Additional Resources Included in Document

Entry 1 - fullUrl = http://www.example.org/fhir/Composition/composition-jurisdiction-fetal-death-not-named

Resource Composition:

Generated Narrative: Composition composition-jurisdiction-fetal-death-not-named

status: Final

type: Jurisdiction fetal death report Document

encounter: Encounter: extension = mother; identifier = http://hospital.smarthealthit.org#8937015; status = finished; class = inpatient encounter (ActCode#IMP); type = Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.; period = 2019-01-08 10:00:00-0700 --> 2019-01-09 17:00:00-0700

date: 2019-01-09

author: Organization Jurisdictional Vital Records Office

title: Jurisdiction fetal death report Document

Entry 2 - fullUrl = http://www.example.org/fhir/Patient/patient-decedent-fetus-not-named

Resource Patient:

Generated Narrative: Patient patient-decedent-fetus-not-named

null (official) Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual, ))

---

Deceased:	true	Multiple Birth:	3
Reported Parent Age At Delivery Vital Records:	reportedAge: 34 a (Details: UCUM codea = 'a') motherOrFather: mother
Reported Parent Age At Delivery Vital Records:	reportedAge: 35 a (Details: UCUM codea = 'a') motherOrFather: father
Patient Birth Place	Ann Arbor MI 48103
US Core Birth Sex Extension	F

Entry 3 - fullUrl = http://www.example.org/fhir/Encounter/encounter-maternity-carmen-teresa-lee

Resource Encounter:

Generated Narrative: Encounter encounter-maternity-carmen-teresa-lee

Extension Parental Role: mother

identifier: http://hospital.smarthealthit.org/8937015

status: Finished

class: ActCode IMP: inpatient encounter

type: Under Observation or Inpatient Care Services (Including Admission and Discharge Services)

subject: Patient - Mother (Carmen Teresa Lee)

Participants

-	Type	Individual
*	Birth attendant [Extended Identifier]	Practitioner - Vital Records (Janet Seito, DO)

period: 2019-01-08 10:00:00-0700 --> 2019-01-09 17:00:00-0700

Locations

-	Location	PhysicalType
*	Location - US Core Location (South Hospital)	Hospital

serviceProvider: Organization - US Core Organization (South Hospital Organization)

Entry 4 - fullUrl = http://www.example.org/fhir/Organization/organization-jurisdictional-vital-records-office

Resource Organization:

Generated Narrative: Organization organization-jurisdictional-vital-records-office

active: true

name: Jurisdictional Vital Records Office

Entry 5 - fullUrl = http://www.example.org/fhir/Patient/patient-mother-carmen-teresa-lee

Resource Patient:

Generated Narrative: Patient patient-mother-carmen-teresa-lee

Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

---

Alt. Name:	Carmen Teresa Santos (Name changed for Marriage)
Contact Detail	3670 Miller Road Ann Arbor MI 48103 US (home)
Links:	Also see: RelatedPerson Carmen Teresa Lee (official)
US Core Ethnicity Extension:	ombCategory: CDC Race and Ethnicity 2135-2: Hispanic or Latino text: Hispanic or Latino
Patient Birth Place	PR
US Core Birth Sex Extension	F
US Core Race Extension:	ombCategory: CDC Race and Ethnicity 2054-5: Black or African American text: Black or African America

Entry 6 - fullUrl = http://www.example.org/fhir/Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-date-of-first-prenatal-care-visit-carmen-teresa-lee

status: Final

code: Date first prenatal visit

subject: Patient - Mother (Carmen Teresa Lee)

focus: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: 2018-05-18

Entry 7 - fullUrl = http://www.example.org/fhir/Observation/observation-last-menstrual-period-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-last-menstrual-period-carmen-teresa-lee

status: Final

code: Last menstrual period start date

subject: Patient - Mother (Carmen Teresa Lee)

effective: 2018-05-02

performer: Practitioner Janet Seito

value: 2018-04-18

Entry 8 - fullUrl = http://www.example.org/fhir/Observation/observation-number-births-now-living-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-number-births-now-living-carmen-teresa-lee

status: Final

code: [#] Births.still living

subject: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: 1

Entry 9 - fullUrl = http://www.example.org/fhir/Observation/observation-number-births-now-dead-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-number-births-now-dead-carmen-teresa-lee

status: Final

code: Previous live births now dead #

subject: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: 0

Entry 10 - fullUrl = http://www.example.org/fhir/Observation/observation-date-of-last-live-birth-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-date-of-last-live-birth-carmen-teresa-lee

status: Final

code: Date of last live birth

subject: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: 2016-01-28

Entry 11 - fullUrl = http://www.example.org/fhir/Observation/observation-mother-height-carmen-teresa-lee-w-edit

