Birth Defects Reporting - STU1
0.1.2 - draft United States of America flag

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

: BDRMessageBundleExample - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "BDRMessageBundleExample",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-bundle"
    ]
  },
  "identifier" : {
    "value" : "12345"
  },
  "type" : "message",
  "timestamp" : "2020-07-15T13:28:17.239+05:00",
  "entry" : [
    {
      "fullUrl" : "http://acme.com/ehr/fhir/MessageHeader/BDRMessageHeaderExample",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "BDRMessageHeaderExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-messageheader"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_BDRMessageHeaderExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader BDRMessageHeaderExample</b></p><a name=\"BDRMessageHeaderExample\"> </a><a name=\"hcBDRMessageHeaderExample\"> </a><a name=\"BDRMessageHeaderExample-en-US\"> </a><p><b>event</b>: <a href=\"https://loinc.org/75609-8\">LOINC 75609-8</a>: Birth defects Outpatient Registry report</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Michigan BDRS</td><td><a href=\"http://acme.com\">http://acme.com</a></td></tr></table><p><b>sender</b>: <a href=\"Organization-ClinicSubmitterExample.html\">Organization Westside Clinic</a></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>EHR</td><td><a href=\"http://acme.com\">http://acme.com</a></td></tr></table><p><b>focus</b>: <a href=\"Condition-ReportableDiagnosisExample.html\">Condition 12q14 microdeletion syndrome (disorder)</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://loinc.org",
          "code" : "75609-8",
          "display" : "Birth defects Outpatient Registry report"
        },
        "destination" : [
          {
            "name" : "Michigan BDRS",
            "endpoint" : "http://acme.com"
          }
        ],
        "sender" : {
          🔗 "reference" : "Organization/ClinicSubmitterExample"
        },
        "source" : {
          "name" : "EHR",
          "endpoint" : "http://acme.com"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/ReportableDiagnosisExample"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://acme.com/ehr/fhir/Condition/ReportableDiagnosisExample",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "ReportableDiagnosisExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-reportablediagnosis"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_ReportableDiagnosisExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition ReportableDiagnosisExample</b></p><a name=\"ReportableDiagnosisExample\"> </a><a name=\"hcReportableDiagnosisExample\"> </a><a name=\"ReportableDiagnosisExample-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 719046005}\">12q14 microdeletion syndrome (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>onset</b>: 2020-07-15</p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Procedure-ConfirmatoryTestExampleWES.html\">Procedure Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis</a></td></tr></table></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active",
              "display" : "Active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed",
              "display" : "Confirmed"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "encounter-diagnosis"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "719046005",
              "display" : "12q14 microdeletion syndrome (disorder)"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PatientChildExample"
        },
        "onsetDateTime" : "2020-07-15",
        "evidence" : [
          {
            "detail" : [
              {
                🔗 "reference" : "Procedure/ConfirmatoryTestExampleWES"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://acme.com/ehr/fhir/Organization/ClinicSubmitterExample",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "ClinicSubmitterExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ClinicSubmitterExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ClinicSubmitterExample</b></p><a name=\"ClinicSubmitterExample\"> </a><a name=\"hcClinicSubmitterExample\"> </a><a name=\"ClinicSubmitterExample-en-US\"> </a><p><b>identifier</b>: Provider number/1993999998</p><p><b>active</b>: true</p><p><b>name</b>: Westside Clinic</p><p><b>telecom</b>: ph: 734-555-0001</p><p><b>address</b>: 67 Main Steet Ann Arbor MI 48105 </p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRN"
                }
              ]
            },
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "1993999998"
          }
        ],
        "active" : true,
        "name" : "Westside Clinic",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "734-555-0001"
          }
        ],
        "address" : [
          {
            "line" : [
              "67 Main Steet"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "48105"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://acme.com/ehr/fhir/Patient/PatientChildExample",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "PatientChildExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_PatientChildExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient PatientChildExample</b></p><a name=\"PatientChildExample\"> </a><a name=\"hcPatientChildExample\"> </a><a name=\"PatientChildExample-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td>false</td><td style=\"background-color: #f3f5da\" title=\"Known multipleBirth status of Patient\">Multiple Birth:</td><td colspan=\"3\">1</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Social Beneficiary Identifier/123456789</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">45 East 66th St Ann Arbor MI 48105 </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2186-5\">CDC Race and Ethnicity 2186-5</a>: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">M</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2106-3\">CDC Race and Ethnicity 2106-3</a>: White</li><li>text: White</li></ul></td></tr></table></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2106-3",
