bundle-provider-fetal-death-not-named
type: Bundle
node role: treeRoot
id:
  v: bundle-provider-fetal-death-not-named
meta:
  version id:
    v: 4
  last updated:
    v: 2023-08-29T06:22:00.568Z
  profile:
    v: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Bundle-document-bfdr
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Bundle-document-bfdr
identifier:
  system:
    v: urn:ietf:rfc:3986
type:
  v: document
timestamp:
  v: 2019-02-11T02:06:01.283Z
entry:
  full url:
    v: http://example.org/fhir/Composition/composition-provider-fetal-death-not-named
  resource: composition-provider-fetal-death-not-named
entry:
  full url:
    v: http://example.org/fhir/Patient/patient-decedent-fetus-not-named
  resource: patient-decedent-fetus-not-named
entry:
  full url:
    v: http://example.org/fhir/Encounter/encounter-maternity-carmen-teresa-lee
  resource: encounter-maternity-carmen-teresa-lee
entry:
  full url:
    v: http://example.org/fhir/Practitioner/practitioner-vital-records-jessica-leung
  resource: practitioner-vital-records-jessica-leung
entry:
  full url:
    v: http://example.org/fhir/Patient/patient-mother-carmen-teresa-lee
  resource: patient-mother-carmen-teresa-lee
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-planned-to-deliver-at-home-not-named
  resource: observation-planned-to-deliver-at-home-not-named
entry:
  full url:
    v: http://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://example.org/fhir/Observation/observation-last-menstrual-period-carmen-teresa-lee
  resource: observation-last-menstrual-period-carmen-teresa-lee
entry:
  full url:
    v: http://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://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://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://example.org/fhir/Observation/observation-mother-height-carmen-teresa-lee
  resource: observation-mother-height-carmen-teresa-lee
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee
  resource: observation-mother-prepregnancy-weight-carmen-teresa-lee
entry:
  full url:
    v: http://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://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://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://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://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://example.org/fhir/Observation/observation-number-previous-cesareans-carmen-teresa-lee
  resource: observation-number-previous-cesareans-carmen-teresa-lee
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-fetal-presentation-not-named
  resource: observation-fetal-presentation-not-named
entry:
  full url:
    v: http://example.org/fhir/Procedure/procedure-final-route-method-delivery-not-named
  resource: procedure-final-route-method-delivery-not-named
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-birth-weight-not-named
  resource: observation-birth-weight-not-named
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-gestational-age-at-delivery-not-named
  resource: observation-gestational-age-at-delivery-not-named
entry:
  full url:
    v: http://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://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://example.org/fhir/Observation/observation-fetal-death-time-point-not-named
  resource: observation-fetal-death-time-point-not-named
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-autopsy-performed-not-named
  resource: observation-autopsy-performed-not-named
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-histological-placental-exam-performed-not-named
  resource: observation-histological-placental-exam-performed-not-named
entry:
  full url:
    v: http://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://example.org/fhir/Observation/observation-parent-education-level-carmen-teresa-lee
  resource: observation-parent-education-level-carmen-teresa-lee
entry:
  full url:
    v: http://example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee
  resource: QuestionnaireResponse-patients-fetal-death-carmen-lee
entry:
  full url:
    v: http://example.org/fhir/Practitioner/practitioner-vital-records-janet-seito
  resource: practitioner-vital-records-janet-seito
entry:
  full url:
    v: http://example.org/fhir/Location/location-south-hospital
  resource: location-south-hospital
entry:
  full url:
    v: http://example.org/fhir/Organization/organization-south-hospital
  resource: organization-south-hospital
entry:
  full url:
    v: http://example.org/fhir/RelatedPerson/relatedperson-mother-carmen-teresa-lee
  resource: relatedperson-mother-carmen-teresa-lee

