Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2
Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2
This page is part of the Vital Records Birth and Fetal Death Reporting (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) 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
{
"resourceType" : "Bundle",
"id" : "bundle-provider-live-birth-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Bundle-document-birth-report"
]
},
"identifier" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber",
"valueString" : "15075"
},
{
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1",
"valueString" : "444455555"
}
],
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr",
"value" : "2019NJ15075"
},
"type" : "document",
"timestamp" : "2019-02-11T02:05:44.434Z",
"entry" : [
{
"fullUrl" : "http://www.example.org/fhir/Composition/composition-provider-live-birth-babyg-quinn",
"resource" : {
"resourceType" : "Composition",
"id" : "composition-provider-live-birth-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-live-birth-report"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_composition-provider-live-birth-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition composition-provider-live-birth-babyg-quinn</b></p><a name=\"composition-provider-live-birth-babyg-quinn\"> </a><a name=\"hccomposition-provider-live-birth-babyg-quinn\"> </a><a name=\"composition-provider-live-birth-babyg-quinn-en-US\"> </a><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: extension = child; identifier = http://hospital.smarthealthit.org#9937012; 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 = 2019-02-12 13:00:00-0700 --> 2019-02-15 10:00:00-0700</a></p><p><b>date</b>: 2019-02-12</p><p><b>author</b>: <a href=\"Practitioner-practitioner-vital-records-avery-jones.html\">Practitioner Avery Jones</a></p><p><b>title</b>: Provider supplied live birth report Document</p></div>"
},
"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"
},
"encounter" : {
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference",
"valueReference" : {
🔗 "reference" : "Encounter/encounter-maternity-jada-ann-quinn"
}
}
],
"reference" : "Encounter/encounter-birth-babyg-quinn"
},
"date" : "2019-02-12",
"author" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-avery-jones"
}
],
"title" : "Provider supplied live birth report Document",
"section" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "57073-9"
}
]
},
"focus" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-date-of-first-prenatal-care-visit-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-number-prenatal-visits-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-last-menstrual-period-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-number-births-now-living-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-number-births-now-dead-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-date-of-last-live-birth-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-number-other-pregnancy-outcomes-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn"
},
{
🔗 "reference" : "Coverage/coverage-principal-payer-for-delivery-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-mother-delivery-weight-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-mother-height-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-mother-prepregnancy-weight-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-mother-received-wic-food-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-cig-smoking-pregnancy-1-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-cig-smoking-pregnancy-2-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-cig-smoking-pregnancy-3-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-cig-smoking-pregnancy-4-jada-ann-quinn"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55752-0"
}
]
},
"focus" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
},
"entry" : [
{
🔗 "reference" : "Procedure/procedure-obstetric-procedure-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-number-previous-cesareans-jada-ann-quinn"
},
{
🔗 "reference" : "Condition/condition-infection-present-during-pregnancy-jada-ann-quinn"
},
{
🔗 "reference" : "Condition/condition-gestational-hypertension-jada-ann-quinn"
},
{
🔗 "reference" : "Condition/condition-prepregnancy-diabetes-jada-ann-quinn"
},
{
🔗 "reference" : "Procedure/procedure-infertility-treatment-jada-ann-quinn"
},
{
🔗 "reference" : "Procedure/procedure-artificial-insemination-jada-ann-quinn"
},
{
🔗 "reference" : "Condition/condition-chorioamnionitis-jada-ann-quinn"
},
{
🔗 "reference" : "Procedure/procedure-induction-of-labor-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-antibiotics-during-labor-jada-ann-quinn"
},
{
🔗 "reference" : "Procedure/procedure-epidural-or-spinal-anesthesia-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-fetal-presentation-babyg-quinn"
},
{
🔗 "reference" : "Procedure/procedure-final-route-method-delivery-babyg-quinn"
},
{
🔗 "reference" : "Condition/condition-ruptured-uterus-jada-ann-quinn"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "57075-4"
}
]
},
"entry" : [
{
🔗 "reference" : "Observation/observation-birth-weight-babyg-quinn"
},
{
🔗 "reference" : "Observation/observation-gestational-age-at-delivery-babyg-quinn"
},
{
🔗 "reference" : "Observation/observation-apgar-score-babyg-quinn-5-min"
},
{
🔗 "reference" : "Observation/observation-apgar-score-babyg-quinn-10-min"
},
{
🔗 "reference" : "Observation/observation-number-live-births-this-delivery-jada-ann-quinn"
},
{
🔗 "reference" : "Condition/condition-congenital-anomaly-of-newborn-babyg-quinn"
},
{
🔗 "reference" : "Condition/condition-congenital-anomaly-of-newborn-babyg-quinn-2"
},
{
🔗 "reference" : "Procedure/procedure-antibiotic-sepsis-babyg-quinn"
},
{
🔗 "reference" : "Observation/observation-infant-living-babyg-quinn"
},
{
🔗 "reference" : "Observation/observation-infant-breastfed-at-discharge-babyg-quinn"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "92014-0"
}
]
},
"focus" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-mother-married-during-pregnancy-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-parent-education-level-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-present-job-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-input-race-and-ethnicity-jada-ann-quinn"
},
{
🔗 "reference" : "Observation/observation-ssn-requested-for-child-babyg-quinn"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "92013-2"
}
]
},
"focus" : {
🔗 "reference" : "RelatedPerson/relatedperson-father-natural-james-brandon-quinn"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-paternity-acknowledgement-signed-james-quinn"
},
{
🔗 "reference" : "Observation/observation-parent-education-level-james-quinn"
},
{
🔗 "reference" : "Observation/observation-present-job-james-brandon-quinn"
},
{
🔗 "reference" : "Observation/observation-input-race-and-ethnicity-james-quinn"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "74465-6"
}
]
},
"focus" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/QuestionnaireResponse-mothers-live-birth-jada-quinn"
}
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Patient/patient-child-babyg-quinn",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-child-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-child-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-child-babyg-quinn</b></p><a name=\"patient-child-babyg-quinn\"> </a><a name=\"hcpatient-child-babyg-quinn\"> </a><a name=\"patient-child-babyg-quinn-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td>false</td><td style=\"background-color: #f3f5da\" title=\"Known multipleBirth status of Patient\">Multiple Birth:</td><td colspan=\"3\">1</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2186-5\">CDC Race and Ethnicity</a> 2186-5: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This Extension profile represents the reported age of the parent (either the gestational mother or the natural father - as defined by NCHS) at the delivery time of the newborn or fetus. \nA required code indicates whether the mother or father's age is provided. It can optionally contain a reference to the reporter (**US Core Patient Profile** or **US Core RelatedPerson Profile**).\">Reported Parent Age At Delivery Vital Records:</td><td colspan=\"3\"><ul><li>reportedAge: 34 a<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codea = 'a')</span></li><li>motherOrFather: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">mother</span></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This Extension profile represents the reported age of the parent (either the gestational mother or the natural father - as defined by NCHS) at the delivery time of the newborn or fetus. \nA required code indicates whether the mother or father's age is provided. It can optionally contain a reference to the reporter (**US Core Patient Profile** or **US Core RelatedPerson Profile**).\">Reported Parent Age At Delivery Vital Records:</td><td colspan=\"3\"><ul><li>reportedAge: 35 a<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codea = 'a')</span></li><li>motherOrFather: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}\">father</span></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\">Salt Lake City UT </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2106-3\">CDC Race and Ethnicity</a> 2106-3: White</li><li>text: White</li></ul></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "text",
"valueString" : "White"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"city" : "Salt Lake City",
"district" : "Salt Lake",
"state" : "UT"
}
},
{
"extension" : [
{
"url" : "reportedAge",
"valueQuantity" : {
"value" : 34,
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
},
{
"url" : "motherOrFather",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MTH",
"display" : "mother"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr"
},
{
"extension" : [
{
"url" : "reportedAge",
"valueQuantity" : {
"value" : 35,
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
},
{
"url" : "motherOrFather",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "FTH",
"display" : "father"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
]
},
"system" : "http://hospital.smarthealthit.org",
"value" : "9932702"
}
],
"name" : [
{
"use" : "official",
"family" : "Quinn",
"given" : [
"Baby",
"G"
]
}
],
"gender" : "female",
"birthDate" : "2019-02-12",
"_birthDate" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
"valueDateTime" : "2019-02-12T13:00:00-07:00"
}
]
},
"deceasedBoolean" : false,
"multipleBirthInteger" : 1
}
},
{
"fullUrl" : "http://www.example.org/fhir/Encounter/encounter-birth-babyg-quinn",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter-birth-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-birth"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-birth-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-birth-babyg-quinn</b></p><a name=\"encounter-birth-babyg-quinn\"> </a><a name=\"hcencounter-birth-babyg-quinn\"> </a><a name=\"encounter-birth-babyg-quinn-en-US\"> </a><p><b>Extension Parental Role</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode CHILD}\">child</span></p><p><b>identifier</b>: <code>http://hospital.smarthealthit.org</code>/9937012</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode</a> IMP: inpatient encounter</p><p><b>type</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 99234}\">Under Observation or Inpatient Care Services (Including Admission and Discharge Services)</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><blockquote><p><b>participant</b></p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 87287-9}\">Birth certifier [Extended Identifier]</span></p><p><b>period</b>: 2019-02-12 13:30:00-0700 --> (ongoing)</p><p><b>individual</b>: <a href=\"Practitioner-practitioner-vital-records-avery-jones.html\">Practitioner - Vital Records (Avery Jones, MD)</a></p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 87286-1}\">Birth attendant [Extended Identifier]</span></p><p><b>individual</b>: <a href=\"Practitioner-practitioner-vital-records-avery-jones.html\">Practitioner - Vital Records (Avery Jones, MD)</a></p></blockquote><p><b>period</b>: 2019-02-12 13:00:00-0700 --> 2019-02-15 10:00:00-0700</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Destination</b></td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-east-hospital.html\">East Hospital Location</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition other-hcf}\">The patient was transferred to another healthcare facility.</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-south-hospital.html\">Location - US Core Location (South Hospital)</a></td><td><span title=\"Codes:{http://snomed.info/sct 22232009}\">Hospital</span></td></tr></table><p><b>partOf</b>: <a href=\"Encounter-encounter-maternity-jada-ann-quinn.html\">Maternity Encounter - Jada Ann Quinn</a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "CHILD"
}
]
}
}
],
"identifier" : [
{
"system" : "http://hospital.smarthealthit.org",
"value" : "9937012"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99234"
}
],
"text" : "Under Observation or Inpatient Care Services (Including Admission and Discharge Services)"
}
],
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87287-9",
"display" : "Birth certifier [Extended Identifier]"
}
]
}
],
"period" : {
"start" : "2019-02-12T13:30:00-07:00"
},
"individual" : {
🔗 "reference" : "Practitioner/practitioner-vital-records-avery-jones",
"display" : "Practitioner - Vital Records (Avery Jones, MD)"
}
},
{
"type" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87286-1",
"display" : "Birth attendant [Extended Identifier]"
}
]
}
],
"individual" : {
🔗 "reference" : "Practitioner/practitioner-vital-records-avery-jones",
"display" : "Practitioner - Vital Records (Avery Jones, MD)"
}
}
],
"period" : {
"start" : "2019-02-12T13:00:00-07:00",
"end" : "2019-02-15T10:00:00-07:00"
},
"hospitalization" : {
"destination" : {
🔗 "reference" : "Location/location-east-hospital",
"display" : "East Hospital Location"
},
"dischargeDisposition" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code" : "other-hcf",
"display" : "Other healthcare facility"
}
],
"text" : "The patient was transferred to another healthcare facility."
