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
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-provider-live-birth-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Bundle-document-birth-report"/>
</meta>
<identifier>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber">
<valueString value="15075"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1">
<valueString value="444455555"/>
</extension>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr"/>
<value value="2019NJ15075"/>
</identifier>
<type value="document"/>
<timestamp value="2019-02-11T02:05:44.434Z"/>
<entry>
<fullUrl
value="http://www.example.org/fhir/Composition/composition-provider-live-birth-babyg-quinn"/>
<resource>
<Composition>
<id value="composition-provider-live-birth-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-live-birth-report"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="68998-4"/>
<display
value="U.S. standard certificate of live birth - 2003 revision"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
</subject>
<encounter>🔗
<extension
url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference">
<valueReference>🔗
<reference
value="Encounter/encounter-maternity-jada-ann-quinn"/>
</valueReference>
</extension>
<reference value="Encounter/encounter-birth-babyg-quinn"/>
</encounter>
<date value="2019-02-12"/>
<author>🔗
<reference
value="Practitioner/practitioner-vital-records-avery-jones"/>
</author>
<title value="Provider supplied live birth report Document"/>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="57073-9"/>
</coding>
</code>
<focus>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</focus>
<entry>🔗
<reference
value="Observation/observation-date-of-first-prenatal-care-visit-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-number-prenatal-visits-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-last-menstrual-period-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-number-births-now-living-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-number-births-now-dead-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-date-of-last-live-birth-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-number-other-pregnancy-outcomes-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Coverage/coverage-principal-payer-for-delivery-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-mother-delivery-weight-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-mother-height-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-mother-prepregnancy-weight-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-mother-received-wic-food-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-cig-smoking-pregnancy-1-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-cig-smoking-pregnancy-2-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-cig-smoking-pregnancy-3-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-cig-smoking-pregnancy-4-jada-ann-quinn"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55752-0"/>
</coding>
</code>
<focus>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</focus>
<entry>🔗
<reference
value="Procedure/procedure-obstetric-procedure-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-number-previous-cesareans-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Condition/condition-infection-present-during-pregnancy-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Condition/condition-gestational-hypertension-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Condition/condition-prepregnancy-diabetes-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Procedure/procedure-infertility-treatment-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Procedure/procedure-artificial-insemination-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Condition/condition-chorioamnionitis-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Procedure/procedure-induction-of-labor-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-antibiotics-during-labor-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Procedure/procedure-epidural-or-spinal-anesthesia-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-fetal-presentation-babyg-quinn"/>
</entry>
<entry>🔗
<reference
value="Procedure/procedure-final-route-method-delivery-babyg-quinn"/>
</entry>
<entry>🔗
<reference
value="Condition/condition-ruptured-uterus-jada-ann-quinn"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="57075-4"/>
</coding>
</code>
<entry>🔗
<reference
value="Observation/observation-birth-weight-babyg-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-gestational-age-at-delivery-babyg-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-apgar-score-babyg-quinn-5-min"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-apgar-score-babyg-quinn-10-min"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-number-live-births-this-delivery-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Condition/condition-congenital-anomaly-of-newborn-babyg-quinn"/>
</entry>
<entry>🔗
<reference
value="Condition/condition-congenital-anomaly-of-newborn-babyg-quinn-2"/>
</entry>
<entry>🔗
<reference
value="Procedure/procedure-antibiotic-sepsis-babyg-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-infant-living-babyg-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-infant-breastfed-at-discharge-babyg-quinn"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="92014-0"/>
</coding>
</code>
<focus>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</focus>
<entry>🔗
<reference
value="Observation/observation-mother-married-during-pregnancy-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-parent-education-level-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-present-job-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-input-race-and-ethnicity-jada-ann-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-ssn-requested-for-child-babyg-quinn"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="92013-2"/>
</coding>
</code>
<focus>🔗
<reference
value="RelatedPerson/relatedperson-father-natural-james-brandon-quinn"/>
</focus>
<entry>🔗
<reference
value="Observation/observation-paternity-acknowledgement-signed-james-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-parent-education-level-james-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-present-job-james-brandon-quinn"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-input-race-and-ethnicity-james-quinn"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="74465-6"/>
</coding>
</code>
<focus>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</focus>
<entry>🔗
<reference
value="QuestionnaireResponse/QuestionnaireResponse-mothers-live-birth-jada-quinn"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Patient/patient-child-babyg-quinn"/>
<resource>
<Patient>
<id value="patient-child-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, ))</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.
A 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.
