Birth Defects Reporting - STU1
0.1.2 - draft

Birth Defects Reporting - STU1, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 0.1.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-birthdefectsreporting-ig/ and changes regularly. See the Directory of published versions

## : BDRMessageBundleExample - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Bundle ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "BDRMessageBundleExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-bundle"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-bundle>     ] )
      ] ; #
      fhir:identifier [
    fhir:value [ fhir:v "12345" ]
      ] ; #
      fhir:type [ fhir:v "message"] ; #
      fhir:timestamp [ fhir:v "2020-07-15T13:28:17.239+05:00"^^xsd:dateTime] ; #
      fhir:entry ( [
    fhir:fullUrl [ fhir:v "http://acme.com/ehr/fhir/MessageHeader/BDRMessageHeaderExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://acme.com/ehr/fhir/MessageHeader/BDRMessageHeaderExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://acme.com/ehr/fhir/Condition/ReportableDiagnosisExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://acme.com/ehr/fhir/Condition/ReportableDiagnosisExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://acme.com/ehr/fhir/Organization/ClinicSubmitterExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://acme.com/ehr/fhir/Organization/ClinicSubmitterExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://acme.com/ehr/fhir/Patient/PatientChildExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://acme.com/ehr/fhir/Patient/PatientChildExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://acme.com/ehr/fhir/RelatedPerson/MotherRelatedPersonExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://acme.com/ehr/fhir/RelatedPerson/MotherRelatedPersonExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://acme.com/ehr/fhir/RelatedPerson/FatherRelatedPersonExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://acme.com/ehr/fhir/RelatedPerson/FatherRelatedPersonExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://acme.com/ehr/fhir/Observation/MotherEducationExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://acme.com/ehr/fhir/Observation/MotherEducationExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://acme.com/ehr/fhir/Observation/FatherEducationExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://acme.com/ehr/fhir/Observation/FatherEducationExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://acme.com/ehr/fhir/Observation/InfantLivingExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://acme.com/ehr/fhir/Observation/InfantLivingExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://acme.com/ehr/fhir/Observation/MotherAlcoholUseExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://acme.com/ehr/fhir/Observation/MotherAlcoholUseExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://acme.com/ehr/fhir/Procedure/ConfirmatoryTestExampleWES"^^xsd:anyURI ] ;
        ( fhir:resource <http://acme.com/ehr/fhir/Procedure/ConfirmatoryTestExampleWES> )
      ] ) . #

    <http://acme.com/ehr/fhir/MessageHeader/BDRMessageHeaderExample> a fhir:MessageHeader ;
      fhir:id [ fhir:v "BDRMessageHeaderExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-messageheader"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-messageheader>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_BDRMessageHeaderExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader BDRMessageHeaderExample</b></p><a name=\"BDRMessageHeaderExample\"> </a><a name=\"hcBDRMessageHeaderExample\"> </a><a name=\"BDRMessageHeaderExample-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-bdr-messageheader.html\">MessageHeader - Birth Defect</a></p></div><p><b>event</b>: <a href=\"https://loinc.org/75609-8\">LOINC 75609-8</a>: Birth defects Outpatient Registry report</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Michigan BDRS</td><td><a href=\"http://acme.com\">http://acme.com</a></td></tr></table><p><b>sender</b>: <a href=\"Organization-ClinicSubmitterExample.html\">Organization Westside Clinic</a></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>EHR</td><td><a href=\"http://acme.com\">http://acme.com</a></td></tr></table><p><b>focus</b>: <a href=\"Condition-ReportableDiagnosisExample.html\">Condition 12q14 microdeletion syndrome (disorder)</a></p></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:event [
    a fhir:Coding, loinc:75609-8 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "75609-8" ] ;
    fhir:display [ fhir:v "Birth defects Outpatient Registry report" ]
      ] ; #
      fhir:destination ( [
    fhir:name [ fhir:v "Michigan BDRS" ] ;
    fhir:endpoint [ fhir:v "http://acme.com"^^xsd:anyURI ]
      ] ) ; #
      fhir:sender [
    fhir:reference [ fhir:v "Organization/ClinicSubmitterExample" ]
      ] ; #
      fhir:source [
    fhir:name [ fhir:v "EHR" ] ;
    fhir:endpoint [ fhir:v "http://acme.com"^^xsd:anyURI ]
      ] ; #
      fhir:focus ( [
    fhir:reference [ fhir:v "Condition/ReportableDiagnosisExample" ]
      ] ) . #