Resource Observation:

Generated Narrative: Observation observation-mother-height-carmen-teresa-lee-w-edit

status: Final

category: Vital Signs

code: Body height

subject: Patient - Mother (Carmen Teresa Lee)

effective: 2019-01-10

performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

value: 56 in (Details: UCUM code[in_i] = '[in_i]')

Entry 12 - fullUrl = http://www.example.org/fhir/Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee-w-edit

Resource Observation:

Generated Narrative: Observation observation-mother-prepregnancy-weight-carmen-teresa-lee-w-edit

status: Final

category: Vital Signs

code: Body weight --pre current pregnancy

subject: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: 180 [lb_av] (Details: UCUM code[lb_av] = '[lb_av]')

Entry 13 - fullUrl = http://www.example.org/fhir/Observation/observation-mother-received-wic-food-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-mother-received-wic-food-carmen-teresa-lee

status: Final

code: Mother WIC food recipient

subject: Patient - Mother (Carmen Teresa Lee)

focus: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

value: No

Entry 14 - fullUrl = http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-cig-smoking-pregnancy-1-carmen-teresa-lee

status: Final

code: In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day [PhenX]

subject: Patient - Mother (Carmen Teresa Lee)

focus: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

value: 0

Entry 15 - fullUrl = http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-cig-smoking-pregnancy-2-carmen-teresa-lee

status: Final

code: Cigarettes smoked per day by Mother--1st trimester

subject: Patient - Mother (Carmen Teresa Lee)

focus: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

value: 0

Entry 16 - fullUrl = http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-cig-smoking-pregnancy-3-carmen-teresa-lee

status: Final

code: Cigarettes smoked per day by Mother--2nd trimester

subject: Patient - Mother (Carmen Teresa Lee)

focus: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

value: 1

Entry 17 - fullUrl = http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-cig-smoking-pregnancy-4-carmen-teresa-lee

status: Final

code: In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day [PhenX]

subject: Patient - Mother (Carmen Teresa Lee)

focus: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

value: 0

Entry 18 - fullUrl = http://www.example.org/fhir/Observation/observation-number-previous-cesareans-carmen-teresa-lee-w-edit

Resource Observation:

Generated Narrative: Observation observation-number-previous-cesareans-carmen-teresa-lee-w-edit

status: Final

code: Previous cesarean deliveries #

subject: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: 1

Entry 19 - fullUrl = http://www.example.org/fhir/Condition/condition-gestational-diabetes-carmen-teresa-lee

Resource Condition:

Generated Narrative: Condition condition-gestational-diabetes-carmen-teresa-lee

clinicalStatus: Active

category: Problem List Item, Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth]

code: Gestational diabetes mellitus (disorder)

subject: Patient - Mother (Carmen Teresa Lee)

onset: 2018-12-12

Entry 20 - fullUrl = http://www.example.org/fhir/Observation/observation-fetal-presentation-not-named

Resource Observation:

Generated Narrative: Observation observation-fetal-presentation-not-named

status: Final

code: Fetal presentation--at birth [US Standard Certificate of Live Birth]

subject: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: Breech presentation (finding)

Entry 21 - fullUrl = http://www.example.org/fhir/Procedure/procedure-final-route-method-delivery-not-named

Resource Procedure:

Generated Narrative: Procedure procedure-final-route-method-delivery-not-named

status: Completed

category: Final route and method of delivery [US Standard Certificate of Live Birth]

code: Spontaneous vaginal delivery

subject: Patient - Mother (Carmen Teresa Lee)

performed: 2019-01-19 18:00:00-0700 --> 2019-01-19 18:23:00-0700

Entry 22 - fullUrl = http://www.example.org/fhir/Observation/observation-birth-weight-not-named-w-edit