A 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:
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- 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>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="White"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<city value="Salt Lake City"/>
<district value="Salt Lake"/>
<state value="UT"/>
</valueAddress>
</extension>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr">
<extension url="reportedAge">
<valueQuantity>
<value value="34"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</valueQuantity>
</extension>
<extension url="motherOrFather">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="MTH"/>
<display value="mother"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr">
<extension url="reportedAge">
<valueQuantity>
<value value="35"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</valueQuantity>
</extension>
<extension url="motherOrFather">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FTH"/>
<display value="father"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="9932702"/>
</identifier>
<name>
<use value="official"/>
<family value="Quinn"/>
<given value="Baby"/>
<given value="G"/>
</name>
<gender value="female"/>
<birthDate value="2019-02-12">
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
<valueDateTime value="2019-02-12T13:00:00-07:00"/>
</extension>
</birthDate>
<deceasedBoolean value="false"/>
<multipleBirthInteger value="1"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Encounter/encounter-birth-babyg-quinn"/>
<resource>
<Encounter>
<id value="encounter-birth-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-birth"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="CHILD"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="http://hospital.smarthealthit.org"/>
<value value="9937012"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99234"/>
</coding>
<text
value="Under Observation or Inpatient Care Services (Including Admission and Discharge Services)"/>
</type>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
<participant>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="87287-9"/>
<display value="Birth certifier [Extended Identifier]"/>
</coding>
</type>
<period>
<start value="2019-02-12T13:30:00-07:00"/>
</period>
<individual>🔗
<reference
value="Practitioner/practitioner-vital-records-avery-jones"/>
<display value="Practitioner - Vital Records (Avery Jones, MD)"/>
</individual>
</participant>
<participant>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="87286-1"/>
<display value="Birth attendant [Extended Identifier]"/>
</coding>
</type>
<individual>🔗
<reference
value="Practitioner/practitioner-vital-records-avery-jones"/>
<display value="Practitioner - Vital Records (Avery Jones, MD)"/>
</individual>
</participant>
<period>
<start value="2019-02-12T13:00:00-07:00"/>
<end value="2019-02-15T10:00:00-07:00"/>
</period>
<hospitalization>
<destination>🔗
<reference value="Location/location-east-hospital"/>
<display value="East Hospital Location"/>
</destination>
<dischargeDisposition>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
<code value="other-hcf"/>
<display value="Other healthcare facility"/>
</coding>
<text
value="The patient was transferred to another healthcare facility."/>
</dischargeDisposition>
</hospitalization>
<location>
<location>🔗
<reference value="Location/location-south-hospital"/>
<display value="Location - US Core Location (South Hospital)"/>
</location>
<physicalType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="22232009"/>
<display value="Hospital"/>
</coding>
</physicalType>
</location>
<partOf>🔗
<reference value="Encounter/encounter-maternity-jada-ann-quinn"/>
<display value="Maternity Encounter - Jada Ann Quinn"/>
</partOf>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Encounter/encounter-maternity-jada-ann-quinn"/>
<resource>
<Encounter>
<id value="encounter-maternity-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="MTH"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="http://hospital.smarthealthit.org"/>
<value value="9937012"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99234"/>
</coding>
<text
value="Under Observation or Inpatient Care Services (Including Admission and Discharge Services)"/>
</type>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<participant>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="87286-1"/>
<display value="Birth attendant [Extended Identifier]"/>
</coding>
</type>
<individual>🔗
<reference
value="Practitioner/practitioner-vital-records-avery-jones"/>
<display value="Practitioner - Vital Records (Avery Jones, MD)"/>
</individual>
</participant>
<period>
<start value="2019-02-11T10:00:00-07:00"/>
<end value="2019-02-15T10:00:00-07:00"/>
</period>
<hospitalization>
<origin>🔗
<reference value="Location/location-north-hospital"/>
<display value="Location - US Core Location (North Hospital)"/>
</origin>
<admitSource>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/admit-source"/>
<code value="hosp-trans"/>
<display value="Transferred from other hospital"/>
</coding>
<text
value="The Patient has been transferred from another hospital for this encounter."/>
</admitSource>
</hospitalization>
<location>
<location>🔗
<reference value="Location/location-south-hospital"/>
<display value="Location - US Core Location (South Hospital)"/>
</location>
<physicalType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="22232009"/>
<display value="Hospital"/>
</coding>
</physicalType>
</location>
<serviceProvider>🔗
<reference value="Organization/organization-south-hospital"/>
<display
value="Organization - US Core Organization (South Hospital Organization)"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Practitioner/practitioner-vital-records-avery-jones"/>
<resource>
<Practitioner>
<id value="practitioner-vital-records-avery-jones"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"/>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Practitioner-birth-certifier"/>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Practitioner-birth-attendant"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/bfdr/StructureDefinition/practitioner-role-birth-attendant">
<valueCode value="attendant"/>
</extension>
<extension
url="http://hl7.org/fhir/us/bfdr/StructureDefinition/practitioner-role-birth-certifier">
<valueCode value="certifier"/>
</extension>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="76231001"/>
</identifier>
<name>
<text value="Avery Jones"/>
<family value="Jones"/>
<given value="Avery"/>
<suffix value="D.O."/>
</name>
<qualification>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="76231001"/>
<display value="Osteopath (occupation)"/>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Practitioner/practitioner-vital-records-janet-seito"/>
<resource>
<Practitioner>
<id value="practitioner-vital-records-janet-seito"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/bfdr/StructureDefinition/practitioner-role-birth-attendant">
<valueCode value="attendant"/>
</extension>
<extension
url="http://hl7.org/fhir/us/bfdr/StructureDefinition/practitioner-role-birth-certifier">
<valueCode value="certifier"/>
</extension>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="223347044"/>
</identifier>
<name>
<text value="Janet Seito"/>
<family value="Janet"/>
<given value="Seito"/>
<suffix value="D.O."/>
</name>
<qualification>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="76231001"/>
<display value="Osteopath (occupation)"/>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Patient/patient-mother-jada-ann-quinn"/>
<resource>
<Patient>
<id value="patient-mother-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, ))</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 (use: usual, )</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:
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- 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>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1002-5"/>
<display value="American Indian or Alaska Native"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="White, American Indian or Alaska Native"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<state value="UT"/>
