http://www.example.org/fhir/Observation/observation-autopsy-performed-not-named (Observation/observation-autopsy-performed-not-named)

Generated Narrative: Observation

Resource Observation "observation-autopsy-performed-not-named"

Profile: Observation - Autopsy Performed Indicator Vital Records

status: FINAL

code: Autopsy was performed (LOINC#85699-7)

subject: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: Yes (v2 Y/N Indicator#Y)


27. http://www.example.org/fhir/Observation/observation-histological-placental-exam-performed-not-named (Observation/observation-histological-placental-exam-performed-not-named)

Generated Narrative: Observation

Resource Observation "observation-histological-placental-exam-performed-not-named"

Profile: Observation - Histological Placental Exam Performed

status: FINAL

code: Was an histological placental examination performed? (LOINC#73767-6)

subject: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: Performed (SNOMED CT#398166005)


28. http://www.example.org/fhir/Observation/observation-autopsy-histological-exam-results-used-not-named (Observation/observation-autopsy-histological-exam-results-used-not-named)

Generated Narrative: Observation

Resource Observation "observation-autopsy-histological-exam-results-used-not-named"

Profile: Observation - Autopsy or Histological Exam Results Used

status: FINAL

code: Autopsy or histological placental examination results were used [US Standard Report of Fetal Death] (LOINC#74498-7)

subject: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: Yes (v2 Y/N Indicator#Y)


29. http://www.example.org/fhir/Observation/observation-number-deaths-this-delivery-carmen-teresa-lee (Observation/observation-number-deaths-this-delivery-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-number-deaths-this-delivery-carmen-teresa-lee"

Profile: Observation - Number of Fetal Deaths This Delivery

status: FINAL

code: Number of fetal deaths delivered (LOINC#73772-6)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

focus: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: See on this page: Practitioner/practitioner-vital-records-janet-seito

value: 1


30. http://www.example.org/fhir/Observation/observation-parent-education-level-carmen-teresa-lee (Observation/observation-parent-education-level-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-parent-education-level-carmen-teresa-lee"

Profile: Observation - Education Level Vital Records

status: FINAL

code: Highest level of education Mother (LOINC#57712-2)

subject: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

focus: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: See on this page: Patient/patient-mother-carmen-teresa-lee

value: 9th through 12th grade; no diploma (Education Level#SEC "Some secondary or high school education")


31. http://www.example.org/fhir/Observation/observation-usual-work-carmen-teresa-lee (Observation/observation-usual-work-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-usual-work-carmen-teresa-lee"

Profile: Observation - Usual Work

Role Vital Records: mother (RoleCode#MTH)

status: FINAL

code: Hx of Usual occupation (LOINC#21843-8)

subject: See on this page: Patient/patient-decedent-fetus-not-named

focus: See on this page: RelatedPerson/relatedperson-mother-carmen-teresa-lee

value: Secretary ()

Components

-CodeValue[x]
*Hx of Usual industry (LOINC#21844-6)State Agency ()


32. http://www.example.org/fhir/Observation/observation-usual-work-tom-yan-lee (Observation/observation-usual-work-tom-yan-lee)

Generated Narrative: Observation

Resource Observation "observation-usual-work-tom-yan-lee"

Profile: Observation - Usual Work

Role Vital Records: father (RoleCode#FTH)

status: FINAL

code: Hx of Usual occupation (LOINC#21843-8)

subject: See on this page: Patient/patient-decedent-fetus-not-named

focus: See on this page: RelatedPerson/relatedperson-father-natural-tom-yan-lee

value: Teaching Assistant ()

Components

-CodeValue[x]
*Hx of Usual industry (LOINC#21844-6)Elementary and Secondary Schools ()


33. http://www.example.org/fhir/Observation/observation-input-race-and-ethnicity-carmen-teresa-lee (Observation/observation-input-race-and-ethnicity-carmen-teresa-lee)

Generated Narrative: Observation

Resource Observation "observation-input-race-and-ethnicity-carmen-teresa-lee"

Profile: Observation - Input Race and Ethnicity Vital Records

status: FINAL

code: Mother Input Race and Ethnicity (Local Observation Codes Vital Records#inputraceandethnicityMother)

subject: See on this page: Patient/patient-mother-carmen-teresa-lee: Patient - Mother (Carmen Teresa Lee)

component

code: White (Local Component Codes#White)

value: true

component

code: Black Or African American (Local Component Codes#BlackOrAfricanAmerican)

value: true

component

code: American Indian Or Alaska Native (Local Component Codes#AmericanIndianOrAlaskanNative)

value: true

component

code: Asian Indian (Local Component Codes#AsianIndian)

value: false

component

code: Chinese (Local Component Codes#Chinese)

value: false

component

code: Filipino (Local Component Codes#Filipino)

value: false

component

code: Japanese (Local Component Codes#Japanese)

value: false

component

code: Korean (Local Component Codes#Korean)

value: false

component

code: Vietnamese (Local Component Codes#Vietnamese)

value: false

component

code: Other Asian (Local Component Codes#OtherAsian)

value: false

component

code: Native Hawaiian (Local Component Codes#NativeHawaiian)

value: false

component

code: Guamanian Or Chamorro (Local Component Codes#GuamanianOrChamorro)