Resource Observation:

Generated Narrative: Observation observation-birth-weight-not-named-w-edit

status: Final

category: Vital Signs

code: Birth weight Measured

subject: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-02-10

performer: Organization Jurisdictional Vital Records Office

value: 1530 g (Details: UCUM codeg = 'g')

Entry 23 - fullUrl = http://www.example.org/fhir/Observation/observation-gestational-age-at-delivery-not-named-w-edit

Resource Observation:

Generated Narrative: Observation observation-gestational-age-at-delivery-not-named-w-edit

status: Final

code: Gestational age Estimated

subject: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: 20 wk (Details: UCUM codewk = 'wk')

Entry 24 - fullUrl = http://www.example.org/fhir/Condition/condition-fetal-death-cause-or-condition-not-named

Resource Condition:

Generated Narrative: Condition condition-fetal-death-cause-or-condition-not-named

category: Encounter Diagnosis, Initiating cause or condition of fetal death [US Standard Report of Fetal Death]

code: Premature rupture of membranes (disorder)

subject: Patient - Decedent Fetus (Fetus Not Named)

Entry 25 - fullUrl = http://www.example.org/fhir/Condition/condition-fetal-death-other-significant-cause-not-named

Resource Condition:

Generated Narrative: Condition condition-fetal-death-other-significant-cause-not-named

category: Encounter Diagnosis, Other significant causes or conditions of fetal death [US Standard Report of Fetal Death]

code: Placental insufficiency (disorder)

subject: Patient - Decedent Fetus (Fetus Not Named)

Entry 26 - fullUrl = http://www.example.org/fhir/Observation/observation-fetal-death-time-point-not-named

Resource Observation:

Generated Narrative: Observation observation-fetal-death-time-point-not-named

status: Final

code: Estimated timing of fetal death [US Standard Report of Fetal Death]

subject: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: Fetal intrapartum death after first assessment (event)

Entry 27 - fullUrl = http://www.example.org/fhir/Observation/observation-autopsy-performed-not-named

Resource Observation:

Generated Narrative: Observation observation-autopsy-performed-not-named

status: Final

code: Autopsy was performed

subject: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: Performed

Entry 28 - fullUrl = http://www.example.org/fhir/Observation/observation-histological-placental-exam-performed-not-named

Resource Observation:

Generated Narrative: Observation observation-histological-placental-exam-performed-not-named

status: Final

code: Histological placental examination was performed [US Standard Report of Fetal Death]

subject: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: Performed

Entry 29 - fullUrl = http://www.example.org/fhir/Observation/observation-autopsy-histological-exam-results-used-not-named

Resource Observation:

Generated Narrative: Observation observation-autopsy-histological-exam-results-used-not-named

status: Final

code: Autopsy or histological placental examination results were used [US Standard Report of Fetal Death]

subject: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: Yes

Entry 30 - fullUrl = http://www.example.org/fhir/Observation/observation-number-deaths-this-delivery-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-number-deaths-this-delivery-carmen-teresa-lee

status: Final

code: Number of fetal deaths delivered

subject: Patient - Mother (Carmen Teresa Lee)

focus: Patient - Decedent Fetus (Fetus Not Named)

effective: 2019-12-02

performer: Practitioner Janet Seito

value: 1

Entry 31 - fullUrl = http://www.example.org/fhir/Observation/observation-parent-education-level-carmen-teresa-lee-w-edit

Resource Observation:

Generated Narrative: Observation observation-parent-education-level-carmen-teresa-lee-w-edit

status: Final

code: Highest level of education Mother

subject: Patient - Decedent Fetus (Fetus Not Named)

focus: Patient - Mother (Carmen Teresa Lee)

effective: 2019-12-02

performer: Carmen Teresa Lee (official) Female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: usual, ))

value: 9th through 12th grade; no diploma

Entry 32 - fullUrl = http://www.example.org/fhir/Observation/observation-present-job-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-present-job-carmen-teresa-lee

