bundle-provider-fetal-death-not-named
type: Bundle
node role: treeRoot
id:
  v: bundle-provider-fetal-death-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Bundle-document-fetal-death-report
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Bundle-document-fetal-death-report
identifier:
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber
    value: string
      v: 9876
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1
    value: string
      v: 11111-11111
  system:
    v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr
  value:
    v: 2019NJ009876
type:
  v: document
timestamp:
  v: 2019-02-11T02:05:44.434Z
entry:
  full url:
    v: http://www.example.org/fhir/Composition/composition-provider-fetal-death-not-named
  resource: composition-provider-fetal-death-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Patient/patient-decedent-fetus-not-named
  resource: patient-decedent-fetus-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Encounter/encounter-maternity-carmen-teresa-lee
  resource: encounter-maternity-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Patient/patient-mother-carmen-teresa-lee
  resource: patient-mother-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee
  resource: observation-date-of-first-prenatal-care-visit-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-last-menstrual-period-carmen-teresa-lee
  resource: observation-last-menstrual-period-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-number-births-now-living-carmen-teresa-lee
  resource: observation-number-births-now-living-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-number-births-now-dead-carmen-teresa-lee
  resource: observation-number-births-now-dead-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-date-of-last-live-birth-carmen-teresa-lee
  resource: observation-date-of-last-live-birth-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-mother-height-carmen-teresa-lee
  resource: observation-mother-height-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee
  resource: observation-mother-prepregnancy-weight-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-mother-received-wic-food-carmen-teresa-lee
  resource: observation-mother-received-wic-food-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee
  resource: observation-cig-smoking-pregnancy-1-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee
  resource: observation-cig-smoking-pregnancy-2-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee
  resource: observation-cig-smoking-pregnancy-3-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee
  resource: observation-cig-smoking-pregnancy-4-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-number-previous-cesareans-carmen-teresa-lee
  resource: observation-number-previous-cesareans-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Condition/condition-gestational-diabetes-carmen-teresa-lee
  resource: condition-gestational-diabetes-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-fetal-presentation-not-named
  resource: observation-fetal-presentation-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Procedure/procedure-final-route-method-delivery-not-named
  resource: procedure-final-route-method-delivery-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-birth-weight-not-named
  resource: observation-birth-weight-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-gestational-age-at-delivery-not-named
  resource: observation-gestational-age-at-delivery-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Condition/condition-fetal-death-cause-or-condition-not-named
  resource: condition-fetal-death-cause-or-condition-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Condition/condition-fetal-death-other-significant-cause-not-named
  resource: condition-fetal-death-other-significant-cause-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-fetal-death-time-point-not-named
  resource: observation-fetal-death-time-point-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-autopsy-performed-not-named
  resource: observation-autopsy-performed-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-histological-placental-exam-performed-not-named
  resource: observation-histological-placental-exam-performed-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-autopsy-histological-exam-results-used-not-named
  resource: observation-autopsy-histological-exam-results-used-not-named
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-number-deaths-this-delivery-carmen-teresa-lee
  resource: observation-number-deaths-this-delivery-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-parent-education-level-carmen-teresa-lee
  resource: observation-parent-education-level-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-present-job-carmen-teresa-lee
  resource: observation-present-job-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-present-job-tom-yan-lee
  resource: observation-present-job-tom-yan-lee
entry:
  full url:
    v: http://www.example.org/fhir/Observation/observation-input-race-and-ethnicity-carmen-teresa-lee
  resource: observation-input-race-and-ethnicity-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee
  resource: QuestionnaireResponse-patients-fetal-death-carmen-lee
entry:
  full url:
    v: http://www.example.org/fhir/Practitioner/practitioner-vital-records-janet-seito
  resource: practitioner-vital-records-janet-seito
entry:
  full url:
    v: http://www.example.org/fhir/Location/location-south-hospital
  resource: location-south-hospital
entry:
  full url:
    v: http://www.example.org/fhir/Organization/organization-south-hospital
  resource: organization-south-hospital
entry:
  full url:
    v: http://www.example.org/fhir/RelatedPerson/relatedperson-mother-carmen-teresa-lee
  resource: relatedperson-mother-carmen-teresa-lee
entry:
  full url:
    v: http://www.example.org/fhir/RelatedPerson/relatedperson-father-natural-tom-yan-lee
  resource: relatedperson-father-natural-tom-yan-lee
entry:
  full url:
    v: http://www.example.org/fhir/Practitioner/practitioner-vital-records-jessica-leung
  resource: practitioner-vital-records-jessica-leung