value: false

component

code: Samoan (Local Component Codes#Samoan)

value: false

component

code: Other Pacific Islander (Local Component Codes#OtherPacificIslander)

value: false

component

code: Other Race (Local Component Codes#OtherRace)

value: false

component

code: First Other Asian Literal (Local Component Codes#FirstOtherAsianLiteral)

value: Malaysian

component

code: First American Indian Or Alaska Native Literal (Local Component Codes#FirstAmericanIndianOrAlaskanNativeLiteral)

value: Arikara

component

code: Hispanic Mexican (Local Component Codes#HispanicMexican)

value: Yes (v2 Y/N Indicator#Y)

component

code: Hispanic Cuban (Local Component Codes#HispanicCuban)

value: Yes (v2 Y/N Indicator#Y)

component

code: Hispanic Puerto Rican (Local Component Codes#HispanicPuertoRican)

value: Yes (v2 Y/N Indicator#Y)

component

code: Hispanic Other (Local Component Codes#HispanicOther)

value: No (v2 Y/N Indicator#N)


34. http://www.example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee (QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee)

LinkIdTextDefinitionAnswerdoco
.. QuestionnaireResponse-patients-fetal-death-carmen-leeQuestionnaireResponse
... mother-current-legal-nameWhat is your current legal name?
... mother-addressWhere do you usually live - that is - where is your household/residence located?
... inside-city-limitsIs this household inside city limits (inside the incorporated limits of the city, town, or location where you live)?
... mother-dobWhat is your date of birth?
... mother-birthplaceIn what State, U.S. territory, or foreign country were you born? Please specify one of the following:
... mother-educationWhat 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).
... mother-ethnicity
... mother-ethnicity-mexican
... mother-ethnicity-puerto-rican
... mother-ethnicity-cuban
... mother-ethnicity-other
... mother-race
... father-current-legal-nameWhat is the current legal name of your baby's father?
... father-dobWhat is the father's date of birth?
... father-birthplaceIn what State, U.S. territory, or foreign country was the father born? Please specify one of the following:
... receive-wicDid you receive WIC (Women, Infants and Children) food for yourself during this pregnancy?
... mothers-heightWhat is your height?
... mothers-prepregnancy-weightlbs
... mothers-smokingHow 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.

doco Documentation for this format


35. http://www.example.org/fhir/Practitioner/practitioner-vital-records-janet-seito (Practitioner/practitioner-vital-records-janet-seito)

Generated Narrative: Practitioner

Resource 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) (SNOMED CT#76231001)


36. http://www.example.org/fhir/Location/location-south-hospital (Location/location-south-hospital)

Generated Narrative: Location

Resource Location "location-south-hospital"

Profile: Birth and Fetal Death Location

identifier: NPI/116441967701

status: ACTIVE

name: South Hospital

type: Hospital (RoleCode#HOSP), Birth Location (Local BFDR Codes#loc_birth)

address: 2100 North Ave Salt Lake City UT 84116 US

Positions

-LongitudeLatitude
*40.8111.9

managingOrganization: See on this page: Organization/organization-south-hospital: Organization - South Hospital


37. http://www.example.org/fhir/Organization/organization-south-hospital (Organization/organization-south-hospital)

Generated Narrative: Organization

Resource Organization "organization-south-hospital"

identifier: NPI/5555512

active: true

type: Hospital (RoleCode#HOSP)

name: South Hospital

Contacts

-TelecomAddress
*+1-555-555-1111, mail@southhospital.com2100 North Ave Salt Lake City UT 84116 US


38. http://www.example.org/fhir/RelatedPerson/relatedperson-mother-carmen-teresa-lee (RelatedPerson/relatedperson-mother-carmen-teresa-lee)

Generated Narrative: RelatedPerson

Resource RelatedPerson "relatedperson-mother-carmen-teresa-lee"

Profile: RelatedPerson - Mother Vital Records

active: true

patient: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

relationship: Gestational Mother (RoleCode#GESTM "gestational mother")

name: Carmen Teresa Lee (Official)

gender: FEMALE

birthDate: 1986-02-15


39. http://www.example.org/fhir/RelatedPerson/relatedperson-father-natural-tom-yan-lee (RelatedPerson/relatedperson-father-natural-tom-yan-lee)

Generated Narrative: RelatedPerson

Resource RelatedPerson "relatedperson-father-natural-tom-yan-lee"

Profile: RelatedPerson - Father Natural Vital Records

RelatedPerson Birth Place Vital Records: NY

active: true

patient: See on this page: Patient/patient-decedent-fetus-not-named: Patient - Decedent Fetus (Fetus Not Named)

relationship: Natural Father (RoleCode#NFTH "natural father")

name: Tom Yan Lee (Official)

gender: MALE

birthDate: 1984-02-27


40. http://www.example.org/fhir/Practitioner/practitioner-vital-records-jessica-leung (Practitioner/practitioner-vital-records-jessica-leung)

Generated Narrative: Practitioner

Resource Practitioner "practitioner-vital-records-jessica-leung"

Profile: Practitioner - Vital Records

identifier: NPI/223347055

name: Leung Jessica

Qualifications

-Code
*Birth Clerk (NullFlavor#OTH "other")