This page is part of the Vital Records Birth and Fetal Death Reporting (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions
Generated Narrative: Composition
Resource Composition "composition-provider-live-birth-babyg-quinn"
Extension - Live Birth Certificate Number: Birth Certificate: 15075
Extension - Live Birth Local File Number: Birth Certificate File Number: 444455555
Extension - Date Filed by Registrar: 2019-02-12
identifier: id: 2019NJ15075
status: FINAL
type: U.S. standard certificate of live birth - 2003 revision (LOINC#68998-4)
encounter: See above (http://www.example.org/fhir/Encounter/encounter-birth-babyg-quinn)
date: 2019-02-12
author: See above (http://www.example.org/fhir/Practitioner/practitioner-vital-records-avery-jones)
title: Provider supplied live birth report Document
2. http://www.example.org/fhir/Patient/patient-child-babyg-quinn (Patient/patient-child-babyg-quinn)
Baby G Quinn (OFFICIAL) Female, DoB: 2019-02-12 ( Medical Record Number: 9932702 (use: USUAL))
3. http://www.example.org/fhir/Encounter/encounter-birth-babyg-quinn (Encounter/encounter-birth-babyg-quinn)
Not done yet
4. http://www.example.org/fhir/Encounter/encounter-maternity-jada-ann-quinn (Encounter/encounter-maternity-jada-ann-quinn)
Not done yet
5. http://www.example.org/fhir/Practitioner/practitioner-vital-records-avery-jones (Practitioner/practitioner-vital-records-avery-jones)
Generated Narrative: Practitioner
Resource Practitioner "practitioner-vital-records-avery-jones"
Profile: Practitioner - Vital Records
identifier: id: #76231001
name: Avery Jones
Qualifications
Code Osteopath (occupation) (SNOMED CT#76231001)
6. http://www.example.org/fhir/Practitioner/practitioner-vital-records-janet-seito (Practitioner/practitioner-vital-records-janet-seito)
Generated Narrative: Practitioner
Resource Practitioner "practitioner-vital-records-janet-seito"
Profile: Practitioner - Vital Records
identifier: id: #223347044
name: Seito Janet
Qualifications
Code Osteopath (occupation) (SNOMED CT#76231001)
7. http://www.example.org/fhir/Patient/patient-mother-jada-ann-quinn (Patient/patient-mother-jada-ann-quinn)
Jada Ann Quinn (OFFICIAL) Female, DoB: 1985-01-15 ( Social Security number: SSN#132225986 (use: USUAL))
8. http://www.example.org/fhir/Observation/observation-planned-to-deliver-at-home-babyg-quinn (Observation/observation-planned-to-deliver-at-home-babyg-quinn)
Generated Narrative: Observation
Resource Observation "observation-planned-to-deliver-at-home-babyg-quinn"
status: FINAL
code: Mother Planned to deliver at home [US Standard Certificate of Live Birth] (LOINC#73765-0)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
focus: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
issued: Feb 12, 2019, 3:02:00 AM
performer: See above (Patient/patient-mother-jada-ann-quinn)
value: true
9. http://www.example.org/fhir/Observation/observation-date-of-first-prenatal-care-visit-jada-ann-quinn (Observation/observation-date-of-first-prenatal-care-visit-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-date-of-first-prenatal-care-visit-jada-ann-quinn"
status: FINAL
code: Date first prenatal visit (LOINC#69044-6)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
focus: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 2018-07-20
10. http://www.example.org/fhir/Observation/observation-number-prenatal-visits-jada-ann-quinn (Observation/observation-number-prenatal-visits-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-number-prenatal-visits-jada-ann-quinn"
status: FINAL
code: Prenatal visits for this pregnancy # (LOINC#68493-6)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
focus: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 8
11. http://www.example.org/fhir/Observation/observation-last-menstrual-period-jada-ann-quinn (Observation/observation-last-menstrual-period-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-last-menstrual-period-jada-ann-quinn"
Profile: Observation - Last Menstrual Period
status: FINAL
code: Last menstrual period start date (LOINC#8665-2)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 2018-06-05
12. http://www.example.org/fhir/Observation/observation-number-births-now-living-jada-ann-quinn (Observation/observation-number-births-now-living-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-number-births-now-living-jada-ann-quinn"
status: FINAL
code: [#] Births.still living (LOINC#11638-4)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 1
13. http://www.example.org/fhir/Observation/observation-number-births-now-dead-jada-ann-quinn (Observation/observation-number-births-now-dead-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-number-births-now-dead-jada-ann-quinn"