}
},
"location" : [
{
"location" : {
🔗 "reference" : "Location/location-south-hospital",
"display" : "Location - US Core Location (South Hospital)"
},
"physicalType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "22232009",
"display" : "Hospital"
}
]
}
}
],
"partOf" : {
🔗 "reference" : "Encounter/encounter-maternity-jada-ann-quinn",
"display" : "Maternity Encounter - Jada Ann Quinn"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Encounter/encounter-maternity-jada-ann-quinn",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter-maternity-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-maternity-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-maternity-jada-ann-quinn</b></p><a name=\"encounter-maternity-jada-ann-quinn\"> </a><a name=\"hcencounter-maternity-jada-ann-quinn\"> </a><a name=\"encounter-maternity-jada-ann-quinn-en-US\"> </a><p><b>Extension Parental Role</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">mother</span></p><p><b>identifier</b>: <code>http://hospital.smarthealthit.org</code>/9937012</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode</a> IMP: inpatient encounter</p><p><b>type</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 99234}\">Under Observation or Inpatient Care Services (Including Admission and Discharge Services)</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 87286-1}\">Birth attendant [Extended Identifier]</span></td><td><a href=\"Practitioner-practitioner-vital-records-avery-jones.html\">Practitioner - Vital Records (Avery Jones, MD)</a></td></tr></table><p><b>period</b>: 2019-02-11 10:00:00-0700 --> 2019-02-15 10:00:00-0700</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Origin</b></td><td><b>AdmitSource</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-north-hospital.html\">Location - US Core Location (North Hospital)</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/admit-source hosp-trans}\">The Patient has been transferred from another hospital for this encounter.</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-south-hospital.html\">Location - US Core Location (South Hospital)</a></td><td><span title=\"Codes:{http://snomed.info/sct 22232009}\">Hospital</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-organization-south-hospital.html\">Organization - US Core Organization (South Hospital Organization)</a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MTH"
}
]
}
}
],
"identifier" : [
{
"system" : "http://hospital.smarthealthit.org",
"value" : "9937012"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99234"
}
],
"text" : "Under Observation or Inpatient Care Services (Including Admission and Discharge Services)"
}
],
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87286-1",
"display" : "Birth attendant [Extended Identifier]"
}
]
}
],
"individual" : {
🔗 "reference" : "Practitioner/practitioner-vital-records-avery-jones",
"display" : "Practitioner - Vital Records (Avery Jones, MD)"
}
}
],
"period" : {
"start" : "2019-02-11T10:00:00-07:00",
"end" : "2019-02-15T10:00:00-07:00"
},
"hospitalization" : {
"origin" : {
🔗 "reference" : "Location/location-north-hospital",
"display" : "Location - US Core Location (North Hospital)"
},
"admitSource" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/admit-source",
"code" : "hosp-trans",
"display" : "Transferred from other hospital"
}
],
"text" : "The Patient has been transferred from another hospital for this encounter."
}
},
"location" : [
{
"location" : {
🔗 "reference" : "Location/location-south-hospital",
"display" : "Location - US Core Location (South Hospital)"
},
"physicalType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "22232009",
"display" : "Hospital"
}
]
}
}
],
"serviceProvider" : {
🔗 "reference" : "Organization/organization-south-hospital",
"display" : "Organization - US Core Organization (South Hospital Organization)"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Practitioner/practitioner-vital-records-avery-jones",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner-vital-records-avery-jones",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"🔗 ,
"http://hl7.org/fhir/us/bfdr/StructureDefinition/Practitioner-birth-certifier"🔗 ,
"http://hl7.org/fhir/us/bfdr/StructureDefinition/Practitioner-birth-attendant"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_practitioner-vital-records-avery-jones\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner practitioner-vital-records-avery-jones</b></p><a name=\"practitioner-vital-records-avery-jones\"> </a><a name=\"hcpractitioner-vital-records-avery-jones\"> </a><a name=\"practitioner-vital-records-avery-jones-en-US\"> </a><p><b>Practitioner Role - Birth Attendant</b>: attendant</p><p><b>Practitioner Role - Certifier</b>: certifier</p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/76231001</p><p><b>name</b>: Avery Jones</p><h3>Qualifications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 76231001}\">Osteopath (occupation)</span></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/practitioner-role-birth-attendant",
"valueCode" : "attendant"
},
{
"url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/practitioner-role-birth-certifier",
"valueCode" : "certifier"
}
],
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "76231001"
}
],
"name" : [
{
"text" : "Avery Jones",
"family" : "Jones",
"given" : [
"Avery"
],
"suffix" : [
"D.O."
]
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "76231001",
"display" : "Osteopath (occupation)"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Practitioner/practitioner-vital-records-janet-seito",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner-vital-records-janet-seito",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_practitioner-vital-records-janet-seito\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner practitioner-vital-records-janet-seito</b></p><a name=\"practitioner-vital-records-janet-seito\"> </a><a name=\"hcpractitioner-vital-records-janet-seito\"> </a><a name=\"practitioner-vital-records-janet-seito-en-US\"> </a><p><b>Practitioner Role - Birth Attendant</b>: attendant</p><p><b>Practitioner Role - Certifier</b>: certifier</p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/223347044</p><p><b>name</b>: Janet Seito</p><h3>Qualifications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 76231001}\">Osteopath (occupation)</span></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/practitioner-role-birth-attendant",
"valueCode" : "attendant"
},
{
"url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/practitioner-role-birth-certifier",
"valueCode" : "certifier"
}
],
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "223347044"
}
],
"name" : [
{
"text" : "Janet Seito",
"family" : "Janet",
"given" : [
"Seito"
],
"suffix" : [
"D.O."
]
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "76231001",
"display" : "Osteopath (occupation)"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Patient/patient-mother-jada-ann-quinn",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-mother-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-mother-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-mother-jada-ann-quinn</b></p><a name=\"patient-mother-jada-ann-quinn\"> </a><a name=\"hcpatient-mother-jada-ann-quinn\"> </a><a name=\"patient-mother-jada-ann-quinn-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Social Security number/132225986\u00a0(use:\u00a0usual,\u00a0)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Jada Ann King (Name changed for Marriage)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 1-(404)555-1212(Home)</li><li><a href=\"mailto:jadaann.quinn@example.com\">jadaann.quinn@example.com</a></li><li>1875 West Morton Avenue Salt Lake City UT 84116 US (home)</li><li>1848 South 1300 East Salt Lake City UT 84401 US (billing)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2186-5\">CDC Race and Ethnicity</a> 2186-5: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\">UT </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-1002-5\">CDC Race and Ethnicity</a> 1002-5: American Indian or Alaska Native</li><li>text: White, American Indian or Alaska Native</li></ul></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1002-5",
"display" : "American Indian or Alaska Native"
}
},
{
"url" : "text",
"valueString" : "White, American Indian or Alaska Native"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"state" : "UT"
}
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SS",
"display" : "Social Security number"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "132225986"
},
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
]
},
"system" : "http://hospital.smarthealthit.org",
"value" : "1032702"
}
],
"name" : [
{
"use" : "official",
"family" : "Quinn",
"given" : [
"Jada",
"Ann"
]
},
{
"use" : "maiden",
"family" : "King",
"given" : [
"Jada",
"Ann"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "1-(404)555-1212",
"use" : "home"
},
{
"system" : "email",
"value" : "jadaann.quinn@example.com"
}
],
"gender" : "female",
"birthDate" : "1985-01-15",
"address" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
}
],
"use" : "home",
"line" : [
"1875 West Morton Avenue"
],
"city" : "Salt Lake City",
"district" : "Salt Lake",
"state" : "UT",
"postalCode" : "84116",
"country" : "US"
},
{
"use" : "billing",
"line" : [
"1848 South 1300 East"
],
"city" : "Salt Lake City",
"state" : "UT",
"postalCode" : "84401",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-date-of-first-prenatal-care-visit-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-date-of-first-prenatal-care-visit-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-date-of-first-prenatal-care-visit-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-date-of-first-prenatal-care-visit-jada-ann-quinn</b></p><a name=\"observation-date-of-first-prenatal-care-visit-jada-ann-quinn\"> </a><a name=\"hcobservation-date-of-first-prenatal-care-visit-jada-ann-quinn\"> </a><a name=\"observation-date-of-first-prenatal-care-visit-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69044-6}\">Date first prenatal visit</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>focus</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 2018-07-20</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69044-6"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueDateTime" : "2018-07-20"
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-number-prenatal-visits-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-number-prenatal-visits-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-prenatal-visits"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-number-prenatal-visits-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-number-prenatal-visits-jada-ann-quinn</b></p><a name=\"observation-number-prenatal-visits-jada-ann-quinn\"> </a><a name=\"hcobservation-number-prenatal-visits-jada-ann-quinn\"> </a><a name=\"observation-number-prenatal-visits-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 68493-6}\">Prenatal visits for this pregnancy #</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>focus</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 8</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "68493-6",
"display" : "Prenatal visits for this pregnancy #"
}
],
"text" : "Prenatal visits for this pregnancy #"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueInteger" : 8
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-last-menstrual-period-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-last-menstrual-period-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-last-menstrual-period"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-last-menstrual-period-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-last-menstrual-period-jada-ann-quinn</b></p><a name=\"observation-last-menstrual-period-jada-ann-quinn\"> </a><a name=\"hcobservation-last-menstrual-period-jada-ann-quinn\"> </a><a name=\"observation-last-menstrual-period-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8665-2}\">Last menstrual period start date</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 2018-06-05</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8665-2",
"display" : "Last menstrual period start date"
}
],
"text" : "Last menstrual period start date"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueDateTime" : "2018-06-05"
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-number-births-now-living-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-number-births-now-living-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-living"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-number-births-now-living-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-number-births-now-living-jada-ann-quinn</b></p><a name=\"observation-number-births-now-living-jada-ann-quinn\"> </a><a name=\"hcobservation-number-births-now-living-jada-ann-quinn\"> </a><a name=\"observation-number-births-now-living-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11638-4}\">[#] Births.still living</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 1</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11638-4",
"display" : "[#] Births.still living"
}
],
"text" : "[#] Births.still living"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueInteger" : 1
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-number-births-now-dead-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-number-births-now-dead-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-dead"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-number-births-now-dead-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-number-births-now-dead-jada-ann-quinn</b></p><a name=\"observation-number-births-now-dead-jada-ann-quinn\"> </a><a name=\"hcobservation-number-births-now-dead-jada-ann-quinn\"> </a><a name=\"observation-number-births-now-dead-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 68496-9}\">Previous live births now dead #</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 0</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "68496-9",
"display" : "Previous live births now dead #"
}
],
"text" : "Previous live births now dead #"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueInteger" : 0
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-date-of-last-live-birth-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-date-of-last-live-birth-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-date-of-last-live-birth-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-date-of-last-live-birth-jada-ann-quinn</b></p><a name=\"observation-date-of-last-live-birth-jada-ann-quinn\"> </a><a name=\"hcobservation-date-of-last-live-birth-jada-ann-quinn\"> </a><a name=\"observation-date-of-last-live-birth-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 68499-3}\">Date of last live birth</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 2014-11-20</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "68499-3",
"display" : "Date last live birth"
}
],
"text" : "Date of last live birth"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueDateTime" : "2014-11-20"
