Vital Records Birth and Fetal Death Reporting
1.0.0 - STU 1

This page is part of the Vital Records Birth and Fetal Death Reporting (v1.0.0: STU 1 on FHIR R4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Composition - Provider Supplied Live Birth Report Document example [Baby G Quinn] - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "composition-provider-live-birth-babyg-quinn",
  "meta" : {
    "versionId" : "15",
    "lastUpdated" : "2021-07-10T00:36:35.574+00:00",
    "source" : "#vTYev9rof4svkkAc",
    "profile" : [
      "http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-live-birth-report"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Extension - Live Birth Certificate Number</b>: Birth Certificate: 15075</p><p><b>Extension - Live Birth Local File Number</b>: Birth Certificate File Number: 444455555</p><p><b>Extension - Date Filed by Registrar</b>: 2019-02-12</p><p><b>identifier</b>: id: a03eab8c-11e8-4d0c-ad2a-b385395e27de</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 68998-4}\">U.S. standard certificate of live birth - 2003 revision</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-vital-records-avery-jones.html\">Practitioner - Vital Records (Dr. Avery Jones, MD). Generated Summary: id: 112247003; Avery Jones </a></p><p><b>title</b>: Provider supplied live birth report Document</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-certificate-number",
      "valueIdentifier" : {
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "BCT"
            }
          ]
        },
        "value" : "15075"
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-live-birth-local-file-number",
      "valueIdentifier" : {
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "BCFN"
            }
          ]
        },
        "value" : "444455555"
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-filed-by-registrar",
      "valueDateTime" : "2019-02-12"
    }
  ],
  "identifier" : {
    "value" : "a03eab8c-11e8-4d0c-ad2a-b385395e27de"
  },
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "68998-4",
        "display" : "U.S. standard certificate of live birth - 2003 revision"
      }
    ]
  },
  "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-vital-records-avery-jones",
      "display" : "Practitioner - Vital Records (Dr. Avery Jones, MD)"
    }
  ],
  "title" : "Provider supplied 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-planned-to-deliver-at-home-babyg-quinn",
          "display" : "Observation - Planned to Deliver at Home (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-date-of-first-prenatal-care-visit-jada-ann-quinn",
          "display" : "Observation - Date of First Prenantal Care Visit (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-number-prenatal-visits-jada-ann-quinn",
          "display" : "Observation - Number Prenatal Visits (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-last-menstrual-period-jada-ann-quinn",
          "display" : "Observation - Last Menstrual Period (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-number-births-now-living-jada-ann-quinn",
          "display" : "Observation - Number Births Now Living (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-number-births-now-dead-jada-ann-quinn",
          "display" : "Observation - Number Births Now Dead (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-date-of-last-live-birth-jada-ann-quinn",
          "display" : "Observation - Date of Last Live Birth (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-number-other-pregnancy-outcomes-jada-ann-quinn",
          "display" : "Observation - Number Other Pregnancy Outcomes (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn",
          "display" : "Observation - Date of Last Other Pregnancy Outcome (Jada Ann Quinn)"
        },
        {
          "reference" : "Coverage/coverage-principal-payer-for-delivery-jada-ann-quinn",
          "display" : "Coverage - Principal Payer for Delivery (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-mother-delivery-weight-jada-ann-quinn",
          "display" : "Observation - Mother Delivery Weight (Jada Ann Quinn)"
        },
        {
          "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)"
        },
        {
          "reference" : "Observation/observation-number-previous-cesareans-jada-ann-quinn",
          "display" : "Observation - Number Previous Cesareans (Jada Ann Quinn)"
        },
        {
          "reference" : "Condition/condition-infection-present-during-pregnancy-jada-ann-quinn",
          "display" : "Condition - Infection Present During Pregnancy (Jada Ann Quinn)"
        },
        {
          "reference" : "Procedure/procedure-obstetric-procedure-jada-ann-quinn",
          "display" : "Procedure - Obstetric Procedure (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-characteristic-of-labor-and-delivery-babyg-quinn-1",