status: FINAL
code: Previous live births now dead # (LOINC#68496-9)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 0
14. http://www.example.org/fhir/Observation/observation-date-of-last-live-birth-jada-ann-quinn (Observation/observation-date-of-last-live-birth-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-date-of-last-live-birth-jada-ann-quinn"
status: FINAL
code: Date of last live birth (LOINC#68499-3 "Date last live birth")
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 2014-11-20
15. http://www.example.org/fhir/Observation/observation-number-other-pregnancy-outcomes-jada-ann-quinn (Observation/observation-number-other-pregnancy-outcomes-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-number-other-pregnancy-outcomes-jada-ann-quinn"
status: FINAL
code: Other pregnancy outcomes # (LOINC#69043-8)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 0
16. http://www.example.org/fhir/Observation/observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn (Observation/observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-date-of-last-other-pregnancy-outcome-jada-ann-quinn"
status: FINAL
code: Date of last other pregnancy outcome (LOINC#68500-8 "Date last other pregnancy outcome")
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 2015-05
17. http://www.example.org/fhir/Coverage/coverage-principal-payer-for-delivery-jada-ann-quinn (Coverage/coverage-principal-payer-for-delivery-jada-ann-quinn)
Resource Coverage "coverage-principal-payer-for-delivery-jada-ann-quinn"
status: ACTIVE
type: Private Health Insurance (CodeSystem - Birth and Death Financial Class#privateinsurance "PRIVATE HEALTH INSURANCE")
beneficiary: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
18. http://www.example.org/fhir/Observation/observation-mother-delivery-weight-jada-ann-quinn (Observation/observation-mother-delivery-weight-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-mother-delivery-weight-jada-ann-quinn"
Profile: Observation - Mother Delivery Weight
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Mother's body weight --at delivery (LOINC#69461-2)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
effective: 2019-02-12
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 175 [lb_av] (Details: UCUM code [lb_av] = '[lb_av]')
19. http://www.example.org/fhir/Observation/observation-mother-height-jada-ann-quinn (Observation/observation-mother-height-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-mother-height-jada-ann-quinn"
Profile: Observation - Mother Height
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Body height (LOINC#8302-2)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
effective: 2019-02-10
performer: See above (Patient/patient-mother-jada-ann-quinn)
value: 67 in (Details: UCUM code [in_i] = '[in_i]')
20. http://www.example.org/fhir/Observation/observation-mother-prepregnancy-weight-jada-ann-quinn (Observation/observation-mother-prepregnancy-weight-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-mother-prepregnancy-weight-jada-ann-quinn"
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Body weight --pre current pregnancy (LOINC#56077-1)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 145 [lb_av] (Details: UCUM code [lb_av] = '[lb_av]')
21. http://www.example.org/fhir/Observation/observation-mother-received-wic-food-jada-ann-quinn (Observation/observation-mother-received-wic-food-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-mother-received-wic-food-jada-ann-quinn"
status: FINAL
code: Mother WIC food recipient (LOINC#87303-4)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
focus: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: Yes (v2 Y/N Indicator#Y)
22. http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-1-jada-ann-quinn (Observation/observation-cig-smoking-pregnancy-1-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-cig-smoking-pregnancy-1-jada-ann-quinn"
Profile: Observation - Cigarette Smoking Before and During Pregnancy
status: FINAL
code: In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day [PhenX] (LOINC#64794-1)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
focus: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Patient/patient-mother-jada-ann-quinn)
value: 20
23. http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-2-jada-ann-quinn (Observation/observation-cig-smoking-pregnancy-2-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-cig-smoking-pregnancy-2-jada-ann-quinn"
Profile: Observation - Cigarette Smoking Before and During Pregnancy
status: FINAL
