UV_Vital Records Birth and Fetal Death Reporting
1.1.0 - STU 1.1
UV_Vital Records Birth and Fetal Death Reporting
1.1.0 - STU 1.1
UV_Vital Records Birth and Fetal Death Reporting, published by IHE International. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/fhir-bfdr/ and changes regularly. See the Directory of published versions
Document Details
Generated Narrative: Bundle Provider fetal death report Document
version: versionId: id (PrimitiveType/Bundle.meta.versionId): native = id -> 4; Last updated: 2023-08-29 06:22:00+0000
Profile: Bundle - Document Birth and Fetal Death
Final Document at 2019-01-09 by Practitioner - Vital Records (Jessica Leung) for Patient - Decedent Fetus (Fetus Not Named) in encounter Encounter - Maternity (Carmen Teresa Lee)
Document Subject
Document Content
Entry 1 - fullUrl = http://example.org/fhir/Composition/composition-provider-fetal-death-not-named
Resource Composition:
Generated Narrative: Composition composition-provider-fetal-death-not-named
identifier: z03eab8c-11e8-4d0c-ad2a-b385395e27da
status: Final
type: U.S. standard report of fetal death - 2003 revision
encounter: Encounter - Maternity (Carmen Teresa Lee)
date: 2019-01-09
author: Practitioner - Vital Records (Jessica Leung)
title: Provider fetal death report Document
Entry 2 - fullUrl = http://example.org/fhir/Patient/patient-decedent-fetus-not-named
Resource Patient:
Generated Narrative: Patient patient-decedent-fetus-not-named
UNK Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual, ))
Deceased: true Patient Birth Place Ann Arbor MI 48103 US Core Birth Sex Extension F Extension - Patient Fetal Death - Vital Records SNOMED CT (all versions) 276507005: Fetal death (event)
Entry 3 - fullUrl = http://example.org/fhir/Encounter/encounter-maternity-carmen-teresa-lee
Resource Encounter:
Generated Narrative: Encounter encounter-maternity-carmen-teresa-lee
Not done yet
Entry 4 - fullUrl = http://example.org/fhir/Practitioner/practitioner-vital-records-jessica-leung
Resource Practitioner:
Generated Narrative: Practitioner practitioner-vital-records-jessica-leung
identifier: NPI/223347055
name: Leung Jessica
Qualifications
Code Birth Clerk
Entry 5 - fullUrl = http://example.org/fhir/Patient/patient-mother-carmen-teresa-lee
Resource Patient:
Generated Narrative: Patient patient-mother-carmen-teresa-lee
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: US Core Ethnicity Extension:
- ombCategory: Race & Ethnicity - CDC 2135-2: Hispanic or Latino
- text: Hispanic or Latino
Patient Birth Place PR US Core Birth Sex Extension F US Core Race Extension:
- ombCategory: Race & Ethnicity - CDC 2054-5: Black or African American
- text: Black or African America
Entry 6 - fullUrl = http://example.org/fhir/Observation/observation-planned-to-deliver-at-home-not-named
Resource Observation:
Generated Narrative: Observation observation-planned-to-deliver-at-home-not-named
status: Final
code: Planned to deliver at home?
subject: Patient - Decedent Fetus (Fetus Not Named)
focus: Patient - Mother (Carmen Teresa Lee)
effective: 2019-12-02
value: false
Entry 7 - fullUrl = http://example.org/fhir/Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-date-of-first-prenatal-care-visit-carmen-teresa-lee
status: Final
code: Date of first prenatal care visit
subject: Patient - Decedent Fetus (Fetus Not Named)
focus: Patient - Mother (Carmen Teresa Lee)
effective: 2019-12-02
performer: Practitioner Avery Jones
value: 2018-05-18
Entry 8 - fullUrl = http://example.org/fhir/Observation/observation-last-menstrual-period-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-last-menstrual-period-carmen-teresa-lee
status: Final
code: Last menstrual period start date
subject: Patient - Mother (Carmen Teresa Lee)
effective: 2019-12-02
performer: Practitioner Avery Jones
value: 2018-04-18
Entry 9 - fullUrl = http://example.org/fhir/Observation/observation-number-births-now-living-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-number-births-now-living-carmen-teresa-lee
status: Final
code: [#] Births.still living
subject: Patient - Mother (Carmen Teresa Lee)
effective: 2019-12-02
performer: Practitioner Avery Jones
value: 1
Entry 10 - fullUrl = http://example.org/fhir/Observation/observation-number-births-now-dead-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-number-births-now-dead-carmen-teresa-lee
status: Final
code: Previous live births now dead #
subject: Patient - Mother (Carmen Teresa Lee)
effective: 2019-12-02
performer: Practitioner Avery Jones
value: 0
Entry 11 - fullUrl = http://example.org/fhir/Observation/observation-date-of-last-live-birth-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-date-of-last-live-birth-carmen-teresa-lee
status: Final
code: Date of last live birth
subject: Patient - Decedent Fetus (Fetus Not Named)
focus: Patient - Mother (Carmen Teresa Lee)
effective: 2019-12-02
performer: Practitioner Avery Jones
value: 2016-01-28
Entry 12 - fullUrl = http://example.org/fhir/Observation/observation-mother-height-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-mother-height-carmen-teresa-lee
status: Final
category: Vital Signs
code: Body height Measured
subject: Patient - Mother (Carmen Teresa Lee)
effective: 2019-01-10
performer: Practitioner Avery Jones
value: 65 [in_i] (Details: UCUM code[in_i] = '[in_i]')
Entry 13 - fullUrl = http://example.org/fhir/Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-mother-prepregnancy-weight-carmen-teresa-lee
status: Final
category: Vital Signs
code: Body weight --pre current pregnancy
subject: Patient - Mother (Carmen Teresa Lee)
effective: 2019-05-20
performer: Practitioner Avery Jones
value: 180 [lb_av] (Details: UCUM code[lb_av] = '[lb_av]')
Entry 14 - fullUrl = http://example.org/fhir/Observation/observation-mother-received-wic-food-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-mother-received-wic-food-carmen-teresa-lee
status: Final
code: Did mother get WIC food for herself during this pregnancy?