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-number-other-pregnancy-outcomes-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-number-other-pregnancy-outcomes-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-other-pregnancy-outcomes"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-number-other-pregnancy-outcomes-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-number-other-pregnancy-outcomes-jada-ann-quinn</b></p><a name=\"observation-number-other-pregnancy-outcomes-jada-ann-quinn\"> </a><a name=\"hcobservation-number-other-pregnancy-outcomes-jada-ann-quinn\"> </a><a name=\"observation-number-other-pregnancy-outcomes-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69043-8}\">Other pregnancy outcomes #</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 0</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69043-8",
"display" : "Other pregnancy outcomes #"
}
],
"text" : "Other pregnancy outcomes #"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueInteger" : 0
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-other-pregnancy-outcome"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn</b></p><a name=\"observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn\"> </a><a name=\"hcobservation-date-of-last-other-pregnancy-outcome-jada-ann-quinn\"> </a><a name=\"observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 68500-8}\">Date of last other pregnancy outcome</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 2015-05</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "68500-8",
"display" : "Date last other pregnancy outcome"
}
],
"text" : "Date of last other pregnancy outcome"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueDateTime" : "2015-05"
}
},
{
"fullUrl" : "http://www.example.org/fhir/Coverage/coverage-principal-payer-for-delivery-jada-ann-quinn",
"resource" : {
"resourceType" : "Coverage",
"id" : "coverage-principal-payer-for-delivery-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Coverage-principal-payer-delivery"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_coverage-principal-payer-for-delivery-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-principal-payer-for-delivery-jada-ann-quinn</b></p><a name=\"coverage-principal-payer-for-delivery-jada-ann-quinn\"> </a><a name=\"hccoverage-principal-payer-for-delivery-jada-ann-quinn\"> </a><a name=\"coverage-principal-payer-for-delivery-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://nahdo.org/sopt 5}\">Private Health Insurance</span></p><p><b>beneficiary</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>payor</b>: Not asked</p></div>"
},
"status" : "active",
"type" : {
"coding" : [
{
"system" : "https://nahdo.org/sopt",
"code" : "5",
"display" : "Private Health Insurance"
}
],
"text" : "Private Health Insurance"
},
"beneficiary" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"payor" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "not-asked"
}
],
"display" : "Not asked"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-mother-delivery-weight-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-mother-delivery-weight-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-delivery-weight"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-mother-delivery-weight-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-mother-delivery-weight-jada-ann-quinn</b></p><a name=\"observation-mother-delivery-weight-jada-ann-quinn\"> </a><a name=\"hcobservation-mother-delivery-weight-jada-ann-quinn\"> </a><a name=\"observation-mother-delivery-weight-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69461-2}\">Mother's body weight --at delivery</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>effective</b>: 2019-02-12</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 175 [lb_av]<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[lb_av] = '[lb_av]')</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69461-2",
"display" : "Mother's body weight --at delivery"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"effectiveDateTime" : "2019-02-12",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueQuantity" : {
"value" : 175,
"system" : "http://unitsofmeasure.org",
"code" : "[lb_av]"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-mother-height-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-mother-height-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-height"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-mother-height-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-mother-height-jada-ann-quinn</b></p><a name=\"observation-mother-height-jada-ann-quinn\"> </a><a name=\"hcobservation-mother-height-jada-ann-quinn\"> </a><a name=\"observation-mother-height-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8302-2}\">Body height</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>effective</b>: 2019-02-10</p><p><b>performer</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>value</b>: 67 in<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[in_i] = '[in_i]')</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8302-2"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"effectiveDateTime" : "2019-02-10",
"performer" : [
{
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
}
],
"valueQuantity" : {
"value" : 67,
"unit" : "in",
"system" : "http://unitsofmeasure.org",
"code" : "[in_i]"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-mother-prepregnancy-weight-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-mother-prepregnancy-weight-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-prepregnancy-weight"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-mother-prepregnancy-weight-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-mother-prepregnancy-weight-jada-ann-quinn</b></p><a name=\"observation-mother-prepregnancy-weight-jada-ann-quinn\"> </a><a name=\"hcobservation-mother-prepregnancy-weight-jada-ann-quinn\"> </a><a name=\"observation-mother-prepregnancy-weight-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 56077-1}\">Body weight --pre current pregnancy</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 145 [lb_av]<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[lb_av] = '[lb_av]')</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "56077-1",
"display" : "Body weight --pre current pregnancy"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueQuantity" : {
"value" : 145,
"system" : "http://unitsofmeasure.org",
"code" : "[lb_av]"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-mother-received-wic-food-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-mother-received-wic-food-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-received-wic-food"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-mother-received-wic-food-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-mother-received-wic-food-jada-ann-quinn</b></p><a name=\"observation-mother-received-wic-food-jada-ann-quinn\"> </a><a name=\"hcobservation-mother-received-wic-food-jada-ann-quinn\"> </a><a name=\"observation-mother-received-wic-food-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87303-4}\">Mother WIC food recipient</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>focus</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87303-4"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-1-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-cig-smoking-pregnancy-1-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-cig-smoking-pregnancy-1-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-cig-smoking-pregnancy-1-jada-ann-quinn</b></p><a name=\"observation-cig-smoking-pregnancy-1-jada-ann-quinn\"> </a><a name=\"hcobservation-cig-smoking-pregnancy-1-jada-ann-quinn\"> </a><a name=\"observation-cig-smoking-pregnancy-1-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 64794-1}\">In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day [PhenX]</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>focus</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>value</b>: 20</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "64794-1",
"display" : "In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day [PhenX]"
}
],
"text" : "In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day [PhenX]"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
}
],
"valueInteger" : 20
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-2-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-cig-smoking-pregnancy-2-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-cig-smoking-pregnancy-2-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-cig-smoking-pregnancy-2-jada-ann-quinn</b></p><a name=\"observation-cig-smoking-pregnancy-2-jada-ann-quinn\"> </a><a name=\"hcobservation-cig-smoking-pregnancy-2-jada-ann-quinn\"> </a><a name=\"observation-cig-smoking-pregnancy-2-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87298-6}\">Cigarettes smoked per day by Mother--1st trimester</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>focus</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>value</b>: 3</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87298-6",
"display" : "Cigarettes smoked per day by Mother--1st trimester"
}
],
"text" : "Cigarettes smoked per day by Mother--1st trimester"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
}
],
"valueInteger" : 3
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-3-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-cig-smoking-pregnancy-3-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-cig-smoking-pregnancy-3-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-cig-smoking-pregnancy-3-jada-ann-quinn</b></p><a name=\"observation-cig-smoking-pregnancy-3-jada-ann-quinn\"> </a><a name=\"hcobservation-cig-smoking-pregnancy-3-jada-ann-quinn\"> </a><a name=\"observation-cig-smoking-pregnancy-3-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87299-4}\">Cigarettes smoked per day by Mother--2nd trimester</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>focus</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>value</b>: 1</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87299-4",
"display" : "Cigarettes smoked per day by Mother--2nd trimester"
}
],
"text" : "Cigarettes smoked per day by Mother--2nd trimester"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
}
],
"valueInteger" : 1
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-4-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-cig-smoking-pregnancy-4-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-cig-smoking-pregnancy-4-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-cig-smoking-pregnancy-4-jada-ann-quinn</b></p><a name=\"observation-cig-smoking-pregnancy-4-jada-ann-quinn\"> </a><a name=\"hcobservation-cig-smoking-pregnancy-4-jada-ann-quinn\"> </a><a name=\"observation-cig-smoking-pregnancy-4-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 64795-8}\">In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day [PhenX]</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>focus</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>value</b>: 0</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "64795-8",
"display" : "In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day [PhenX]"
}
],
"text" : "In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day [PhenX]"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
}
],
"valueInteger" : 0
}
},
{
"fullUrl" : "http://www.example.org/fhir/Condition/condition-prepregnancy-diabetes-jada-ann-quinn",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-prepregnancy-diabetes-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-diabetes"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-prepregnancy-diabetes-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-prepregnancy-diabetes-jada-ann-quinn</b></p><a name=\"condition-prepregnancy-diabetes-jada-ann-quinn\"> </a><a name=\"hccondition-prepregnancy-diabetes-jada-ann-quinn\"> </a><a name=\"condition-prepregnancy-diabetes-jada-ann-quinn-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>, <span title=\"Codes:{http://loinc.org 73775-9}\">Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 73211009}\">Diabetes mellitus (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>onset</b>: 2015-02-12</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item"
}
]
},
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73775-9"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "73211009",
"display" : "Diabetes mellitus (disorder)"
}
],
"text" : "Diabetes mellitus (disorder)"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"onsetDateTime" : "2015-02-12"
}
},
{
"fullUrl" : "http://www.example.org/fhir/Condition/condition-gestational-hypertension-jada-ann-quinn",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-gestational-hypertension-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-hypertension"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-gestational-hypertension-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-gestational-hypertension-jada-ann-quinn</b></p><a name=\"condition-gestational-hypertension-jada-ann-quinn\"> </a><a name=\"hccondition-gestational-hypertension-jada-ann-quinn\"> </a><a name=\"condition-gestational-hypertension-jada-ann-quinn-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>, <span title=\"Codes:{http://loinc.org 73775-9}\">Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 48194001}\">Pregnancy-induced hypertension (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item"
}
]
},
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73775-9"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "48194001",
"display" : "Pregnancy-induced hypertension (disorder)"
}
],
"text" : "Pregnancy-induced hypertension (disorder)"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-number-previous-cesareans-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-number-previous-cesareans-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-previous-cesareans"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-number-previous-cesareans-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-number-previous-cesareans-jada-ann-quinn</b></p><a name=\"observation-number-previous-cesareans-jada-ann-quinn\"> </a><a name=\"hcobservation-number-previous-cesareans-jada-ann-quinn\"> </a><a name=\"observation-number-previous-cesareans-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 68497-7}\">Previous cesarean deliveries #</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 1</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "68497-7",
"display" : "Previous cesarean deliveries #"
}
],
"text" : "Previous cesarean deliveries #"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueInteger" : 1
}
},
{
"fullUrl" : "http://www.example.org/fhir/Condition/condition-infection-present-during-pregnancy-jada-ann-quinn",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-infection-present-during-pregnancy-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-infection-present-during-pregnancy"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-infection-present-during-pregnancy-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-infection-present-during-pregnancy-jada-ann-quinn</b></p><a name=\"condition-infection-present-during-pregnancy-jada-ann-quinn\"> </a><a name=\"hccondition-infection-present-during-pregnancy-jada-ann-quinn\"> </a><a name=\"condition-infection-present-during-pregnancy-jada-ann-quinn-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>, <span title=\"Codes:{http://loinc.org 72519-2}\">Infections present AndOr treated during this pregnancy for live birth [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 105629000}\">Chlamydial infection (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
]
},
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "72519-2"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "105629000",
"display" : "Chlamydial infection (disorder)"