code: Cigarettes smoked per day by Mother--1st trimester (LOINC#87298-6)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
focus: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Patient/patient-mother-jada-ann-quinn)
value: 3
24. http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-3-jada-ann-quinn (Observation/observation-cig-smoking-pregnancy-3-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-cig-smoking-pregnancy-3-jada-ann-quinn"
Profile: Observation - Cigarette Smoking Before and During Pregnancy
status: FINAL
code: Cigarettes smoked per day by Mother--2nd trimester (LOINC#87299-4)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
focus: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Patient/patient-mother-jada-ann-quinn)
value: 1
25. http://www.example.org/fhir/Observation/observation-cig-smoking-pregnancy-4-jada-ann-quinn (Observation/observation-cig-smoking-pregnancy-4-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-cig-smoking-pregnancy-4-jada-ann-quinn"
Profile: Observation - Cigarette Smoking Before and During Pregnancy
status: FINAL
code: In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day [PhenX] (LOINC#64795-8)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
focus: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Patient/patient-mother-jada-ann-quinn)
value: 0
26. http://www.example.org/fhir/Condition/condition-prepregnancy-diabetes-jada-ann-quinn (Condition/condition-prepregnancy-diabetes-jada-ann-quinn)
Generated Narrative: Condition
Resource Condition "condition-prepregnancy-diabetes-jada-ann-quinn"
Profile: Condition - Prepregnancy Diabetes
clinicalStatus: Active (Condition Clinical Status Codes#active)
category: Problem List Item (Condition Category Codes#problem-list-item), Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth] (LOINC#73775-9)
code: Diabetes mellitus (disorder) (SNOMED CT#73211009)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
onset: 2015-02-12
27. http://www.example.org/fhir/Condition/condition-gestational-hypertension-jada-ann-quinn (Condition/condition-gestational-hypertension-jada-ann-quinn)
Generated Narrative: Condition
Resource Condition "condition-gestational-hypertension-jada-ann-quinn"
Profile: Condition - Gestational Hypertension
clinicalStatus: Active (Condition Clinical Status Codes#active)
category: Problem List Item (Condition Category Codes#problem-list-item), Mothers Risk factors in this pregnancy [US Standard Certificate of Live Birth] (LOINC#73775-9)
code: Pregnancy-induced hypertension (disorder) (SNOMED CT#48194001)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
28. http://www.example.org/fhir/Observation/observation-number-previous-cesareans-jada-ann-quinn (Observation/observation-number-previous-cesareans-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-number-previous-cesareans-jada-ann-quinn"
status: FINAL
code: Previous cesarean deliveries # (LOINC#68497-7)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 1
29. http://www.example.org/fhir/Condition/condition-infection-present-during-pregnancy-jada-ann-quinn (Condition/condition-infection-present-during-pregnancy-jada-ann-quinn)
Generated Narrative: Condition
Resource Condition "condition-infection-present-during-pregnancy-jada-ann-quinn"
clinicalStatus: Active (Condition Clinical Status Codes#active)
category: Problem List Item (Condition Category Codes#problem-list-item), Infections present AndOr treated during this pregnancy for live birth [US Standard Certificate of Live Birth] (LOINC#72519-2)
code: Chlamydial infection (disorder) (SNOMED CT#105629000)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
30. http://www.example.org/fhir/Procedure/procedure-obstetric-procedure-jada-ann-quinn (Procedure/procedure-obstetric-procedure-jada-ann-quinn)
Generated Narrative: Procedure
Resource Procedure "procedure-obstetric-procedure-jada-ann-quinn"
Profile: Procedure - Obstetric
status: COMPLETED
code: External cephalic version: Failed (SNOMED CT#240278000 "External cephalic version (procedure)")
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
outcome: External cephalic version: Unsuccessful (SNOMED CT#385671000 "Unsuccessful")
31. http://www.example.org/fhir/Condition/condition-chorioamnionitis-jada-ann-quinn (Condition/condition-chorioamnionitis-jada-ann-quinn)
Generated Narrative: Condition
Resource Condition "condition-chorioamnionitis-jada-ann-quinn"
Profile: Condition - Chorioamnionitis
clinicalStatus: Active (Condition Clinical Status Codes#active)
category: Problem List Item (Condition Category Codes#problem-list-item), Characteristics of labor and delivery [US Standard Certificate of Live Birth] (LOINC#73813-8)