    <http://acme.com/ehr/fhir/Condition/ReportableDiagnosisExample> a fhir:Condition ;
      fhir:id [ fhir:v "ReportableDiagnosisExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-reportablediagnosis"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-reportablediagnosis>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_ReportableDiagnosisExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition ReportableDiagnosisExample</b></p><a name=\"ReportableDiagnosisExample\"> </a><a name=\"hcReportableDiagnosisExample\"> </a><a name=\"ReportableDiagnosisExample-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-bdr-reportablediagnosis.html\">Condition - Reportable Diagnosis</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 719046005}\">12q14 microdeletion syndrome (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>onset</b>: 2020-07-15</p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Procedure-ConfirmatoryTestExampleWES.html\">Procedure Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis</a></td></tr></table></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:clinicalStatus [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "active" ] ;
    fhir:display [ fhir:v "Active" ]     ] )
      ] ; #
      fhir:verificationStatus [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "confirmed" ] ;
    fhir:display [ fhir:v "Confirmed" ]     ] )
      ] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "encounter-diagnosis" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a sct:719046005 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "719046005" ] ;
    fhir:display [ fhir:v "12q14 microdeletion syndrome (disorder)" ]     ] )
      ] ; #
      fhir:subject [
    fhir:reference [ fhir:v "Patient/PatientChildExample" ]
      ] ; #
      fhir:onset [
    a fhir:dateTime ;
    fhir:v "2020-07-15"^^xsd:date
      ] ; #
      fhir:evidence ( [
        ( fhir:detail [
    fhir:reference [ fhir:v "Procedure/ConfirmatoryTestExampleWES" ]     ] )
      ] ) . #

    <http://acme.com/ehr/fhir/Organization/ClinicSubmitterExample> a fhir:Organization ;
      fhir:id [ fhir:v "ClinicSubmitterExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-organization"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-organization>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ClinicSubmitterExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ClinicSubmitterExample</b></p><a name=\"ClinicSubmitterExample\"> </a><a name=\"hcClinicSubmitterExample\"> </a><a name=\"ClinicSubmitterExample-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-bdr-organization.html\">Organization - Submitter</a></p></div><p><b>identifier</b>: Provider number/1993999998</p><p><b>active</b>: true</p><p><b>name</b>: Westside Clinic</p><p><b>telecom</b>: ph: 734-555-0001</p><p><b>address</b>: 67 Main Steet Ann Arbor MI 48105 </p></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:identifier ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "PRN" ]       ] )     ] ;
    fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "1993999998" ]
      ] ) ; #
      fhir:active [ fhir:v true] ; #
      fhir:name [ fhir:v "Westside Clinic"] ; #
      fhir:telecom ( [
    fhir:system [ fhir:v "phone" ] ;
    fhir:value [ fhir:v "734-555-0001" ]
      ] ) ; #
      fhir:address ( [
        ( fhir:line [ fhir:v "67 Main Steet" ] ) ;
    fhir:city [ fhir:v "Ann Arbor" ] ;
    fhir:state [ fhir:v "MI" ] ;
    fhir:postalCode [ fhir:v "48105" ]
      ] ) . #

    <http://acme.com/ehr/fhir/Patient/PatientChildExample> a fhir:Patient ;
      fhir:id [ fhir:v "PatientChildExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_PatientChildExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient PatientChildExample</b></p><a name=\"PatientChildExample\"> </a><a name=\"hcPatientChildExample\"> </a><a name=\"PatientChildExample-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vr-common-library/STU2/StructureDefinition-Patient-child-vr.html\">Patient - Child Vital Records</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td>false</td><td style=\"background-color: #f3f5da\" title=\"Known multipleBirth status of Patient\">Multiple Birth:</td><td colspan=\"3\">1</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Social Beneficiary Identifier/123456789</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">45 East 66th St Ann Arbor MI 48105 </td></tr><tr><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:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2186-5\">CDC Race and Ethnicity 2186-5</a>: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">M</td></tr><tr><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#3) 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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2106-3\">CDC Race and Ethnicity 2106-3</a>: White</li><li>text: White</li></ul></td></tr></table></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:extension ( [
        ( fhir:extension [
    fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "2106-3" ] ;
    fhir:display [ fhir:v "White" ]       ]     ] [
    fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "White"       ]     ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "2186-5" ] ;
    fhir:display [ fhir:v "Not Hispanic or Latino" ]       ]     ] [
    fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "Not Hispanic or Latino"       ]     ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "M"     ]
      ] ) ; #
      fhir:identifier ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "MR" ]       ] )     ] ;
    fhir:system [ fhir:v "http://www.acme.com/identifiers/patient"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "1234" ]
      ] [
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "SB" ]       ] )     ] ;
    fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-ssn"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "123456789" ]
      ] ) ; #
      fhir:name ( [
    fhir:use [ fhir:v "official" ] ;
    fhir:family [ fhir:v "Wellington" ] ;
        ( fhir:given [ fhir:v "Gene" ] [ fhir:v "Austin" ] )
      ] ) ; #
      fhir:gender [ fhir:v "male"] ; #
      fhir:birthDate [ fhir:v "2020-04-28"^^xsd:date] ; #
      fhir:deceased [
    a fhir:boolean ;
    fhir:v false
      ] ; #
      fhir:address ( [
        ( fhir:line [ fhir:v "45 East 66th St" ] ) ;
    fhir:city [ fhir:v "Ann Arbor" ] ;
    fhir:state [ fhir:v "MI" ] ;
    fhir:postalCode [ fhir:v "48105" ]
      ] ) ; #
      fhir:multipleBirth [
    a fhir:integer ;
    fhir:v 1
      ] . #