</valueAddress>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SS"/>
<display value="Social Security number"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-ssn"/>
<value value="132225986"/>
</identifier>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="1032702"/>
</identifier>
<name>
<use value="official"/>
<family value="Quinn"/>
<given value="Jada"/>
<given value="Ann"/>
</name>
<name>
<use value="maiden"/>
<family value="King"/>
<given value="Jada"/>
<given value="Ann"/>
</name>
<telecom>
<system value="phone"/>
<value value="1-(404)555-1212"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="jadaann.quinn@example.com"/>
</telecom>
<gender value="female"/>
<birthDate value="1985-01-15"/>
<address>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr">
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</valueCoding>
</extension>
<use value="home"/>
<line value="1875 West Morton Avenue"/>
<city value="Salt Lake City"/>
<district value="Salt Lake"/>
<state value="UT"/>
<postalCode value="84116"/>
<country value="US"/>
</address>
<address>
<use value="billing"/>
<line value="1848 South 1300 East"/>
<city value="Salt Lake City"/>
<state value="UT"/>
<postalCode value="84401"/>
<country value="US"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-date-of-first-prenatal-care-visit-jada-ann-quinn"/>
<resource>
<Observation>
<id
value="observation-date-of-first-prenatal-care-visit-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69044-6"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<focus>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueDateTime value="2018-07-20"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-number-prenatal-visits-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-number-prenatal-visits-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-prenatal-visits"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="68493-6"/>
<display value="Prenatal visits for this pregnancy #"/>
</coding>
<text value="Prenatal visits for this pregnancy #"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<focus>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueInteger value="8"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-last-menstrual-period-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-last-menstrual-period-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-last-menstrual-period"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8665-2"/>
<display value="Last menstrual period start date"/>
</coding>
<text value="Last menstrual period start date"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueDateTime value="2018-06-05"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-number-births-now-living-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-number-births-now-living-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-living"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11638-4"/>
<display value="[#] Births.still living"/>
</coding>
<text value="[#] Births.still living"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueInteger value="1"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-number-births-now-dead-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-number-births-now-dead-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-dead"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="68496-9"/>
<display value="Previous live births now dead #"/>
</coding>
<text value="Previous live births now dead #"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueInteger value="0"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-date-of-last-live-birth-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-date-of-last-live-birth-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="68499-3"/>
<display value="Date last live birth"/>
</coding>
<text value="Date of last live birth"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueDateTime value="2014-11-20"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-number-other-pregnancy-outcomes-jada-ann-quinn"/>
<resource>
<Observation>
<id
value="observation-number-other-pregnancy-outcomes-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-other-pregnancy-outcomes"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69043-8"/>
<display value="Other pregnancy outcomes #"/>
</coding>
<text value="Other pregnancy outcomes #"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueInteger value="0"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn"/>
<resource>
<Observation>
<id
value="observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-other-pregnancy-outcome"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="68500-8"/>
<display value="Date last other pregnancy outcome"/>
</coding>
<text value="Date of last other pregnancy outcome"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueDateTime value="2015-05"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Coverage/coverage-principal-payer-for-delivery-jada-ann-quinn"/>
<resource>
<Coverage>
<id value="coverage-principal-payer-for-delivery-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Coverage-principal-payer-delivery"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<type>
<coding>
<system value="https://nahdo.org/sopt"/>
<code value="5"/>
<display value="Private Health Insurance"/>
</coding>
<text value="Private Health Insurance"/>
</type>
<beneficiary>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</beneficiary>
<payor>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="not-asked"/>
</extension>
<display value="Not asked"/>
</payor>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-mother-delivery-weight-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-mother-delivery-weight-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-delivery-weight"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69461-2"/>
<display value="Mother's body weight --at delivery"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<effectiveDateTime value="2019-02-12"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueQuantity>
<value value="175"/>
<system value="http://unitsofmeasure.org"/>
<code value="[lb_av]"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-mother-height-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-mother-height-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-height"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, ))</a></p><p><b>value</b>: 67 in<span style="background: LightGoldenRodYellow"> (Details: UCUM code[in_i] = '[in_i]')</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8302-2"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<effectiveDateTime value="2019-02-10"/>
<performer>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</performer>
<valueQuantity>
<value value="67"/>
<unit value="in"/>
<system value="http://unitsofmeasure.org"/>
<code value="[in_i]"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-mother-prepregnancy-weight-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-mother-prepregnancy-weight-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-prepregnancy-weight"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="56077-1"/>
<display value="Body weight --pre current pregnancy"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueQuantity>
<value value="145"/>
<system value="http://unitsofmeasure.org"/>
<code value="[lb_av]"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-mother-received-wic-food-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-mother-received-wic-food-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-received-wic-food"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87303-4"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<focus>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-1-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-cig-smoking-pregnancy-1-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, ))</a></p><p><b>value</b>: 20</p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="64794-1"/>
<display
value="In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day [PhenX]"/>
