Vital Records Birth and Fetal Death Reporting
0.1.0 - STU 1 Ballot

This page is part of the Vital Records Birth and Fetal Death Reporting (v0.1.0: STU 1 on FHIR R4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

: Bundle - Provider Facility Fetal Death Report example [Fetus Not Named] - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-provider-facility-fetal-death-not-named",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/bfdr/StructureDefinition/Bundle-document-bfdr"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:64496e0a-8f12-45de-8c4e-5e51528bdc6d"
  },
  "type" : "document",
  "timestamp" : "2019-01-19T17:45:14.637+00:00",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/Composition/composition-provider-facility-fetal-death-not-named",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "composition-provider-facility-fetal-death-not-named",
        "meta" : {
          "versionId" : "7",
          "lastUpdated" : "2020-08-21T05:32:08.409+00:00",
          "source" : "#eBoj4vlESAhsqTfv",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-facility-fetal-death-report"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Extension - Date received by Registrar</b>: 2019-02-12</p><p><b>identifier</b>: id: c03eab8c-11e8-4d0c-ad2a-b385395e27da</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 92021-5}\">Provider supplied facility fetal death report Document</span></p><p><b>encounter</b>: <a href=\"#Encounter_encounter-maternity-carmen-teresa-lee\">Encounter - Maternity (Carmen Teresa Lee). Generated Summary: id: 8937015; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span>; <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99234}\">Under Observation or Inpatient Care Services (Including Admission and Discharge Services)</span>; period: Jan 8, 2019 5:00:00 PM --&gt; Jan 10, 2019 12:00:00 AM</a></p><p><b>date</b>: 2019-01-09</p><p><b>author</b>: <a href=\"#Practitioner_practitioner-live-birth-fetal-death-jessica-leung\">Practitioner - Live Birth Fetal Death (Jessica Leung). Generated Summary: id: 223347055; Leung Jessica </a></p><p><b>title</b>: Provider supplied facility fetal death report Document</p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar",
            "valueDateTime" : "2019-02-12"
          }
        ],
        "identifier" : {
          "value" : "c03eab8c-11e8-4d0c-ad2a-b385395e27da"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "92021-5",
              "display" : "Provider supplied facility fetal death report Document"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent (Fetus Not Named)"
        },
        "encounter" : {
          "reference" : "Encounter/encounter-maternity-carmen-teresa-lee",
          "display" : "Encounter - Maternity (Carmen Teresa Lee)"
        },
        "date" : "2019-01-09",
        "author" : [
          {
            "reference" : "Practitioner/practitioner-live-birth-fetal-death-jessica-leung",
            "display" : "Practitioner - Live Birth Fetal Death (Jessica Leung)"
          }
        ],
        "title" : "Provider supplied facility fetal death report Document",
        "section" : [
          {
            "title" : "Mother (prenatal) Section on the Fetal Death Report",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "57073-9",
                  "display" : "Prenatal records"
                }
              ]
            },
            "focus" : {
              "reference" : "Patient/patient-mother-carmen-teresa-lee",
              "display" : "Patient - Mother (Carmen Teresa Lee)"
            },
            "entry" : [
              {
                "reference" : "Observation/observation-planned-to-deliver-at-home-not-named",
                "display" : "Observation - Planned to Deliver at Home (Carmen Teresa Lee)"
              },
              {
                "reference" : "Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee",
                "display" : "Observation - Date of First Prenatal Care Visit (Carmen Teresa Lee)"
              },
              {
                "reference" : "Observation/observation-last-menstrual-period-carmen-teresa-lee",
                "display" : "Observation - Last Menstrual Period (Carmen Teresa Lee)"
              },
              {
                "reference" : "Observation/observation-number-births-now-living-carmen-teresa-lee",
                "display" : "Observation - Number Births Now Living (Carmen Teresa Lee)"
              },
              {
                "reference" : "Observation/observation-number-births-now-dead-carmen-teresa-lee",
                "display" : "observation-number-births-now-dead-carmen-teresa-lee"
              },
              {
                "reference" : "Observation/observation-date-of-last-live-birth-carmen-teresa-lee",
                "display" : "Observation - Date of Last Live Birth (Carmen Teresa Lee)"
              }
            ]
          },
          {
            "title" : "Medical and Health Information on the Fetal Death Report",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "55752-0",
                  "display" : "Clinical information"
                }
              ]
            },
            "focus" : {
              "reference" : "Patient/patient-mother-carmen-teresa-lee",
              "display" : "Patient - Mother (Carmen Teresa Lee)"
            },
            "entry" : [
              {
                "reference" : "Observation/observation-pregnancy-risk-factor-carmen-teresa-lee-1",
                "display" : "Observation - Pregnancy Risk Factor (Carmen Teresa Lee: Pregnancy-induced hypertension)"
              },
              {
                "reference" : "Observation/observation-pregnancy-risk-factor-carmen-teresa-lee-2",
                "display" : "Observation - Pregnancy Risk Factor (Carmen Teresa Lee: Fertility enhancing drug therapy)"
              },