Extension Parental Role: mother

status: Final

code: History of Occupation

subject: null (official) Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual, ))

focus: RelatedPerson Carmen Teresa Lee (official)

effective: 2019-01-09 --> (ongoing)

value: Secretary

Components

-	Code	Value[x]
*	History of Occupation industry	State Agency

Entry 33 - fullUrl = http://www.example.org/fhir/Observation/observation-present-job-tom-yan-lee

Resource Observation:

Generated Narrative: Observation observation-present-job-tom-yan-lee

Extension Parental Role: father

status: Final

code: History of Occupation

subject: null (official) Female, DoB: 2019-01-09 ( Medical Record Number: 9932702 (use: usual, ))

focus: RelatedPerson Tom Yan Lee (official)

effective: 2019-01-09 --> (ongoing)

value: Teaching Assistant

Components

-	Code	Value[x]
*	History of Occupation industry	Elementary and Secondary Schools

Entry 34 - fullUrl = http://www.example.org/fhir/Observation/observation-input-race-and-ethnicity-carmen-teresa-lee

Resource Observation:

Generated Narrative: Observation observation-input-race-and-ethnicity-carmen-teresa-lee

status: Final

code: Mother Input Race and Ethnicity

subject: Patient - Mother (Carmen Teresa Lee)

component

code: White

value: true

component

code: Black Or African American

value: true

component

code: American Indian Or Alaska Native

value: true

component

code: Asian Indian

value: false

component

code: Chinese

value: false

component

code: Filipino

value: false

component

code: Japanese

value: false

component

code: Korean

value: false

component

code: Vietnamese

value: false

component

code: Other Asian

value: false

component

code: Native Hawaiian

value: false

component

code: Guamanian Or Chamorro

value: false

component

code: Samoan

value: false

component

code: Other Pacific Islander

value: false

component

code: Other Race

value: false

component

code: First Other Asian Literal

value: Malaysian

component

code: First American Indian Or Alaska Native Literal

value: Arikara

component

code: Hispanic Mexican

value: Yes

component

code: Hispanic Cuban

value: Yes

component

code: Hispanic Puerto Rican

value: Yes

component

code: Hispanic Other

value: No

Entry 35 - fullUrl = http://www.example.org/fhir/Practitioner/practitioner-vital-records-janet-seito

Resource Practitioner:

Generated Narrative: Practitioner practitioner-vital-records-janet-seito

Practitioner Role - Birth Attendant: attendant

Practitioner Role - Certifier: certifier

identifier: NPI/223347044

name: Janet Seito

Qualifications

-	Code
*	Osteopath (occupation)

Entry 36 - fullUrl = http://www.example.org/fhir/Location/location-south-hospital

Resource Location:

Generated Narrative: Location location-south-hospital

identifier: NPI/116441967701

status: Active

name: South Hospital

type: Hospital, Birth Location

address: 2100 North Ave Salt Lake City UT 84116 US

Positions

-	Longitude	Latitude
*	40.8	111.9

managingOrganization: Organization - South Hospital

Entry 37 - fullUrl = http://www.example.org/fhir/Organization/organization-south-hospital

Resource Organization:

Generated Narrative: Organization organization-south-hospital

identifier: NPI/5555512

active: true

type: Hospital

name: South Hospital

telecom: +1-555-555-1111, mail@southhospital.com

address: 2100 North Ave Salt Lake City UT 84116 US

Entry 38 - fullUrl = http://www.example.org/fhir/RelatedPerson/relatedperson-mother-carmen-teresa-lee

Resource RelatedPerson:

Generated Narrative: RelatedPerson relatedperson-mother-carmen-teresa-lee

active: true

patient: Patient - Decedent Fetus (Fetus Not Named)

relationship: Gestational Mother

name: Carmen Teresa Lee (Official)

gender: Female

birthDate: 1986-02-15

Entry 39 - fullUrl = http://www.example.org/fhir/RelatedPerson/relatedperson-father-natural-tom-yan-lee

Resource RelatedPerson:

Generated Narrative: RelatedPerson relatedperson-father-natural-tom-yan-lee

RelatedPerson Birth Place Vital Records: NY

active: true

patient: Patient - Decedent Fetus (Fetus Not Named)

relationship: Natural Father

name: Tom Yan Lee (Official)

gender: Male

birthDate: 1984-02-27