</coding>
<text
value="In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day [PhenX]"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<focus>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</performer>
<valueInteger value="20"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-2-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-cig-smoking-pregnancy-2-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, ))</a></p><p><b>value</b>: 3</p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87298-6"/>
<display
value="Cigarettes smoked per day by Mother--1st trimester"/>
</coding>
<text value="Cigarettes smoked per day by Mother--1st trimester"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<focus>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</performer>
<valueInteger value="3"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-3-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-cig-smoking-pregnancy-3-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, ))</a></p><p><b>value</b>: 1</p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87299-4"/>
<display
value="Cigarettes smoked per day by Mother--2nd trimester"/>
</coding>
<text value="Cigarettes smoked per day by Mother--2nd trimester"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<focus>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</performer>
<valueInteger value="1"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-4-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-cig-smoking-pregnancy-4-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, ))</a></p><p><b>value</b>: 0</p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="64795-8"/>
<display
value="In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day [PhenX]"/>
</coding>
<text
value="In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day [PhenX]"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<focus>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</performer>
<valueInteger value="0"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Condition/condition-prepregnancy-diabetes-jada-ann-quinn"/>
<resource>
<Condition>
<id value="condition-prepregnancy-diabetes-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-diabetes"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
</coding>
</category>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73775-9"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="73211009"/>
<display value="Diabetes mellitus (disorder)"/>
</coding>
<text value="Diabetes mellitus (disorder)"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<onsetDateTime value="2015-02-12"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Condition/condition-gestational-hypertension-jada-ann-quinn"/>
<resource>
<Condition>
<id value="condition-gestational-hypertension-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-hypertension"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
</coding>
</category>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73775-9"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="48194001"/>
<display value="Pregnancy-induced hypertension (disorder)"/>
</coding>
<text value="Pregnancy-induced hypertension (disorder)"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-number-previous-cesareans-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-number-previous-cesareans-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-previous-cesareans"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="68497-7"/>
<display value="Previous cesarean deliveries #"/>
</coding>
<text value="Previous cesarean deliveries #"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueInteger value="1"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Condition/condition-infection-present-during-pregnancy-jada-ann-quinn"/>
<resource>
<Condition>
<id
value="condition-infection-present-during-pregnancy-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-infection-present-during-pregnancy"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
</category>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="72519-2"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="105629000"/>
<display value="Chlamydial infection (disorder)"/>
</coding>
<text value="Chlamydial infection (disorder)"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Procedure/procedure-obstetric-procedure-jada-ann-quinn"/>
<resource>
<Procedure>
<id value="procedure-obstetric-procedure-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-obstetric"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73814-6"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="240278000"/>
<display value="External cephalic version (procedure)"/>
</coding>
<text value="External cephalic version: Failed"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<performedPeriod>
<start value="2019-02-07T08:30:00-07:00"/>
<end value="2019-02-07T08:45:00-07:00"/>
</performedPeriod>
<outcome>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385671000"/>
<display value="Unsuccessful"/>
</coding>
<text value="External cephalic version: Unsuccessful"/>
</outcome>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Condition/condition-chorioamnionitis-jada-ann-quinn"/>
<resource>
<Condition>
<id value="condition-chorioamnionitis-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-chorioamnionitis"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
</coding>
</category>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73813-8"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="11612004"/>
<display value="Chorioamnionitis (disorder)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Procedure/procedure-induction-of-labor-jada-ann-quinn"/>
<resource>
<Procedure>
<id value="procedure-induction-of-labor-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-induction-of-labor"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73813-8"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="236958009"/>
<display value="Induction of labor (procedure)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<performedPeriod>
<start value="2019-02-07T08:30:00-07:00"/>
<end value="2019-02-07T08:45:00-07:00"/>
</performedPeriod>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-fetal-presentation-babyg-quinn"/>
<resource>
<Observation>
<id value="observation-fetal-presentation-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="73761-9"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="Patient - Child (Baby G Quinn)"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="6096002"/>
<display value="Breech presentation (finding)"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Procedure/procedure-final-route-method-delivery-babyg-quinn"/>
<resource>
<Procedure>
<id value="procedure-final-route-method-delivery-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73762-7"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="11466000"/>
<display value="Cesarean section"/>
</coding>
<text value="Cesarean section"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<performedPeriod>
<start value="2019-02-12T12:45:00-07:00"/>
<end value="2019-02-12T13:15:00-07:00"/>
</performedPeriod>
<reasonReference>🔗
<reference
value="Observation/observation-labor-trial-attempted-babyg-quinn"/>
<display value="Labor trial attempted - true"/>
</reasonReference>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Condition/condition-ruptured-uterus-jada-ann-quinn"/>
<resource>
<Condition>
<id value="condition-ruptured-uterus-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-ruptured-uterus"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
</category>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73781-7"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="34430009"/>
<display value="Rupture of uterus (disorder)"/>
</coding>
<text value="Rupture of uterus (disorder)"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-birth-weight-babyg-quinn"/>
<resource>
<Observation>
<id value="observation-birth-weight-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-birth-weight"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8339-4"/>