    <http://acme.com/ehr/fhir/RelatedPerson/MotherRelatedPersonExample> a fhir:RelatedPerson ;
      fhir:id [ fhir:v "MotherRelatedPersonExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_MotherRelatedPersonExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson MotherRelatedPersonExample</b></p><a name=\"MotherRelatedPersonExample\"> </a><a name=\"hcMotherRelatedPersonExample\"> </a><a name=\"MotherRelatedPersonExample-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vr-common-library/STU2/StructureDefinition-RelatedPerson-mother-vr.html\">RelatedPerson - Mother Vital Records</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">Mother</span></p><p><b>name</b>: Sara Wellington </p><p><b>telecom</b>: ph: 734-555-6291(Mobile)</p><p><b>gender</b>: Female</p><p><b>birthDate</b>: 1991-10-19</p><p><b>address</b>: 425 East 66th St Ann Arbor MI 48105 </p><h3>Communications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span></td></tr></table></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:active [ fhir:v true] ; #
      fhir:patient [
    fhir:reference [ fhir:v "Patient/PatientChildExample" ]
      ] ; #
      fhir:relationship ( [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "MTH" ] ;
    fhir:display [ fhir:v "Mother" ]     ] )
      ] ) ; #
      fhir:name ( [
    fhir:family [ fhir:v "Wellington" ] ;
        ( fhir:given [ fhir:v "Sara" ] )
      ] ) ; #
      fhir:telecom ( [
    fhir:system [ fhir:v "phone" ] ;
    fhir:value [ fhir:v "734-555-6291" ] ;
    fhir:use [ fhir:v "mobile" ]
      ] ) ; #
      fhir:gender [ fhir:v "female"] ; #
      fhir:birthDate [ fhir:v "1991-10-19"^^xsd:date] ; #
      fhir:address ( [
        ( fhir:line [ fhir:v "425 East 66th St" ] ) ;
    fhir:city [ fhir:v "Ann Arbor" ] ;
    fhir:state [ fhir:v "MI" ] ;
    fhir:postalCode [ fhir:v "48105" ]
      ] ) ; #
      fhir:communication ( [
    fhir:language [
          ( fhir:coding [
    fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "en" ] ;
    fhir:display [ fhir:v "English" ]       ] )     ]
      ] ) . #

    <http://acme.com/ehr/fhir/RelatedPerson/FatherRelatedPersonExample> a fhir:RelatedPerson ;
      fhir:id [ fhir:v "FatherRelatedPersonExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_FatherRelatedPersonExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson FatherRelatedPersonExample</b></p><a name=\"FatherRelatedPersonExample\"> </a><a name=\"hcFatherRelatedPersonExample\"> </a><a name=\"FatherRelatedPersonExample-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vr-common-library/STU2/StructureDefinition-RelatedPerson-father-natural-vr.html\">RelatedPerson - Father Natural Vital Records</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode NFTH}\">natural father</span></p><p><b>name</b>: Adam Wellington </p><p><b>telecom</b>: ph: 734-555-9087(Mobile)</p><p><b>gender</b>: Male</p><p><b>birthDate</b>: 1992-03-17</p><p><b>address</b>: 425 East 66th St Ann Arbor MI 48105 </p><h3>Communications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span></td></tr></table></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:active [ fhir:v true] ; #
      fhir:patient [
    fhir:reference [ fhir:v "Patient/PatientChildExample" ]
      ] ; #
      fhir:relationship ( [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "NFTH" ] ;
    fhir:display [ fhir:v "natural father" ]     ] )
      ] ) ; #
      fhir:name ( [
    fhir:family [ fhir:v "Wellington" ] ;
        ( fhir:given [ fhir:v "Adam" ] )
      ] ) ; #
      fhir:telecom ( [
    fhir:system [ fhir:v "phone" ] ;
    fhir:value [ fhir:v "734-555-9087" ] ;
    fhir:use [ fhir:v "mobile" ]
      ] ) ; #
      fhir:gender [ fhir:v "male"] ; #
      fhir:birthDate [ fhir:v "1992-03-17"^^xsd:date] ; #
      fhir:address ( [
        ( fhir:line [ fhir:v "425 East 66th St" ] ) ;
    fhir:city [ fhir:v "Ann Arbor" ] ;
    fhir:state [ fhir:v "MI" ] ;
    fhir:postalCode [ fhir:v "48105" ]
      ] ) ; #
      fhir:communication ( [
    fhir:language [
          ( fhir:coding [
    fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "en" ] ;
    fhir:display [ fhir:v "English" ]       ] )     ]
      ] ) . #