                  "display" : "White"
                }
              },
              {
                "url" : "text",
                "valueString" : "White"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2186-5",
                  "display" : "Not Hispanic or Latino"
                }
              },
              {
                "url" : "text",
                "valueString" : "Not Hispanic or Latino"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "M"
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "http://www.acme.com/identifiers/patient",
            "value" : "1234"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "SB"
                }
              ]
            },
            "system" : "http://hl7.org/fhir/sid/us-ssn",
            "value" : "123456789"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Wellington",
            "given" : [
              "Gene",
              "Austin"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "2020-04-28",
        "deceasedBoolean" : false,
        "address" : [
          {
            "line" : [
              "45 East 66th St"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "48105"
          }
        ],
        "multipleBirthInteger" : 1
      }
    },
    {
      "fullUrl" : "http://acme.com/ehr/fhir/RelatedPerson/MotherRelatedPersonExample",
      "resource" : {
        "resourceType" : "RelatedPerson",
        "id" : "MotherRelatedPersonExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_MotherRelatedPersonExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson MotherRelatedPersonExample</b></p><a name=\"MotherRelatedPersonExample\"> </a><a name=\"hcMotherRelatedPersonExample\"> </a><a name=\"MotherRelatedPersonExample-en-US\"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">Mother</span></p><p><b>name</b>: Sara Wellington </p><p><b>telecom</b>: ph: 734-555-6291(Mobile)</p><p><b>gender</b>: Female</p><p><b>birthDate</b>: 1991-10-19</p><p><b>address</b>: 425 East 66th St Ann Arbor MI 48105 </p><h3>Communications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span></td></tr></table></div>"
        },
        "active" : true,
        "patient" : {
          🔗 "reference" : "Patient/PatientChildExample"
        },
        "relationship" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "MTH",
                "display" : "Mother"
              }
            ]
          }
        ],
        "name" : [
          {
            "family" : "Wellington",
            "given" : [
              "Sara"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "734-555-6291",
            "use" : "mobile"
          }
        ],
        "gender" : "female",
        "birthDate" : "1991-10-19",
        "address" : [
          {
            "line" : [
              "425 East 66th St"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "48105"
          }
        ],
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "en",
                  "display" : "English"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://acme.com/ehr/fhir/RelatedPerson/FatherRelatedPersonExample",
      "resource" : {
        "resourceType" : "RelatedPerson",
        "id" : "FatherRelatedPersonExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_FatherRelatedPersonExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson FatherRelatedPersonExample</b></p><a name=\"FatherRelatedPersonExample\"> </a><a name=\"hcFatherRelatedPersonExample\"> </a><a name=\"FatherRelatedPersonExample-en-US\"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode NFTH}\">natural father</span></p><p><b>name</b>: Adam Wellington </p><p><b>telecom</b>: ph: 734-555-9087(Mobile)</p><p><b>gender</b>: Male</p><p><b>birthDate</b>: 1992-03-17</p><p><b>address</b>: 425 East 66th St Ann Arbor MI 48105 </p><h3>Communications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span></td></tr></table></div>"
        },
        "active" : true,
        "patient" : {
          🔗 "reference" : "Patient/PatientChildExample"
        },
        "relationship" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "NFTH",
                "display" : "natural father"
              }
            ]
          }
        ],
        "name" : [
          {
            "family" : "Wellington",
            "given" : [
              "Adam"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "734-555-9087",
            "use" : "mobile"
          }
        ],
        "gender" : "male",
        "birthDate" : "1992-03-17",
        "address" : [
          {
            "line" : [
              "425 East 66th St"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "48105"
          }
        ],
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "en",
                  "display" : "English"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://acme.com/ehr/fhir/Observation/MotherEducationExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "MotherEducationExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_MotherEducationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation MotherEducationExample</b></p><a name=\"MotherEducationExample\"> </a><a name=\"hcMotherEducationExample\"> </a><a name=\"MotherEducationExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 57712-2}\">Highest level of education Mother</span></p><p><b>subject</b>: <a href=\"Patient-PatientNewbornExample.html\">Melanie Aurora Boucher (official) Female, DoB: 2020-08-08 ( Medical record number)</a></p><p><b>focus</b>: <a href=\"RelatedPerson-MotherRelatedPersonBirthingExample.html\">RelatedPerson Miranda Stephanie Boucher </a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"RelatedPerson-MotherRelatedPersonBirthingExample.html\">RelatedPerson Miranda Stephanie Boucher </a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-EducationLevel SCOL}\">Some College education</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "57712-2",
              "display" : "Highest level of education Mother"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PatientNewbornExample"