              {
                "reference" : "Observation/observation-number-previous-cesareans-carmen-teresa-lee",
                "display" : "Observation - Number Previous Cesareans (Carmen Teresa Lee)"
              },
              {
                "reference" : "Condition/condition-fetal-presentation-not-named",
                "display" : "Condition - Fetal Presentation (Fetus Not Named)"
              },
              {
                "reference" : "Procedure/procedure-final-route-method-delivery-not-named",
                "display" : "Procedure - Final Route and Method of Delivery (Fetus Not Named)"
              },
              {
                "reference" : "Condition/condition-maternal-morbidity-carmen-teresa-lee",
                "display" : "Condition - Maternal Morbidity (Carmen Teresa Lee)"
              }
            ]
          },
          {
            "title" : "Fetal delivery information section on the Fetal Death Report",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "76400-1",
                  "display" : "Fetal delivery information Document [US Standard Report of Fetal Death]"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Observation/observation-birth-weight-not-named",
                "display" : "Observation - Birth Weight (Fetus Not Named)"
              },
              {
                "reference" : "Observation/observation-gestational-age-at-delivery-not-named",
                "display" : "Observation - Gestational Age at Delivery (Fetus Not Named)"
              },
              {
                "reference" : "Condition/condition-fetal-death-cause-or-condition-not-named",
                "display" : "Condition - Fetal Death Cause or Condition (Fetus Not Named)"
              },
              {
                "reference" : "Condition/condition-fetal-death-other-significant-cause-not-named",
                "display" : "Condition - Fetal Death Other Significant Cause (Fetus Not Named)"
              },
              {
                "reference" : "Observation/observation-autopsy-performed-not-named",
                "display" : "Observation - Autopsy Performed (Fetus Not Named)"
              },
              {
                "reference" : "Observation/observation-histological-placental-exam-performed-not-named",
                "display" : "Observation - Histological Placental Exam Performed (Fetus Not Named)"
              },
              {
                "reference" : "Observation/observation-autopsy-histological-exam-results-used-not-named",
                "display" : "Observation - Autopsy or Histological Exam Results Used (Fetus Not Named)"
              },
              {
                "reference" : "Observation/observation-plurality-carmen-teresa-lee",
                "display" : "Observation - Plurality (Carmen Teresa Lee)"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-autopsy-histological-exam-results-used-not-named",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-autopsy-histological-exam-results-used-not-named",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:21:01.073+00:00",
          "source" : "#ClX7axMWWVbnQBm5",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-autopsy-histological-exam-results-used"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 74498-7}\">Autopsy or histological placental examination results were used [US Standard Report of Fetal Death]</span></p><p><b>subject</b>: <a href=\"#Patient_patient-decedent-fetus-not-named\">Patient - Decedent Fetus (Fetus Not Named). Generated Summary: Medical Record Number: 9932702 (USUAL); UNK ; gender: female; birthDate: 2019-01-09; deceased</a></p><p><b>value</b>: true</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "74498-7",
              "display" : "Autopsy or histological placental examination results were used [US Standard Report of Fetal Death]"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent Fetus (Fetus Not Named)"
        },
        "valueBoolean" : true
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-number-births-now-living-carmen-teresa-lee",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-number-births-now-living-carmen-teresa-lee",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:21:02.326+00:00",
          "source" : "#w8CV1hMjqZwNR9iv",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-living"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 11638-4}\">[#] Births.still living</span></p><p><b>subject</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p><p><b>value</b>: 1</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11638-4",
              "display" : "[#] Births.still living"
            }
          ],
          "text" : "[#] Births.still living"
        },
        "subject" : {
          "reference" : "Patient/patient-mother-carmen-teresa-lee",
          "display" : "Patient - Mother (Carmen Teresa Lee)"
        },
        "valueInteger" : 1
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-number-births-now-dead-carmen-teresa-lee",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-number-births-now-dead-carmen-teresa-lee",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:21:02.255+00:00",
          "source" : "#qtFrqE498oNpkiwq",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-births-now-dead"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 68496-9}\">Previous live births now dead #</span></p><p><b>subject</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p><p><b>value</b>: 0</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "68496-9",
              "display" : "Previous live births now dead #"
            }
          ],
          "text" : "Previous live births now dead #"
        },
        "subject" : {
          "reference" : "Patient/patient-mother-carmen-teresa-lee",
          "display" : "Patient - Mother (Carmen Teresa Lee)"
        },