    <http://acme.com/ehr/fhir/Observation/MotherEducationExample> a fhir:Observation ;
      fhir:id [ fhir:v "MotherEducationExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_MotherEducationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation MotherEducationExample</b></p><a name=\"MotherEducationExample\"> </a><a name=\"hcMotherEducationExample\"> </a><a name=\"MotherEducationExample-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vr-common-library/STU2/StructureDefinition-Observation-education-level-vr.html\">Observation - Education Level Vital Records</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 57712-2}\">Highest level of education Mother</span></p><p><b>subject</b>: <a href=\"Patient-PatientNewbornExample.html\">Melanie Aurora Boucher (official) Female, DoB: 2020-08-08 ( Medical record number)</a></p><p><b>focus</b>: <a href=\"RelatedPerson-MotherRelatedPersonBirthingExample.html\">RelatedPerson Miranda Stephanie Boucher </a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"RelatedPerson-MotherRelatedPersonBirthingExample.html\">RelatedPerson Miranda Stephanie Boucher </a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-EducationLevel SCOL}\">Some College education</span></p></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:code [
        ( fhir:coding [
    a loinc:57712-2 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "57712-2" ] ;
    fhir:display [ fhir:v "Highest level of education Mother" ]     ] )
      ] ; #
      fhir:subject [
    fhir:reference [ fhir:v "Patient/PatientNewbornExample" ]
      ] ; #
      fhir:focus ( [
    fhir:reference [ fhir:v "RelatedPerson/MotherRelatedPersonBirthingExample" ]
      ] ) ; #
      fhir:effective [
    a fhir:dateTime ;
    fhir:v "2019-12-02"^^xsd:date
      ] ; #
      fhir:performer ( [
    fhir:reference [ fhir:v "RelatedPerson/MotherRelatedPersonBirthingExample" ]
      ] ) ; #
      fhir:value [
    a fhir:CodeableConcept ;
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-EducationLevel"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "SCOL" ]     ] )
      ] . #

    <http://acme.com/ehr/fhir/Observation/FatherEducationExample> a fhir:Observation ;
      fhir:id [ fhir:v "FatherEducationExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_FatherEducationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation FatherEducationExample</b></p><a name=\"FatherEducationExample\"> </a><a name=\"hcFatherEducationExample\"> </a><a name=\"FatherEducationExample-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vr-common-library/STU2/StructureDefinition-Observation-education-level-vr.html\">Observation - Education Level Vital Records</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87300-0}\">Highest level of education Father</span></p><p><b>subject</b>: <a href=\"Patient-PatientNewbornExample.html\">Melanie Aurora Boucher (official) Female, DoB: 2020-08-08 ( Medical record number)</a></p><p><b>focus</b>: <a href=\"RelatedPerson-FatherRelatedPersonBirthingExample.html\">RelatedPerson Gordon Boucher </a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"RelatedPerson-FatherRelatedPersonBirthingExample.html\">RelatedPerson Gordon Boucher </a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-EducationLevel SCOL}\">Some College education</span></p></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:code [
        ( fhir:coding [
    a loinc:87300-0 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "87300-0" ] ;
    fhir:display [ fhir:v "Highest level of education Father" ]     ] )
      ] ; #
      fhir:subject [
    fhir:reference [ fhir:v "Patient/PatientNewbornExample" ]
      ] ; #
      fhir:focus ( [
    fhir:reference [ fhir:v "RelatedPerson/FatherRelatedPersonBirthingExample" ]
      ] ) ; #
      fhir:effective [
    a fhir:dateTime ;
    fhir:v "2019-12-02"^^xsd:date
      ] ; #
      fhir:performer ( [
    fhir:reference [ fhir:v "RelatedPerson/FatherRelatedPersonBirthingExample" ]
      ] ) ; #
      fhir:value [
    a fhir:CodeableConcept ;
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-EducationLevel"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "SCOL" ]     ] )
      ] . #