        },
        "focus" : [
          {
            🔗 "reference" : "RelatedPerson/MotherRelatedPersonBirthingExample"
          }
        ],
        "effectiveDateTime" : "2019-12-02",
        "performer" : [
          {
            🔗 "reference" : "RelatedPerson/MotherRelatedPersonBirthingExample"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-EducationLevel",
              "code" : "SCOL"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://acme.com/ehr/fhir/Observation/FatherEducationExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "FatherEducationExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_FatherEducationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation FatherEducationExample</b></p><a name=\"FatherEducationExample\"> </a><a name=\"hcFatherEducationExample\"> </a><a name=\"FatherEducationExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87300-0}\">Highest level of education Father</span></p><p><b>subject</b>: <a href=\"Patient-PatientNewbornExample.html\">Melanie Aurora Boucher (official) Female, DoB: 2020-08-08 ( Medical record number)</a></p><p><b>focus</b>: <a href=\"RelatedPerson-FatherRelatedPersonBirthingExample.html\">RelatedPerson Gordon Boucher </a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"RelatedPerson-FatherRelatedPersonBirthingExample.html\">RelatedPerson Gordon Boucher </a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-EducationLevel SCOL}\">Some College education</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "87300-0",
              "display" : "Highest level of education Father"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PatientNewbornExample"
        },
        "focus" : [
          {
            🔗 "reference" : "RelatedPerson/FatherRelatedPersonBirthingExample"
          }
        ],
        "effectiveDateTime" : "2019-12-02",
        "performer" : [
          {
            🔗 "reference" : "RelatedPerson/FatherRelatedPersonBirthingExample"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-EducationLevel",
              "code" : "SCOL"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://acme.com/ehr/fhir/Observation/InfantLivingExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "InfantLivingExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-living"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_InfantLivingExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation InfantLivingExample</b></p><a name=\"InfantLivingExample\"> </a><a name=\"hcInfantLivingExample\"> </a><a name=\"InfantLivingExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 73757-7}\">Infant living at time of report [US Standard Certificate of Live Birth]</span></p><p><b>subject</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-joe-smith.html\">Practitioner Smith Joe </a></p><p><b>value</b>: true</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "73757-7",
              "display" : "Infant living at time of report [US Standard Certificate of Live Birth]"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PatientChildExample"
        },
        "effectiveDateTime" : "2019-12-02",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/practitioner-joe-smith"
          }
        ],
        "valueBoolean" : true
      }
    },
    {
      "fullUrl" : "http://acme.com/ehr/fhir/Observation/MotherAlcoholUseExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "MotherAlcoholUseExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/observation-mother-alcohol-use"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_MotherAlcoholUseExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation MotherAlcoholUseExample</b></p><a name=\"MotherAlcoholUseExample\"> </a><a name=\"hcMotherAlcoholUseExample\"> </a><a name=\"MotherAlcoholUseExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 160573003}\">Alcohol Intake</span></p><p><b>subject</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>focus</b>: <a href=\"RelatedPerson-MotherRelatedPersonExample.html\">RelatedPerson Sara Wellington </a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"RelatedPerson-MotherRelatedPersonExample.html\">RelatedPerson Sara Wellington </a></p><p><b>value</b>: No alcohol use during pregnancy</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "160573003",
              "display" : "Alcohol Intake"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PatientChildExample"
        },
        "focus" : [
          {
            🔗 "reference" : "RelatedPerson/MotherRelatedPersonExample"
          }
        ],
        "effectiveDateTime" : "2019-12-02",
        "performer" : [
          {
            🔗 "reference" : "RelatedPerson/MotherRelatedPersonExample"
          }
        ],
        "valueString" : "No alcohol use during pregnancy"
      }
    },
    {
      "fullUrl" : "http://acme.com/ehr/fhir/Procedure/ConfirmatoryTestExampleWES",
      "resource" : {
        "resourceType" : "Procedure",
        "id" : "ConfirmatoryTestExampleWES",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-confirmatorytest"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_ConfirmatoryTestExampleWES\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure ConfirmatoryTestExampleWES</b></p><a name=\"ConfirmatoryTestExampleWES\"> </a><a name=\"hcConfirmatoryTestExampleWES\"> </a><a name=\"ConfirmatoryTestExampleWES-en-US\"> </a><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 81415}\">Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis</span></p><p><b>subject</b>: <a href=\"Patient-PatientChildExample.html\">Gene Austin Wellington (official) Male, DoB: 2020-04-28 ( Medical record number)</a></p><p><b>performed</b>: 2020-07-11</p></div>"
        },
        "status" : "completed",
        "code" : {
          "coding" : [
            {
              "system" : "http://www.ama-assn.org/go/cpt",
              "code" : "81415"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PatientChildExample"
        },
        "performedDateTime" : "2020-07-11"
      }
    }
  ]
}