        "valueInteger" : 0
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-pregnancy-risk-factor-carmen-teresa-lee-2",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-pregnancy-risk-factor-carmen-teresa-lee-2",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2020-08-31T21:24:32.157+00:00",
          "source" : "#dsFQ4GfDY3Tp9pu3",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-pregnancy-risk-factor"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 73775-9}\">Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth]</span></p><p><b>subject</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 11687002}\">Gestational diabetes mellitus (disorder)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "73775-9",
              "display" : "Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth]"
            }
          ],
          "text" : "Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth]"
        },
        "subject" : {
          "reference" : "Patient/patient-mother-carmen-teresa-lee",
          "display" : "Patient - Mother (Carmen Teresa Lee)"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "11687002",
              "display" : "Gestational diabetes mellitus (disorder)"
            }
          ],
          "text" : "Gestational diabetes mellitus (disorder)"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-pregnancy-risk-factor-carmen-teresa-lee-1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-pregnancy-risk-factor-carmen-teresa-lee-1",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2020-08-31T21:24:32.158+00:00",
          "source" : "#UJX7Js6aq4Lf7wnI",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-pregnancy-risk-factor"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 73775-9}\">Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth]</span></p><p><b>subject</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 38341003}\">Hypertensive disorder, systemic arterial (disorder)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "73775-9",
              "display" : "Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth]"
            }
          ],
          "text" : "Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth]"
        },
        "subject" : {
          "reference" : "Patient/patient-mother-carmen-teresa-lee",
          "display" : "Patient - Mother (Carmen Teresa Lee)"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "38341003",
              "display" : "Hypertensive disorder, systemic arterial (disorder)"
            }
          ],
          "text" : "Hypertensive disorder, systemic arterial (disorder)"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-number-previous-cesareans-carmen-teresa-lee",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-number-previous-cesareans-carmen-teresa-lee",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:21:02.461+00:00",
          "source" : "#sb6tMP68siy25z9s",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-number-previous-cesareans"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 68497-7}\">Previous cesarean deliveries #</span></p><p><b>subject</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p><p><b>value</b>: 1</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "68497-7",
              "display" : "Previous cesarean deliveries #"
            }
          ],
          "text" : "Previous cesarean deliveries #"
        },
        "subject" : {
          "reference" : "Patient/patient-mother-carmen-teresa-lee",
          "display" : "Patient - Mother (Carmen Teresa Lee)"
        },
        "valueInteger" : 1
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Condition/condition-fetal-presentation-not-named",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "condition-fetal-presentation-not-named",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:20:37.831+00:00",
          "source" : "#XBzUiU6u7Yca3xXQ",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-presentation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 6096002}\">Breech presentation (finding)</span></p><p><b>subject</b>: <a href=\"#Patient_patient-decedent-fetus-not-named\">Patient - Decedent Fetus (Fetus Not Named). Generated Summary: Medical Record Number: 9932702 (USUAL); UNK ; gender: female; birthDate: 2019-01-09; deceased</a></p></div>"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "encounter-diagnosis",
                "display" : "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "6096002",
              "display" : "Breech presentation (finding)"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent Fetus (Fetus Not Named)"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Practitioner/practitioner-live-birth-fetal-death-jessica-leung",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner-live-birth-fetal-death-jessica-leung",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2020-09-01T04:51:20.377+00:00",
          "source" : "#x9HdxEbji4aiCUcD",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-live-birth-fetal-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 223347055</p><p><b>name</b>: Leung Jessica </p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-NullFlavor OTH}\">Birth Clerk</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "223347055"
          }
        ],
        "name" : [
          {
            "family" : "Jessica",
            "given" : [
              "Leung"
            ]
          }
        ],
        "qualification" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                  "code" : "OTH",
                  "display" : "other"
                }
              ],
              "text" : "Birth Clerk"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Condition/condition-fetal-death-cause-or-condition-not-named",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "condition-fetal-death-cause-or-condition-not-named",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:20:37.899+00:00",