<display value="Birth weight Measured"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueQuantity>
<value value="2500"/>
<system value="http://unitsofmeasure.org"/>
<code value="g"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-gestational-age-at-delivery-babyg-quinn"/>
<resource>
<Observation>
<id value="observation-gestational-age-at-delivery-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-gestational-age-at-delivery"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11884-4"/>
<display value="Gestational age Estimated"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueQuantity>
<value value="36"/>
<system value="http://unitsofmeasure.org"/>
<code value="wk"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-apgar-score-babyg-quinn-5-min"/>
<resource>
<Observation>
<id value="observation-apgar-score-babyg-quinn-5-min"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-apgar-score"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="9274-2"/>
<display value="5 minute Apgar Score"/>
</coding>
<text value="5 minute Apgar Score"/>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueInteger value="5"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-apgar-score-babyg-quinn-10-min"/>
<resource>
<Observation>
<id value="observation-apgar-score-babyg-quinn-10-min"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-apgar-score"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="9271-8"/>
<display value="10 minute Apgar Score"/>
</coding>
<text value="10 minute Apgar Score"/>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueInteger value="7"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-number-live-births-this-delivery-jada-ann-quinn"/>
<resource>
<Observation>
<id
value="observation-number-live-births-this-delivery-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-live-births-this-delivery"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="73773-4"/>
<display
value="Number of infants in this delivery delivered alive"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<focus>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueInteger value="2"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Condition/condition-congenital-anomaly-of-newborn-babyg-quinn"/>
<resource>
<Condition>
<id value="condition-congenital-anomaly-of-newborn-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
</category>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73780-9"/>
<display
value="Congenital anomalies of the newborn [US Standard Certificate of Live Birth]"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="12770006"/>
<display value="Cyanotic congenital heart disease (disorder)"/>
</coding>
<text value="Cyanotic congenital heart disease (disorder)"/>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Condition/condition-congenital-anomaly-of-newborn-babyg-quinn-2"/>
<resource>
<Condition>
<id value="condition-congenital-anomaly-of-newborn-babyg-quinn-2"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
</category>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73780-9"/>
<display
value="Congenital anomalies of the newborn [US Standard Certificate of Live Birth]"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="70156005"/>
<display value="Anomaly of chromosome pair 21 (disorder)"/>
</coding>
<text value="Anomaly of chromosome pair 21 (disorder)"/>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="Patient - Child (Baby G Quinn)"/>
</subject>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="312948004"/>
<display value="Karyotype determination"/>
</coding>
<text value="Karyotype determination pending"/>
</code>
</evidence>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-infant-living-babyg-quinn"/>
<resource>
<Observation>
<id value="observation-infant-living-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-living"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="73757-7"/>
<display
value="Infant living at time of report [US Standard Certificate of Live Birth]"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-infant-breastfed-at-discharge-babyg-quinn"/>
<resource>
<Observation>
<id value="observation-infant-breastfed-at-discharge-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-breastfed-at-discharge"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="73756-9"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-mother-married-during-pregnancy-jada-ann-quinn"/>
<resource>
<Observation>
<id
value="observation-mother-married-during-pregnancy-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-married-during-pregnancy"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87301-8"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<focus>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-parent-education-level-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-parent-education-level-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, ))</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 (use: usual, ))</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 (use: usual, ))</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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="57712-2"/>
<display value="Highest level of education Mother"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
</subject>
<focus>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</performer>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
<code value="POSTG"/>
<display value="Doctoral or post graduate education"/>
</coding>
<text value="Doctoral or post graduate education"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-present-job-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-present-job-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job"/>
</meta>
<text>
<status value="extensions"/>
<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 (use: usual, ))</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>
</text>
<extension
url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="MTH"/>
<display value="mother"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11341-5"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
</subject>
<focus>
<display value="Jada Ann Quinn - Mother"/>
</focus>
<effectivePeriod>
<start value="2019-01-09"/>
</effectivePeriod>
<valueCodeableConcept>
<text value="Carpenter"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="86188-0"/>
</coding>
</code>
<valueCodeableConcept>
<text value="Construction"/>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-input-race-and-ethnicity-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-input-race-and-ethnicity-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr"/>
<code value="inputraceandethnicityMother"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="White"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="BlackOrAfricanAmerican"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="AmericanIndianOrAlaskanNative"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="AsianIndian"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Chinese"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Filipino"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Japanese"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Korean"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Vietnamese"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="OtherAsian"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="NativeHawaiian"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="GuamanianOrChamorro"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Samoan"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="OtherPacificIslander"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="OtherRace"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="HispanicMexican"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="HispanicCuban"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="HispanicPuertoRican"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="HispanicOther"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-ssn-requested-for-child-babyg-quinn"/>
<resource>
<Observation>