composition-provider-fetal-death-not-named
type: Composition
id:
  v: composition-provider-fetal-death-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-fetal-death-report
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-fetal-death-report
text:
  status:
    v: generated
  div: Generated Narrative: 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 encounter: Encounter: extension = mother; identifier = http://hospital.smarthealthit.org#8937015; status = finished; class = inpatient encounter (ActCode#IMP); type = Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.; period = 2019-01-08 10:00:00-0700 --> 2019-01-09 17:00:00-0700 date: 2019-01-09 author: Practitioner Leung Jessica title: Provider fetal death report Document
status:
  v: final
type:
  coding: https://loinc.org/rdf/69045-3
    system:
      v: http://loinc.org
    code:
      v: 69045-3
    display:
      v: U.S. standard report of fetal death - 2003 revision
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
encounter:
  link: http://hl7.org/fhir/us/bfdr/Encounter/encounter-maternity-carmen-teresa-lee
  reference:
    v: Encounter/encounter-maternity-carmen-teresa-lee
date:
  v: 2019-01-09
author:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-jessica-leung
  reference:
    v: Practitioner/practitioner-vital-records-jessica-leung
title:
  v: Provider fetal death report Document
section:
  code:
    coding: https://loinc.org/rdf/57073-9
      system:
        v: http://loinc.org
      code:
        v: 57073-9
  focus:
    link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
    reference:
      v: Patient/patient-mother-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee
    reference:
      v: Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-last-menstrual-period-carmen-teresa-lee
    reference:
      v: Observation/observation-last-menstrual-period-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-number-births-now-living-carmen-teresa-lee
    reference:
      v: Observation/observation-number-births-now-living-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-number-births-now-dead-carmen-teresa-lee
    reference:
      v: Observation/observation-number-births-now-dead-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-date-of-last-live-birth-carmen-teresa-lee
    reference:
      v: Observation/observation-date-of-last-live-birth-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-mother-height-carmen-teresa-lee
    reference:
      v: Observation/observation-mother-height-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee
    reference:
      v: Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-mother-received-wic-food-carmen-teresa-lee
    reference:
      v: Observation/observation-mother-received-wic-food-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee
    reference:
      v: Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee
    reference:
      v: Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee
    reference:
      v: Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee
    reference:
      v: Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee
section:
  code:
    coding: https://loinc.org/rdf/55752-0
      system:
        v: http://loinc.org
      code:
        v: 55752-0
  focus:
    link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
    reference:
      v: Patient/patient-mother-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-number-previous-cesareans-carmen-teresa-lee
    reference:
      v: Observation/observation-number-previous-cesareans-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-fetal-presentation-not-named
    reference:
      v: Observation/observation-fetal-presentation-not-named
  entry:
    link: http://hl7.org/fhir/us/bfdr/Procedure/procedure-final-route-method-delivery-not-named
    reference:
      v: Procedure/procedure-final-route-method-delivery-not-named
  entry:
    link: http://hl7.org/fhir/us/bfdr/Condition/condition-gestational-diabetes-carmen-teresa-lee
    reference:
      v: Condition/condition-gestational-diabetes-carmen-teresa-lee
section:
  code:
    coding: https://loinc.org/rdf/76400-1
      system:
        v: http://loinc.org
      code:
        v: 76400-1
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-birth-weight-not-named
    reference:
      v: Observation/observation-birth-weight-not-named
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-gestational-age-at-delivery-not-named
    reference:
      v: Observation/observation-gestational-age-at-delivery-not-named
  entry:
    link: http://hl7.org/fhir/us/bfdr/Condition/condition-fetal-death-cause-or-condition-not-named
    reference:
      v: Condition/condition-fetal-death-cause-or-condition-not-named
  entry:
    link: http://hl7.org/fhir/us/bfdr/Condition/condition-fetal-death-other-significant-cause-not-named
    reference:
      v: Condition/condition-fetal-death-other-significant-cause-not-named
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-fetal-death-time-point-not-named
    reference:
      v: Observation/observation-fetal-death-time-point-not-named
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-autopsy-performed-not-named
    reference:
      v: Observation/observation-autopsy-performed-not-named
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-histological-placental-exam-performed-not-named
    reference:
      v: Observation/observation-histological-placental-exam-performed-not-named
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-autopsy-histological-exam-results-used-not-named
    reference:
      v: Observation/observation-autopsy-histological-exam-results-used-not-named
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-number-deaths-this-delivery-carmen-teresa-lee
    reference:
      v: Observation/observation-number-deaths-this-delivery-carmen-teresa-lee
section:
  code:
    coding: https://loinc.org/rdf/92014-0
      system:
        v: http://loinc.org
      code:
        v: 92014-0
  focus:
    link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
    reference:
      v: Patient/patient-mother-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-parent-education-level-carmen-teresa-lee
    reference:
      v: Observation/observation-parent-education-level-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-present-job-carmen-teresa-lee
    reference:
      v: Observation/observation-present-job-carmen-teresa-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-input-race-and-ethnicity-carmen-teresa-lee
    reference:
      v: Observation/observation-input-race-and-ethnicity-carmen-teresa-lee
section:
  code:
    coding: https://loinc.org/rdf/92013-2
      system:
        v: http://loinc.org
      code:
        v: 92013-2
  focus:
    link: http://hl7.org/fhir/us/bfdr/RelatedPerson/relatedperson-father-natural-tom-yan-lee
    reference:
      v: RelatedPerson/relatedperson-father-natural-tom-yan-lee
  entry:
    link: http://hl7.org/fhir/us/bfdr/Observation/observation-present-job-tom-yan-lee

patient-decedent-fetus-not-named
type: Patient
id:
  v: patient-decedent-fetus-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Patient-decedent-fetus
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Patient-decedent-fetus
text:
  status:
    v: generated
  div: Generated Narrative: Patient patient-decedent-fetus-not-named Profile: Patient - Decedent Fetus null (official) Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual, )) Deceased: true Multiple Birth: 3 <td style="background-color: #f3f5da" title="This Extension profile represents the reported age of the parent (either the gestational mother or the natural father - as defined by NCHS) at the delivery time of the newborn or fetus. #xA;A required code indicates whether the mother or father's age is provided. It can optionally contain a reference to the reporter (**US Core Patient Profile** or **US Core RelatedPerson Profile**).">Reported Parent Age At Delivery Vital Records: reportedAge: 34 a (Details: UCUM codea = 'a') motherOrFather: mother <td style="background-color: #f3f5da" title="This Extension profile represents the reported age of the parent (either the gestational mother or the natural father - as defined by NCHS) at the delivery time of the newborn or fetus. #xA;A required code indicates whether the mother or father's age is provided. It can optionally contain a reference to the reporter (**US Core Patient Profile** or **US Core RelatedPerson Profile**).">Reported Parent Age At Delivery Vital Records: reportedAge: 35 a (Details: UCUM codea = 'a') motherOrFather: father Patient Birth Place Ann Arbor MI 48103 US Core Birth Sex Extension F
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
  value: code
    v: F
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
  value: Address
    city:
      v: Ann Arbor
    state:
      v: MI
    postal code:
      v: 48103
extension:
  extension:
    url:
      v: reportedAge
    value: Quantity
      value:
        v: 34
      system:
        v: http://unitsofmeasure.org
      code:
        v: a
  extension:
    url:
      v: motherOrFather
    value: CodeableConcept
  url:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr
extension:
  extension:
    url:
      v: reportedAge
    value: Quantity
      value:
        v: 35
      system:
        v: http://unitsofmeasure.org
      code:
        v: a
  extension:
    url:
      v: motherOrFather
    value: CodeableConcept
  url:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr
identifier:
  use:
    v: usual
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: MR
      display:
        v: Medical Record Number
  system:
    v: http://hospital.smarthealthit.org
  value:
    v: 9932702
name:
  use:
    v: official
  family:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      value: code
        v: not-applicable
gender:
  v: female
birth date:
  v: 2019-01-09
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/patient-birthTime
    value: dateTime
      v: 2019-01-09T18:23:00-07:00
deceased: boolean
  v: true
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr
    value: boolean
      v: true
multiple birth: integer
  v: 3

