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 - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="BDRMessageBundleExample"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-bundle"/>
      </meta>
      <identifier>
        <value value="12345"/>
      </identifier>
      <type value="message"/>
      <timestamp value="2020-07-15T13:28:17.239+05:00"/>
      <entry>
        <fullUrl
                 value="http://acme.com/ehr/fhir/MessageHeader/BDRMessageHeaderExample"/>
        <resource>
          <MessageHeader>
            <id value="BDRMessageHeaderExample"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-messageheader"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <eventCoding>
              <system value="http://loinc.org"/>
              <code value="75609-8"/>
              <display value="Birth defects Outpatient Registry report"/>
            </eventCoding>
            <destination>
              <name value="Michigan BDRS"/>
              <endpoint value="http://acme.com"/>
            </destination>
            <sender>🔗
              <reference value="Organization/ClinicSubmitterExample"/>
            </sender>
            <source>
              <name value="EHR"/>
              <endpoint value="http://acme.com"/>
            </source>
            <focus>🔗
              <reference value="Condition/ReportableDiagnosisExample"/>
            </focus>
          </MessageHeader>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://acme.com/ehr/fhir/Condition/ReportableDiagnosisExample"/>
        <resource>
          <Condition>
            <id value="ReportableDiagnosisExample"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-reportablediagnosis"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
                <display value="Active"/>
              </coding>
            </clinicalStatus>
            <verificationStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
                <code value="confirmed"/>
                <display value="Confirmed"/>
              </coding>
            </verificationStatus>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="encounter-diagnosis"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="719046005"/>
                <display value="12q14 microdeletion syndrome (disorder)"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/PatientChildExample"/>
            </subject>
            <onsetDateTime value="2020-07-15"/>
            <evidence>
              <detail>🔗
                <reference value="Procedure/ConfirmatoryTestExampleWES"/>
              </detail>
            </evidence>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://acme.com/ehr/fhir/Organization/ClinicSubmitterExample"/>
        <resource>
          <Organization>
            <id value="ClinicSubmitterExample"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-organization"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="PRN"/>
                </coding>
              </type>
              <system value="http://hl7.org/fhir/sid/us-npi"/>
              <value value="1993999998"/>
            </identifier>
            <active value="true"/>
            <name value="Westside Clinic"/>
            <telecom>
              <system value="phone"/>
              <value value="734-555-0001"/>
            </telecom>
            <address>
              <line value="67 Main Steet"/>
              <city value="Ann Arbor"/>
              <state value="MI"/>
              <postalCode value="48105"/>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://acme.com/ehr/fhir/Patient/PatientChildExample"/>
        <resource>
          <Patient>
            <id value="PatientChildExample"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr"/>
            </meta>
            <text>
              <status value="generated"/>
              <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:

     - American Indian or Alaska Native
     - Asian
     - Black or African American
     - Native Hawaiian or Other Pacific Islander
     - 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>
            </text>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
              <extension url="ombCategory">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2106-3"/>
                  <display value="White"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="White"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
              <extension url="ombCategory">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2186-5"/>
                  <display value="Not Hispanic or Latino"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="Not Hispanic or Latino"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
              <valueCode value="M"/>
            </extension>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="MR"/>
                </coding>
              </type>
              <system value="http://www.acme.com/identifiers/patient"/>
              <value value="1234"/>
            </identifier>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="SB"/>
                </coding>
              </type>
              <system value="http://hl7.org/fhir/sid/us-ssn"/>
              <value value="123456789"/>
            </identifier>
            <name>
              <use value="official"/>
              <family value="Wellington"/>
              <given value="Gene"/>
              <given value="Austin"/>
            </name>
            <gender value="male"/>
            <birthDate value="2020-04-28"/>
            <deceasedBoolean value="false"/>
            <address>
              <line value="45 East 66th St"/>
              <city value="Ann Arbor"/>
              <state value="MI"/>
              <postalCode value="48105"/>
            </address>
            <multipleBirthInteger value="1"/>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://acme.com/ehr/fhir/RelatedPerson/MotherRelatedPersonExample"/>
        <resource>
          <RelatedPerson>
            <id value="MotherRelatedPersonExample"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <active value="true"/>
            <patient>🔗
              <reference value="Patient/PatientChildExample"/>
            </patient>
            <relationship>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                <code value="MTH"/>