subject: Patient - Decedent Fetus (Fetus Not Named)
focus: Patient - Mother (Carmen Teresa Lee)
effective: 2019-12-02
value: No
Entry 15 - fullUrl = http://example.org/fhir/Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-cig-smoking-pregnancy-1-carmen-teresa-lee
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
value: 0
Entry 16 - fullUrl = http://example.org/fhir/Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-cig-smoking-pregnancy-2-carmen-teresa-lee
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
value: 0
Entry 17 - fullUrl = http://example.org/fhir/Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-cig-smoking-pregnancy-3-carmen-teresa-lee
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
value: 1
Entry 18 - fullUrl = http://example.org/fhir/Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-cig-smoking-pregnancy-4-carmen-teresa-lee
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
value: 0
Entry 19 - fullUrl = http://example.org/fhir/Observation/observation-number-previous-cesareans-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-number-previous-cesareans-carmen-teresa-lee
status: Final
code: Previous cesarean deliveries #
subject: Patient - Mother (Carmen Teresa Lee)
effective: 2019-12-02
performer: Practitioner Avery Jones
value: 1
Entry 20 - fullUrl = http://example.org/fhir/Observation/observation-fetal-presentation-not-named
Resource Observation:
Generated Narrative: Observation observation-fetal-presentation-not-named
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 Avery Jones
value: Breech presentation (finding)
Entry 21 - fullUrl = http://example.org/fhir/Procedure/procedure-final-route-method-delivery-not-named
Resource Procedure:
Generated Narrative: Procedure procedure-final-route-method-delivery-not-named
status: Completed
code: Spontaneous vaginal delivery
subject: Patient - Mother (Carmen Teresa Lee)
Entry 22 - fullUrl = http://example.org/fhir/Observation/observation-birth-weight-not-named
Resource Observation:
Generated Narrative: Observation observation-birth-weight-not-named
status: Final
category: Vital Signs
code: Birth weight Measured
subject: Patient - Decedent Fetus (Fetus Not Named)
effective: 2019-02-10
performer: Practitioner Avery Jones
value: 1530 g (Details: UCUM codeg = 'g')
Entry 23 - fullUrl = http://example.org/fhir/Observation/observation-gestational-age-at-delivery-not-named
Resource Observation:
Generated Narrative: Observation observation-gestational-age-at-delivery-not-named
status: Final
code: Gestational age Estimated
subject: Patient - Decedent Fetus (Fetus Not Named)
effective: 2019-12-02
performer: Practitioner Avery Jones
value: 20 wk (Details: UCUM codewk = 'wk')
Entry 24 - fullUrl = http://example.org/fhir/Condition/condition-fetal-death-cause-or-condition-not-named
Resource Condition:
Generated Narrative: Condition condition-fetal-death-cause-or-condition-not-named
category: Encounter Diagnosis, Initiating cause or condition of fetal death [US Standard Report of Fetal Death]
code: Premature rupture of membranes (disorder)
Entry 25 - fullUrl = http://example.org/fhir/Condition/condition-fetal-death-other-significant-cause-not-named
Resource Condition:
Generated Narrative: Condition condition-fetal-death-other-significant-cause-not-named
category: Encounter Diagnosis, Other significant causes or conditions of fetal death [US Standard Report of Fetal Death]
code: Placental insufficiency (disorder)
Entry 26 - fullUrl = http://example.org/fhir/Observation/observation-fetal-death-time-point-not-named
Resource Observation:
Generated Narrative: Observation observation-fetal-death-time-point-not-named
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 Avery Jones
value: Fetal intrapartum death after first assessment (event)
Entry 27 - fullUrl = http://example.org/fhir/Observation/observation-autopsy-performed-not-named
Resource Observation:
Generated Narrative: Observation observation-autopsy-performed-not-named
status: Final
code: Autopsy was performed
subject: Patient - Decedent Fetus (Fetus Not Named)
effective: 2019-12-02
performer: Practitioner Avery Jones
value: Autopsy performed (situation)
Entry 28 - fullUrl = http://example.org/fhir/Observation/observation-histological-placental-exam-performed-not-named
Resource Observation:
Generated Narrative: Observation observation-histological-placental-exam-performed-not-named
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 Avery Jones
value: Performed