encounter-maternity-carmen-teresa-lee
type: Encounter
id:
  v: encounter-maternity-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity
text:
  status:
    v: extensions
  div: Generated Narrative: Encounter encounter-maternity-carmen-teresa-lee Profile: Encounter - Maternity Extension Parental Role: mother identifier: http://hospital.smarthealthit.org/8937015 status: Finished class: ActCode IMP: inpatient encounter type: Under Observation or Inpatient Care Services (Including Admission and Discharge Services) subject: Patient - Mother (Carmen Teresa Lee) Participants - Type Individual * Birth attendant [Extended Identifier] Practitioner - Vital Records (Janet Seito, DO) period: 2019-01-08 10:00:00-0700 --> 2019-01-09 17:00:00-0700 Locations - Location PhysicalType * Location - US Core Location (South Hospital) Hospital serviceProvider: Organization - US Core Organization (South Hospital Organization)
extension:
  url:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      code:
        v: MTH
identifier:
  system:
    v: http://hospital.smarthealthit.org
  value:
    v: 8937015
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
  code:
    v: IMP
  display:
    v: inpatient encounter
type:
  coding:
    system:
      v: http://www.ama-assn.org/go/cpt
    code:
      v: 99234
  text:
    v: Under Observation or Inpatient Care Services (Including Admission and Discharge Services)
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
participant:
  type:
    coding: https://loinc.org/rdf/87286-1
      system:
        v: http://loinc.org
      code:
        v: 87286-1
      display:
        v: Birth attendant [Extended Identifier]
  individual:
    link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
    reference:
      v: Practitioner/practitioner-vital-records-janet-seito
    display:
      v: Practitioner - Vital Records (Janet Seito, DO)
period:
  start:
    v: 2019-01-08T10:00:00-07:00
  end:
    v: 2019-01-09T17:00:00-07:00
location:
  location:
    link: http://hl7.org/fhir/us/bfdr/Location/location-south-hospital
    reference:
      v: Location/location-south-hospital
    display:
      v: Location - US Core Location (South Hospital)
  physical type:
    coding: http://snomed.info/id/22232009
      system:
        v: http://snomed.info/sct
      code:
        v: 22232009
      display:
        v: Hospital
service provider:
  link: http://hl7.org/fhir/us/bfdr/Organization/organization-south-hospital
  reference:
    v: Organization/organization-south-hospital
  display:
    v: Organization - US Core Organization (South Hospital Organization)

patient-mother-carmen-teresa-lee
type: Patient
id:
  v: patient-mother-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr
text:
  status:
    v: generated
  div: Generated Narrative: Patient patient-mother-carmen-teresa-lee Profile: Patient - Mother Vital Records Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) Alt. Name: Carmen Teresa Santos (Name changed for Marriage) Contact Detail 3670 Miller Road Ann Arbor MI 48103 US (home) Links: Also see: RelatedPerson Carmen Teresa Lee (official) <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: ombCategory: CDC Race and Ethnicity 2135-2: Hispanic or Latino text: Hispanic or Latino Patient Birth Place PR US Core Birth Sex Extension F <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) 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:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.">US Core Race Extension: ombCategory: CDC Race and Ethnicity 2054-5: Black or African American text: Black or African America
extension:
  extension:
    url:
      v: ombCategory
    value: Coding
      system:
        v: urn:oid:2.16.840.1.113883.6.238
      code:
        v: 2054-5
      display:
        v: Black or African American
  extension:
    url:
      v: text
    value: string
      v: Black or African America
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
extension:
  extension:
    url:
      v: ombCategory
    value: Coding
      system:
        v: urn:oid:2.16.840.1.113883.6.238
      code:
        v: 2135-2
      display:
        v: Hispanic or Latino
  extension:
    url:
      v: text
    value: string
      v: Hispanic or Latino
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
  value: code
    v: F
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
  value: Address
    state:
      v: PR
identifier:
  use:
    v: usual
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: MR
      display:
        v: Medical Record Number
  system:
    v: http://hospital.smarthealthit.org
  value:
    v: 9992702
name:
  use:
    v: official
  family:
    v: Lee
  given:
    v: Carmen
  given:
    v: Teresa
name:
  use:
    v: maiden
  family:
    v: Santos
  given:
    v: Carmen
  given:
    v: Teresa
gender:
  v: female
birth date:
  v: 1986-02-15
address:
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
      code:
        v: N
      display:
        v: No
  use:
    v: home
  line:
    v: 3670 Miller Road
  city:
    v: Ann Arbor
  state:
    v: MI
  postal code:
    v: 48103
  country:
    v: US
link:
  other:
    link: http://hl7.org/fhir/us/bfdr/RelatedPerson/relatedperson-mother-carmen-teresa-lee
    reference:
      v: RelatedPerson/relatedperson-mother-carmen-teresa-lee
  type:
    v: seealso

observation-date-of-first-prenatal-care-visit-carmen-teresa-lee
type: Observation
id:
  v: observation-date-of-first-prenatal-care-visit-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-date-of-first-prenatal-care-visit-carmen-teresa-lee Profile: Observation - Date of First Prenatal Care Visit status: Final code: Date first prenatal visit subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: 2018-05-18
status:
  v: final
code:
  coding: https://loinc.org/rdf/69044-6
    system:
      v: http://loinc.org
    code:
      v: 69044-6
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
focus:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: dateTime
  v: 2018-05-18

observation-last-menstrual-period-carmen-teresa-lee
type: Observation
id:
  v: observation-last-menstrual-period-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-last-menstrual-period
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-last-menstrual-period
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-last-menstrual-period-carmen-teresa-lee Profile: Observation - Last Menstrual Period status: Final code: Last menstrual period start date subject: Patient - Mother (Carmen Teresa Lee) effective: 2018-05-02 performer: Practitioner Janet Seito value: 2018-04-18
status:
  v: final
code:
  coding: https://loinc.org/rdf/8665-2
    system:
      v: http://loinc.org
    code:
      v: 8665-2
    display:
      v: Last menstrual period start date
  text:
    v: Last menstrual period start date
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective: dateTime
  v: 2018-05-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: dateTime
  v: 2018-04-18

observation-number-births-now-living-carmen-teresa-lee
type: Observation
id:
  v: observation-number-births-now-living-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-living
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-living
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-number-births-now-living-carmen-teresa-lee Profile: Observation - Number of Births Now Living status: Final code: [#] Births.still living subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Janet Seito value: 1
status:
  v: final
code:
  coding: https://loinc.org/rdf/11638-4
    system:
      v: http://loinc.org
    code:
      v: 11638-4
    display:
      v: [#] Births.still living
  text:
    v: [#] Births.still living
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: integer
  v: 1

observation-number-births-now-dead-carmen-teresa-lee
type: Observation
id:
  v: observation-number-births-now-dead-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-dead
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-dead
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-number-births-now-dead-carmen-teresa-lee Profile: Observation - Number of Births Now Dead status: Final code: Previous live births now dead # subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Janet Seito value: 0
status:
  v: final
code:
  coding: https://loinc.org/rdf/68496-9
    system:
      v: http://loinc.org
    code:
      v: 68496-9
    display:
      v: Previous live births now dead #
  text:
    v: Previous live births now dead #
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: integer
  v: 0