          "display" : "Observation - Characteristic of Labor and Delivery (Baby G Quinn: Chorioamnionitis)"
        },
        {
          "reference" : "Observation/observation-fetal-presentation-babyg-quinn",
          "display" : "Observation - Fetal Presentation (Baby G Quinn)"
        },
        {
          "reference" : "Procedure/procedure-final-route-method-delivery-babyg-quinn",
          "display" : "Procedure - Final Route and Method of Delivery (Baby G Quinn)"
        },
        {
          "reference" : "Condition/condition-maternal-morbidity-jada-ann-quinn",
          "display" : "Condition - Maternal Morbidity (Jada Ann Quinn)"
        }
      ]
    },
    {
      "title" : "Newborn section on the Live Birth Certificate",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "57075-4",
            "display" : "Newborn delivery information"
          }
        ]
      },
      "entry" : [
        {
          "reference" : "Observation/observation-birth-weight-babyg-quinn",
          "display" : "Observation - Birth Weight (Baby G Quinn)"
        },
        {
          "reference" : "Observation/observation-gestational-age-at-delivery-babyg-quinn",
          "display" : "Observation - Gestational Age at Delivery (Baby G Quinn)"
        },
        {
          "reference" : "Observation/observation-apgar-score-babyg-quinn-1-min",
          "display" : "Observation - APGAR Score (BabyG Quinn: 1 min)"
        },
        {
          "reference" : "Observation/observation-apgar-score-babyg-quinn-5-min",
          "display" : "Observation - APGAR Score (BabyG Quinn: 5 min)"
        },
        {
          "reference" : "Observation/observation-plurality-jada-ann-quinn",
          "display" : "Observation - Plurality (Jada Ann Quinn)"
        },
        {
          "reference" : "Condition/condition-abnormal-condition-of-newborn-babyg-quinn",
          "display" : "Condition - Abnormal Condition of Newborn (Baby G Quinn)"
        },
        {
          "reference" : "Condition/condition-congenital-anomaly-of-newborn-babyg-quinn",
          "display" : "Condition - Congenital Anomaly of Newborn (BabyG Quinn) 1"
        },
        {
          "reference" : "Condition/condition-congenital-anomaly-of-newborn-babyg-quinn-2",
          "display" : "Condition - Congenital Anomaly of Newborn (Baby G Quinn) 2"
        },
        {
          "reference" : "Observation/observation-infant-living-babyg-quinn",
          "display" : "Observation - Infant Living (Baby G Quinn)"
        },
        {
          "reference" : "Observation/observation-infant-breastfed-at-discharge-babyg-quinn",
          "display" : "Observation - Infant Breastfed at Discharge (Baby G Quinn)"
        }
      ]
    },
    {
      "title" : "Mother's Information Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "92014-0",
            "display" : "Mother's administrative information"
          }
        ]
      },
      "focus" : {
        "reference" : "Patient/patient-mother-jada-ann-quinn",
        "display" : "Patient - Mother (Jada Ann Quinn)"
      },
      "entry" : [
        {
          "reference" : "Observation/observation-mother-married-during-pregnancy-jada-ann-quinn",
          "display" : "Observation - Mother Married During Pregnancy (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-parent-education-level-jada-ann-quinn",
          "display" : "Observation - Parent Education Level (Jada Ann Quinn)"
        },
        {
          "reference" : "Observation/observation-ssn-requested-for-child-babyg-quinn",
          "display" : "Observation - SSN Requested for Child (Jada Ann Quinn)"
        }
      ]
    },
    {
      "title" : "Father's Information 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 - Father (James Brandon Quinn)"
      },
      "entry" : [
        {
          "reference" : "Observation/observation-paternity-acknowledgement-signed-james-quinn",
          "display" : "Observation - Paternity Acknowledgement Signed (James Brandon Quinn)"
        },
        {
          "reference" : "Observation/observation-parent-education-level-james-quinn",
          "display" : "Observation - Parent Education Level (James Brandon Quinn)"
        }
      ]
    },
    {
      "title" : "Mother's QuestionnaireResponse Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "74465-6",
            "display" : "Questionnaire response Document"
          }
        ]
      },
      "focus" : {
        "reference" : "Patient/patient-mother-jada-ann-quinn",
        "display" : "Patient - Mother (Jada Ann Quinn)"
      },
      "entry" : [
        {
          "reference" : "QuestionnaireResponse/QuestionnaireResponse-mothers-live-birth-jada-quinn",
          "display" : "QuestionnaireResponse - Mother's Worksheet for Live Birth Certificate"
        }
      ]
    }
  ]
}