Entry 29 - fullUrl = http://example.org/fhir/Observation/observation-autopsy-histological-exam-results-used-not-named
Resource Observation:
Generated Narrative: Observation observation-autopsy-histological-exam-results-used-not-named
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 Avery Jones
value: Yes
Entry 30 - fullUrl = http://example.org/fhir/Observation/observation-parent-education-level-carmen-teresa-lee
Resource Observation:
Generated Narrative: Observation observation-parent-education-level-carmen-teresa-lee
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
value: 9th through 12th grade; no diploma
Entry 31 - fullUrl = http://example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee
Resource QuestionnaireResponse:
Generated Narrative: QuestionnaireResponse QuestionnaireResponse-patients-fetal-death-carmen-lee
LinkID Text Definition Answer QuestionnaireResponse-patients-fetal-death-carmen-lee
Questionnaire:Questionnaire - Patient's Worksheet for the Report of Fetal Death mother-current-legal-name
What is your current legal name? mother-first-name
First Carmen Middle Teresa Last Lee Where do you usually live - that is - where is your household/residence located? Complete number and street (do not enter rural route numbers) 3670 Miller Road City, Town, or Location State (or U.S. Territory, Canadian Province) MI Zip Code 48103 Is this household inside city limits (inside the incorporated limits of the city, town, or location where you live)? expandedYes-NoIndicator N: No What is your mailing address Same as residence [Go to next question] true What is your date of birth? 1986-02-15 In what State, U.S. territory, or foreign country were you born? Please specify one of the following: or U.S. territory, i.e., Puerto Rico, U.S. Virgin Islands, Guam, American Samoa or Norther Marianas PR 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). unknown PHC1449: 9th through 12th grade; no diploma Are you Spanish/Hispanic/Latina? If not Spanish/Hispanic/Latina, check the “No” box. If Spanish/Hispanic/Latina, check the appropriate box. Are you Spanish/Hispanic/Latina Race & Ethnicity - CDC 2135-2: Hispanic or Latino What is your race? (Please check one or more races to indicate what you consider yourself to be). Race categories Race & Ethnicity - CDC 2054-5: Black or African American What is the current legal name of your baby's father? First Tom Middle Yan Last Lee What is the father's date of birth? 1984-02-27 In what State, U.S. territory, or foreign country was the father born? Please specify one of the following: State NY Did you receive WIC (Women, Infants and Children) food for yourself during this pregnancy? expandedYes-NoIndicator N: No What is your height? Inches 65 [in_i] (Details: UCUM code[in_i] = '[in_i]') lbs 180 [lb_av] (Details: UCUM code[lb_av] = '[lb_av]') 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. Three months before pregnancy # of cigarettes* 0 # of packs 0 First three months of pregnancy # of cigarettes* 0 # of packs 0 Second three months of pregnancy # of cigarettes* 0 # of packs 0 Third trimester of pregnancy # of cigarettes* 0 # of packs 0 Documentation for this format
Entry 32 - fullUrl = http://example.org/fhir/Practitioner/practitioner-vital-records-janet-seito
Resource Practitioner:
Generated Narrative: Practitioner practitioner-vital-records-janet-seito
identifier: NPI/223347044
name: Avery Jones
Qualifications
Code Osteopath (occupation)
Entry 33 - fullUrl = http://example.org/fhir/Location/location-south-hospital
Resource Location:
Generated Narrative: Location location-south-hospital
status: Active
name: South Hospital
type: Hospital
Entry 34 - fullUrl = http://example.org/fhir/Organization/organization-south-hospital
Resource Organization:
Generated Narrative: Organization organization-south-hospital
identifier: NPI/5555512
active: true
type: Hospital
name: South Hospital
contact
telecom: +1-555-555-1111, mail@southhospital.com
address: 2100 North Ave Salt Lake City UT 84116 US
Entry 35 - fullUrl = http://example.org/fhir/RelatedPerson/relatedperson-mother-carmen-teresa-lee
Resource RelatedPerson:
Generated Narrative: RelatedPerson relatedperson-mother-carmen-teresa-lee
active: true
patient: Patient - Decedent Fetus (Fetus Not Named)
relationship: Gestational Mother
name: Carmen Teresa Lee (Official)
gender: Female
birthDate: 1986-02-15
IG © 2020+ IHE International. Package ihe.qrph.bfdr#1.1.0 based on FHIR 4.0.1. Generated 2024-07-09
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