composition-provider-fetal-death-not-named
type: Composition
id:
  v: composition-provider-fetal-death-not-named
meta:
  profile:
    v: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Composition-provider-fetal-death-report
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Composition-provider-fetal-death-report
text:
  status:
    v: generated
  div: 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
extension:
  url:
    v: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-report-number
  value: Identifier
    value:
      v: 9876
extension:
  url:
    v: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-fetal-death-local-file-number
  value: Identifier
    value:
      v: 11111-11111
extension:
  url:
    v: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Extension-date-received-by-registrar
  value:
    v: 2019-02-12
identifier:
  value:
    v: z03eab8c-11e8-4d0c-ad2a-b385395e27da
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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
encounter:
  link: https://profiles.ihe.net/QRPH/bfdr/Encounter/encounter-maternity-carmen-teresa-lee
  reference:
    v: Encounter/encounter-maternity-carmen-teresa-lee
  display:
    v: Encounter - Maternity (Carmen Teresa Lee)
date:
  v: 2019-01-09
author:
  link: https://profiles.ihe.net/QRPH/bfdr/Practitioner/practitioner-vital-records-jessica-leung
  reference:
    v: Practitioner/practitioner-vital-records-jessica-leung
  display:
    v: Practitioner - Vital Records (Jessica Leung)
title:
  v: Provider fetal death report Document
section:
  title:
    v: Mother (prenatal) Section on the Fetal Death Report
  code:
    coding: https://loinc.org/rdf/57073-9
      system:
        v: http://loinc.org
      code:
        v: 57073-9
      display:
        v: Prenatal records
  focus:
    link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
    reference:
      v: Patient/patient-mother-carmen-teresa-lee
    display:
      v: Patient - Mother (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-planned-to-deliver-at-home-not-named
    reference:
      v: Observation/observation-planned-to-deliver-at-home-not-named
    display:
      v: Observation - Planned to Deliver at Home (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/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
    display:
      v: Observation - Date of First Prenatal Care Visit (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-last-menstrual-period-carmen-teresa-lee
    reference:
      v: Observation/observation-last-menstrual-period-carmen-teresa-lee
    display:
      v: Observation - Last Menstrual Period (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-number-births-now-living-carmen-teresa-lee
    reference:
      v: Observation/observation-number-births-now-living-carmen-teresa-lee
    display:
      v: Observation - Number Births Now Living (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-number-births-now-dead-carmen-teresa-lee
    reference:
      v: Observation/observation-number-births-now-dead-carmen-teresa-lee
    display:
      v: Observation - Number Births Now Dead (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-date-of-last-live-birth-carmen-teresa-lee
    reference:
      v: Observation/observation-date-of-last-live-birth-carmen-teresa-lee
    display:
      v: Observation - Date of Last Live Birth (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-mother-height-carmen-teresa-lee
    reference:
      v: Observation/observation-mother-height-carmen-teresa-lee
    display:
      v: Observation - Mother Height (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee
    reference:
      v: Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee
    display:
      v: Observation - Mother Prepregnancy Weight (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-mother-received-wic-food-carmen-teresa-lee
    reference:
      v: Observation/observation-mother-received-wic-food-carmen-teresa-lee
    display:
      v: Observation - Mother Received WIC Food (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee
    reference:
      v: Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee
    display:
      v: Observation - Cigarette Smoking Before/During Pregnancy (3 months prior: Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee
    reference:
      v: Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee
    display:
      v: Observation - Cigarette Smoking Before/During Pregnancy (first 3 months: Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee
    reference:
      v: Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee
    display:
      v: Observation - Cigarette Smoking Before/During Pregnancy (last 3 months: Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee
    reference:
      v: Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee
    display:
      v: Observation - Cigarette Smoking Before/During Pregnancy (second 3 months: Carmen Teresa Lee)
section:
  title:
    v: Medical and Health Information on the Fetal Death Report
  code:
    coding: https://loinc.org/rdf/55752-0
      system:
        v: http://loinc.org
      code:
        v: 55752-0
      display:
        v: Clinical information
  focus:
    link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
    reference:
      v: Patient/patient-mother-carmen-teresa-lee
    display:
      v: Patient - Mother (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-number-previous-cesareans-carmen-teresa-lee
    reference:
      v: Observation/observation-number-previous-cesareans-carmen-teresa-lee
    display:
      v: Observation - Number Previous Cesareans (Carmen Teresa Lee)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-fetal-presentation-not-named
    reference:
      v: Observation/observation-fetal-presentation-not-named
    display:
      v: Observation - Fetal Presentation (Fetus Not Named)
  entry:
    link: https://profiles.ihe.net/QRPH/bfdr/Procedure/procedure-final-route-method-delivery-not-named
    reference:
      v: Procedure/procedure-final-route-method-delivery-not-named
    display:
      v: Procedure - Final Route and Method of Delivery (Fetus Not Named)
section:
  title:
    v: Fetal delivery information section on the Fetal Death Report
  code:
    coding: https://loinc.org/rdf/76400-1
      system:
        v: http://loinc.org
      code:
        v: 76400-1
      display:
        v: Fetal delivery information Document [US Standard Report of Fetal Death]

