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

: Provider supplied Mother's live birth report Document example [Baby G Quinn] - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "composition-provider-morthers-live-birth-babyg-quinn",
  "meta" : {
    "versionId" : "3",
    "lastUpdated" : "2020-11-20T03:07:02.346+00:00",
    "source" : "#BGahFTsIHsFH8uH3",
    "profile" : [
      "http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-mothers-live-birth-report"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Extension - Birth Certificate Id (BCT)</b>: id: 1234</p><p><b>Extension - Birth Certificate File Number (BCFN)</b>: id: 99999-99999</p><p><b>identifier</b>: id: g03eab8c-11e8-4d0c-ad2a-b385395e27de</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 92018-1}\">Provider supplied mother's live birth report Document</span></p><p><b>encounter</b>: <a href=\"Encounter-encounter-birth-babyg-quinn.html\">Encounter - Birth (Baby G Quinn). Generated Summary: id: 9937012; 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: Feb 12, 2019 8:00:00 PM --&gt; Feb 15, 2019 5:00:00 PM</a></p><p><b>date</b>: 2019-02-12</p><p><b>author</b>: <a href=\"Practitioner-practitioner-live-birth-fetal-death-avery-jones.html\">Practitioner - Live Birth Fetal Death (Dr. Avery Jones, MD). Generated Summary: id: 112247003; Avery Jones </a></p><p><b>title</b>: Provider supplied Mother's live birth report Document</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-id",
      "valueIdentifier" : {
        "value" : "1234"
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-file-number",
      "valueIdentifier" : {
        "value" : "99999-99999"
      }
    }
  ],
  "identifier" : {
    "value" : "g03eab8c-11e8-4d0c-ad2a-b385395e27de"
  },
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "92018-1",
        "display" : "Provider supplied mother's live birth report Document"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/patient-child-babyg-quinn",
    "display" : "Patient - Child (Baby G Quinn)"
  },
  "encounter" : {
    "reference" : "Encounter/encounter-birth-babyg-quinn",
    "display" : "Encounter - Birth (Baby G Quinn)"
  },
  "date" : "2019-02-12",
  "author" : [
    {
      "reference" : "Practitioner/practitioner-live-birth-fetal-death-avery-jones",
      "display" : "Practitioner - Live Birth Fetal Death (Dr. Avery Jones, MD)"
    }
  ],
  "title" : "Provider supplied Mother's live birth report Document",
  "section" : [
    {
      "title" : "Mother (prenatal) Section on the Live Birth Certificate",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "57073-9",
            "display" : "Prenatal records"
          }
        ]
      },
      "focus" : {
        "reference" : "Patient/patient-mother-jada-ann-quinn",
        "display" : "Patient - Mother (Jada Ann Quinn)"
      },
      "entry" : [
        {
          "reference" : "Observation/observation-mother-height-jada-ann-quinn",
          "display" : "Observation - Observation - Mother Height (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-mother-prepregnancy-weight-jada-ann-quinn",
          "display" : "Observation - Mother Prepregnancy Weight (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-mother-received-wic-food-jada-ann-quinn",
          "display" : "Observation - Mother Received WIC Food (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-cig-smoking-pregnancy-1-jada-ann-quinn",
          "display" : "Observation - Cigarette Smoking Before/During Pregnancy (3 months prior: Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-cig-smoking-pregnancy-2-jada-ann-quinn",
          "display" : "Observation - Cigarette Smoking Before/During Pregnancy (first 3 months: Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-cig-smoking-pregnancy-3-jada-ann-quinn",
          "display" : "Observation - Cigarette Smoking Before/During Pregnancy (second 3 months: Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-cig-smoking-pregnancy-4-jada-ann-quinn",
          "display" : "Observation - Cigarette Smoking Before/During Pregnancy (last 3 months: Jada Ann Quinn)"
        }
      ]
    },
    {
      "title" : "Medical Health Information Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "55752-0",
            "display" : "Clinical information"
          }
        ]
      },
      "focus" : {
        "reference" : "Patient/patient-mother-jada-ann-quinn",
        "display" : "Patient - Mother (Jada Ann Quinn)"
      },
      "entry" : [
        {
          "reference" : "Observation/observation-pregnancy-risk-factor-jada-ann-quinn-1",
          "display" : "Observation - Pregnancy Risk Factor (Jada Ann Quinn: Pregnancy-induced hypertension)"
        }
      ]
    },
    {
      "title" : "Mother Administrative Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "92014-0",
            "display" : "Mother's administrative information"
          }
        ]
      },
      "focus" : {
        "reference" : "Patient/patient-mother-carmen-teresa-lee",
        "display" : "Patient - Mother (Carmen Teresa Lee)"
      },
      "entry" : [
        {
          "reference" : "Observation/observation-parent-education-level-carmen-teresa-lee",
          "display" : "Observation - Parent Education Level (Carmen Teresa Lee)"
        }
      ]
    },
    {
      "title" : "Father's Administrative Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "92013-2",
            "display" : "Father's administrative information"
          }
        ]
      },
      "focus" : {
        "reference" : "RelatedPerson/relatedperson-father-natural-james-brandon-quinn",
        "display" : "RelatedPerson: relatedperson-father-natural-james-brandon-quinn"
      },
      "entry" : [
        {
          "reference" : "Observation/observation-paternity-acknowledgement-signed-james-quinn",
          "display" : "Observation - Paternity Acknowledgement Signed (James Quinn)"
        },
        {
          "reference" : "Observation/observation-parent-education-level-james-quinn",
          "display" : "Observation - Parent Education Level (James Quinn)"
        }
      ]
    }
  ]
}