          "source" : "#dqY22NCSw6bHluR6",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-cause-or-condition"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>category</b>: <span title=\"Codes: {http://loinc.org 76060-3}\">Initiating cause or condition of fetal death [US Standard Report of Fetal Death]</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 44223004}\">Premature rupture of membranes (disorder)</span></p><p><b>subject</b>: <a href=\"#Patient_patient-decedent-fetus-not-named\">Patient - Decedent Fetus (Fetus Not Named). Generated Summary: Medical Record Number: 9932702 (USUAL); UNK ; gender: female; birthDate: 2019-01-09; deceased</a></p></div>"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "76060-3",
                "display" : "Initiating cause or condition of fetal death [US Standard Report of Fetal Death]"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "44223004",
              "display" : "Premature rupture of membranes (disorder)"
            }
          ],
          "text" : "Premature rupture of membranes (disorder)"
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent Fetus (Fetus Not Named)"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Procedure/procedure-final-route-method-delivery-not-named",
      "resource" : {
        "resourceType" : "Procedure",
        "id" : "procedure-final-route-method-delivery-not-named",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:21:22.819+00:00",
          "source" : "#YYAoj96KgNAGEY2j",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 48782003}\">Spontaneous vaginal delivery</span></p><p><b>subject</b>: <a href=\"#Patient_patient-decedent-fetus-not-named\">Patient - Decedent Fetus (Fetus Not Named). Generated Summary: Medical Record Number: 9932702 (USUAL); UNK ; gender: female; birthDate: 2019-01-09; deceased</a></p><p><b>performed</b>: Jan 20, 2019 1:00:00 AM --&gt; Jan 20, 2019 1:23:00 AM</p></div>"
        },
        "status" : "completed",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "48782003",
              "display" : "Delivery normal (finding)"
            }
          ],
          "text" : "Spontaneous vaginal delivery"
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent Fetus (Fetus Not Named)"
        },
        "performedPeriod" : {
          "start" : "2019-01-19T18:00:00-07:00",
          "end" : "2019-01-19T18:23:00-07:00"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Patient/patient-decedent-fetus-not-named",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient-decedent-fetus-not-named",
        "meta" : {
          "versionId" : "5",
          "lastUpdated" : "2020-11-19T04:37:18.749+00:00",
          "source" : "#CsAINJMWJ9jtNYLr",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-decedent-fetus"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                        <div class=\"hapiHeaderText\">\n                            <b>null </b>\n                        </div>\n                        <table class=\"hapiPropertyTable\">\n                            <tbody>\n                                <tr>\n                                    <td>Identifier</td>\n                                    <td>9932702</td>\n                                </tr>\n                                <tr>\n                                    <td>Date of delivery</td>\n                                    <td>\n                                        <span>09 January 2019</span>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                    </div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-estimated-fetal-death-time-point",
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "434631000124100",
              "display" : "Fetal intrapartum death after first assessment (event)"
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "F"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress" : {
              "city" : "Ann Arbor",
              "state" : "MI",
              "postalCode" : "48103"
            }
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical Record Number"
                }
              ]
            },
            "system" : "http://hospital.smarthealthit.org",
            "value" : "9932702"
          }
        ],
        "name" : [
          {
            "family" : "UNK",
            "_family" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode" : "not-applicable"
                }
              ]
            }
          }
        ],
        "gender" : "female",
        "birthDate" : "2019-01-09",
        "_birthDate" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
              "valueDateTime" : "2019-01-09T18:23:00-07:00"
            }
          ]
        },
        "deceasedBoolean" : true
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-planned-to-deliver-at-home-not-named",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-planned-to-deliver-at-home-not-named",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:21:02.707+00:00",
          "source" : "#KB5zY00ErnkNVKrY",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-planned-to-deliver-at-home"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 73765-0}\">Planned to deliver at home?</span></p><p><b>subject</b>: <a href=\"#Patient_patient-decedent-fetus-not-named\">Patient - Decedent Fetus (Fetus Not Named). Generated Summary: Medical Record Number: 9932702 (USUAL); UNK ; gender: female; birthDate: 2019-01-09; deceased</a></p><p><b>focus</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p><p><b>value</b>: false</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "73765-0",
              "display" : "Mother Planned to deliver at home [US Standard Certificate of Live Birth]"
            }
          ],
          "text" : "Planned to deliver at home?"