}
],
"text" : "Chlamydial infection (disorder)"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Procedure/procedure-obstetric-procedure-jada-ann-quinn",
"resource" : {
"resourceType" : "Procedure",
"id" : "procedure-obstetric-procedure-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-obstetric"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-obstetric-procedure-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-obstetric-procedure-jada-ann-quinn</b></p><a name=\"procedure-obstetric-procedure-jada-ann-quinn\"> </a><a name=\"hcprocedure-obstetric-procedure-jada-ann-quinn\"> </a><a name=\"procedure-obstetric-procedure-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 73814-6}\">Obstetric procedures performed [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 240278000}\">External cephalic version: Failed</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>performed</b>: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700</p><p><b>outcome</b>: <span title=\"Codes:{http://snomed.info/sct 385671000}\">External cephalic version: Unsuccessful</span></p></div>"
},
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73814-6"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "240278000",
"display" : "External cephalic version (procedure)"
}
],
"text" : "External cephalic version: Failed"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"performedPeriod" : {
"start" : "2019-02-07T08:30:00-07:00",
"end" : "2019-02-07T08:45:00-07:00"
},
"outcome" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "385671000",
"display" : "Unsuccessful"
}
],
"text" : "External cephalic version: Unsuccessful"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Condition/condition-chorioamnionitis-jada-ann-quinn",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-chorioamnionitis-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-chorioamnionitis"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-chorioamnionitis-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-chorioamnionitis-jada-ann-quinn</b></p><a name=\"condition-chorioamnionitis-jada-ann-quinn\"> </a><a name=\"hccondition-chorioamnionitis-jada-ann-quinn\"> </a><a name=\"condition-chorioamnionitis-jada-ann-quinn-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>, <span title=\"Codes:{http://loinc.org 73813-8}\">Characteristics of labor and delivery [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 11612004}\">Chorioamnionitis (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item"
}
]
},
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73813-8"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "11612004",
"display" : "Chorioamnionitis (disorder)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Procedure/procedure-induction-of-labor-jada-ann-quinn",
"resource" : {
"resourceType" : "Procedure",
"id" : "procedure-induction-of-labor-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-induction-of-labor"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-induction-of-labor-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-induction-of-labor-jada-ann-quinn</b></p><a name=\"procedure-induction-of-labor-jada-ann-quinn\"> </a><a name=\"hcprocedure-induction-of-labor-jada-ann-quinn\"> </a><a name=\"procedure-induction-of-labor-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 73813-8}\">Characteristics of labor and delivery [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 236958009}\">Induction of labor (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>performed</b>: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700</p></div>"
},
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73813-8"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "236958009",
"display" : "Induction of labor (procedure)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"performedPeriod" : {
"start" : "2019-02-07T08:30:00-07:00",
"end" : "2019-02-07T08:45:00-07:00"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-fetal-presentation-babyg-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-fetal-presentation-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-fetal-presentation-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-fetal-presentation-babyg-quinn</b></p><a name=\"observation-fetal-presentation-babyg-quinn\"> </a><a name=\"hcobservation-fetal-presentation-babyg-quinn\"> </a><a name=\"observation-fetal-presentation-babyg-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 73761-9}\">Fetal presentation--at birth [US Standard Certificate of Live Birth]</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">Patient - Child (Baby G Quinn)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 6096002}\">Breech presentation (finding)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73761-9"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "Patient - Child (Baby G Quinn)"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "6096002",
"display" : "Breech presentation (finding)"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Procedure/procedure-final-route-method-delivery-babyg-quinn",
"resource" : {
"resourceType" : "Procedure",
"id" : "procedure-final-route-method-delivery-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-final-route-method-delivery-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-final-route-method-delivery-babyg-quinn</b></p><a name=\"procedure-final-route-method-delivery-babyg-quinn\"> </a><a name=\"hcprocedure-final-route-method-delivery-babyg-quinn\"> </a><a name=\"procedure-final-route-method-delivery-babyg-quinn-en-US\"> </a><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 73762-7}\">Final route and method of delivery [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 11466000}\">Cesarean section</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>performed</b>: 2019-02-12 12:45:00-0700 --> 2019-02-12 13:15:00-0700</p><p><b>reasonReference</b>: <a href=\"Observation-observation-labor-trial-attempted-babyg-quinn.html\">Labor trial attempted - true</a></p></div>"
},
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73762-7"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "11466000",
"display" : "Cesarean section"
}
],
"text" : "Cesarean section"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"performedPeriod" : {
"start" : "2019-02-12T12:45:00-07:00",
"end" : "2019-02-12T13:15:00-07:00"
},
"reasonReference" : [
{
🔗 "reference" : "Observation/observation-labor-trial-attempted-babyg-quinn",
"display" : "Labor trial attempted - true"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Condition/condition-ruptured-uterus-jada-ann-quinn",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-ruptured-uterus-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-ruptured-uterus"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-ruptured-uterus-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-ruptured-uterus-jada-ann-quinn</b></p><a name=\"condition-ruptured-uterus-jada-ann-quinn\"> </a><a name=\"hccondition-ruptured-uterus-jada-ann-quinn\"> </a><a name=\"condition-ruptured-uterus-jada-ann-quinn-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>, <span title=\"Codes:{http://loinc.org 73781-7}\">Maternal morbidity [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 34430009}\">Rupture of uterus (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
]
},
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73781-7"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "34430009",
"display" : "Rupture of uterus (disorder)"
}
],
"text" : "Rupture of uterus (disorder)"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-birth-weight-babyg-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-birth-weight-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-birth-weight"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-birth-weight-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-birth-weight-babyg-quinn</b></p><a name=\"observation-birth-weight-babyg-quinn\"> </a><a name=\"hcobservation-birth-weight-babyg-quinn\"> </a><a name=\"observation-birth-weight-babyg-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8339-4}\">Birth weight Measured</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 2500 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg = 'g')</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8339-4",
"display" : "Birth weight Measured"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueQuantity" : {
"value" : 2500,
"system" : "http://unitsofmeasure.org",
"code" : "g"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-gestational-age-at-delivery-babyg-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-gestational-age-at-delivery-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-gestational-age-at-delivery"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-gestational-age-at-delivery-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-gestational-age-at-delivery-babyg-quinn</b></p><a name=\"observation-gestational-age-at-delivery-babyg-quinn\"> </a><a name=\"hcobservation-gestational-age-at-delivery-babyg-quinn\"> </a><a name=\"observation-gestational-age-at-delivery-babyg-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11884-4}\">Gestational age Estimated</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 36 wk<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codewk = 'wk')</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11884-4",
"display" : "Gestational age Estimated"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueQuantity" : {
"value" : 36,
"system" : "http://unitsofmeasure.org",
"code" : "wk"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-apgar-score-babyg-quinn-5-min",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-apgar-score-babyg-quinn-5-min",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-apgar-score"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-apgar-score-babyg-quinn-5-min\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-apgar-score-babyg-quinn-5-min</b></p><a name=\"observation-apgar-score-babyg-quinn-5-min\"> </a><a name=\"hcobservation-apgar-score-babyg-quinn-5-min\"> </a><a name=\"observation-apgar-score-babyg-quinn-5-min-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 9274-2}\">5 minute Apgar Score</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 5</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9274-2",
"display" : "5 minute Apgar Score"
}
],
"text" : "5 minute Apgar Score"
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueInteger" : 5
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-apgar-score-babyg-quinn-10-min",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-apgar-score-babyg-quinn-10-min",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-apgar-score"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-apgar-score-babyg-quinn-10-min\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-apgar-score-babyg-quinn-10-min</b></p><a name=\"observation-apgar-score-babyg-quinn-10-min\"> </a><a name=\"hcobservation-apgar-score-babyg-quinn-10-min\"> </a><a name=\"observation-apgar-score-babyg-quinn-10-min-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 9271-8}\">10 minute Apgar Score</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 7</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9271-8",
"display" : "10 minute Apgar Score"
}
],
"text" : "10 minute Apgar Score"
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueInteger" : 7
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-number-live-births-this-delivery-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-number-live-births-this-delivery-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-live-births-this-delivery"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-number-live-births-this-delivery-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-number-live-births-this-delivery-jada-ann-quinn</b></p><a name=\"observation-number-live-births-this-delivery-jada-ann-quinn\"> </a><a name=\"hcobservation-number-live-births-this-delivery-jada-ann-quinn\"> </a><a name=\"observation-number-live-births-this-delivery-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 73773-4}\">Number of infants in this delivery delivered alive</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>focus</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: 2</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73773-4",
"display" : "Number of infants in this delivery delivered alive"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueInteger" : 2
}
},
{
"fullUrl" : "http://www.example.org/fhir/Condition/condition-congenital-anomaly-of-newborn-babyg-quinn",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-congenital-anomaly-of-newborn-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-congenital-anomaly-of-newborn-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-congenital-anomaly-of-newborn-babyg-quinn</b></p><a name=\"condition-congenital-anomaly-of-newborn-babyg-quinn\"> </a><a name=\"hccondition-congenital-anomaly-of-newborn-babyg-quinn\"> </a><a name=\"condition-congenital-anomaly-of-newborn-babyg-quinn-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>, <span title=\"Codes:{http://loinc.org 73780-9}\">Congenital anomalies of the newborn [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 12770006}\">Cyanotic congenital heart disease (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
]
},
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73780-9",
"display" : "Congenital anomalies of the newborn [US Standard Certificate of Live Birth]"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "12770006",
"display" : "Cyanotic congenital heart disease (disorder)"
}
],
"text" : "Cyanotic congenital heart disease (disorder)"
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Condition/condition-congenital-anomaly-of-newborn-babyg-quinn-2",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-congenital-anomaly-of-newborn-babyg-quinn-2",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-congenital-anomaly-of-newborn-babyg-quinn-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-congenital-anomaly-of-newborn-babyg-quinn-2</b></p><a name=\"condition-congenital-anomaly-of-newborn-babyg-quinn-2\"> </a><a name=\"hccondition-congenital-anomaly-of-newborn-babyg-quinn-2\"> </a><a name=\"condition-congenital-anomaly-of-newborn-babyg-quinn-2-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>, <span title=\"Codes:{http://loinc.org 73780-9}\">Congenital anomalies of the newborn [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 70156005}\">Anomaly of chromosome pair 21 (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">Patient - Child (Baby G Quinn)</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 312948004}\">Karyotype determination pending</span></td></tr></table></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
]
},
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73780-9",
"display" : "Congenital anomalies of the newborn [US Standard Certificate of Live Birth]"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "70156005",
"display" : "Anomaly of chromosome pair 21 (disorder)"
}
],
"text" : "Anomaly of chromosome pair 21 (disorder)"
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "Patient - Child (Baby G Quinn)"
},
"evidence" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "312948004",
"display" : "Karyotype determination"
}
],
"text" : "Karyotype determination pending"
}