patient-decedent-fetus-not-named
type: Patient
id:
  v: patient-decedent-fetus-not-named
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-decedent-fetus-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-decedent-fetus-vr
text:
  status:
    v: generated
  div: 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)
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
  value:
    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:
  url:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr
  value: Coding
    type: http://snomed.info/id/276507005
    system:
      v: http://snomed.info/sct
    code:
      v: 276507005
    display:
      v: Fetal death (event)
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:
  family:
    v: UNK
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      value:
        v: not-applicable
gender:
  v: female
birth date:
  v: 2019-01-09
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/patient-birthTime
    value:
      v: 2019-01-09T18:23:00-07:00
deceased:
  v: true

encounter-maternity-carmen-teresa-lee
type: Encounter
id:
  v: encounter-maternity-carmen-teresa-lee
meta:
  profile:
    v: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Encounter-maternity
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Encounter-maternity
text:
  status:
    v: generated
  div: Generated Narrative: Encounter encounter-maternity-carmen-teresa-lee 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, MD) 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)
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: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/Practitioner/practitioner-vital-records-janet-seito
    reference:
      v: Practitioner/practitioner-vital-records-janet-seito
    display:
      v: Practitioner - Vital Records (Janet Seito, MD)
period:
  start:
    v: 2019-01-08T10:00:00-07:00
  end:
    v: 2019-01-09T17:00:00-07:00
location:
  location:
    link: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/Organization/organization-south-hospital
  reference:
    v: Organization/organization-south-hospital
  display:
    v: Organization - US Core Organization (South Hospital Organization)

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 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

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 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: Race & Ethnicity - CDC 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: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.">US Core Race Extension: ombCategory: Race & Ethnicity - CDC 2054-5: Black or African American text: Black or African America
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
  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:
      v: Black or African America
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
  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:
      v: Hispanic or Latino
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
  value:
    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/v2-0532
      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: https://profiles.ihe.net/QRPH/bfdr/RelatedPerson/relatedperson-mother-carmen-teresa-lee
    reference:
      v: RelatedPerson/relatedperson-mother-carmen-teresa-lee
  type:
    v: seealso

observation-planned-to-deliver-at-home-not-named
type: Observation
id:
  v: observation-planned-to-deliver-at-home-not-named
meta:
  profile:
    v: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-planned-to-deliver-at-home
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-planned-to-deliver-at-home
text:
  status:
    v: generated
  div: 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 performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, )) value: false
status:
  v: final
code:
  coding: https://loinc.org/rdf/73765-0
    system:
      v: http://loinc.org
    code:
      v: 73765-0
    display:
      v: Mother Planned to deliver at home [US Standard Certificate of Live Birth]
  text:
    v: Planned to deliver at home?
subject:
  link: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value:
  v: false

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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit
    link: https://profiles.ihe.net/QRPH/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 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/69044-6
    system:
      v: http://loinc.org
    code:
      v: 69044-6
    display:
      v: Date first prenatal visit
  text:
    v: Date of first prenatal care visit
subject:
  link: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value:
  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/vr-common-library/StructureDefinition/Observation-last-menstrual-period-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-last-menstrual-period-vr
text:
  status:
    v: generated
  div: 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
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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value:
  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/vr-common-library/StructureDefinition/Observation-number-births-now-living-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-living-vr
text:
  status:
    v: generated
  div: 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
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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value:
  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/vr-common-library/StructureDefinition/Observation-number-births-now-dead-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-dead-vr
text:
  status:
    v: generated
  div: 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
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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value:
  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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-date-of-last-live-birth
    link: https://profiles.ihe.net/QRPH/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 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
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: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value:
  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/vr-common-library/StructureDefinition/Observation-mother-height-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-height-vr
text:
  status:
    v: generated
  div: 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]')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
  text:
    v: Vital Signs
code:
  coding: https://loinc.org/rdf/3137-7
    system:
      v: http://loinc.org
    code:
      v: 3137-7
    display:
      v: Body height Measured
subject:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective:
  v: 2019-01-10
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: Quantity
  value:
    v: 65
  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/vr-common-library/StructureDefinition/Observation-mother-prepregnancy-weight-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-mother-prepregnancy-weight-vr
text:
  status:
    v: generated
  div: 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]')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
  text:
    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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective:
  v: 2019-05-20
performer:
  link: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-mother-received-wic-food
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-mother-received-wic-food
text:
  status:
    v: generated
  div: 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 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
    display:
      v: Mother WIC food recipient
  text:
    v: Did mother get WIC food for herself during this pregnancy?
subject:
  link: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/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/v2-0532
    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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
text:
  status:
    v: generated
  div: 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 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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
focus:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value:
  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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
text:
  status:
    v: generated
  div: 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 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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
focus:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value:
  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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
text:
  status:
    v: generated
  div: 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 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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
focus:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value:
  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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy
text:
  status:
    v: generated
  div: 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 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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
focus:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value:
  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/vr-common-library/StructureDefinition/Observation-number-previous-cesareans-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-previous-cesareans-vr
text:
  status:
    v: generated
  div: 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
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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value:
  v: 1