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent Fetus (Fetus Not Named)"
        },
        "focus" : [
          {
            "reference" : "Patient/patient-mother-carmen-teresa-lee",
            "display" : "Patient - Mother (Carmen Teresa Lee)"
          }
        ],
        "valueBoolean" : false
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Condition/condition-fetal-death-other-significant-cause-not-named",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "condition-fetal-death-other-significant-cause-not-named",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2020-08-20T23:20:37.866+00:00",
          "source" : "#p64CVZnuAOo9OwcY",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-other-cause-or-condition"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>category</b>: <span title=\"Codes: {http://loinc.org 76061-1}\">Other significant causes or conditions of fetal death [US Standard Report of Fetal Death]</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 237292005}\">Placental insufficiency (disorder)</span></p><p><b>subject</b>: <a href=\"#Patient_patient-decedent-fetus-not-named\">Patient - Decedent Fetus (Fetus Not Named). Generated Summary: Medical Record Number: 9932702 (USUAL); UNK ; gender: female; birthDate: 2019-01-09; deceased</a></p></div>"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "76061-1",
                "display" : "Other significant causes or conditions of fetal death [US Standard Report of Fetal Death]"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "237292005",
              "display" : "Placental insufficiency (disorder)"
            }
          ],
          "text" : "Placental insufficiency (disorder)"
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent Fetus (Fetus Not Named)"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-plurality-carmen-teresa-lee",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-plurality-carmen-teresa-lee",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:21:02.746+00:00",
          "source" : "#3HQmN7i0tRnIBUgE",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-plurality"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 57722-1}\">Birth plurality of Pregnancy</span></p><p><b>subject</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p><p><b>value</b>: 1</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "57722-1",
              "display" : "Birth plurality of Pregnancy"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-mother-carmen-teresa-lee",
          "display" : "Patient - Mother (Carmen Teresa Lee)"
        },
        "valueInteger" : 1
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-autopsy-performed-not-named",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-autopsy-performed-not-named",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:21:01.059+00:00",
          "source" : "#84foCeqWI65WR49F",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-autopsy-performed"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 73768-4}\">Autopsy was performed [US Standard Report of Fetal Death]</span></p><p><b>subject</b>: <a href=\"#Patient_patient-decedent-fetus-not-named\">Patient - Decedent Fetus (Fetus Not Named). Generated Summary: Medical Record Number: 9932702 (USUAL); UNK ; gender: female; birthDate: 2019-01-09; deceased</a></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 719828003}\">Autopsy not done</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "73768-4",
              "display" : "Autopsy was performed [US Standard Report of Fetal Death]"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent Fetus (Fetus Not Named)"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "719828003",
              "display" : "Autopsy not done"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Condition/condition-maternal-morbidity-carmen-teresa-lee",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "condition-maternal-morbidity-carmen-teresa-lee",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:20:37.850+00:00",
          "source" : "#l7tNEqjnTc7ZLZhL",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-maternal-morbidity"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>category</b>: <span title=\"Codes: {http://loinc.org 73781-7}\">Maternal morbidity [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 260413007}\">None</span></p><p><b>subject</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p></div>"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "73781-7",
                "display" : "Maternal morbidity [US Standard Certificate of Live Birth]"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "260413007",
              "display" : "None"
            }
          ],
          "text" : "None"
        },
        "subject" : {
          "reference" : "Patient/patient-mother-carmen-teresa-lee",
          "display" : "Patient - Mother (Carmen Teresa Lee)"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-birth-weight-not-named",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-birth-weight-not-named",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2020-08-20T23:21:01.066+00:00",