code: Chorioamnionitis (disorder) (SNOMED CT#11612004)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
32. http://www.example.org/fhir/Procedure/procedure-induction-of-labor-jada-ann-quinn (Procedure/procedure-induction-of-labor-jada-ann-quinn)
Generated Narrative: Procedure
Resource Procedure "procedure-induction-of-labor-jada-ann-quinn"
Profile: Procedure - Induction of Labor
status: COMPLETED
code: Induction of labor (procedure) (SNOMED CT#236958009)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
33. http://www.example.org/fhir/Observation/observation-fetal-presentation-babyg-quinn (Observation/observation-fetal-presentation-babyg-quinn)
Generated Narrative: Observation
Resource Observation "observation-fetal-presentation-babyg-quinn"
status: FINAL
code: Fetal presentation--at birth [US Standard Certificate of Live Birth] (LOINC#73761-9)
subject: See above (Patient/patient-child-babyg-quinn: Patient - Child (Baby G Quinn))
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: Breech presentation (finding) (SNOMED CT#6096002)
34. http://www.example.org/fhir/Procedure/procedure-final-route-method-delivery-babyg-quinn (Procedure/procedure-final-route-method-delivery-babyg-quinn)
Generated Narrative: Procedure
Resource Procedure "procedure-final-route-method-delivery-babyg-quinn"
status: COMPLETED
code: Cesarean section (SNOMED CT#11466000)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
35. http://www.example.org/fhir/Condition/condition-ruptured-uterus-jada-ann-quinn (Condition/condition-ruptured-uterus-jada-ann-quinn)
Generated Narrative: Condition
Resource Condition "condition-ruptured-uterus-jada-ann-quinn"
Profile: Condition - Ruptured Uterus
clinicalStatus: Active (Condition Clinical Status Codes#active)
category: Problem List Item (Condition Category Codes#problem-list-item), Maternal morbidity [US Standard Certificate of Live Birth] (LOINC#73781-7)
code: Rupture of uterus (disorder) (SNOMED CT#34430009)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
36. http://www.example.org/fhir/Observation/observation-birth-weight-babyg-quinn (Observation/observation-birth-weight-babyg-quinn)
Generated Narrative: Observation
Resource Observation "observation-birth-weight-babyg-quinn"
Profile: Observation - Birth Weight
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Birth weight Measured (LOINC#8339-4)
subject: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 2500 g (Details: UCUM code g = 'g')
37. http://www.example.org/fhir/Observation/observation-gestational-age-at-delivery-babyg-quinn (Observation/observation-gestational-age-at-delivery-babyg-quinn)
Generated Narrative: Observation
Resource Observation "observation-gestational-age-at-delivery-babyg-quinn"
status: FINAL
code: Gestational age Estimated (LOINC#11884-4)
subject: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 36 wk (Details: UCUM code wk = 'wk')
38. http://www.example.org/fhir/Observation/observation-apgar-score-babyg-quinn-1-min (Observation/observation-apgar-score-babyg-quinn-1-min)
Generated Narrative: Observation
Resource Observation "observation-apgar-score-babyg-quinn-1-min"
Profile: Observation - APGAR Score
status: FINAL
category: Survey (Observation Category Codes#survey)
code: 1 minute Apgar Score (LOINC#9272-6)
subject: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 5
39. http://www.example.org/fhir/Observation/observation-apgar-score-babyg-quinn-5-min (Observation/observation-apgar-score-babyg-quinn-5-min)
Generated Narrative: Observation
Resource Observation "observation-apgar-score-babyg-quinn-5-min"
Profile: Observation - APGAR Score
status: FINAL
category: Survey (Observation Category Codes#survey)
code: 5 minute Apgar Score (LOINC#9274-2)
subject: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 7
40. http://www.example.org/fhir/Observation/observation-number-live-births-this-delivery-jada-ann-quinn (Observation/observation-number-live-births-this-delivery-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-number-live-births-this-delivery-jada-ann-quinn"
status: FINAL
code: Number of infants in this delivery delivered alive (LOINC#73773-4)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
focus: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: 2
41. http://www.example.org/fhir/Condition/condition-congenital-anomaly-of-newborn-babyg-quinn (Condition/condition-congenital-anomaly-of-newborn-babyg-quinn)
Generated Narrative: Condition
Resource Condition "condition-congenital-anomaly-of-newborn-babyg-quinn"
clinicalStatus: Active (Condition Clinical Status Codes#active)
category: Problem List Item (Condition Category Codes#problem-list-item), Congenital anomalies of the newborn [US Standard Certificate of Live Birth] (LOINC#73780-9)
