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 facility fetal death report Document example [Not Named] - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "composition-provider-mothers-fetal-death-not-named",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2020-11-19T07:49:26.520+00:00",
    "source" : "#lPupPr7qnYIpXrYA",
    "profile" : [
      "http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-mothers-fetal-death-report"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Extension - Fetal Death Report Id (FDR)</b>: id: 9999</p><p><b>Extension - Fetal Death Report File Number (FDRFN)</b>: id: 11111-11111</p><p><b>identifier</b>: id: g03eab8c-11e8-4d0c-ad2a-b385395e27da</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 92019-9}\">Provider supplied mother's fetal death report Document</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>: Provider supplied facility fetal death report Document</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-id",
      "valueIdentifier" : {
        "value" : "9999"
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-file-number",
      "valueIdentifier" : {
        "value" : "11111-11111"
      }
    }
  ],
  "identifier" : {
    "value" : "g03eab8c-11e8-4d0c-ad2a-b385395e27da"
  },
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "92019-9",
        "display" : "Provider supplied mother's 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-mother-height-carmen-teresa-lee",
          "display" : "Observation - Mother Height (Carmen Teresa Lee)"
        },
        {
          "reference" : "Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee",
          "display" : "Observation - Mother Prepregnancy Weight (Carmen Teresa Lee)"
        },
        {
          "reference" : "Observation/observation-mother-received-wic-food-carmen-teresa-lee",
          "display" : "Observation - Mother Received WIC Food (Carmen Teresa Lee)"
        },
        {
          "reference" : "Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee",
          "display" : "Observation - Cigarette Smoking Before/During Pregnancy (3 months prior: Carmen Teresa Lee)"
        },
        {
          "reference" : "Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee",
          "display" : "Observation - Cigarette Smoking Before/During Pregnancy (first 3 months: Carmen Teresa Lee)"
        },
        {
          "reference" : "Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee",
          "display" : "Observation - Cigarette Smoking Before/During Pregnancy (last 3 months: Carmen Teresa Lee)"
        },
        {
          "reference" : "Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee",
          "display" : "Observation - Cigarette Smoking Before/During Pregnancy (second 3 months: Carmen Teresa Lee)"
        }
      ]
    },
    {
      "title" : "Mother's Information 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)"
        }
      ]
    }
  ]
}