observation-date-of-last-live-birth-carmen-teresa-lee
type: Observation
id:
  v: observation-date-of-last-live-birth-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth
text:
  status:
    v: generated
  div: Generated Narrative: 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 subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Janet Seito value: 2016-01-28
status:
  v: final
code:
  coding: https://loinc.org/rdf/68499-3
    system:
      v: http://loinc.org
    code:
      v: 68499-3
    display:
      v: Date last live birth
  text:
    v: Date of last live birth
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: dateTime
  v: 2016-01-28

observation-mother-height-carmen-teresa-lee
type: Observation
id:
  v: observation-mother-height-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-height
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-height
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-mother-height-carmen-teresa-lee Profile: Observation - Mother Height status: Final category: Vital Signs code: Body height subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-01-10 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 65 in (Details: UCUM code[in_i] = '[in_i]')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: vital-signs
code:
  coding: https://loinc.org/rdf/8302-2
    system:
      v: http://loinc.org
    code:
      v: 8302-2
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective: dateTime
  v: 2019-01-10
performer:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value: Quantity
  value:
    v: 65
  unit:
    v: in
  system:
    v: http://unitsofmeasure.org
  code:
    v: [in_i]

observation-mother-prepregnancy-weight-carmen-teresa-lee
type: Observation
id:
  v: observation-mother-prepregnancy-weight-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-prepregnancy-weight
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-prepregnancy-weight
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-mother-prepregnancy-weight-carmen-teresa-lee Profile: Observation - Mother Prepregnancy Weight status: Final category: Vital Signs code: Body weight --pre current pregnancy subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Janet Seito value: 180 [lb_av] (Details: UCUM code[lb_av] = '[lb_av]')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/56077-1
    system:
      v: http://loinc.org
    code:
      v: 56077-1
    display:
      v: Body weight --pre current pregnancy
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: Quantity
  value:
    v: 180
  system:
    v: http://unitsofmeasure.org
  code:
    v: [lb_av]

observation-mother-received-wic-food-carmen-teresa-lee
type: Observation
id:
  v: observation-mother-received-wic-food-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-received-wic-food
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-received-wic-food
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-mother-received-wic-food-carmen-teresa-lee Profile: Observation - Mother Recieved WIC Food status: Final code: Mother WIC food recipient subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: No
status:
  v: final
code:
  coding: https://loinc.org/rdf/87303-4
    system:
      v: http://loinc.org
    code:
      v: 87303-4
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
focus:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0136
    code:
      v: N
    display:
      v: No

observation-cig-smoking-pregnancy-1-carmen-teresa-lee
type: Observation
id:
  v: observation-cig-smoking-pregnancy-1-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
text:
  status:
    v: generated
  div: Generated Narrative: 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] subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 0
status:
  v: final
code:
  coding: https://loinc.org/rdf/64794-1
    system:
      v: http://loinc.org
    code:
      v: 64794-1
    display:
      v: In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day [PhenX]
  text:
    v: In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day [PhenX]
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
focus:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value: integer
  v: 0

observation-cig-smoking-pregnancy-2-carmen-teresa-lee
type: Observation
id:
  v: observation-cig-smoking-pregnancy-2-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
text:
  status:
    v: generated
  div: Generated Narrative: 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 subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 0
status:
  v: final
code:
  coding: https://loinc.org/rdf/87298-6
    system:
      v: http://loinc.org
    code:
      v: 87298-6
    display:
      v: Cigarettes smoked per day by Mother--1st trimester
  text:
    v: Cigarettes smoked per day by Mother--1st trimester
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
focus:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value: integer
  v: 0

observation-cig-smoking-pregnancy-3-carmen-teresa-lee
type: Observation
id:
  v: observation-cig-smoking-pregnancy-3-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
text:
  status:
    v: generated
  div: Generated Narrative: 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 subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 1
status:
  v: final
code:
  coding: https://loinc.org/rdf/87299-4
    system:
      v: http://loinc.org
    code:
      v: 87299-4
    display:
      v: Cigarettes smoked per day by Mother--2nd trimester
  text:
    v: Cigarettes smoked per day by Mother--2nd trimester
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
focus:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value: integer
  v: 1

observation-cig-smoking-pregnancy-4-carmen-teresa-lee
type: Observation
id:
  v: observation-cig-smoking-pregnancy-4-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
text:
  status:
    v: generated
  div: Generated Narrative: 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] subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 0
status:
  v: final
code:
  coding: https://loinc.org/rdf/64795-8
    system:
      v: http://loinc.org
    code:
      v: 64795-8
    display:
      v: In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day [PhenX]
  text:
    v: In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day [PhenX]
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
focus:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value: integer
  v: 0

observation-number-previous-cesareans-carmen-teresa-lee
type: Observation
id:
  v: observation-number-previous-cesareans-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-previous-cesareans
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-previous-cesareans
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-number-previous-cesareans-carmen-teresa-lee Profile: Observation - Number of Previous Cesareans status: Final code: Previous cesarean deliveries # subject: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Practitioner Janet Seito value: 1
status:
  v: final
code:
  coding: https://loinc.org/rdf/68497-7
    system:
      v: http://loinc.org
    code:
      v: 68497-7
    display:
      v: Previous cesarean deliveries #
  text:
    v: Previous cesarean deliveries #
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: integer
  v: 1

condition-gestational-diabetes-carmen-teresa-lee
type: Condition
id:
  v: condition-gestational-diabetes-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-diabetes
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-diabetes
text:
  status:
    v: generated
  div: Generated Narrative: Condition condition-gestational-diabetes-carmen-teresa-lee Profile: Condition - Gestational Diabetes clinicalStatus: Active category: Problem List Item, Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth] code: Gestational diabetes mellitus (disorder) subject: Patient - Mother (Carmen Teresa Lee) onset: 2018-12-12
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
    code:
      v: active
    display:
      v: Active
  text:
    v: Active
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
    code:
      v: problem-list-item
category:
  coding: https://loinc.org/rdf/73775-9
    system:
      v: http://loinc.org
    code:
      v: 73775-9
code:
  coding: http://snomed.info/id/11687002
    system:
      v: http://snomed.info/sct
    code:
      v: 11687002
    display:
      v: Gestational diabetes mellitus (disorder)
  text:
    v: Gestational diabetes mellitus (disorder)
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
onset: dateTime
  v: 2018-12-12

observation-fetal-presentation-not-named
type: Observation
id:
  v: observation-fetal-presentation-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation
text:
  status:
    v: generated
  div: Generated Narrative: 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] subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: Breech presentation (finding)
status:
  v: final
code:
  coding: https://loinc.org/rdf/73761-9
    system:
      v: http://loinc.org
    code:
      v: 73761-9
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: CodeableConcept
  coding: http://snomed.info/id/6096002
    system:
      v: http://snomed.info/sct
    code:
      v: 6096002
    display:
      v: Breech presentation (finding)

