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] - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="composition-provider-morthers-live-birth-babyg-quinn"/>
  <meta>
    <versionId value="3"/>
    <lastUpdated value="2020-11-20T03:07:02.346+00:00"/>
    <source value="#BGahFTsIHsFH8uH3"/>
    <profile
             value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-mothers-live-birth-report"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-id">
    <valueIdentifier>
      <value value="1234"/>
    </valueIdentifier>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-birth-certificate-file-number">
    <valueIdentifier>
      <value value="99999-99999"/>
    </valueIdentifier>
  </extension>
  <identifier>
    <value value="g03eab8c-11e8-4d0c-ad2a-b385395e27de"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="92018-1"/>
      <display value="Provider supplied mother&#39;s live birth report Document"/>
    </coding>
  </type>
  <subject>
    <reference value="Patient/patient-child-babyg-quinn"/>
    <display value="Patient - Child (Baby G Quinn)"/>
  </subject>
  <encounter>
    <reference value="Encounter/encounter-birth-babyg-quinn"/>
    <display value="Encounter - Birth (Baby G Quinn)"/>
  </encounter>
  <date value="2019-02-12"/>
  <author>
    <reference
               value="Practitioner/practitioner-live-birth-fetal-death-avery-jones"/>
    <display value="Practitioner - Live Birth Fetal Death (Dr. Avery Jones, MD)"/>
  </author>
  <title value="Provider supplied Mother&#39;s live birth report Document"/>
  <section>
    <title value="Mother (prenatal) Section on the Live Birth Certificate"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="57073-9"/>
        <display value="Prenatal records"/>
      </coding>
    </code>
    <focus>
      <reference value="Patient/patient-mother-jada-ann-quinn"/>
      <display value="Patient - Mother (Jada Ann Quinn)"/>
    </focus>
    <entry>
      <reference value="Observation/observation-mother-height-jada-ann-quinn"/>
      <display
               value="Observation - Observation - Mother Height (Jada Ann Quinn)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-mother-prepregnancy-weight-jada-ann-quinn"/>
      <display value="Observation - Mother Prepregnancy Weight (Jada Ann Quinn)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-mother-received-wic-food-jada-ann-quinn"/>
      <display value="Observation - Mother Received WIC Food (Jada Ann Quinn)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-1-jada-ann-quinn"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (3 months prior: Jada Ann Quinn)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-2-jada-ann-quinn"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (first 3 months: Jada Ann Quinn)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-3-jada-ann-quinn"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (second 3 months: Jada Ann Quinn)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-4-jada-ann-quinn"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (last 3 months: Jada Ann Quinn)"/>
    </entry>
  </section>
  <section>
    <title value="Medical Health Information Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55752-0"/>
        <display value="Clinical information"/>
      </coding>
    </code>
    <focus>
      <reference value="Patient/patient-mother-jada-ann-quinn"/>
      <display value="Patient - Mother (Jada Ann Quinn)"/>
    </focus>
    <entry>
      <reference
                 value="Observation/observation-pregnancy-risk-factor-jada-ann-quinn-1"/>
      <display
               value="Observation - Pregnancy Risk Factor (Jada Ann Quinn: Pregnancy-induced hypertension)"/>
    </entry>
  </section>
  <section>
    <title value="Mother Administrative Section"/>
    <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>
  <section>
    <title value="Father&#39;s Administrative Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="92013-2"/>
        <display value="Father&#39;s administrative information"/>
      </coding>
    </code>
    <focus>
      <reference
                 value="RelatedPerson/relatedperson-father-natural-james-brandon-quinn"/>
      <display
               value="RelatedPerson: relatedperson-father-natural-james-brandon-quinn"/>
    </focus>
    <entry>
      <reference
                 value="Observation/observation-paternity-acknowledgement-signed-james-quinn"/>
      <display
               value="Observation - Paternity Acknowledgement Signed (James Quinn)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-parent-education-level-james-quinn"/>
      <display value="Observation - Parent Education Level (James Quinn)"/>
    </entry>
  </section>
</Composition>