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-infant-living-babyg-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-infant-living-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-living"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-infant-living-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-infant-living-babyg-quinn</b></p><a name=\"observation-infant-living-babyg-quinn\"> </a><a name=\"hcobservation-infant-living-babyg-quinn\"> </a><a name=\"observation-infant-living-babyg-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 73757-7}\">Infant living at time of report [US Standard Certificate of Live Birth]</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73757-7",
"display" : "Infant living at time of report [US Standard Certificate of Live Birth]"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueBoolean" : true
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-infant-breastfed-at-discharge-babyg-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-infant-breastfed-at-discharge-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-breastfed-at-discharge"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-infant-breastfed-at-discharge-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-infant-breastfed-at-discharge-babyg-quinn</b></p><a name=\"observation-infant-breastfed-at-discharge-babyg-quinn\"> </a><a name=\"hcobservation-infant-breastfed-at-discharge-babyg-quinn\"> </a><a name=\"observation-infant-breastfed-at-discharge-babyg-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 73756-9}\">Infant is being breastfed at discharge [US Standard Certificate of Live Birth]</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73756-9"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueBoolean" : true
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-mother-married-during-pregnancy-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-mother-married-during-pregnancy-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-married-during-pregnancy"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-mother-married-during-pregnancy-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-mother-married-during-pregnancy-jada-ann-quinn</b></p><a name=\"observation-mother-married-during-pregnancy-jada-ann-quinn\"> </a><a name=\"hcobservation-mother-married-during-pregnancy-jada-ann-quinn\"> </a><a name=\"observation-mother-married-during-pregnancy-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87301-8}\">Mother was married at any time during pregnancy</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>focus</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87301-8"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-parent-education-level-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-parent-education-level-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-parent-education-level-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-parent-education-level-jada-ann-quinn</b></p><a name=\"observation-parent-education-level-jada-ann-quinn\"> </a><a name=\"hcobservation-parent-education-level-jada-ann-quinn\"> </a><a name=\"observation-parent-education-level-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 57712-2}\">Highest level of education Mother</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>focus</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-EducationLevel POSTG}\">Doctoral or post graduate education</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "57712-2",
"display" : "Highest level of education Mother"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-EducationLevel",
"code" : "POSTG",
"display" : "Doctoral or post graduate education"
}
],
"text" : "Doctoral or post graduate education"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-present-job-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-present-job-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-present-job-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-present-job-jada-ann-quinn</b></p><a name=\"observation-present-job-jada-ann-quinn\"> </a><a name=\"hcobservation-present-job-jada-ann-quinn\"> </a><a name=\"observation-present-job-jada-ann-quinn-en-US\"> </a><p><b>Extension Parental Role</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">mother</span></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11341-5}\">History of Occupation</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>focus</b>: Jada Ann Quinn - Mother</p><p><b>effective</b>: 2019-01-09 --> (ongoing)</p><p><b>value</b>: <span title=\"Codes:\">Carpenter</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 86188-0}\">History of Occupation industry</span></td><td><span title=\"Codes:\">Construction</span></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MTH",
"display" : "mother"
}
]
}
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11341-5"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn"
},
"focus" : [
{
"display" : "Jada Ann Quinn - Mother"
}
],
"effectivePeriod" : {
"start" : "2019-01-09"
},
"valueCodeableConcept" : {
"text" : "Carpenter"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "86188-0"
}
]
},
"valueCodeableConcept" : {
"text" : "Construction"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-input-race-and-ethnicity-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-input-race-and-ethnicity-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-input-race-and-ethnicity-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-input-race-and-ethnicity-jada-ann-quinn</b></p><a name=\"observation-input-race-and-ethnicity-jada-ann-quinn\"> </a><a name=\"hcobservation-input-race-and-ethnicity-jada-ann-quinn\"> </a><a name=\"observation-input-race-and-ethnicity-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr inputraceandethnicityMother}\">Mother Input Race and Ethnicity</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component White}\">White</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component BlackOrAfricanAmerican}\">Black Or African American</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component AmericanIndianOrAlaskanNative}\">American Indian Or Alaska Native</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component AsianIndian}\">Asian Indian</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Chinese}\">Chinese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Filipino}\">Filipino</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Japanese}\">Japanese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Korean}\">Korean</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Vietnamese}\">Vietnamese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherAsian}\">Other Asian</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component NativeHawaiian}\">Native Hawaiian</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component GuamanianOrChamorro}\">Guamanian Or Chamorro</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Samoan}\">Samoan</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherPacificIslander}\">Other Pacific Islander</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherRace}\">Other Race</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicMexican}\">Hispanic Mexican</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}\">No</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicCuban}\">Hispanic Cuban</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}\">No</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicPuertoRican}\">Hispanic Puerto Rican</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}\">No</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicOther}\">Hispanic Other</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}\">No</span></p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr",
"code" : "inputraceandethnicityMother"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "White"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "BlackOrAfricanAmerican"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "AmericanIndianOrAlaskanNative"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "AsianIndian"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Chinese"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Filipino"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Japanese"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Korean"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Vietnamese"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "OtherAsian"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "NativeHawaiian"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "GuamanianOrChamorro"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Samoan"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "OtherPacificIslander"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "OtherRace"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "HispanicMexican"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "HispanicCuban"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "HispanicPuertoRican"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "HispanicOther"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-ssn-requested-for-child-babyg-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-ssn-requested-for-child-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-ssn-requested-for-child"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-ssn-requested-for-child-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-ssn-requested-for-child-babyg-quinn</b></p><a name=\"observation-ssn-requested-for-child-babyg-quinn\"> </a><a name=\"hcobservation-ssn-requested-for-child-babyg-quinn\"> </a><a name=\"observation-ssn-requested-for-child-babyg-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87295-2}\">Social Security Number was requested</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>focus</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87295-2"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
}
],
"valueBoolean" : true
}
},
{
"fullUrl" : "http://www.example.org/fhir/RelatedPerson/relatedperson-father-natural-james-brandon-quinn",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "relatedperson-father-natural-james-brandon-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_relatedperson-father-natural-james-brandon-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson relatedperson-father-natural-james-brandon-quinn</b></p><a name=\"relatedperson-father-natural-james-brandon-quinn\"> </a><a name=\"hcrelatedperson-father-natural-james-brandon-quinn\"> </a><a name=\"relatedperson-father-natural-james-brandon-quinn-en-US\"> </a><p><b>RelatedPerson Birth Place Vital Records</b>: NY </p><p><b>identifier</b>: Social Security number/132225987</p><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode NFTH}\">Natural Father</span></p><p><b>name</b>: James Brandon Quinn (Official)</p><p><b>gender</b>: Male</p><p><b>birthDate</b>: 1972-11-24</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-relatedperson-birthplace-vr",
"valueAddress" : {
"state" : "NY"
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SS"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "132225987"
}
],
"active" : true,
"patient" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn"
},
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "NFTH",
"display" : "natural father"
}
],
"text" : "Natural Father"
}
],
"name" : [
{
"use" : "official",
"family" : "Quinn",
"given" : [
"James",
"Brandon"
]
}
],
"gender" : "male",
"birthDate" : "1972-11-24"
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-paternity-acknowledgement-signed-james-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-paternity-acknowledgement-signed-james-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-paternity-acknowledgement-signed"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-paternity-acknowledgement-signed-james-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-paternity-acknowledgement-signed-james-quinn</b></p><a name=\"observation-paternity-acknowledgement-signed-james-quinn\"> </a><a name=\"hcobservation-paternity-acknowledgement-signed-james-quinn\"> </a><a name=\"observation-paternity-acknowledgement-signed-james-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87302-6}\">Paternity acknowledgment form signed Father</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">Patient - Child (Baby G Quinn)</a></p><p><b>focus</b>: <a href=\"RelatedPerson-relatedperson-father-natural-james-brandon-quinn.html\">RelatedPerson - Father (James Brandon Quinn)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87302-6"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "Patient - Child (Baby G Quinn)"
},
"focus" : [
{
🔗 "reference" : "RelatedPerson/relatedperson-father-natural-james-brandon-quinn",
"display" : "RelatedPerson - Father (James Brandon Quinn)"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-parent-education-level-james-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-parent-education-level-james-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-parent-education-level-james-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-parent-education-level-james-quinn</b></p><a name=\"observation-parent-education-level-james-quinn\"> </a><a name=\"hcobservation-parent-education-level-james-quinn\"> </a><a name=\"observation-parent-education-level-james-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87300-0}\">Highest level of education Father</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>focus</b>: <a href=\"RelatedPerson-relatedperson-father-natural-james-brandon-quinn.html\">RelatedPerson James Brandon Quinn (official)</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Jada Ann Quinn (official) Female, DoB: 1985-01-15 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-EducationLevel POSTG}\">Doctoral or post graduate education</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87300-0",
"display" : "Highest level of education Father"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn"
},
"focus" : [
{
🔗 "reference" : "RelatedPerson/relatedperson-father-natural-james-brandon-quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-EducationLevel",
"code" : "POSTG",
"display" : "Doctoral or post graduate education"
}
],
"text" : "Doctoral or post graduate education"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-present-job-james-brandon-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-present-job-james-brandon-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-present-job-james-brandon-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-present-job-james-brandon-quinn</b></p><a name=\"observation-present-job-james-brandon-quinn\"> </a><a name=\"hcobservation-present-job-james-brandon-quinn\"> </a><a name=\"observation-present-job-james-brandon-quinn-en-US\"> </a><p><b>Extension Parental Role</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}\">father</span></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11341-5}\">History of Occupation</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">Baby G Quinn (official) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>focus</b>: James Brandon Quinn - Father</p><p><b>effective</b>: 2019-01-09 --> (ongoing)</p><p><b>value</b>: <span title=\"Codes:\">Lawyer</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 86188-0}\">History of Occupation industry</span></td><td><span title=\"Codes:\">Legal Services</span></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "FTH",
"display" : "father"
}
]
}