procedure-final-route-method-delivery-not-named
type: Procedure
id:
  v: procedure-final-route-method-delivery-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery
text:
  status:
    v: generated
  div: Generated Narrative: 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] code: Spontaneous vaginal delivery subject: Patient - Mother (Carmen Teresa Lee) performed: 2019-01-19 18:00:00-0700 --> 2019-01-19 18:23:00-0700
status:
  v: completed
category:
  coding: https://loinc.org/rdf/73762-7
    system:
      v: http://loinc.org
    code:
      v: 73762-7
code:
  coding: http://snomed.info/id/700000006
    system:
      v: http://snomed.info/sct
    code:
      v: 700000006
    display:
      v: Vaginal delivery of fetus (procedure)
  text:
    v: Spontaneous vaginal delivery
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
performed: Period
  start:
    v: 2019-01-19T18:00:00-07:00
  end:
    v: 2019-01-19T18:23:00-07:00

observation-birth-weight-not-named
type: Observation
id:
  v: observation-birth-weight-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-birth-weight
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-birth-weight
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-birth-weight-not-named Profile: Observation - Birth Weight status: Final category: Vital Signs code: Birth weight Measured subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-01-10 performer: Practitioner Janet Seito value: 1530 g (Details: UCUM codeg = 'g')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: vital-signs
code:
  coding: https://loinc.org/rdf/8339-4
    system:
      v: http://loinc.org
    code:
      v: 8339-4
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-01-10
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: Quantity
  value:
    v: 1530
  system:
    v: http://unitsofmeasure.org
  code:
    v: g

observation-gestational-age-at-delivery-not-named
type: Observation
id:
  v: observation-gestational-age-at-delivery-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-gestational-age-at-delivery
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-gestational-age-at-delivery
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-gestational-age-at-delivery-not-named Profile: Observation - Gestational Age at Delivery status: Final code: Gestational age Estimated subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: 20 wk (Details: UCUM codewk = 'wk')
status:
  v: final
code:
  coding: https://loinc.org/rdf/11884-4
    system:
      v: http://loinc.org
    code:
      v: 11884-4
    display:
      v: Gestational age Estimated
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: Quantity
  value:
    v: 20
  system:
    v: http://unitsofmeasure.org
  code:
    v: wk

condition-fetal-death-cause-or-condition-not-named
type: Condition
id:
  v: condition-fetal-death-cause-or-condition-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-initiating-cause-or-condition
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-initiating-cause-or-condition
text:
  status:
    v: generated
  div: Generated Narrative: Condition condition-fetal-death-cause-or-condition-not-named Profile: Condition - Fetal Death Initiating Cause or Condition category: Encounter Diagnosis, Initiating cause or condition of fetal death [US Standard Report of Fetal Death] code: Premature rupture of membranes (disorder) subject: Patient - Decedent Fetus (Fetus Not Named)
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
category:
  coding: https://loinc.org/rdf/76060-3
    system:
      v: http://loinc.org
    code:
      v: 76060-3
    display:
      v: Initiating cause or condition of fetal death [US Standard Report of Fetal Death]
code:
  coding: http://snomed.info/id/44223004
    system:
      v: http://snomed.info/sct
    code:
      v: 44223004
    display:
      v: Premature rupture of membranes (disorder)
  text:
    v: Premature rupture of membranes (disorder)
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)

condition-fetal-death-other-significant-cause-not-named
type: Condition
id:
  v: condition-fetal-death-other-significant-cause-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-other-cause-or-condition
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-other-cause-or-condition
text:
  status:
    v: generated
  div: Generated Narrative: Condition condition-fetal-death-other-significant-cause-not-named Profile: Condition - Fetal Death Other Cause or Condition category: Encounter Diagnosis, Other significant causes or conditions of fetal death [US Standard Report of Fetal Death] code: Placental insufficiency (disorder) subject: Patient - Decedent Fetus (Fetus Not Named)
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
category:
  coding: https://loinc.org/rdf/76061-1
    system:
      v: http://loinc.org
    code:
      v: 76061-1
    display:
      v: Other significant causes or conditions of fetal death [US Standard Report of Fetal Death]
code:
  coding: http://snomed.info/id/237292005
    system:
      v: http://snomed.info/sct
    code:
      v: 237292005
    display:
      v: Placental insufficiency (disorder)
  text:
    v: Placental insufficiency (disorder)
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)

observation-fetal-death-time-point-not-named
type: Observation
id:
  v: observation-fetal-death-time-point-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-death-time-point
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-death-time-point
text:
  status:
    v: generated
  div: Generated Narrative: 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] subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: Fetal intrapartum death after first assessment (event)
status:
  v: final
code:
  coding: https://loinc.org/rdf/73811-2
    system:
      v: http://loinc.org
    code:
      v: 73811-2
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: CodeableConcept
  coding: http://snomed.info/id/434631000124100
    system:
      v: http://snomed.info/sct
    code:
      v: 434631000124100
    display:
      v: Fetal intrapartum death after first assessment (event)

observation-autopsy-performed-not-named
type: Observation
id:
  v: observation-autopsy-performed-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-autopsy-performed-indicator
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-autopsy-performed-indicator
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-autopsy-performed-not-named Profile: Observation - Autopsy Performed Indicator status: Final code: Autopsy was performed subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: Performed
status:
  v: final
code:
  coding: https://loinc.org/rdf/85699-7
    system:
      v: http://loinc.org
    code:
      v: 85699-7
    display:
      v: Autopsy was performed
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: CodeableConcept
  coding: http://snomed.info/id/398166005
    system:
      v: http://snomed.info/sct
    code:
      v: 398166005
    display:
      v: Performed

observation-histological-placental-exam-performed-not-named
type: Observation
id:
  v: observation-histological-placental-exam-performed-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-histological-placental-exam-performed
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-histological-placental-exam-performed
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-histological-placental-exam-performed-not-named Profile: Observation - Histological Placental Exam Performed status: Final code: Histological placental examination was performed [US Standard Report of Fetal Death] subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: Performed
status:
  v: final
code:
  coding: https://loinc.org/rdf/73767-6
    system:
      v: http://loinc.org
    code:
      v: 73767-6
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: CodeableConcept
  coding: http://snomed.info/id/398166005
    system:
      v: http://snomed.info/sct
    code:
      v: 398166005
    display:
      v: Performed

observation-autopsy-histological-exam-results-used-not-named
type: Observation
id:
  v: observation-autopsy-histological-exam-results-used-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-autopsy-histological-exam-results-used
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-autopsy-histological-exam-results-used
text:
  status:
    v: generated
  div: Generated Narrative: 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] subject: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: Yes
status:
  v: final
code:
  coding: https://loinc.org/rdf/74498-7
    system:
      v: http://loinc.org
    code:
      v: 74498-7
    display:
      v: Autopsy or histological placental examination results were used [US Standard Report of Fetal Death]
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0136
    code:
      v: Y
    display:
      v: Yes