observation-fetal-presentation-not-named
type: Observation
id:
  v: observation-fetal-presentation-not-named
meta:
  profile:
    v: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-fetal-presentation
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-fetal-presentation
text:
  status:
    v: generated
  div: 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)
status:
  v: final
code:
  coding: https://loinc.org/rdf/73761-9
    system:
      v: http://loinc.org
    code:
      v: 73761-9
    display:
      v: Fetal presentation--at birth [US Standard Certificate of Live Birth]
subject:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-final-route-method-delivery
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Procedure-final-route-method-delivery
text:
  status:
    v: generated
  div: Generated Narrative: Procedure procedure-final-route-method-delivery-not-named status: Completed 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
code:
  coding: http://snomed.info/id/48782003
    system:
      v: http://snomed.info/sct
    code:
      v: 48782003
    display:
      v: Delivery normal (finding)
  text:
    v: Spontaneous vaginal delivery
subject:
  link: https://profiles.ihe.net/QRPH/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
text:
  status:
    v: generated
  div: 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')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
  text:
    v: Vital Signs
code:
  coding: https://loinc.org/rdf/8339-4
    system:
      v: http://loinc.org
    code:
      v: 8339-4
    display:
      v: Birth weight Measured
subject:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective:
  v: 2019-02-10
performer:
  link: https://profiles.ihe.net/QRPH/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/vr-common-library/StructureDefinition/Observation-gestational-age-at-delivery-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-gestational-age-at-delivery-vr
text:
  status:
    v: generated
  div: 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')
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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-fetal-death-cause-or-condition
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-fetal-death-cause-or-condition
text:
  status:
    v: generated
  div: 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) 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: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Condition-fetal-death-other-cause-or-condition
    link: https://profiles.ihe.net/QRPH/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 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: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-estimated-fetal-death-time-point
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-estimated-fetal-death-time-point
text:
  status:
    v: generated
  div: 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)
status:
  v: final
code:
  coding: https://loinc.org/rdf/73811-2
    system:
      v: http://loinc.org
    code:
      v: 73811-2
    display:
      v: Estimated timing of fetal death [US Standard Report of Fetal Death]
subject:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/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/vr-common-library/StructureDefinition/Observation-autopsy-performed-indicator-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-autopsy-performed-indicator-vr
text:
  status:
    v: generated
  div: 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)
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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Practitioner/practitioner-vital-records-janet-seito
  reference:
    v: Practitioner/practitioner-vital-records-janet-seito
value: CodeableConcept
  coding: http://snomed.info/id/716347009
    system:
      v: http://snomed.info/sct
    code:
      v: 716347009
    display:
      v: Autopsy performed (situation)

observation-histological-placental-exam-performed-not-named
type: Observation
id:
  v: observation-histological-placental-exam-performed-not-named
meta:
  profile:
    v: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-histological-placental-exam-performed
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-histological-placental-exam-performed
text:
  status:
    v: generated
  div: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/73767-6
    system:
      v: http://loinc.org
    code:
      v: 73767-6
    display:
      v: Histological placental examination was performed [US Standard Report of Fetal Death]
subject:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-autopsy-histological-exam-results-used
    link: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Observation-autopsy-histological-exam-results-used
text:
  status:
    v: generated
  div: 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
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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-decedent-fetus-not-named
  reference:
    v: Patient/patient-decedent-fetus-not-named
  display:
    v: Patient - Decedent Fetus (Fetus Not Named)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/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-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-parent-education-level-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-parent-education-level-vr
text:
  status:
    v: generated
  div: 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 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: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
effective:
  v: 2019-12-02
performer:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
value: CodeableConcept
  coding:
    system:
      v: urn:oid:2.16.840.1.114222.4.5.274
    code:
      v: PHC1449
    display:
      v: 9th through 12th grade; no diploma
  text:
    v: 9th through 12th grade; no diploma