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11341-5"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn"
},
"focus" : [
{
"display" : "James Brandon Quinn - Father"
}
],
"effectivePeriod" : {
"start" : "2019-01-09"
},
"valueCodeableConcept" : {
"text" : "Lawyer"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "86188-0"
}
]
},
"valueCodeableConcept" : {
"text" : "Legal Services"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-input-race-and-ethnicity-james-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-input-race-and-ethnicity-james-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-input-race-and-ethnicity-james-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-input-race-and-ethnicity-james-quinn</b></p><a name=\"observation-input-race-and-ethnicity-james-quinn\"> </a><a name=\"hcobservation-input-race-and-ethnicity-james-quinn\"> </a><a name=\"observation-input-race-and-ethnicity-james-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr inputraceandethnicityFather}\">Father Input Race and Ethnicity</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>focus</b>: <a href=\"RelatedPerson-relatedperson-father-natural-james-brandon-quinn.html\">RelatedPerson James Brandon Quinn (official)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component White}\">White</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component BlackOrAfricanAmerican}\">Black Or African American</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component AmericanIndianOrAlaskanNative}\">American Indian Or Alaska Native</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component AsianIndian}\">Asian Indian</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Chinese}\">Chinese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Filipino}\">Filipino</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Japanese}\">Japanese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Korean}\">Korean</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Vietnamese}\">Vietnamese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherAsian}\">Other Asian</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component NativeHawaiian}\">Native Hawaiian</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component GuamanianOrChamorro}\">Guamanian Or Chamorro</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Samoan}\">Samoan</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherPacificIslander}\">Other Pacific Islander</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherRace}\">Other Race</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component FirstOtherAsianLiteral}\">First Other Asian Literal</span></p><p><b>value</b>: Malaysian</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component FirstAmericanIndianOrAlaskanNativeLiteral}\">First American Indian Or Alaska Native Literal</span></p><p><b>value</b>: Arikara</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicMexican}\">Hispanic Mexican</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}\">No</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicCuban}\">Hispanic Cuban</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}\">No</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicPuertoRican}\">Hispanic Puerto Rican</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}\">No</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicOther}\">Hispanic Other</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}\">No</span></p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr",
"code" : "inputraceandethnicityFather"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
},
"focus" : [
{
🔗 "reference" : "RelatedPerson/relatedperson-father-natural-james-brandon-quinn"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "White"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "BlackOrAfricanAmerican"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "AmericanIndianOrAlaskanNative"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "AsianIndian"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Chinese"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Filipino"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Japanese"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Korean"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Vietnamese"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "OtherAsian"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "NativeHawaiian"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "GuamanianOrChamorro"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "Samoan"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "OtherPacificIslander"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "OtherRace"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "FirstOtherAsianLiteral"
}
]
},
"valueString" : "Malaysian"
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "FirstAmericanIndianOrAlaskanNativeLiteral"
}
]
},
"valueString" : "Arikara"
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "HispanicMexican"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "HispanicCuban"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "HispanicPuertoRican"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
"code" : "HispanicOther"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-mothers-live-birth-jada-quinn",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "QuestionnaireResponse-mothers-live-birth-jada-quinn",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"QuestionnaireResponse_QuestionnaireResponse-mothers-live-birth-jada-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: QuestionnaireResponse QuestionnaireResponse-mothers-live-birth-jada-quinn</b></p><a name=\"QuestionnaireResponse-mothers-live-birth-jada-quinn\"> </a><a name=\"hcQuestionnaireResponse-mothers-live-birth-jada-quinn\"> </a><a name=\"QuestionnaireResponse-mothers-live-birth-jada-quinn-en-US\"> </a><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Definition</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Answer</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireResponseRoot\" class=\"hierarchy\"/> QuestionnaireResponse-mothers-live-birth-jada-quinn</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire:<a href=\"Questionnaire-Questionnaire-mothers-live-birth.html\">Questionnaire - Mother's Worksheet for Child's Birth Certificate</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mother-current-legal-name</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is your current legal name?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-first-name</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Jada</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-middle-name</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Middle</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Ann</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-last-name</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Last</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Quinn</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> child-name</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What will be your baby's legal name (as it should appear on the birth certificate)?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> child-first-name</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Baby</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> child-middle-name</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Middle</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">G</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> child-last-name</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Last</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Quinn</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mother-address</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Where do you usually live - that is - where is your household/residence located?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-nbr-street</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Complete number and street (do not enter rural route numbers)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1875 West Morton Avenue</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-city</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">City, Town, or Location</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Salt Lake City</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-county</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">County</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Salt Lake</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-state</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">State (or U.S. Territory, Canadian Province)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">UT</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-zip</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Zip Code</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">84116</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> inside-city-limits</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Is this household inside city limits (inside the incorporated limits of the city, town, or location where you live)?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"http://hl7.org/fhir/R4/v2/0136/index.html#v2-0136-Y\">v2 Y/N Indicator</a> Y: Yes</span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mother-mail</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is your mailing address</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-mail-same</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Same as residence [Go to next question]</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-mail-nbr-street</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Complete number and street</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1848 South 1300 East</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-mail-city</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">City, Town, or Location</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Salt Lake City</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-mail-state</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">State (or U.S. Territory, Canadian Province)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">UT</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-mail-zip</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Zip Code</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">84401</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-dob</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is your date of birth?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1985-01-15</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mother-birthplace</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In what State, U.S. territory, or foreign country were you born? Please specify one of the following:</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-birthplace-state</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">State</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">UT</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-education</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the highest level of schooling that you have completed at the time of delivery? (Check the box that best describes your education. If you are currently enrolled, check the box that indicates the previous grade or highest degree received).</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-EducationLevel.html#v3-EducationLevel-POSTG\">Education Level</a> POSTG: Doctoral or post graduate education</span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-ethnicity</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mother-race</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-race-white</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">White</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">true</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-race-aian</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">American Indian or Alaskan Native</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">true</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> receive-wic</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Did you receive WIC (Women, Infants and Children) food for yourself during this pregnancy?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"http://hl7.org/fhir/R4/v2/0136/index.html#v2-0136-Y\">v2 Y/N Indicator</a> Y: Yes</span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> infertility-treatment</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Did this pregnancy result from infertility treatment? (If yes, please answer 12a and 12b)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">true</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> drugs-ai-ii</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">If yes, did this pregnancy result from fertility-enhancing drugs, artificial insemination, or intrauterine insemination?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> art-ivf-gift</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">If yes, did this pregnancy result from assisted reproductive technology (e.g., in-vitro fertilization (IVF), gamete intrafallopian transfer (GIFT))?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">true</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mothers-height</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is your height?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mothers-height-feet</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Feet</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span>5 ft<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeft = 'ft')</span></span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mothers-height-inches</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Inches</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span>7 [in_i]<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[in_i] = '[in_i]')</span></span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mothers-prepregnancy-weight</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span>145 [lb_av]<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[lb_av] = '[lb_av]')</span></span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mothers-smoking</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How many cigarettes OR packs of cigarettes did you smoke on an average day during each of the following time periods? If you NEVER smoked, enter zero for each time period.