observation-number-deaths-this-delivery-carmen-teresa-lee
type: Observation
id:
  v: observation-number-deaths-this-delivery-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-fetal-deaths-this-delivery
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-fetal-deaths-this-delivery
text:
  status:
    v: generated
  div: Generated Narrative: 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 subject: Patient - Mother (Carmen Teresa Lee) focus: Patient - Decedent Fetus (Fetus Not Named) effective: 2019-12-02 performer: Practitioner Janet Seito value: 1
status:
  v: final
code:
  coding: https://loinc.org/rdf/73772-6
    system:
      v: http://loinc.org
    code:
      v: 73772-6
    display:
      v: Number of fetal deaths delivered
  text:
    v: Number of fetal deaths delivered
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
focus:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: integer
  v: 1

observation-parent-education-level-carmen-teresa-lee
type: Observation
id:
  v: observation-parent-education-level-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-parent-education-level-carmen-teresa-lee Profile: Observation - Education Level Vital Records status: Final code: Highest level of education Mother subject: Patient - Decedent Fetus (Fetus Not Named) focus: Patient - Mother (Carmen Teresa Lee) effective: 2019-12-02 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: 9th through 12th grade; no diploma
status:
  v: final
code:
  coding: https://loinc.org/rdf/57712-2
    system:
      v: http://loinc.org
    code:
      v: 57712-2
    display:
      v: Highest level of education Mother
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
focus:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective: dateTime
  v: 2019-12-02
performer:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-EducationLevel
    code:
      v: SEC
    display:
      v: Some secondary or high school education
  text:
    v: 9th through 12th grade; no diploma

observation-present-job-carmen-teresa-lee
type: Observation
id:
  v: observation-present-job-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job
text:
  status:
    v: extensions
  div: Generated Narrative: Observation observation-present-job-carmen-teresa-lee Profile: Observation - Present Job Extension Parental Role: mother status: Final code: History of Occupation subject: null (official) Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual, )) focus: RelatedPerson Carmen Teresa Lee (official) effective: 2019-01-09 --> (ongoing) value: Secretary Components - Code Value[x] * History of Occupation industry State Agency
extension:
  url:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      code:
        v: MTH
      display:
        v: mother
status:
  v: final
code:
  coding: https://loinc.org/rdf/11341-5
    system:
      v: http://loinc.org
    code:
      v: 11341-5
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
focus:
  link: http://hl7.org/fhir/us/bfdr/RelatedPerson/relatedperson-mother-carmen-teresa-lee
  reference:
    v: RelatedPerson/relatedperson-mother-carmen-teresa-lee
effective: Period
  start:
    v: 2019-01-09
value: CodeableConcept
  text:
    v: Secretary
component:
  code:
    coding: https://loinc.org/rdf/86188-0
      system:
        v: http://loinc.org
      code:
        v: 86188-0
  value: CodeableConcept
    text:
      v: State Agency

observation-present-job-tom-yan-lee
type: Observation
id:
  v: observation-present-job-tom-yan-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job
text:
  status:
    v: extensions
  div: Generated Narrative: Observation observation-present-job-tom-yan-lee Profile: Observation - Present Job Extension Parental Role: father status: Final code: History of Occupation subject: null (official) Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual, )) focus: RelatedPerson Tom Yan Lee (official) effective: 2019-01-09 --> (ongoing) value: Teaching Assistant Components - Code Value[x] * History of Occupation industry Elementary and Secondary Schools
extension:
  url:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      code:
        v: FTH
      display:
        v: father
status:
  v: final
code:
  coding: https://loinc.org/rdf/11341-5
    system:
      v: http://loinc.org
    code:
      v: 11341-5
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
focus:
  link: http://hl7.org/fhir/us/bfdr/RelatedPerson/relatedperson-father-natural-tom-yan-lee
  reference:
    v: RelatedPerson/relatedperson-father-natural-tom-yan-lee
effective: Period
  start:
    v: 2019-01-09
value: CodeableConcept
  text:
    v: Teaching Assistant
component:
  code:
    coding: https://loinc.org/rdf/86188-0
      system:
        v: http://loinc.org
      code:
        v: 86188-0
  value: CodeableConcept
    text:
      v: Elementary and Secondary Schools

observation-input-race-and-ethnicity-carmen-teresa-lee
type: Observation
id:
  v: observation-input-race-and-ethnicity-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr
text:
  status:
    v: generated
  div: Generated Narrative: 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 subject: Patient - Mother (Carmen Teresa Lee) component code: White value: true component code: Black Or African American value: true component code: American Indian Or Alaska Native value: true component code: Asian Indian value: false component code: Chinese value: false component code: Filipino value: false component code: Japanese value: false component code: Korean value: false component code: Vietnamese value: false component code: Other Asian value: false component code: Native Hawaiian value: false component code: Guamanian Or Chamorro value: false component code: Samoan value: false component code: Other Pacific Islander value: false component code: Other Race value: false component code: First Other Asian Literal value: Malaysian component code: First American Indian Or Alaska Native Literal value: Arikara component code: Hispanic Mexican value: Yes component code: Hispanic Cuban value: Yes component code: Hispanic Puerto Rican value: Yes component code: Hispanic Other value: No
status:
  v: final
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
    code:
      v: inputraceandethnicityMother
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: White
  value: boolean
    v: true
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: BlackOrAfricanAmerican
  value: boolean
    v: true
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: AmericanIndianOrAlaskanNative
  value: boolean
    v: true
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: AsianIndian
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Chinese
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Filipino
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Japanese
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Korean
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Vietnamese
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: OtherAsian
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: NativeHawaiian
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: GuamanianOrChamorro
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Samoan
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: OtherPacificIslander
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: OtherRace
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: FirstOtherAsianLiteral
  value: string
    v: Malaysian
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: FirstAmericanIndianOrAlaskanNativeLiteral
  value: string
    v: Arikara
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: HispanicMexican
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
      code:
        v: Y
      display:
        v: Yes
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: HispanicCuban
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136