<id value="observation-ssn-requested-for-child-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-ssn-requested-for-child"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, ))</a></p><p><b>value</b>: true</p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87295-2"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
<focus>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</performer>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/RelatedPerson/relatedperson-father-natural-james-brandon-quinn"/>
<resource>
<RelatedPerson>
<id value="relatedperson-father-natural-james-brandon-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr"/>
</meta>
<text>
<status value="extensions"/>
<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 (use: usual, ))</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>
</text>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-relatedperson-birthplace-vr">
<valueAddress>
<state value="NY"/>
</valueAddress>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SS"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-ssn"/>
<value value="132225987"/>
</identifier>
<active value="true"/>
<patient>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
</patient>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="NFTH"/>
<display value="natural father"/>
</coding>
<text value="Natural Father"/>
</relationship>
<name>
<use value="official"/>
<family value="Quinn"/>
<given value="James"/>
<given value="Brandon"/>
</name>
<gender value="male"/>
<birthDate value="1972-11-24"/>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-paternity-acknowledgement-signed-james-quinn"/>
<resource>
<Observation>
<id value="observation-paternity-acknowledgement-signed-james-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-paternity-acknowledgement-signed"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, ))</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87302-6"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="Patient - Child (Baby G Quinn)"/>
</subject>
<focus>🔗
<reference
value="RelatedPerson/relatedperson-father-natural-james-brandon-quinn"/>
<display value="RelatedPerson - Father (James Brandon Quinn)"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-parent-education-level-james-quinn"/>
<resource>
<Observation>
<id value="observation-parent-education-level-james-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, ))</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 (use: usual, ))</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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87300-0"/>
<display value="Highest level of education Father"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
</subject>
<focus>🔗
<reference
value="RelatedPerson/relatedperson-father-natural-james-brandon-quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
</performer>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
<code value="POSTG"/>
<display value="Doctoral or post graduate education"/>
</coding>
<text value="Doctoral or post graduate education"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-present-job-james-brandon-quinn"/>
<resource>
<Observation>
<id value="observation-present-job-james-brandon-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job"/>
</meta>
<text>
<status value="extensions"/>
<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 (use: usual, ))</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>
</text>
<extension
url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FTH"/>
<display value="father"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11341-5"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
</subject>
<focus>
<display value="James Brandon Quinn - Father"/>
</focus>
<effectivePeriod>
<start value="2019-01-09"/>
</effectivePeriod>
<valueCodeableConcept>
<text value="Lawyer"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="86188-0"/>
</coding>
</code>
<valueCodeableConcept>
<text value="Legal Services"/>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-input-race-and-ethnicity-james-quinn"/>
<resource>
<Observation>
<id value="observation-input-race-and-ethnicity-james-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr"/>
<code value="inputraceandethnicityFather"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
<focus>🔗
<reference
value="RelatedPerson/relatedperson-father-natural-james-brandon-quinn"/>
</focus>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="White"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="BlackOrAfricanAmerican"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="AmericanIndianOrAlaskanNative"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="AsianIndian"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Chinese"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Filipino"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Japanese"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Korean"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Vietnamese"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="OtherAsian"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="NativeHawaiian"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="GuamanianOrChamorro"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="Samoan"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="OtherPacificIslander"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="OtherRace"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="FirstOtherAsianLiteral"/>
</coding>
</code>
<valueString value="Malaysian"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="FirstAmericanIndianOrAlaskanNativeLiteral"/>
</coding>
</code>
<valueString value="Arikara"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="HispanicMexican"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="HispanicCuban"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="HispanicPuertoRican"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
<code value="HispanicOther"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-mothers-live-birth-jada-quinn"/>
<resource>
<QuestionnaireResponse>
<id value="QuestionnaireResponse-mothers-live-birth-jada-quinn"/>
<text>
<status value="generated"/>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
</text>
<questionnaire
value="http://hl7.org/fhir/us/bfdr/Questionnaire/Questionnaire-mothers-live-birth"/>
<status value="completed"/>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
<source>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</source>
<item>
<linkId value="mother-current-legal-name"/>
<text value="What is your current legal name?"/>
<item>
<linkId value="mother-first-name"/>
<text value="First"/>
<answer>
<valueString value="Jada"/>
</answer>
</item>
<item>
<linkId value="mother-middle-name"/>
<text value="Middle"/>
<answer>
<valueString value="Ann"/>
</answer>
</item>
<item>
<linkId value="mother-last-name"/>
<text value="Last"/>
<answer>
<valueString value="Quinn"/>
</answer>
</item>
</item>
<item>
<linkId value="child-name"/>
<text
value="What will be your baby's legal name (as it should appear on the birth certificate)?"/>
<item>
<linkId value="child-first-name"/>
<text value="First"/>
<answer>
<valueString value="Baby"/>
</answer>
</item>
<item>
<linkId value="child-middle-name"/>
<text value="Middle"/>
<answer>
<valueString value="G"/>
</answer>
</item>
<item>
<linkId value="child-last-name"/>
<text value="Last"/>
<answer>
<valueString value="Quinn"/>
</answer>
</item>
</item>
<item>
<linkId value="mother-address"/>
<text
value="Where do you usually live - that is - where is your household/residence located?"/>
<item>
<linkId value="mother-nbr-street"/>
<text
value="Complete number and street (do not enter rural route numbers)"/>
<answer>
<valueString value="1875 West Morton Avenue"/>
</answer>
</item>
<item>
<linkId value="mother-city"/>
<text value="City, Town, or Location"/>
<answer>
<valueString value="Salt Lake City"/>
</answer>
</item>
<item>
<linkId value="mother-county"/>
<text value="County"/>
<answer>
<valueString value="Salt Lake"/>
</answer>
</item>
<item>
<linkId value="mother-state"/>
<text value="State (or U.S. Territory, Canadian Province)"/>
