Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2 United States of America flag

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. For a full list of available versions, see the Directory of published versions

Facility Worksheet for Fetal Death

Example of a completed Facility Worksheet for the Fetal Death Report:

Example Facility Worksheet for Fetal Death Report - p1
Example Facility Worksheet for Fetal Death Report - p2
Example Facility Worksheet for Fetal Death Report - p3
Example Facility Worksheet for Fetal Death Report - p4
Example Facility Worksheet for Fetal Death Report - p5
Example Facility Worksheet for Fetal Death Report - p6