          "source" : "#gwqRXDQuSFzxGU8S",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-birth-weight"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 8339-4}\">Birth weight Measured</span></p><p><b>subject</b>: <a href=\"#Patient_patient-decedent-fetus-not-named\">Patient - Decedent Fetus (Fetus Not Named). Generated Summary: Medical Record Number: 9932702 (USUAL); UNK ; gender: female; birthDate: 2019-01-09; deceased</a></p><p><b>value</b>: 1530 g</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "8339-4",
              "display" : "Birth weight Measured"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent Fetus (Fetus Not Named)"
        },
        "valueQuantity" : {
          "value" : 1530,
          "system" : "http://unitsofmeasure.org",
          "code" : "g"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-histological-placental-exam-performed-not-named",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-histological-placental-exam-performed-not-named",
        "meta" : {
          "versionId" : "4",
          "lastUpdated" : "2020-08-20T23:21:01.838+00:00",
          "source" : "#DfNHMAWurYM6EU7p",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-histological-placental-exam-performed"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 73767-6}\">Histological placental examination was performed [US Standard Report of Fetal Death]</span></p><p><b>subject</b>: <a href=\"#Patient_patient-decedent-fetus-not-named\">Patient - Decedent Fetus (Fetus Not Named). Generated Summary: Medical Record Number: 9932702 (USUAL); UNK ; gender: female; birthDate: 2019-01-09; deceased</a></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 398166005}\">Performed</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "73767-6",
              "display" : "Histological placental examination was performed [US Standard Report of Fetal Death]"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent Fetus (Fetus Not Named)"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398166005",
              "display" : "Performed"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Encounter/encounter-maternity-carmen-teresa-lee",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "encounter-maternity-carmen-teresa-lee",
        "meta" : {
          "versionId" : "6",
          "lastUpdated" : "2020-08-20T23:33:29.302+00:00",
          "source" : "#MgoY35EvKlGMojjb",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 8937015</p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99234}\">Under Observation or Inpatient Care Services (Including Admission and Discharge Services)</span></p><p><b>subject</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://loinc.org 87286-1}\">Birth attendant [Extended Identifier]</span></td><td><a href=\"#Practitioner_practitioner-live-birth-fetal-death-janet-seito\">Practitioner - Live Birth Fetal Death (Janet Seito, MD). Generated Summary: id: 223347044; Avery Jones </a></td></tr></table><p><b>period</b>: Jan 8, 2019 5:00:00 PM --&gt; Jan 10, 2019 12:00:00 AM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td><td><b>PhysicalType</b></td></tr><tr><td>*</td><td><a href=\"#Location_location-south-hospital\">Location - US Core Location (South Hospital). Generated Summary: status: active; name: South Hospital; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 22232009}\">Hospital</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"#Organization_organization-south-hospital\">Organization - US Core Organization (South Hospital Organization). Generated Summary: id: 5555512; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span>; name: South Hospital; Phone: +1-555-555-1111, mail@southhospital.com</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hospital.smarthealthit.org",
            "value" : "8937015"
          }
        ],
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "IMP",
          "display" : "inpatient encounter"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://www.ama-assn.org/go/cpt",
                "code" : "99234"
              }
            ],
            "text" : "Under Observation or Inpatient Care Services (Including Admission and Discharge Services)"
          }
        ],
        "subject" : {
          "reference" : "Patient/patient-mother-carmen-teresa-lee",
          "display" : "Patient - Mother (Carmen Teresa Lee)"
        },
        "participant" : [
          {
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "87286-1",
                    "display" : "Birth attendant [Extended Identifier]"
                  }
                ]
              }
            ],
            "individual" : {
              "reference" : "Practitioner/practitioner-live-birth-fetal-death-janet-seito",
              "display" : "Practitioner - Live Birth Fetal Death (Janet Seito, MD)"
            }
          }
        ],
        "period" : {
          "start" : "2019-01-08T10:00:00-07:00",
          "end" : "2019-01-09T17:00:00-07:00"
        },
        "location" : [
          {
            "location" : {
              "reference" : "Location/location-south-hospital",
              "display" : "Location - US Core Location (South Hospital)"
            },
            "physicalType" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "22232009",
                  "display" : "Hospital"
                }
              ]
            }
          }
        ],
        "serviceProvider" : {
          "reference" : "Organization/organization-south-hospital",