code: Cyanotic congenital heart disease (disorder) (SNOMED CT#12770006)
subject: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
42. http://www.example.org/fhir/Condition/condition-congenital-anomaly-of-newborn-babyg-quinn-2 (Condition/condition-congenital-anomaly-of-newborn-babyg-quinn-2)
Generated Narrative: Condition
Resource Condition "condition-congenital-anomaly-of-newborn-babyg-quinn-2"
clinicalStatus: Active (Condition Clinical Status Codes#active)
category: Problem List Item (Condition Category Codes#problem-list-item), Congenital anomalies of the newborn [US Standard Certificate of Live Birth] (LOINC#73780-9)
code: Anomaly of chromosome pair 21 (disorder) (SNOMED CT#70156005)
subject: See above (Patient/patient-child-babyg-quinn: Patient - Child (Baby G Quinn))
evidence
43. http://www.example.org/fhir/Observation/observation-infant-living-babyg-quinn (Observation/observation-infant-living-babyg-quinn)
Generated Narrative: Observation
Resource Observation "observation-infant-living-babyg-quinn"
Profile: Observation - Infant Living
status: FINAL
code: Infant living at time of report [US Standard Certificate of Live Birth] (LOINC#73757-7)
subject: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: true
44. http://www.example.org/fhir/Observation/observation-infant-breastfed-at-discharge-babyg-quinn (Observation/observation-infant-breastfed-at-discharge-babyg-quinn)
Generated Narrative: Observation
Resource Observation "observation-infant-breastfed-at-discharge-babyg-quinn"
status: FINAL
code: Infant is being breastfed at discharge [US Standard Certificate of Live Birth] (LOINC#73756-9)
subject: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: true
45. http://www.example.org/fhir/Observation/observation-mother-married-during-pregnancy-jada-ann-quinn (Observation/observation-mother-married-during-pregnancy-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-mother-married-during-pregnancy-jada-ann-quinn"
status: FINAL
code: Mother was married at any time during pregnancy (LOINC#87301-8)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
focus: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
value: Yes (v2 Y/N Indicator#Y)
46. http://www.example.org/fhir/Observation/observation-parent-education-level-jada-ann-quinn (Observation/observation-parent-education-level-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-parent-education-level-jada-ann-quinn"
status: FINAL
code: Highest level of education Mother (LOINC#57712-2)
subject: See above (Patient/patient-child-babyg-quinn)
focus: See above (Patient/patient-mother-jada-ann-quinn)
effective: 2019-12-02
performer: See above (Patient/patient-mother-jada-ann-quinn)
value: Doctoral or post graduate education (Education Level#POSTG)
47. http://www.example.org/fhir/Observation/observation-usual-work-jada-ann-quinn (Observation/observation-usual-work-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-usual-work-jada-ann-quinn"
Profile: Observation - Usual Work
Extension - Vital Records Role: mother (RoleCode#MTH)
status: FINAL
code: History of Usual occupation (LOINC#21843-8)
subject: See above (Patient/patient-child-babyg-quinn)
focus: : Jada Ann Quinn - Mother
value: Carpenter ()
Components
Code Value[x] History of Usual industry (LOINC#21844-6) Construction ()
48. http://www.example.org/fhir/Observation/observation-input-race-and-ethnicity-jada-ann-quinn (Observation/observation-input-race-and-ethnicity-jada-ann-quinn)
Generated Narrative: Observation
Resource Observation "observation-input-race-and-ethnicity-jada-ann-quinn"
Profile: Observation - Input Race and Ethnicity Vital Records
status: FINAL
code: Race and Ethnicity Data submitted by Jurisdictions to NCHS (CodeSystem - Local Observation Codes Vital Records#inputraceandethnicityMother)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
component
code: White (Local Component Codes#White)
value: true
component
code: Black Or African American (Local Component Codes#BlackOrAfricanAmerican)
value: false
component
code: American Indian Or Alaska Native (Local Component Codes#AmericanIndianOrAlaskanNative)
value: true
component
code: Asian Indian (Local Component Codes#AsianIndian)
value: false
component
code: Chinese (Local Component Codes#Chinese)
value: false
component
code: Filipino (Local Component Codes#Filipino)
value: false
component
code: Japanese (Local Component Codes#Japanese)
value: false
component
code: Korean (Local Component Codes#Korean)
value: false
component
code: Vietnamese (Local Component Codes#Vietnamese)
value: false
component