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 mother-current-legal-name What is your current legal name? mother-first-name First Carmen mother-middle-name Middle Teresa mother-last-name Last Lee mother-address Where do you usually live - that is - where is your household/residence located? mother-nbr-street Complete number and street (do not enter rural route numbers) 3670 Miller Road mother-city City, Town, or Location mother-state State (or U.S. Territory, Canadian Province) MI mother-zip Zip Code 48103 inside-city-limits Is this household inside city limits (inside the incorporated limits of the city, town, or location where you live)? expandedYes-NoIndicator N: No mother-mail What is your mailing address mother-mail-same Same as residence [Go to next question] true mother-dob What is your date of birth? 1986-02-15 mother-birthplace In what State, U.S. territory, or foreign country were you born? Please specify one of the following: mother-birthplace-territory or U.S. territory, i.e., Puerto Rico, U.S. Virgin Islands, Guam, American Samoa or Norther Marianas PR 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). unknown PHC1449: 9th through 12th grade; no diploma mother-ethnicity Are you Spanish/Hispanic/Latina? If not Spanish/Hispanic/Latina, check the “No” box. If Spanish/Hispanic/Latina, check the appropriate box. mother-shl Are you Spanish/Hispanic/Latina Race & Ethnicity - CDC 2135-2: Hispanic or Latino mother-race What is your race? (Please check one or more races to indica…
questionnaire:
  v: https://profiles.ihe.net/QRPH/bfdr/Questionnaire/Questionnaire-patients-fetal-death
  link: https://profiles.ihe.net/QRPH/bfdr/Questionnaire/Questionnaire-patients-fetal-death
status:
  v: completed
subject:
  link: https://profiles.ihe.net/QRPH/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: https://profiles.ihe.net/QRPH/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:
        v: Carmen
  item:
    link id:
      v: mother-middle-name
    text:
      v: Middle
    answer:
      value:
        v: Teresa
  item:
    link id:
      v: mother-last-name
    text:
      v: Last
    answer:
      value:
        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:
        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:
        v: MI
  item:
    link id:
      v: mother-zip
    text:
      v: Zip Code
    answer:
      value:
        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/v2-0532
      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:
        v: true
item:
  link id:
    v: mother-dob
  text:
    v: What is your date of birth?
  answer:
    value:
      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:
        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: urn:oid:2.16.840.1.114222.4.5.274
      code:
        v: PHC1449
      display:
        v: 9th through 12th grade; no diploma
item:
  link id:
    v: mother-ethnicity
  text:
    v: Are you Spanish/Hispanic/Latina? If not Spanish/Hispanic/Latina, check the “No” box. If Spanish/Hispanic/Latina, check the appropriate box.
  item:
    link id:
      v: mother-shl
    text:
      v: Are you Spanish/Hispanic/Latina
    answer:
      value: Coding
item:
  link id:
    v: mother-race
  text:
    v: What is your race? (Please check one or more races to indicate what you consider yourself to be).
  item:
    link id:
      v: mother-race-category
    text:
      v: Race categories
    answer:
      value: Coding
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:
        v: Tom
  item:
    link id:
      v: father-middle-name
    text:
      v: Middle
    answer:
      value:
        v: Yan
  item:
    link id:
      v: father-last-name
    text:
      v: Last
    answer:
      value:
        v: Lee