          "display" : "Organization - US Core Organization (South Hospital Organization)"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-gestational-age-at-delivery-not-named",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-gestational-age-at-delivery-not-named",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2020-08-20T23:21:01.643+00:00",
          "source" : "#afAsEtVoWAbsqbJU",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-gestational-age-at-delivery"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 11884-4}\">Gestational age Estimated</span></p><p><b>subject</b>: <a href=\"#Patient_patient-decedent-fetus-not-named\">Patient - Decedent Fetus (Fetus Not Named). Generated Summary: Medical Record Number: 9932702 (USUAL); UNK ; gender: female; birthDate: 2019-01-09; deceased</a></p><p><b>value</b>: 20 wk</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11884-4",
              "display" : "Gestational age Estimated"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent Fetus (Fetus Not Named)"
        },
        "valueQuantity" : {
          "value" : 20,
          "system" : "http://unitsofmeasure.org",
          "code" : "wk"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-date-of-first-prenatal-care-visit-carmen-teresa-lee",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2020-08-20T23:21:01.426+00:00",
          "source" : "#ETE9mE9Yqe6xwurb",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 69044-6}\">Date of first prenatal care visit</span></p><p><b>subject</b>: <a href=\"#Patient_patient-decedent-fetus-not-named\">Patient - Decedent Fetus (Fetus Not Named). Generated Summary: Medical Record Number: 9932702 (USUAL); UNK ; gender: female; birthDate: 2019-01-09; deceased</a></p><p><b>focus</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p><p><b>value</b>: 2018-05-18</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "69044-6",
              "display" : "Date first prenatal visit"
            }
          ],
          "text" : "Date of first prenatal care visit"
        },
        "subject" : {
          "reference" : "Patient/patient-decedent-fetus-not-named",
          "display" : "Patient - Decedent Fetus (Fetus Not Named)"
        },
        "focus" : [
          {
            "reference" : "Patient/patient-mother-carmen-teresa-lee",
            "display" : "Patient - Mother (Carmen Teresa Lee)"
          }
        ],
        "valueDateTime" : "2018-05-18"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-last-menstrual-period-carmen-teresa-lee",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-last-menstrual-period-carmen-teresa-lee",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:21:01.937+00:00",
          "source" : "#aN3HII4GeAl4YvHY",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-last-menstrual-period"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 8665-2}\">Last menstrual period start date</span></p><p><b>subject</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p><p><b>value</b>: 2018-04-18</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "8665-2",
              "display" : "Last menstrual period start date"
            }
          ],
          "text" : "Last menstrual period start date"
        },
        "subject" : {
          "reference" : "Patient/patient-mother-carmen-teresa-lee",
          "display" : "Patient - Mother (Carmen Teresa Lee)"
        },
        "valueDateTime" : "2018-04-18"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-date-of-last-live-birth-carmen-teresa-lee",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-date-of-last-live-birth-carmen-teresa-lee",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-08-20T23:21:01.522+00:00",
          "source" : "#AIQ7ET9tgRFQYN1P",
          "profile" : [
            "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 68499-3}\">Date of last live birth</span></p><p><b>subject</b>: <a href=\"#Patient_patient-mother-carmen-teresa-lee\">Patient - Mother (Carmen Teresa Lee). Generated Summary: Medical Record Number: 9992702 (USUAL); Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN); gender: female; birthDate: 1986-02-15</a></p><p><b>value</b>: 2016-01-28</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "68499-3",
              "display" : "Date last live birth"
            }
          ],
          "text" : "Date of last live birth"
        },
        "subject" : {
          "reference" : "Patient/patient-mother-carmen-teresa-lee",
          "display" : "Patient - Mother (Carmen Teresa Lee)"
        },
        "valueDateTime" : "2016-01-28"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/organization-south-hospital",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization-south-hospital",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2020-08-08T01:59:28.513+00:00",
          "source" : "#QDsHrCjdiJemDOGr",
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 5555512</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span></p><p><b>name</b>: South Hospital</p><p><b>telecom</b>: <a href=\"tel:+1-555-555-1111\">+1-555-555-1111</a>, <a href=\"mailto:mail@southhospital.com\">mail@southhospital.com</a></p><p><b>address</b>: 2100 North Ave Salt Lake City UT 84116 US </p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "5555512"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "HOSP",
                "display" : "Hospital"
              }
            ]
          }
        ],