    <http://acme.com/ehr/fhir/Observation/InfantLivingExample> a fhir:Observation ;
      fhir:id [ fhir:v "InfantLivingExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-living"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-living>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_InfantLivingExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation InfantLivingExample</b></p><a name=\"InfantLivingExample\"> </a><a name=\"hcInfantLivingExample\"> </a><a name=\"InfantLivingExample-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/fhir-bfdr/StructureDefinition-Observation-infant-living.html\">Observation - Infant Living</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 73757-7}\">Infant living at time of report [US Standard Certificate of Live Birth]</span></p><p><b>subject</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-joe-smith.html\">Practitioner Smith Joe </a></p><p><b>value</b>: true</p></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:code [
        ( fhir:coding [
    a loinc:73757-7 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "73757-7" ] ;
    fhir:display [ fhir:v "Infant living at time of report [US Standard Certificate of Live Birth]" ]     ] )
      ] ; #
      fhir:subject [
    fhir:reference [ fhir:v "Patient/PatientChildExample" ]
      ] ; #
      fhir:effective [
    a fhir:dateTime ;
    fhir:v "2019-12-02"^^xsd:date
      ] ; #
      fhir:performer ( [
    fhir:reference [ fhir:v "Practitioner/practitioner-joe-smith" ]
      ] ) ; #
      fhir:value [
    a fhir:boolean ;
    fhir:v true
      ] . #

    <http://acme.com/ehr/fhir/Observation/MotherAlcoholUseExample> a fhir:Observation ;
      fhir:id [ fhir:v "MotherAlcoholUseExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/observation-mother-alcohol-use"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/observation-mother-alcohol-use>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_MotherAlcoholUseExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation MotherAlcoholUseExample</b></p><a name=\"MotherAlcoholUseExample\"> </a><a name=\"hcMotherAlcoholUseExample\"> </a><a name=\"MotherAlcoholUseExample-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-observation-mother-alcohol-use.html\">Observation - Mother Alcohol Use</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 160573003}\">Alcohol Intake</span></p><p><b>subject</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>focus</b>: <a href=\"RelatedPerson-MotherRelatedPersonExample.html\">RelatedPerson Sara Wellington </a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"RelatedPerson-MotherRelatedPersonExample.html\">RelatedPerson Sara Wellington </a></p><p><b>value</b>: No alcohol use during pregnancy</p></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:code [
        ( fhir:coding [
    a sct:160573003 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "160573003" ] ;
    fhir:display [ fhir:v "Alcohol Intake" ]     ] )
      ] ; #
      fhir:subject [
    fhir:reference [ fhir:v "Patient/PatientChildExample" ]
      ] ; #
      fhir:focus ( [
    fhir:reference [ fhir:v "RelatedPerson/MotherRelatedPersonExample" ]
      ] ) ; #
      fhir:effective [
    a fhir:dateTime ;
    fhir:v "2019-12-02"^^xsd:date
      ] ; #
      fhir:performer ( [
    fhir:reference [ fhir:v "RelatedPerson/MotherRelatedPersonExample" ]
      ] ) ; #
      fhir:value [
    a fhir:string ;
    fhir:v "No alcohol use during pregnancy"
      ] . #

    <http://acme.com/ehr/fhir/Procedure/ConfirmatoryTestExampleWES> a fhir:Procedure ;
      fhir:id [ fhir:v "ConfirmatoryTestExampleWES"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-confirmatorytest"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-confirmatorytest>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_ConfirmatoryTestExampleWES\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure ConfirmatoryTestExampleWES</b></p><a name=\"ConfirmatoryTestExampleWES\"> </a><a name=\"hcConfirmatoryTestExampleWES\"> </a><a name=\"ConfirmatoryTestExampleWES-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-bdr-confirmatorytest.html\">Procedure - Diagnosis Confirmatory Test</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 81415}\">Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis</span></p><p><b>subject</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>performed</b>: 2020-07-11</p></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:status [ fhir:v "completed"] ; #
      fhir:code [
        ( fhir:coding [
    fhir:system [ fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "81415" ]     ] )
      ] ; #
      fhir:subject [
    fhir:reference [ fhir:v "Patient/PatientChildExample" ]
      ] ; #
      fhir:performed [
    a fhir:dateTime ;
    fhir:v "2020-07-11"^^xsd:date
      ] . #