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

## Example Bundle: Bundle - Jurisdiction Fetal Death Report - Fetus Not Named

Document Details

Generated Narrative: Bundle Jurisdiction fetal death report Document

version: versionId: id (PrimitiveType/Bundle.meta.versionId): native = id -> 49; Last updated: 2023-08-29 06:19:09+0000

Profile: Bundle - Document Birth and Fetal Death

Final Document at 2019-01-09 by Jurisdictional Vital Records Office for Patient - Decedent Fetus (Fetus Not Named) in encounter Encounter - Maternity (Carmen Teresa Lee)

Document Subject

Document Content

## Mother (prenatal) Section on the Fetal Death Report

## Medical and Health Information on the Fetal Death Report

## Fetal delivery information section on the Fetal Death Report

## Mother Administrative Section on the Fetal Death Report

## Edit Flags Section

## Additional Resources Included in Document

Entry 1 - fullUrl = http://example.org/fhir/Composition/composition-jurisdiction-fetal-death-not-named

Resource Composition:

> Generated Narrative: Composition composition-jurisdiction-fetal-death-not-named

> identifier: c03eab8c-11e8-4d0c-ad2a-b385395e27da

> status: Final

> type: Jurisdiction fetal death report Document

> encounter: Encounter - Maternity (Carmen Teresa Lee)

> date: 2019-01-09

> author: Jurisdictional Vital Records Office

> title: Jurisdiction 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/Organization/organization-jurisdictional-vital-records-office

Resource Organization:

> Generated Narrative: Organization organization-jurisdictional-vital-records-office

> active: true

> name: Jurisdictional Vital Records Office

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: | Also see: RelatedPerson Carmen Teresa Lee (official)
> 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

> performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

> 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

> performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

> 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

> performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

> 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

> performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

> 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

> performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

> 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

> performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

> 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)

> subject: Patient - Decedent Fetus (Fetus Not Named)

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)

> subject: Patient - Decedent Fetus (Fetus Not Named)

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

> performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

> value: 9th through 12th grade; no diploma

Entry 31 - fullUrl = http://example.org/fhir/Observation/observation-edit-flag-delivery-wgt-not-named

Resource Observation:

> Generated Narrative: Observation observation-edit-flag-delivery-wgt-not-named

> status: Final

> code: Birth weight Edit flag

> subject: Decedent Fetus Not Named

> effective: 2019-12-02

> performer: Organization Jurisdictional Vital Records Office

> value: Off

Entry 32 - fullUrl = http://example.org/fhir/Observation/observation-edit-flag-est-gestation-not-named

Resource Observation:

> Generated Narrative: Observation observation-edit-flag-est-gestation-not-named

> status: Final

> code: Gestation age Edit flag

> subject: Decedent Fetus Not Named

> effective: 2019-12-02

> performer: Organization Jurisdictional Vital Records Office

> value: Off

Entry 33 - fullUrl = http://example.org/fhir/Observation/observation-edit-flag-mothers-dob-not-named

Resource Observation:

> Generated Narrative: Observation observation-edit-flag-mothers-dob-not-named

> status: Final

> code: Mothers birthdate Edit flag

> subject: Decedent Fetus Not Named

> effective: 2019-12-02

> performer: Organization Jurisdictional Vital Records Office

> value: Edit Passed

Entry 34 - fullUrl = http://example.org/fhir/Observation/observation-edit-flag-mothers-education-not-named

Resource Observation:

> Generated Narrative: Observation observation-edit-flag-mothers-education-not-named

> status: Final

> code: Mothers education Edit flag

> subject: Decedent Fetus Not Named

> effective: 2019-12-02

> performer: Organization Jurisdictional Vital Records Office

> value: Edit Passed

Entry 35 - fullUrl = http://example.org/fhir/Observation/observation-edit-flag-mothers-height-not-named

Resource Observation:

> Generated Narrative: Observation observation-edit-flag-mothers-height-not-named

> status: Final

> code: Mothers height Edit flag

> subject: Decedent Fetus Not Named

> effective: 2019-12-02

> performer: Organization Jurisdictional Vital Records Office

> value: Edit Passed

Entry 36 - fullUrl = http://example.org/fhir/Observation/observation-edit-flag-mothers-prepreg-wgt-not-named

Resource Observation:

> Generated Narrative: Observation observation-edit-flag-mothers-prepreg-wgt-not-named

> status: Final

> code: Mothers Prepregnancy Weight Edit flag

> subject: Decedent Fetus Not Named

> effective: 2019-12-02

> performer: Organization Jurisdictional Vital Records Office

> value: Edit Passed

Entry 37 - fullUrl = http://example.org/fhir/Observation/observation-edit-flag-nbr-previous-cesareans-not-named

Resource Observation:

> Generated Narrative: Observation observation-edit-flag-nbr-previous-cesareans-not-named

> status: Final

> code: Previous Cesarians Edit flag

> subject: Decedent Fetus Not Named

> effective: 2019-12-02

> performer: Organization Jurisdictional Vital Records Office

> value: Edit Passed

Entry 38 - fullUrl = http://example.org/fhir/Observation/observation-edit-flag-plurality-not-named

Resource Observation:

> Generated Narrative: Observation observation-edit-flag-plurality-not-named

> status: Final

> code: Plurality Edit flag

> subject: Decedent Fetus Not Named

> effective: 2019-12-02

> performer: Organization Jurisdictional Vital Records Office

> value: Queried, and Correct

Entry 39 - 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 40 - fullUrl = http://example.org/fhir/Location/location-south-hospital

Resource Location:

> Generated Narrative: Location location-south-hospital

> identifier: NPI/116441967701

> status: Active

> name: South Hospital

> type: Hospital

Entry 41 - 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 42 - 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