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: generated
  div: Generated Narrative: Practitioner practitioner-vital-records-janet-seito identifier: NPI/223347044 name: Avery Jones Qualifications - Code * Osteopath (occupation)
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 223347044
name:
  family:
    v: Jones
  given:
    v: Avery
  suffix:
    v: M.D.
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/core/StructureDefinition/us-core-location
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location
text:
  status:
    v: generated
  div: Generated Narrative: Location location-south-hospital status: Active name: South Hospital type: Hospital
status:
  v: active
name:
  v: South Hospital
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: HOSP
    display:
      v: 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-gestational-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-gestational-vr
text:
  status:
    v: generated
  div: 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
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
  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:
      v: Black or African America
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
  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:
      v: Hispanic or Latino
active:
  v: true
patient:
  link: https://profiles.ihe.net/QRPH/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

v: FDR

v: FDRFN

link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-birth-weight-not-named
reference:
  v: Observation/observation-birth-weight-not-named
display:
  v: Observation - Birth Weight (Fetus Not Named)

link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-gestational-age-at-delivery-not-named
reference:
  v: Observation/observation-gestational-age-at-delivery-not-named
display:
  v: Observation - Gestational Age at Delivery (Fetus Not Named)

link: https://profiles.ihe.net/QRPH/bfdr/Condition/condition-fetal-death-cause-or-condition-not-named
reference:
  v: Condition/condition-fetal-death-cause-or-condition-not-named
display:
  v: Condition - Fetal Death Cause or Condition (Fetus Not Named)

link: https://profiles.ihe.net/QRPH/bfdr/Condition/condition-fetal-death-other-significant-cause-not-named
reference:
  v: Condition/condition-fetal-death-other-significant-cause-not-named
display:
  v: Example of Condition-fetal-death-other-significant-cause profile (Fetus Not Named)

link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-fetal-death-time-point-not-named
reference:
  v: Observation/observation-fetal-death-time-point-not-named
display:
  v: Example of Observation-estimated-fetal-death-time-point profile (Fetus Not Named)

link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-autopsy-performed-not-named
reference:
  v: Observation/observation-autopsy-performed-not-named
display:
  v: Example of Observation-autopsy-performed profile (Fetus Not Named)

link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-histological-placental-exam-performed-not-named
reference:
  v: Observation/observation-histological-placental-exam-performed-not-named
display:
  v: Observation - Histological Placental Exam Performed (Fetus Not Named)

link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-autopsy-histological-exam-results-used-not-named
reference:
  v: Observation/observation-autopsy-histological-exam-results-used-not-named
display:
  v: Observation - Autopsy or Histological Exam Results Used

title:
  v: Mother Administrative Section on the Fetal Death Report
code:
  coding: https://loinc.org/rdf/92014-0
    system:
      v: http://loinc.org
    code:
      v: 92014-0
    display:
      v: Mother's administrative information
focus:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
entry:
  link: https://profiles.ihe.net/QRPH/bfdr/Observation/observation-parent-education-level-carmen-teresa-lee
  reference:
    v: Observation/observation-parent-education-level-carmen-teresa-lee
  display:
    v: Observation - Parent Education Level (Carmen Teresa Lee)

title:
  v: Mother's QuestionnaireResponse Section
code:
  coding: https://loinc.org/rdf/74465-6
    system:
      v: http://loinc.org
    code:
      v: 74465-6
    display:
      v: Questionnaire response Document
focus:
  link: https://profiles.ihe.net/QRPH/bfdr/Patient/patient-mother-carmen-teresa-lee
  reference:
    v: Patient/patient-mother-carmen-teresa-lee
  display:
    v: Patient - Mother (Carmen Teresa Lee)
entry:
  link: https://profiles.ihe.net/QRPH/bfdr/QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee
  reference:
    v: QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee
  display:
    v: QuestionnaireResponse - Patient's Worksheet for Fetal Death Report

v: urn:oid:2.16.840.1.113883.6.238

v: 2135-2

v: Hispanic or Latino

v: urn:oid:2.16.840.1.113883.6.238

v: 2054-5

v: Black or African American

link id:
  v: father-dob
text:
  v: What is the father's date of birth?
answer:
  value:
    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:
      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/v2-0532
    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:
        v: 0
  item:
    link id:
      v: mothers-smoking-3-months-prior-pck
    text:
      v: # of packs
    answer:
      value:
        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:
        v: 0
  item:
    link id:
      v: mothers-smoking-trimester-1-pck
    text:
      v: # of packs
    answer:
      value:
        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:
        v: 0
  item:
    link id:
      v: mothers-smoking-trimester-2-pck
    text:
      v: # of packs
    answer:
      value:
        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:
        v: 0
  item:
    link id:
      v: mothers-smoking-trimester-3-pck
    text:
      v: # of packs
    answer:
      value:
        v: 0