QuestionnaireResponse-patients-fetal-death-carmen-lee
type: QuestionnaireResponse
id:
  v: QuestionnaireResponse-patients-fetal-death-carmen-lee
text:
  status:
    v: generated
  div: Generated Narrative: QuestionnaireResponse QuestionnaireResponse-patients-fetal-death-carmen-lee LinkID Text Definition Answer<img src="[binary]" alt="doco" style="background-color: inherit"/> QuestionnaireResponse-patients-fetal-death-carmen-lee Questionnaire:Questionnaire - Patient's Worksheet for the Report of Fetal Death #xD; mother-current-legal-name What is your current legal name? #xD; mother-first-name First Carmen #xD; mother-middle-name Middle Teresa #xD; mother-last-name Last Lee #xD; mother-address Where do you usually live - that is - where is your household/residence located? #xD; mother-nbr-street Complete number and street (do not enter rural route numbers) 3670 Miller Road #xD; mother-city City, Town, or Location #xD; mother-state State (or U.S. Territory, Canadian Province) MI #xD; mother-zip Zip Code 48103 #xD; inside-city-limits Is this household inside city limits (inside the incorporated limits of the city, town, or location where you live)? v2 Y/N Indicator N: No #xD; mother-mail What is your mailing address #xD; mother-mail-same Same as residence [Go to next question] true #xD; mother-dob What is your date of birth? 1986-02-15 #xD; mother-birthplace In what State, U.S. territory, or foreign country were you born? Please specify one of the following: #xD; mother-birthplace-territory or U.S. territory, i.e., Puerto Rico, U.S. Virgin Islands, Guam, American Samoa or Norther Marianas PR #xD; mother-education What 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). Education Level SEC: Some secondary or high school education #xD; mother-ethnicity true #xD; mother-ethnicity-mexican true #xD; mother-ethnicity-puerto-rican true #xD; mother-ethnicity-cuban true #xD; mother-ethnicity-other false #xD; mother-race #xD; mother-race-black-or-aa true #xD; father-current-…
questionnaire:
  v: http://hl7.org/fhir/us/bfdr/Questionnaire/Questionnaire-patients-fetal-death
  link: http://hl7.org/fhir/us/bfdr/Questionnaire/Questionnaire-patients-fetal-death
status:
  v: completed
subject:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
source:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
item:
  link id:
    v: mother-current-legal-name
  text:
    v: What is your current legal name?
  item:
    link id:
      v: mother-first-name
    text:
      v: First
    answer:
      value: string
        v: Carmen
  item:
    link id:
      v: mother-middle-name
    text:
      v: Middle
    answer:
      value: string
        v: Teresa
  item:
    link id:
      v: mother-last-name
    text:
      v: Last
    answer:
      value: string
        v: Lee
item:
  link id:
    v: mother-address
  text:
    v: Where do you usually live - that is - where is your household/residence located?
  item:
    link id:
      v: mother-nbr-street
    text:
      v: Complete number and street (do not enter rural route numbers)
    answer:
      value: string
        v: 3670 Miller Road
  item:
    link id:
      v: mother-city
    text:
      v: City, Town, or Location
  item:
    link id:
      v: mother-state
    text:
      v: State (or U.S. Territory, Canadian Province)
    answer:
      value: string
        v: MI
  item:
    link id:
      v: mother-zip
    text:
      v: Zip Code
    answer:
      value: string
        v: 48103
item:
  link id:
    v: inside-city-limits
  text:
    v: Is this household inside city limits (inside the incorporated limits of the city, town, or location where you live)?
  answer:
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
      code:
        v: N
      display:
        v: No
item:
  link id:
    v: mother-mail
  text:
    v: What is your mailing address
  item:
    link id:
      v: mother-mail-same
    text:
      v: Same as residence [Go to next question]
    answer:
      value: boolean
        v: true
item:
  link id:
    v: mother-dob
  text:
    v: What is your date of birth?
  answer:
    value: date
      v: 1986-02-15
item:
  link id:
    v: mother-birthplace
  text:
    v: In what State, U.S. territory, or foreign country were you born? Please specify one of the following:
  item:
    link id:
      v: mother-birthplace-territory
    text:
      v: or U.S. territory, i.e., Puerto Rico, U.S. Virgin Islands, Guam, American Samoa or Norther Marianas
    answer:
      value: string
        v: PR
item:
  link id:
    v: mother-education
  text:
    v: What 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).
  answer:
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-EducationLevel
      code:
        v: SEC
      display:
        v: Some secondary or high school education
item:
  link id:
    v: mother-ethnicity
  answer:
    value: boolean
      v: true
item:
  link id:
    v: mother-ethnicity-mexican
  answer:
    value: boolean
      v: true
item:
  link id:
    v: mother-ethnicity-puerto-rican
  answer:
    value: boolean
      v: true
item:
  link id:
    v: mother-ethnicity-cuban
  answer:
    value: boolean
      v: true
item:
  link id:
    v: mother-ethnicity-other
  answer:
    value: boolean
      v: false
item:
  link id:
    v: mother-race
  item:
    link id:
      v: mother-race-black-or-aa
    answer:
      value: boolean
        v: true
item:
  link id:
    v: father-current-legal-name
  text:
    v: What is the current legal name of your baby's father?
  item:
    link id:
      v: father-first-name
    text:
      v: First
    answer:
      value: string
        v: Tom
  item:
    link id:
      v: father-middle-name

practitioner-vital-records-janet-seito
type: Practitioner
id:
  v: practitioner-vital-records-janet-seito
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr
text:
  status:
    v: extensions
  div: Generated Narrative: 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)
extension:
  url:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/practitioner-role-birth-attendant
  value: code
    v: attendant
extension:
  url:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/practitioner-role-birth-certifier
  value: code
    v: certifier
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 223347044
name:
  text:
    v: Janet Seito
  family:
    v: Janet
  given:
    v: Seito
  suffix:
    v: D.O.
qualification:
  code:
    coding: http://snomed.info/id/76231001
      system:
        v: http://snomed.info/sct
      code:
        v: 76231001
      display:
        v: Osteopath (occupation)

location-south-hospital
type: Location
id:
  v: location-south-hospital
meta:
  profile:
    v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Location-bfdr
    link: http://hl7.org/fhir/us/bfdr/StructureDefinition/Location-bfdr
text:
  status:
    v: generated
  div: Generated Narrative: Location location-south-hospital Profile: Birth and Fetal Death Location identifier: NPI/116441967701 status: Active name: South Hospital type: Hospital, Birth Location address: 2100 North Ave Salt Lake City UT 84116 US Positions - Longitude Latitude * 40.8 111.9 managingOrganization: Organization - South Hospital
identifier:
  extension:
    url:
      v: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-jurisdictional-facility-identifier
    value: string
      v: UT12
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 116441967701
status:
  v: active
name:
  v: South Hospital
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: HOSP
    display:
      v: Hospital
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes
    code:
      v: loc_birth
    display:
      v: Birth Location
address:
  line:
    v: 2100 North Ave
  city:
    v: Salt Lake City
  district:
    v: Made Up
  state:
    v: UT
  postal code:
    v: 84116
  country:
    v: US
position:
  longitude:
    v: 40.8
  latitude:
    v: 111.9
managing organization:
  link: http://hl7.org/fhir/us/bfdr/Organization/organization-south-hospital
  reference:
    v: Organization/organization-south-hospital
  display:
    v: Organization - South Hospital