                <display value="Mother"/>
              </coding>
            </relationship>
            <name>
              <family value="Wellington"/>
              <given value="Sara"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="734-555-6291"/>
              <use value="mobile"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1991-10-19"/>
            <address>
              <line value="425 East 66th St"/>
              <city value="Ann Arbor"/>
              <state value="MI"/>
              <postalCode value="48105"/>
            </address>
            <communication>
              <language>
                <coding>
                  <system value="urn:ietf:bcp:47"/>
                  <code value="en"/>
                  <display value="English"/>
                </coding>
              </language>
            </communication>
          </RelatedPerson>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://acme.com/ehr/fhir/RelatedPerson/FatherRelatedPersonExample"/>
        <resource>
          <RelatedPerson>
            <id value="FatherRelatedPersonExample"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <active value="true"/>
            <patient>🔗
              <reference value="Patient/PatientChildExample"/>
            </patient>
            <relationship>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                <code value="NFTH"/>
                <display value="natural father"/>
              </coding>
            </relationship>
            <name>
              <family value="Wellington"/>
              <given value="Adam"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="734-555-9087"/>
              <use value="mobile"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1992-03-17"/>
            <address>
              <line value="425 East 66th St"/>
              <city value="Ann Arbor"/>
              <state value="MI"/>
              <postalCode value="48105"/>
            </address>
            <communication>
              <language>
                <coding>
                  <system value="urn:ietf:bcp:47"/>
                  <code value="en"/>
                  <display value="English"/>
                </coding>
              </language>
            </communication>
          </RelatedPerson>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://acme.com/ehr/fhir/Observation/MotherEducationExample"/>
        <resource>
          <Observation>
            <id value="MotherEducationExample"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="57712-2"/>
                <display value="Highest level of education Mother"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/PatientNewbornExample"/>
            </subject>
            <focus>🔗
              <reference
                         value="RelatedPerson/MotherRelatedPersonBirthingExample"/>
            </focus>
            <effectiveDateTime value="2019-12-02"/>
            <performer>🔗
              <reference
                         value="RelatedPerson/MotherRelatedPersonBirthingExample"/>
            </performer>
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
                <code value="SCOL"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://acme.com/ehr/fhir/Observation/FatherEducationExample"/>
        <resource>
          <Observation>
            <id value="FatherEducationExample"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="87300-0"/>
                <display value="Highest level of education Father"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/PatientNewbornExample"/>
            </subject>
            <focus>🔗
              <reference
                         value="RelatedPerson/FatherRelatedPersonBirthingExample"/>
            </focus>
            <effectiveDateTime value="2019-12-02"/>
            <performer>🔗
              <reference
                         value="RelatedPerson/FatherRelatedPersonBirthingExample"/>
            </performer>
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
                <code value="SCOL"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://acme.com/ehr/fhir/Observation/InfantLivingExample"/>
        <resource>
          <Observation>
            <id value="InfantLivingExample"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-living"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="73757-7"/>
                <display
                         value="Infant living at time of report [US Standard Certificate of Live Birth]"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/PatientChildExample"/>
            </subject>
            <effectiveDateTime value="2019-12-02"/>
            <performer>🔗
              <reference value="Practitioner/practitioner-joe-smith"/>
            </performer>
            <valueBoolean value="true"/>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://acme.com/ehr/fhir/Observation/MotherAlcoholUseExample"/>
        <resource>
          <Observation>
            <id value="MotherAlcoholUseExample"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/observation-mother-alcohol-use"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="160573003"/>
                <display value="Alcohol Intake"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/PatientChildExample"/>
            </subject>
            <focus>🔗
              <reference value="RelatedPerson/MotherRelatedPersonExample"/>
            </focus>
            <effectiveDateTime value="2019-12-02"/>
            <performer>🔗
              <reference value="RelatedPerson/MotherRelatedPersonExample"/>
            </performer>
            <valueString value="No alcohol use during pregnancy"/>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://acme.com/ehr/fhir/Procedure/ConfirmatoryTestExampleWES"/>
        <resource>
          <Procedure>
            <id value="ConfirmatoryTestExampleWES"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-confirmatorytest"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="completed"/>
            <code>
              <coding>
                <system value="http://www.ama-assn.org/go/cpt"/>
                <code value="81415"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/PatientChildExample"/>
            </subject>
            <performedDateTime value="2020-07-11"/>
          </Procedure>
        </resource>
      </entry>
    </Bundle>