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

: Jurisdiction fetal death report Document - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="composition-provider-fetal-death-not-named"/>
  <meta>
    <versionId value="4"/>
    <lastUpdated value="2020-11-25T00:33:30.458+00:00"/>
    <source value="#DW83QgkqroFluHbU"/>
    <profile
             value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-fetal-death-report"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>Extension - Fetal Death Report Id (FDR)</b>: id: 9876</p><p><b>Extension - Fetal Death Report File Number (FDRFN)</b>: id: 11111-11111</p><p><b>identifier</b>: id: z03eab8c-11e8-4d0c-ad2a-b385395e27da</p><p><b>status</b>: final</p><p><b>type</b>: <span title="Codes: {http://loinc.org 69045-3}">U.S. standard report of fetal death - 2003 revision</span></p><p><b>encounter</b>: <a href="Encounter-encounter-maternity-carmen-teresa-lee.html">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.html">Practitioner - Live Birth Fetal Death (Jessica Leung). Generated Summary: id: 223347055; Leung Jessica </a></p><p><b>title</b>: Jurisdiction fetal death report Document</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-id">
    <valueIdentifier>
      <value value="9876"/>
    </valueIdentifier>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-file-number">
    <valueIdentifier>
      <value value="11111-11111"/>
    </valueIdentifier>
  </extension>
  <identifier>
    <value value="z03eab8c-11e8-4d0c-ad2a-b385395e27da"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="69045-3"/>
      <display value="U.S. standard report of fetal death - 2003 revision"/>
    </coding>
  </type>
  <subject>
    <reference value="Patient/patient-decedent-fetus-not-named"/>
    <display value="Patient - Decedent Fetus (Fetus Not Named)"/>
  </subject>
  <encounter>
    <reference value="Encounter/encounter-maternity-carmen-teresa-lee"/>
    <display value="Encounter - Maternity (Carmen Teresa Lee)"/>
  </encounter>
  <date value="2019-01-09"/>
  <author>
    <reference
               value="Practitioner/practitioner-live-birth-fetal-death-jessica-leung"/>
    <display value="Practitioner - Live Birth Fetal Death (Jessica Leung)"/>
  </author>
  <title value="Jurisdiction fetal death report Document"/>
  <section>
    <title value="Mother (prenatal) Section on the Fetal Death Report"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="57073-9"/>
        <display value="Prenatal records"/>
      </coding>
    </code>
    <focus>
      <reference value="Patient/patient-mother-carmen-teresa-lee"/>
      <display value="Patient - Mother (Carmen Teresa Lee)"/>
    </focus>
    <entry>
      <reference
                 value="Observation/observation-planned-to-deliver-at-home-not-named"/>
      <display
               value="Observation - Planned to Deliver at Home (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee"/>
      <display
               value="Observation - Date of First Prenatal Care Visit (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-last-menstrual-period-carmen-teresa-lee"/>
      <display value="Observation - Last Menstrual Period (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-number-births-now-living-carmen-teresa-lee"/>
      <display
               value="Observation - Number Births Now Living (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-number-births-now-dead-carmen-teresa-lee"/>
      <display value="Observation - Number Births Now Dead (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-date-of-last-live-birth-carmen-teresa-lee"/>
      <display value="Observation - Date of Last Live Birth (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference value="Observation/observation-mother-height-carmen-teresa-lee"/>
      <display value="Observation - Mother Height (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee"/>
      <display
               value="Observation - Mother Prepregnancy Weight (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-mother-received-wic-food-carmen-teresa-lee"/>
      <display
               value="Observation - Mother Received WIC Food (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (3 months prior: Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (first 3 months: Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (last 3 months: Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (second 3 months: Carmen Teresa Lee)"/>
    </entry>
  </section>
  <section>
    <title value="Medical and Health Information on the Fetal Death Report"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55752-0"/>
        <display value="Clinical information"/>
      </coding>
    </code>
    <focus>
      <reference value="Patient/patient-mother-carmen-teresa-lee"/>
      <display value="Patient - Mother (Carmen Teresa Lee)"/>
    </focus>
    <entry>
      <reference
                 value="Observation/observation-pregnancy-risk-factor-carmen-teresa-lee-1"/>
      <display
               value="Observation - Pregnancy Risk Factor (Carmen Teresa Lee: Pregnancy-induced hypertension)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-pregnancy-risk-factor-carmen-teresa-lee-2"/>
      <display
               value="Observation - Pregnancy Risk Factor (Carmen Teresa Lee: Fertility enhancing drug therapy)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-number-previous-cesareans-carmen-teresa-lee"/>
      <display
               value="Observation - Number Previous Cesareans (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference value="Condition/condition-fetal-presentation-not-named"/>
      <display value="Condition - Fetal Presentation (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Procedure/procedure-final-route-method-delivery-not-named"/>
      <display
               value="Procedure - Final Route and Method of Delivery (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Condition/condition-maternal-morbidity-carmen-teresa-lee"/>
      <display value="Condition - Maternal Morbidity (Carmen Teresa Lee)"/>
    </entry>
  </section>
  <section>
    <title value="Fetal delivery information section on the Fetal Death Report"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="76400-1"/>
        <display
                 value="Fetal delivery information Document [US Standard Report of Fetal Death]"/>
      </coding>
    </code>
    <entry>
      <reference value="Observation/observation-birth-weight-not-named"/>
      <display value="Observation - Birth Weight (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-gestational-age-at-delivery-not-named"/>
      <display
               value="Observation - Gestational Age at Delivery (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Condition/condition-fetal-death-cause-or-condition-not-named"/>
      <display
               value="Condition - Fetal Death Cause or Condition (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Condition/condition-fetal-death-other-significant-cause-not-named"/>
      <display
               value="Example of Condition-fetal-death-other-significant-cause profile (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference value="Observation/observation-autopsy-performed-not-named"/>
      <display
               value="Example of Observation-autopsy-performed profile (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-histological-placental-exam-performed-not-named"/>
      <display
               value="Observation - Histological Placental Exam Performed (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-autopsy-histological-exam-results-used-not-named"/>
      <display value="Observation - Autopsy or Histological Exam Results Used"/>
    </entry>
    <entry>
      <reference value="Observation/observation-plurality-carmen-teresa-lee"/>
      <display value="Observation - Plurality (Carmen Teresa Lee)"/>
    </entry>
  </section>
  <section>
    <title value="Mother Administrative Section on the Fetal Death Report"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="92014-0"/>
        <display value="Mother&#39;s administrative information"/>
      </coding>
    </code>
    <focus>
      <reference value="Patient/patient-mother-carmen-teresa-lee"/>
      <display value="Patient - Mother (Carmen Teresa Lee)"/>
    </focus>
    <entry>
      <reference
                 value="Observation/observation-parent-education-level-carmen-teresa-lee"/>
      <display value="Observation - Parent Education Level (Carmen Teresa Lee)"/>
    </entry>
  </section>
</Composition>