organization-south-hospital
type: Organization
id:
  v: organization-south-hospital
text:
  status:
    v: generated
  div: Generated Narrative: Organization organization-south-hospital identifier: NPI/5555512 active: true type: Hospital name: South Hospital telecom: +1-555-555-1111, mail@southhospital.com address: 2100 North Ave Salt Lake City UT 84116 US
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 5555512
active:
  v: true
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: HOSP
    display:
      v: Hospital
name:
  v: South Hospital
telecom:
  system:
    v: phone
  value:
    v: +1-555-555-1111
telecom:
  system:
    v: email
address:
  line:
    v: 2100 North Ave
  city:
    v: Salt Lake City
  state:
    v: UT
  postal code:
    v: 84116
  country:
    v: US

relatedperson-mother-carmen-teresa-lee
type: RelatedPerson
id:
  v: relatedperson-mother-carmen-teresa-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr
text:
  status:
    v: generated
  div: Generated Narrative: RelatedPerson relatedperson-mother-carmen-teresa-lee Profile: RelatedPerson - Mother Vital Records active: true patient: Patient - Decedent Fetus (Fetus Not Named) relationship: Gestational Mother name: Carmen Teresa Lee (Official) gender: Female birthDate: 1986-02-15
active:
  v: true
patient:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: GESTM
    display:
      v: gestational mother
  text:
    v: Gestational Mother
name:
  use:
    v: official
  family:
    v: Lee
  given:
    v: Carmen
  given:
    v: Teresa
gender:
  v: female
birth date:
  v: 1986-02-15

relatedperson-father-natural-tom-yan-lee
type: RelatedPerson
id:
  v: relatedperson-father-natural-tom-yan-lee
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr
text:
  status:
    v: extensions
  div: Generated Narrative: RelatedPerson relatedperson-father-natural-tom-yan-lee Profile: RelatedPerson - Father Natural Vital Records RelatedPerson Birth Place Vital Records: NY active: true patient: Patient - Decedent Fetus (Fetus Not Named) relationship: Natural Father name: Tom Yan Lee (Official) gender: Male birthDate: 1984-02-27
extension:
  url:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-relatedperson-birthplace-vr
  value: Address
    state:
      v: NY
active:
  v: true
patient:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: NFTH
    display:
      v: natural father
  text:
    v: Natural Father
name:
  use:
    v: official
  family:
    v: Lee
  given:
    v: Tom
  given:
    v: Yan
gender:
  v: male
birth date:
  v: 1984-02-27

practitioner-vital-records-jessica-leung
type: Practitioner
id:
  v: practitioner-vital-records-jessica-leung
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner practitioner-vital-records-jessica-leung Profile: Practitioner - Vital Records identifier: NPI/223347055 name: Leung Jessica Qualifications - Code * Birth Clerk
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 223347055
name:
  family:
    v: Jessica
  given:
    v: Leung
qualification:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      code:
        v: OTH
      display:
        v: other
    text:
      v: Birth Clerk

v: Observation/observation-present-job-tom-yan-lee

title:
  v: Patient's QuestionnaireResponse Section
code:
  coding: https://loinc.org/rdf/74465-6
    system:
      v: http://loinc.org
    code:
      v: 74465-6
focus:
  link: http://hl7.org/fhir/us/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
entry:
  link: http://hl7.org/fhir/us/bfdr/QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee
  reference:
    v: QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee

v: MTH

v: mother

v: FTH

v: father

v: Y

v: Yes

code:
  coding:
    system:
      v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
    code:
      v: HispanicPuertoRican
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0136
    code:
      v: Y
    display:
      v: Yes

code:
  coding:
    system:
      v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
    code:
      v: HispanicOther
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0136
    code:
      v: N
    display:
      v: No

v: Middle

value: string
  v: Yan

link id:
  v: father-last-name
text:
  v: Last
answer:
  value: string
    v: Lee

link id:
  v: father-dob
text:
  v: What is the father's date of birth?
answer:
  value: date
    v: 1984-02-27

link id:
  v: father-birthplace
text:
  v: In what State, U.S. territory, or foreign country was the father born? Please specify one of the following:
item:
  link id:
    v: father-birthplace-state
  text:
    v: State
  answer:
    value: string
      v: NY

link id:
  v: receive-wic
text:
  v: Did you receive WIC (Women, Infants and Children) food for yourself during this pregnancy?
answer:
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0136
    code:
      v: N
    display:
      v: No

link id:
  v: mothers-height
text:
  v: What is your height?
item:
  link id:
    v: mothers-height-inches
  text:
    v: Inches
  answer:
    value: Quantity
      value:
        v: 65
      unit:
        v: [in_i]
      system:
        v: http://unitsofmeasure.org
      code:
        v: [in_i]

link id:
  v: mothers-prepregnancy-weight
text:
  v: lbs
answer:
  value: Quantity
    value:
      v: 180
    unit:
      v: [lb_av]
    system:
      v: http://unitsofmeasure.org
    code:
      v: [lb_av]

link id:
  v: mothers-smoking
text:
  v: How 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.
item:
  link id:
    v: mothers-smoking-3-months-prior
  text:
    v: Three months before pregnancy
  item:
    link id:
      v: mothers-smoking-3-months-prior-cig
    text:
      v: # of cigarettes*
    answer:
      value: integer
        v: 0
  item:
    link id:
      v: mothers-smoking-3-months-prior-pck
    text:
      v: # of packs
    answer:
      value: integer
        v: 0
item:
  link id:
    v: mothers-smoking-trimester-1
  text:
    v: First three months of pregnancy
  item:
    link id:
      v: mothers-smoking-trimester-1-cig
    text:
      v: # of cigarettes*
    answer:
      value: integer
        v: 0
  item:
    link id:
      v: mothers-smoking-trimester-1-pck
    text:
      v: # of packs
    answer:
      value: integer
        v: 0
item:
  link id:
    v: mothers-smoking-trimester-2
  text:
    v: Second three months of pregnancy
  item:
    link id:
      v: mothers-smoking-trimester-2-cig
    text:
      v: # of cigarettes*
    answer:
      value: integer
        v: 0
  item:
    link id:
      v: mothers-smoking-trimester-2-pck
    text:
      v: # of packs
    answer:
      value: integer
        v: 0
item:
  link id:
    v: mothers-smoking-trimester-3
  text:
    v: Third trimester of pregnancy
  item:
    link id:
      v: mothers-smoking-trimester-3-cig
    text:
      v: # of cigarettes*
    answer:
      value: integer
        v: 0
  item:
    link id:
      v: mothers-smoking-trimester-3-pck
    text:
      v: # of packs
    answer:
      value: integer
        v: 0