<answer>
<valueString value="UT"/>
</answer>
</item>
<item>
<linkId value="mother-zip"/>
<text value="Zip Code"/>
<answer>
<valueString value="84116"/>
</answer>
</item>
</item>
<item>
<linkId value="inside-city-limits"/>
<text
value="Is this household inside city limits (inside the incorporated limits of the city, town, or location where you live)?"/>
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="mother-mail"/>
<text value="What is your mailing address"/>
<item>
<linkId value="mother-mail-same"/>
<text value="Same as residence [Go to next question]"/>
<answer>
<valueBoolean value="false"/>
</answer>
</item>
<item>
<linkId value="mother-mail-nbr-street"/>
<text value="Complete number and street"/>
<answer>
<valueString value="1848 South 1300 East"/>
</answer>
</item>
<item>
<linkId value="mother-mail-city"/>
<text value="City, Town, or Location"/>
<answer>
<valueString value="Salt Lake City"/>
</answer>
</item>
<item>
<linkId value="mother-mail-state"/>
<text value="State (or U.S. Territory, Canadian Province)"/>
<answer>
<valueString value="UT"/>
</answer>
</item>
<item>
<linkId value="mother-mail-zip"/>
<text value="Zip Code"/>
<answer>
<valueString value="84401"/>
</answer>
</item>
</item>
<item>
<linkId value="mother-dob"/>
<text value="What is your date of birth?"/>
<answer>
<valueDate value="1985-01-15"/>
</answer>
</item>
<item>
<linkId value="mother-birthplace"/>
<text
value="In what State, U.S. territory, or foreign country were you born? Please specify one of the following:"/>
<item>
<linkId value="mother-birthplace-state"/>
<text value="State"/>
<answer>
<valueString value="UT"/>
</answer>
</item>
</item>
<item>
<linkId value="mother-education"/>
<text
value="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
value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
<code value="POSTG"/>
<display value="Doctoral or post graduate education"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="mother-ethnicity"/>
<answer>
<valueBoolean value="false"/>
</answer>
</item>
<item>
<linkId value="mother-race"/>
<item>
<linkId value="mother-race-white"/>
<text value="White"/>
<answer>
<valueBoolean value="true"/>
</answer>
</item>
<item>
<linkId value="mother-race-aian"/>
<text value="American Indian or Alaskan Native"/>
<answer>
<valueBoolean value="true"/>
</answer>
</item>
</item>
<item>
<linkId value="receive-wic"/>
<text
value="Did you receive WIC (Women, Infants and Children) food for yourself during this pregnancy?"/>
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="infertility-treatment"/>
<text
value="Did this pregnancy result from infertility treatment? (If yes, please answer 12a and 12b)"/>
<answer>
<valueBoolean value="true"/>
<item>
<linkId value="drugs-ai-ii"/>
<text
value="If yes, did this pregnancy result from fertility-enhancing drugs, artificial insemination, or intrauterine insemination?"/>
<answer>
<valueBoolean value="false"/>
</answer>
</item>
<item>
<linkId value="art-ivf-gift"/>
<text
value="If yes, did this pregnancy result from assisted reproductive technology (e.g., in-vitro fertilization (IVF), gamete intrafallopian transfer (GIFT))?"/>
<answer>
<valueBoolean value="true"/>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="mothers-height"/>
<text value="What is your height?"/>
<item>
<linkId value="mothers-height-feet"/>
<text value="Feet"/>
<answer>
<valueQuantity>
<value value="5"/>
<unit value="ft"/>
<system value="http://unitsofmeasure.org"/>
<code value="ft"/>
</valueQuantity>
</answer>
</item>
<item>
<linkId value="mothers-height-inches"/>
<text value="Inches"/>
<answer>
<valueQuantity>
<value value="7"/>
<unit value="[in_i]"/>
<system value="http://unitsofmeasure.org"/>
<code value="[in_i]"/>
</valueQuantity>
</answer>
</item>
</item>
<item>
<linkId value="mothers-prepregnancy-weight"/>
<answer>
<valueQuantity>
<value value="145"/>
<unit value="[lb_av]"/>
<system value="http://unitsofmeasure.org"/>
<code value="[lb_av]"/>
</valueQuantity>
</answer>
</item>
<item>
<linkId value="mothers-smoking"/>
<text
value="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 value="mothers-smoking-3-months-prior"/>
<text value="Three months before pregnancy"/>
<item>
<linkId value="mothers-smoking-3-months-prior-cig"/>
<text value="# of cigarettes*"/>
<answer>
<valueInteger value="0"/>
</answer>
</item>
<item>
<linkId value="mothers-smoking-3-months-prior-pck"/>
<text value="# of packs"/>
<answer>
<valueInteger value="1"/>
</answer>
</item>
</item>
<item>
<linkId value="mothers-smoking-trimester-1"/>
<text value="First three months of pregnancy"/>
<item>
<linkId value="mothers-smoking-trimester-1-cig"/>
<text value="# of cigarettes*"/>
<answer>
<valueInteger value="3"/>
</answer>
</item>
<item>
<linkId value="mothers-smoking-trimester-1-pck"/>
<text value="# of packs"/>
<answer>
<valueInteger value="0"/>
</answer>
</item>
</item>
<item>
<linkId value="mothers-smoking-trimester-2"/>
<text value="Second three months of pregnancy"/>
<item>
<linkId value="mothers-smoking-trimester-2-cig"/>
<text value="# of cigarettes*"/>
<answer>
<valueInteger value="1"/>
</answer>
</item>
<item>
<linkId value="mothers-smoking-trimester-2-pck"/>
<text value="# of packs"/>
<answer>
<valueInteger value="0"/>
</answer>
</item>
</item>
<item>
<linkId value="mothers-smoking-trimester-3"/>
<text value="Third trimester of pregnancy"/>
<item>
<linkId value="mothers-smoking-trimester-3-cig"/>
<text value="# of cigarettes*"/>
<answer>
<valueInteger value="0"/>
</answer>
</item>
<item>
<linkId value="mothers-smoking-trimester-3-pck"/>
<text value="# of packs"/>
<answer>
<valueInteger value="0"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="mother-prior-name"/>
<text value="What name did you use prior to your first marriage?"/>
<item>
<linkId value="mother-prior-first-name"/>
<text value="First"/>
<answer>
<valueString value="Jada"/>
</answer>
</item>
<item>
<linkId value="mother-prior-middle-name"/>
<text value="Middle"/>
<answer>
<valueString value="Ann"/>
</answer>
</item>
<item>
<linkId value="mother-prior-last-name"/>
<text value="Last"/>
<answer>
<valueString value="King"/>
</answer>
</item>
</item>
<item>
<linkId value="married-conception"/>
<text
value="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 value="true"/>
</answer>
</item>
<item>
<linkId value="father-current-legal-name"/>
<text
value="What is the current legal name of your baby's father?"/>
<item>
<linkId value="father-first-name"/>
<text value="First"/>
<answer>
<valueString value="James"/>
</answer>
</item>
<item>
<linkId value="father-middle-name"/>
<text value="Middle"/>
<answer>
<valueString value="Brandon"/>
</answer>
</item>
<item>
<linkId value="father-last-name"/>
<text value="Last"/>
<answer>
<valueString value="Quinn"/>
</answer>
</item>
</item>
<item>
<linkId value="father-dob"/>
<text value="What the father's date of birth?"/>
<answer>
<valueDate value="1983-09-27"/>
</answer>
</item>
<item>
<linkId value="father-birthplace"/>
<text
value="In what State, U.S. territory, or foreign country was the father born? Please specify one of the following:"/>
<item>
<linkId value="father-birthplace-state"/>
<text value="State"/>
<answer>
<valueString value="NY"/>
</answer>
</item>
</item>
<item>
<linkId value="father-education"/>
<text
value="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
value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
<code value="POSTG"/>
<display value="Doctoral or post graduate education"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="father-ethnicity"/>
<answer>
<valueBoolean value="false"/>
</answer>
</item>
<item>
<linkId value="father-race"/>
<item>
<linkId value="father-race-white"/>
<text value="White"/>
<answer>
<valueBoolean value="true"/>
</answer>
</item>
</item>
<item>
<linkId value="parents-ssn"/>
<text
value="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 value="mother-ssn"/>
<text value="What is your Social Security Number?"/>
<answer>
<valueString value="132-22-5986"/>
</answer>
</item>
<item>
<linkId value="father-ssn"/>
<text
value="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 value="132-22-5987"/>
</answer>