</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mothers-smoking-3-months-prior</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Three months before pregnancy</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mothers-smoking-3-months-prior-cig</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"># of cigarettes*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mothers-smoking-3-months-prior-pck</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"># of packs</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mothers-smoking-trimester-1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First three months of pregnancy</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mothers-smoking-trimester-1-cig</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"># of cigarettes*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mothers-smoking-trimester-1-pck</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"># of packs</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mothers-smoking-trimester-2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Second three months of pregnancy</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mothers-smoking-trimester-2-cig</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"># of cigarettes*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mothers-smoking-trimester-2-pck</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"># of packs</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mothers-smoking-trimester-3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Third trimester of pregnancy</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mothers-smoking-trimester-3-cig</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"># of cigarettes*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mothers-smoking-trimester-3-pck</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"># of packs</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> mother-prior-name</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What name did you use prior to your first marriage?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-prior-first-name</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Jada</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-prior-middle-name</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Middle</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Ann</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-prior-last-name</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Last</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">King</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> married-conception</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Were you married at the time you conceived this child, at the time of birth, or at any time between conception and giving birth? [If yes, please go to question 19; If no, please see below]</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">true</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> father-current-legal-name</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the current legal name of your baby's father?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> father-first-name</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">James</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> father-middle-name</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Middle</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Brandon</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> father-last-name</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Last</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Quinn</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> father-dob</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What the father's date of birth?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1983-09-27</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> father-birthplace</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In what State, U.S. territory, or foreign country was the father born? Please specify one of the following:</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> father-birthplace-state</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">State</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">NY</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> father-education</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the highest level of schooling that the father will have completed at the time of delivery? (Check the box that best describes his education. If he is currently enrolled, check the box that indicates the previous grade or highest degree received).</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-EducationLevel.html#v3-EducationLevel-POSTG\">Education Level</a> POSTG: Doctoral or post graduate education</span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> father-ethnicity</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> father-race</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> father-race-white</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">White</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">true</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> parents-ssn</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Furnishing parent(s) Social Security Number(s) (SSNs) is required by Federal Law, 42 USC 405(c) (section 205(c) of the Social Security Act). The number(s) will be made available to the (State Social Services Agency) to assist with child support enforcement activities and to the Internal Revenue Service for the purpose of determining Earned Income Tax Credit compliance.</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> mother-ssn</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is your Social Security Number?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">132-22-5986</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> father-ssn</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the father’s Social Security Number? If you are not married, and if a paternity acknowledgment has not been completed, leave this item blank.</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">132-22-5987</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> baby-ssn</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you want a Social Security Number issued for your baby? [If yes, please sign request below</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> informant-name</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">If other than the mother, what is the name of the person providing information for this worksheet?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> informant-first-name</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Jane</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> informant-last-name</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Last</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">King</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> informant-relationship</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is your relationship to the baby's mother?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"CodeSystem-CodeSystem-local-bfdr-codes.html#CodeSystem-local-bfdr-codes-rel_otherrelative\">Local BFDR Codes</a> rel_otherrelative: Other relative</span></span></td></tr>\r\n<tr><td colspan=\"4\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"questionnaire" : "http://hl7.org/fhir/us/bfdr/Questionnaire/Questionnaire-mothers-live-birth",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
},
"source" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"item" : [
{
"linkId" : "mother-current-legal-name",
"text" : "What is your current legal name?",
"item" : [
{
"linkId" : "mother-first-name",
"text" : "First",
"answer" : [
{
"valueString" : "Jada"
}
]
},
{
"linkId" : "mother-middle-name",
"text" : "Middle",
"answer" : [
{
"valueString" : "Ann"
}
]
},
{
"linkId" : "mother-last-name",
"text" : "Last",
"answer" : [
{
"valueString" : "Quinn"
}
]
}
]
},
{
"linkId" : "child-name",
"text" : "What will be your baby's legal name (as it should appear on the birth certificate)?",
"item" : [
{
"linkId" : "child-first-name",
"text" : "First",
"answer" : [
{
"valueString" : "Baby"
}
]
},
{
"linkId" : "child-middle-name",
"text" : "Middle",
"answer" : [
{
"valueString" : "G"
}
]
},
{
"linkId" : "child-last-name",
"text" : "Last",
"answer" : [
{
"valueString" : "Quinn"
}
]
}
]
},
{
"linkId" : "mother-address",
"text" : "Where do you usually live - that is - where is your household/residence located?",
"item" : [
{
"linkId" : "mother-nbr-street",
"text" : "Complete number and street (do not enter rural route numbers)",
"answer" : [
{
"valueString" : "1875 West Morton Avenue"
}
]
},
{
"linkId" : "mother-city",
"text" : "City, Town, or Location",
"answer" : [
{
"valueString" : "Salt Lake City"
}
]
},
{
"linkId" : "mother-county",
"text" : "County",
"answer" : [
{
"valueString" : "Salt Lake"
}
]
},
{
"linkId" : "mother-state",
"text" : "State (or U.S. Territory, Canadian Province)",
"answer" : [
{
"valueString" : "UT"
}
]
},
{
"linkId" : "mother-zip",
"text" : "Zip Code",
"answer" : [
{
"valueString" : "84116"
}
]
}
]
},
{
"linkId" : "inside-city-limits",
"text" : "Is this household inside city limits (inside the incorporated limits of the city, town, or location where you live)?",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
}
]
},
{
"linkId" : "mother-mail",
"text" : "What is your mailing address",
"item" : [
{
"linkId" : "mother-mail-same",
"text" : "Same as residence [Go to next question]",
"answer" : [
{
"valueBoolean" : false
}
]
},
{
"linkId" : "mother-mail-nbr-street",
"text" : "Complete number and street",
"answer" : [
{
"valueString" : "1848 South 1300 East"
}
]
},
{
"linkId" : "mother-mail-city",
"text" : "City, Town, or Location",
"answer" : [
{
"valueString" : "Salt Lake City"
}
]
},
{
"linkId" : "mother-mail-state",
"text" : "State (or U.S. Territory, Canadian Province)",
"answer" : [
{
"valueString" : "UT"
}
]
},
{
"linkId" : "mother-mail-zip",
"text" : "Zip Code",
"answer" : [
{
"valueString" : "84401"
}
]
}
]
},
{
"linkId" : "mother-dob",
"text" : "What is your date of birth?",
"answer" : [
{
"valueDate" : "1985-01-15"
}
]
},
{
"linkId" : "mother-birthplace",
"text" : "In what State, U.S. territory, or foreign country were you born? Please specify one of the following:",
"item" : [
{
"linkId" : "mother-birthplace-state",
"text" : "State",
"answer" : [
{
"valueString" : "UT"
}
]
}
]
},
{
"linkId" : "mother-education",
"text" : "What is the highest level of schooling that you have completed at the time of delivery? (Check the box that best describes your education. If you are currently enrolled, check the box that indicates the previous grade or highest degree received).",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-EducationLevel",
"code" : "POSTG",
"display" : "Doctoral or post graduate education"
}
}
]
},
{
"linkId" : "mother-ethnicity",
"answer" : [
{
"valueBoolean" : false
}
]
},
{
"linkId" : "mother-race",
"item" : [
{
"linkId" : "mother-race-white",
"text" : "White",
"answer" : [
{
"valueBoolean" : true
}
]
},
{
"linkId" : "mother-race-aian",
"text" : "American Indian or Alaskan Native",
"answer" : [
{
"valueBoolean" : true
}
]
}
]
},
{
"linkId" : "receive-wic",
"text" : "Did you receive WIC (Women, Infants and Children) food for yourself during this pregnancy?",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
}
]
},
{
"linkId" : "infertility-treatment",
"text" : "Did this pregnancy result from infertility treatment? (If yes, please answer 12a and 12b)",
"answer" : [
{
"valueBoolean" : true,
"item" : [
{
"linkId" : "drugs-ai-ii",
"text" : "If yes, did this pregnancy result from fertility-enhancing drugs, artificial insemination, or intrauterine insemination?",
"answer" : [
{
"valueBoolean" : false
}
]
},
{
"linkId" : "art-ivf-gift",
"text" : "If yes, did this pregnancy result from assisted reproductive technology (e.g., in-vitro fertilization (IVF), gamete intrafallopian transfer (GIFT))?",
"answer" : [
{
"valueBoolean" : true
}
]
}
]
}
]
},
{
"linkId" : "mothers-height",
"text" : "What is your height?",
"item" : [
{
"linkId" : "mothers-height-feet",
"text" : "Feet",
"answer" : [
{
"valueQuantity" : {
"value" : 5,
"unit" : "ft",
"system" : "http://unitsofmeasure.org",
"code" : "ft"
}
}
]
},
{
"linkId" : "mothers-height-inches",
"text" : "Inches",
"answer" : [
{
"valueQuantity" : {
"value" : 7,
"unit" : "[in_i]",
"system" : "http://unitsofmeasure.org",
"code" : "[in_i]"
}
}
]
}
]
},
{
"linkId" : "mothers-prepregnancy-weight",
"answer" : [
{
"valueQuantity" : {
"value" : 145,
"unit" : "[lb_av]",
"system" : "http://unitsofmeasure.org",
"code" : "[lb_av]"
}
}
]
},
{
"linkId" : "mothers-smoking",
"text" : "How many cigarettes OR packs of cigarettes did you smoke on an average day during each of the following time periods? If you NEVER smoked, enter zero for each time period.",
"item" : [
{
"linkId" : "mothers-smoking-3-months-prior",
"text" : "Three months before pregnancy",
"item" : [
{
"linkId" : "mothers-smoking-3-months-prior-cig",
"text" : "# of cigarettes*",
"answer" : [
{
"valueInteger" : 0
}
]
},
{
"linkId" : "mothers-smoking-3-months-prior-pck",
"text" : "# of packs",
"answer" : [
{
"valueInteger" : 1
}
]
}
]
},
{
"linkId" : "mothers-smoking-trimester-1",
"text" : "First three months of pregnancy",
"item" : [
{
"linkId" : "mothers-smoking-trimester-1-cig",
"text" : "# of cigarettes*",
"answer" : [
{
"valueInteger" : 3
}
]
},
{
"linkId" : "mothers-smoking-trimester-1-pck",
"text" : "# of packs",
"answer" : [
{
"valueInteger" : 0
}
]
}
]
},
{
"linkId" : "mothers-smoking-trimester-2",
"text" : "Second three months of pregnancy",
"item" : [
{
"linkId" : "mothers-smoking-trimester-2-cig",
"text" : "# of cigarettes*",
"answer" : [
{
"valueInteger" : 1
}
]
},
{
"linkId" : "mothers-smoking-trimester-2-pck",
"text" : "# of packs",
"answer" : [
{
"valueInteger" : 0
}
]
}
]
},
{
"linkId" : "mothers-smoking-trimester-3",
"text" : "Third trimester of pregnancy",
"item" : [
{
"linkId" : "mothers-smoking-trimester-3-cig",
"text" : "# of cigarettes*",
"answer" : [
{
"valueInteger" : 0
}
]
},
{
"linkId" : "mothers-smoking-trimester-3-pck",
"text" : "# of packs",
"answer" : [
{
"valueInteger" : 0
}
]
}
]
}
]
},
{
"linkId" : "mother-prior-name",
"text" : "What name did you use prior to your first marriage?",
"item" : [
{
"linkId" : "mother-prior-first-name",
"text" : "First",
"answer" : [
{
"valueString" : "Jada"
}
]
},
{
"linkId" : "mother-prior-middle-name",
"text" : "Middle",
"answer" : [
{
"valueString" : "Ann"
}
]
},
{
"linkId" : "mother-prior-last-name",
"text" : "Last",
"answer" : [
{
"valueString" : "King"
}
]
}
]
},
{
"linkId" : "married-conception",
"text" : "Were you married at the time you conceived this child, at the time of birth, or at any time between conception and giving birth? [If yes, please go to question 19; If no, please see below]",
"answer" : [
{
"valueBoolean" : true
}
]
},
{
"linkId" : "father-current-legal-name",
"text" : "What is the current legal name of your baby's father?",
"item" : [
{
"linkId" : "father-first-name",
"text" : "First",
"answer" : [
{
"valueString" : "James"
}
]
},
{
"linkId" : "father-middle-name",
"text" : "Middle",
"answer" : [
{
"valueString" : "Brandon"
}
]
},
{
"linkId" : "father-last-name",
"text" : "Last",
"answer" : [
{
"valueString" : "Quinn"
}
]
}
]
},
{
"linkId" : "father-dob",
"text" : "What the father's date of birth?",
"answer" : [
{
"valueDate" : "1983-09-27"
}
]
},
{
"linkId" : "father-birthplace",
"text" : "In what State, U.S. territory, or foreign country was the father born? Please specify one of the following:",
"item" : [
{
"linkId" : "father-birthplace-state",
"text" : "State",
"answer" : [
{
"valueString" : "NY"
}
]
}
]
},
{
"linkId" : "father-education",
"text" : "What is the highest level of schooling that the father will have completed at the time of delivery? (Check the box that best describes his education. If he is currently enrolled, check the box that indicates the previous grade or highest degree received).",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-EducationLevel",
"code" : "POSTG",
"display" : "Doctoral or post graduate education"
}
}
]
},
{
"linkId" : "father-ethnicity",
"answer" : [
{
"valueBoolean" : false
}
]
},
{
"linkId" : "father-race",
"item" : [
{
"linkId" : "father-race-white",