        "name" : "South Hospital",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+1-555-555-1111"
          },
          {
            "system" : "email",
            "value" : "mail@southhospital.com"
          }
        ],
        "address" : [
          {
            "line" : [
              "2100 North Ave"
            ],
            "city" : "Salt Lake City",
            "state" : "UT",
            "postalCode" : "84116",
            "country" : "US"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Patient/patient-mother-carmen-teresa-lee",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient-mother-carmen-teresa-lee",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2020-09-01T06:40:21.408+00:00",
          "source" : "#U7j09bj99aDDca75",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                        <div class=\"hapiHeaderText\">Carmen Teresa <b>LEE </b>\n                        </div>\n                        <table class=\"hapiPropertyTable\">\n                            <tbody>\n                                <tr>\n                                    <td>Identifier</td>\n                                    <td>9992702</td>\n                                </tr>\n                                <tr>\n                                    <td>Address</td>\n                                    <td>\n                                        <span>3670 Miller Road </span>\n                                        <br/>\n                                        <span>Ann Arbor </span>\n                                        <span>MI </span>\n                                        <span>US </span>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Date of birth</td>\n                                    <td>\n                                        <span>15 February 1986</span>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                    </div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2054-5",
                  "display" : "Black or African American"
                }
              },
              {
                "url" : "text",
                "valueString" : "Black or African America"
              }
            ]
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2135-2",
                  "display" : "Hispanic or Latino"
                }
              },
              {
                "url" : "text",
                "valueString" : "Hispanic or Latino"
              }
            ]
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "F"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress" : {
              "state" : "PR"
            }
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical Record Number"
                }
              ]
            },
            "system" : "http://hospital.smarthealthit.org",
            "value" : "9992702"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Lee",
            "given" : [
              "Carmen",
              "Teresa"
            ]
          },
          {
            "use" : "maiden",
            "family" : "Santos",
            "given" : [
              "Carmen",
              "Teresa"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1986-02-15",
        "address" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator",
                "valueCoding" : {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
                  "code" : "N",
                  "display" : "No"
                }
              }
            ],
            "use" : "home",
            "line" : [
              "3670 Miller Road"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "48103",
            "country" : "US"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Location/location-south-hospital",
      "resource" : {
        "resourceType" : "Location",
        "id" : "location-south-hospital",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2020-08-07T03:08:16.180+00:00",
          "source" : "#b4SJQY6FL0L0RNZ0",
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>name</b>: South Hospital</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span></p></div>"
        },
        "status" : "active",
        "name" : "South Hospital",
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "HOSP",
                "display" : "Hospital"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Practitioner/practitioner-live-birth-fetal-death-janet-seito",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner-live-birth-fetal-death-janet-seito",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2020-08-17T09:54:01.095+00:00",
          "source" : "#SkUf5xP0KEse07vi",
          "profile" : [
            "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-live-birth-fetal-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 223347044</p><p><b>name</b>: Avery Jones </p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://snomed.info/sct 112247003}\">Medical doctor</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "223347044"
          }
        ],
        "name" : [
          {
            "family" : "Jones",
            "given" : [
              "Avery"
            ],
            "suffix" : [
              "M.D."
            ]
          }
        ],
        "qualification" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "112247003",
                  "display" : "Medical doctor"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}