</item>
</item>
<item>
<linkId value="baby-ssn"/>
<text
value="Do you want a Social Security Number issued for your baby? [If yes, please sign request below"/>
<answer>
<valueBoolean value="false"/>
</answer>
</item>
<item>
<linkId value="informant-name"/>
<text
value="If other than the mother, what is the name of the person providing information for this worksheet?"/>
<item>
<linkId value="informant-first-name"/>
<text value="First"/>
<answer>
<valueString value="Jane"/>
</answer>
</item>
<item>
<linkId value="informant-last-name"/>
<text value="Last"/>
<answer>
<valueString value="King"/>
</answer>
</item>
</item>
<item>
<linkId value="informant-relationship"/>
<text value="What is your relationship to the baby's mother?"/>
<answer>
<valueCoding>
<system
value="http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes"/>
<code value="rel_otherrelative"/>
<display value="Other relative"/>
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/location-east-hospital"/>
<resource>
<Location>
<id value="location-east-hospital"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Location-bfdr"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<name value="East Hospital"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="HOSP"/>
<display value="Hospital"/>
</coding>
</type>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes"/>
<code value="loc_transfer-to"/>
<display value="Transfer-to Location"/>
</coding>
</type>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/location-south-hospital"/>
<resource>
<Location>
<id value="location-south-hospital"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Location-bfdr"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<extension
url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-jurisdictional-facility-identifier">
<valueString value="UT12"/>
</extension>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="116441967701"/>
</identifier>
<status value="active"/>
<name value="South Hospital"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="HOSP"/>
<display value="Hospital"/>
</coding>
</type>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes"/>
<code value="loc_birth"/>
<display value="Birth Location"/>
</coding>
</type>
<address>
<line value="2100 North Ave"/>
<city value="Salt Lake City"/>
<district value="Made Up"/>
<state value="UT"/>
<postalCode value="84116"/>
<country value="US"/>
</address>
<position>
<longitude value="40.8"/>
<latitude value="111.9"/>
</position>
<managingOrganization>🔗
<reference value="Organization/organization-south-hospital"/>
<display value="Organization - South Hospital"/>
</managingOrganization>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/location-north-hospital"/>
<resource>
<Location>
<id value="location-north-hospital"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Location-bfdr"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<name value="North Hospital"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="HOSP"/>
<display value="Hospital"/>
</coding>
</type>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/bfdr/CodeSystem/CodeSystem-local-bfdr-codes"/>
<code value="loc_transfer-from"/>
<display value="Transfer-from Location"/>
</coding>
</type>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Organization/organization-south-hospital"/>
<resource>
<Organization>
<id value="organization-south-hospital"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="5555512"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="HOSP"/>
<display value="Hospital"/>
</coding>
</type>
<name value="South Hospital"/>
<telecom>
<system value="phone"/>
<value value="+1-555-555-1111"/>
</telecom>
<telecom>
<system value="email"/>
<value value="mail@southhospital.com"/>
</telecom>
<address>
<line value="2100 North Ave"/>
<city value="Salt Lake City"/>
<state value="UT"/>
<postalCode value="84116"/>
<country value="US"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-labor-trial-attempted-babyg-quinn"/>
<resource>
<Observation>
<id value="observation-labor-trial-attempted-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-labor-trial-attempted"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="73760-1"/>
<display
value="If cesarean, a trial of labor was attempted [US Standard Certificate of Live Birth]"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<focus>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Procedure/procedure-infertility-treatment-jada-ann-quinn"/>
<resource>
<Procedure>
<id value="procedure-infertility-treatment-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-infertility-treatment"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73775-9"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="773261007"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<performedPeriod>
<start value="2019-02-07T08:30:00-07:00"/>
<end value="2019-02-07T08:45:00-07:00"/>
</performedPeriod>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Procedure/procedure-artificial-insemination-jada-ann-quinn"/>
<resource>
<Procedure>
<id value="procedure-artificial-insemination-jada-ann-quinn"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2023-06-21T01:45:22.509Z"/>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-fertility-enhancing-drug-therapy-artificial-insem"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73775-9"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="58533008"/>
<display value="Artificial insemination (procedure)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<performedPeriod>
<start value="2019-02-07T08:30:00-07:00"/>
<end value="2019-02-07T08:45:00-07:00"/>
</performedPeriod>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-antibiotics-during-labor-jada-ann-quinn"/>
<resource>
<Observation>
<id value="observation-antibiotics-during-labor-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-antibiotics-administered-during-labor"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="73813-8"/>
<display
value="Characteristics of labor and delivery [US Standard Certificate of Live Birth]"/>
</coding>
<text value="Characteristics of labor and delivery"/>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<focus>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</focus>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference
value="Practitioner/practitioner-vital-records-janet-seito"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="434691000124101"/>
<display value="Antibacterial administered during labor"/>
</coding>
<text value="Antibiotics received during labor"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Procedure/procedure-antibiotic-sepsis-babyg-quinn"/>
<resource>
<Procedure>
<id value="procedure-antibiotic-sepsis-babyg-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-antibiotic-suspected-neonatal-sepsis"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73812-0"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="434621000124103"/>
<display
value="Antibiotic given for suspected neonatal sepsis (situation)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-child-babyg-quinn"/>
<display value="BabyG Quinn"/>
</subject>
<performedPeriod>
<start value="2019-02-07T08:30:00-07:00"/>
<end value="2019-02-07T08:45:00-07:00"/>
</performedPeriod>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Procedure/procedure-epidural-or-spinal-anesthesia-jada-ann-quinn"/>
<resource>
<Procedure>
<id value="procedure-epidural-or-spinal-anesthesia-jada-ann-quinn"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-epidural-or-spinal-anesthesia"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="73813-8"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="18946005"/>
<display value="Epidural anesthesia (procedure)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-mother-jada-ann-quinn"/>
<display value="Patient - Mother (Jada Ann Quinn)"/>
</subject>
<performedPeriod>
<start value="2019-02-07T08:30:00-07:00"/>
<end value="2019-02-07T08:45:00-07:00"/>
</performedPeriod>
</Procedure>
</resource>
</entry>
</Bundle>
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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