"text" : "White",
"answer" : [
{
"valueBoolean" : true
}
]
}
]
},
{
"linkId" : "parents-ssn",
"text" : "Furnishing parent(s) Social Security Number(s) (SSNs) is required by Federal Law, 42 USC 405(c) (section 205(c) of the Social Security Act). The number(s) will be made available to the (State Social Services Agency) to assist with child support enforcement activities and to the Internal Revenue Service for the purpose of determining Earned Income Tax Credit compliance.",
"item" : [
{
"linkId" : "mother-ssn",
"text" : "What is your Social Security Number?",
"answer" : [
{
"valueString" : "132-22-5986"
}
]
},
{
"linkId" : "father-ssn",
"text" : "What is the father’s Social Security Number? If you are not married, and if a paternity acknowledgment has not been completed, leave this item blank.",
"answer" : [
{
"valueString" : "132-22-5987"
}
]
}
]
},
{
"linkId" : "baby-ssn",
"text" : "Do you want a Social Security Number issued for your baby? [If yes, please sign request below",
"answer" : [
{
"valueBoolean" : false
}
]
},
{
"linkId" : "informant-name",
"text" : "If other than the mother, what is the name of the person providing information for this worksheet?",
"item" : [
{
"linkId" : "informant-first-name",
"text" : "First",
"answer" : [
{
"valueString" : "Jane"
}
]
},
{
"linkId" : "informant-last-name",
"text" : "Last",
"answer" : [
{
"valueString" : "King"
}
]
}
]
},
{
"linkId" : "informant-relationship",
"text" : "What is your relationship to the baby's mother?",
"answer" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes",
"code" : "rel_otherrelative",
"display" : "Other relative"
}
}
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/location-east-hospital",
"resource" : {
"resourceType" : "Location",
"id" : "location-east-hospital",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Location-bfdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_location-east-hospital\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location location-east-hospital</b></p><a name=\"location-east-hospital\"> </a><a name=\"hclocation-east-hospital\"> </a><a name=\"location-east-hospital-en-US\"> </a><p><b>status</b>: Active</p><p><b>name</b>: East Hospital</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span>, <span title=\"Codes:{http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes loc_transfer-to}\">Transfer-to Location</span></p></div>"
},
"status" : "active",
"name" : "East Hospital",
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "HOSP",
"display" : "Hospital"
}
]
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes",
"code" : "loc_transfer-to",
"display" : "Transfer-to Location"
}
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/location-south-hospital",
"resource" : {
"resourceType" : "Location",
"id" : "location-south-hospital",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Location-bfdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_location-south-hospital\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location location-south-hospital</b></p><a name=\"location-south-hospital\"> </a><a name=\"hclocation-south-hospital\"> </a><a name=\"location-south-hospital-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/116441967701</p><p><b>status</b>: Active</p><p><b>name</b>: South Hospital</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span>, <span title=\"Codes:{http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes loc_birth}\">Birth Location</span></p><p><b>address</b>: 2100 North Ave Salt Lake City UT 84116 US </p><h3>Positions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td style=\"display: none\">*</td><td>40.8</td><td>111.9</td></tr></table><p><b>managingOrganization</b>: <a href=\"Organization-organization-south-hospital.html\">Organization - South Hospital</a></p></div>"
},
"identifier" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-jurisdictional-facility-identifier",
"valueString" : "UT12"
}
],
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "116441967701"
}
],
"status" : "active",
"name" : "South Hospital",
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "HOSP",
"display" : "Hospital"
}
]
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes",
"code" : "loc_birth",
"display" : "Birth Location"
}
]
}
],
"address" : {
"line" : [
"2100 North Ave"
],
"city" : "Salt Lake City",
"district" : "Made Up",
"state" : "UT",
"postalCode" : "84116",
"country" : "US"
},
"position" : {
"longitude" : 40.8,
"latitude" : 111.9
},
"managingOrganization" : {
🔗 "reference" : "Organization/organization-south-hospital",
"display" : "Organization - South Hospital"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/location-north-hospital",
"resource" : {
"resourceType" : "Location",
"id" : "location-north-hospital",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Location-bfdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_location-north-hospital\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location location-north-hospital</b></p><a name=\"location-north-hospital\"> </a><a name=\"hclocation-north-hospital\"> </a><a name=\"location-north-hospital-en-US\"> </a><p><b>status</b>: Active</p><p><b>name</b>: North Hospital</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span>, <span title=\"Codes:{http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes loc_transfer-from}\">Transfer-from Location</span></p></div>"
},
"status" : "active",
"name" : "North Hospital",
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "HOSP",
"display" : "Hospital"
}
]
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes",
"code" : "loc_transfer-from",
"display" : "Transfer-from Location"
}
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Organization/organization-south-hospital",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-south-hospital",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization-south-hospital\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization-south-hospital</b></p><a name=\"organization-south-hospital\"> </a><a name=\"hcorganization-south-hospital\"> </a><a name=\"organization-south-hospital-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/5555512</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span></p><p><b>name</b>: South Hospital</p><p><b>telecom</b>: <a href=\"tel:+1-555-555-1111\">+1-555-555-1111</a>, <a href=\"mailto:mail@southhospital.com\">mail@southhospital.com</a></p><p><b>address</b>: 2100 North Ave Salt Lake City UT 84116 US </p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "5555512"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "HOSP",
"display" : "Hospital"
}
]
}
],
"name" : "South Hospital",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-1111"
},
{
"system" : "email",
"value" : "mail@southhospital.com"
}
],
"address" : [
{
"line" : [
"2100 North Ave"
],
"city" : "Salt Lake City",
"state" : "UT",
"postalCode" : "84116",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-labor-trial-attempted-babyg-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-labor-trial-attempted-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-labor-trial-attempted"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-labor-trial-attempted-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-labor-trial-attempted-babyg-quinn</b></p><a name=\"observation-labor-trial-attempted-babyg-quinn\"> </a><a name=\"hcobservation-labor-trial-attempted-babyg-quinn\"> </a><a name=\"observation-labor-trial-attempted-babyg-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 73760-1}\">If cesarean, a trial of labor was attempted [US Standard Certificate of Live Birth]</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>focus</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73760-1",
"display" : "If cesarean, a trial of labor was attempted [US Standard Certificate of Live Birth]"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueBoolean" : true
}
},
{
"fullUrl" : "http://www.example.org/fhir/Procedure/procedure-infertility-treatment-jada-ann-quinn",
"resource" : {
"resourceType" : "Procedure",
"id" : "procedure-infertility-treatment-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-infertility-treatment"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-infertility-treatment-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-infertility-treatment-jada-ann-quinn</b></p><a name=\"procedure-infertility-treatment-jada-ann-quinn\"> </a><a name=\"hcprocedure-infertility-treatment-jada-ann-quinn\"> </a><a name=\"procedure-infertility-treatment-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 73775-9}\">Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 773261007}\">Procedure related to reproduction (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>performed</b>: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700</p></div>"
},
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73775-9"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "773261007"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"performedPeriod" : {
"start" : "2019-02-07T08:30:00-07:00",
"end" : "2019-02-07T08:45:00-07:00"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Procedure/procedure-artificial-insemination-jada-ann-quinn",
"resource" : {
"resourceType" : "Procedure",
"id" : "procedure-artificial-insemination-jada-ann-quinn",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2023-06-21T01:45:22.509Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-fertility-enhancing-drug-therapy-artificial-insem"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-artificial-insemination-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-artificial-insemination-jada-ann-quinn</b></p><a name=\"procedure-artificial-insemination-jada-ann-quinn\"> </a><a name=\"hcprocedure-artificial-insemination-jada-ann-quinn\"> </a><a name=\"procedure-artificial-insemination-jada-ann-quinn-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2023-06-21 01:45:22+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Procedure-fertility-enhancing-drug-therapy-artificial-insem.html\">Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination</a></p></div><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 73775-9}\">Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 58533008}\">Artificial insemination (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>performed</b>: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700</p></div>"
},
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73775-9"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "58533008",
"display" : "Artificial insemination (procedure)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"performedPeriod" : {
"start" : "2019-02-07T08:30:00-07:00",
"end" : "2019-02-07T08:45:00-07:00"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-antibiotics-during-labor-jada-ann-quinn",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-antibiotics-during-labor-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-antibiotics-administered-during-labor"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-antibiotics-during-labor-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-antibiotics-during-labor-jada-ann-quinn</b></p><a name=\"observation-antibiotics-during-labor-jada-ann-quinn\"> </a><a name=\"hcobservation-antibiotics-during-labor-jada-ann-quinn\"> </a><a name=\"observation-antibiotics-during-labor-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 73813-8}\">Characteristics of labor and delivery</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>focus</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-vital-records-janet-seito.html\">Practitioner Janet Seito</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 434691000124101}\">Antibiotics received during labor</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73813-8",
"display" : "Characteristics of labor and delivery [US Standard Certificate of Live Birth]"
}
],
"text" : "Characteristics of labor and delivery"
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"focus" : [
{
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
}
],
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-vital-records-janet-seito"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "434691000124101",
"display" : "Antibacterial administered during labor"
}
],
"text" : "Antibiotics received during labor"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Procedure/procedure-antibiotic-sepsis-babyg-quinn",
"resource" : {
"resourceType" : "Procedure",
"id" : "procedure-antibiotic-sepsis-babyg-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-antibiotic-suspected-neonatal-sepsis"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-antibiotic-sepsis-babyg-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-antibiotic-sepsis-babyg-quinn</b></p><a name=\"procedure-antibiotic-sepsis-babyg-quinn\"> </a><a name=\"hcprocedure-antibiotic-sepsis-babyg-quinn\"> </a><a name=\"procedure-antibiotic-sepsis-babyg-quinn-en-US\"> </a><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 73812-0}\">Abnormal conditions of the newborn [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 434621000124103}\">Antibiotic given for suspected neonatal sepsis (situation)</span></p><p><b>subject</b>: <a href=\"Patient-patient-child-babyg-quinn.html\">BabyG Quinn</a></p><p><b>performed</b>: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700</p></div>"
},
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73812-0"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "434621000124103",
"display" : "Antibiotic given for suspected neonatal sepsis (situation)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-child-babyg-quinn",
"display" : "BabyG Quinn"
},
"performedPeriod" : {
"start" : "2019-02-07T08:30:00-07:00",
"end" : "2019-02-07T08:45:00-07:00"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Procedure/procedure-epidural-or-spinal-anesthesia-jada-ann-quinn",
"resource" : {
"resourceType" : "Procedure",
"id" : "procedure-epidural-or-spinal-anesthesia-jada-ann-quinn",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-epidural-or-spinal-anesthesia"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-epidural-or-spinal-anesthesia-jada-ann-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-epidural-or-spinal-anesthesia-jada-ann-quinn</b></p><a name=\"procedure-epidural-or-spinal-anesthesia-jada-ann-quinn\"> </a><a name=\"hcprocedure-epidural-or-spinal-anesthesia-jada-ann-quinn\"> </a><a name=\"procedure-epidural-or-spinal-anesthesia-jada-ann-quinn-en-US\"> </a><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 73813-8}\">Characteristics of labor and delivery [US Standard Certificate of Live Birth]</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 18946005}\">Epidural anesthesia (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-mother-jada-ann-quinn.html\">Patient - Mother (Jada Ann Quinn)</a></p><p><b>performed</b>: 2019-02-07 08:30:00-0700 --> 2019-02-07 08:45:00-0700</p></div>"
},
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73813-8"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "18946005",
"display" : "Epidural anesthesia (procedure)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-mother-jada-ann-quinn",
"display" : "Patient - Mother (Jada Ann Quinn)"
},
"performedPeriod" : {
"start" : "2019-02-07T08:30:00-07:00",
"end" : "2019-02-07T08:45:00-07:00"
}
}
}
]
}
IG © 2023+ HL7 International / Public Health. Package hl7.fhir.us.bfdr#2.0.0 based on FHIR 4.0.1. Generated 2024-10-15
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