code: Other Asian (Local Component Codes#OtherAsian)
value: true
component
code: Native Hawaiian (Local Component Codes#NativeHawaiian)
value: false
component
code: Guamanian Or Chamorro (Local Component Codes#GuamanianOrChamorro)
value: false
component
code: Samoan (Local Component Codes#Samoan)
value: false
component
code: Other Pacific Islander (Local Component Codes#OtherPacificIslander)
value: false
component
code: Other Race (Local Component Codes#OtherRace)
value: false
component
code: Hispanic Mexican (Local Component Codes#HispanicMexican)
value: No (v2 Y/N Indicator#N)
component
code: Hispanic Cuban (Local Component Codes#HispanicCuban)
value: No (v2 Y/N Indicator#N)
component
code: Hispanic Puerto Rican (Local Component Codes#HispanicPuertoRican)
value: No (v2 Y/N Indicator#N)
component
code: Hispanic Other (Local Component Codes#HispanicOther)
value: No (v2 Y/N Indicator#N)
49. http://www.example.org/fhir/Observation/observation-ssn-requested-for-child-babyg-quinn (Observation/observation-ssn-requested-for-child-babyg-quinn)
Generated Narrative: Observation
Resource Observation "observation-ssn-requested-for-child-babyg-quinn"
Profile: Observation - Social Security Number Requested For Child
status: FINAL
code: Social Security Number was requested (LOINC#87295-2)
subject: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
focus: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
effective: 2019-12-02
performer: See above (Patient/patient-mother-jada-ann-quinn)
value: true
50. http://www.example.org/fhir/RelatedPerson/relatedperson-father-natural-james-brandon-quinn (RelatedPerson/relatedperson-father-natural-james-brandon-quinn)
Generated Narrative: RelatedPerson
Resource RelatedPerson "relatedperson-father-natural-james-brandon-quinn"
US Core Race Extension
url
ombCategory
value: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = '2106-3', stated as 'White')
url
text
value: White
US Core Ethnicity Extension
url
ombCategory
value: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = '2186-5', stated as 'Not Hispanic or Latino')
url
text
value: Not Hispanic or Latino
Extension - RelatedPerson Birth Place Vital Records: NY
identifier: Social Security number: #132225987
active: true
patient: See above (Patient/patient-child-babyg-quinn)
relationship: Natural Father (RoleCode#NFTH "natural father")
name: James Brandon Quinn (OFFICIAL)
gender: MALE
birthDate: 1972-11-24
51. http://www.example.org/fhir/Observation/observation-paternity-acknowledgement-signed-james-quinn (Observation/observation-paternity-acknowledgement-signed-james-quinn)
Generated Narrative: Observation
Resource Observation "observation-paternity-acknowledgement-signed-james-quinn"
status: FINAL
code: Paternity acknowledgment form signed Father (LOINC#87302-6)
subject: See above (Patient/patient-child-babyg-quinn: Patient - Child (Baby G Quinn))
effective: 2019-12-02
performer: See above (Patient/patient-mother-jada-ann-quinn)
value: Yes (v2 Y/N Indicator#Y)
52. http://www.example.org/fhir/Observation/observation-parent-education-level-james-quinn (Observation/observation-parent-education-level-james-quinn)
Generated Narrative: Observation
Resource Observation "observation-parent-education-level-james-quinn"
status: FINAL
code: Highest level of education Father (LOINC#87300-0)
subject: See above (Patient/patient-child-babyg-quinn)
focus: See above (RelatedPerson/relatedperson-father-natural-james-brandon-quinn)
effective: 2019-12-02
performer: See above (Patient/patient-mother-jada-ann-quinn)
value: Doctoral or post graduate education (Education Level#POSTG)
53. http://www.example.org/fhir/Observation/observation-usual-work-james-brandon-quinn (Observation/observation-usual-work-james-brandon-quinn)
Generated Narrative: Observation
Resource Observation "observation-usual-work-james-brandon-quinn"
Profile: Observation - Usual Work
Extension - Vital Records Role: father (RoleCode#FTH)
status: FINAL
code: History of Usual occupation (LOINC#21843-8)
subject: See above (Patient/patient-child-babyg-quinn)
focus: : James Brandon Quinn - Father
value: Lawyer ()
Components
Code Value[x] History of Usual industry (LOINC#21844-6) Legal Services ()
54. http://www.example.org/fhir/Observation/observation-input-race-and-ethnicity-james-quinn (Observation/observation-input-race-and-ethnicity-james-quinn)
Generated Narrative: Observation
Resource Observation "observation-input-race-and-ethnicity-james-quinn"
Profile: Observation - Input Race and Ethnicity Vital Records
status: FINAL
code: Race and Ethnicity Data submitted by Jurisdictions to NCHS (CodeSystem - Local Observation Codes Vital Records#inputraceandethnicityFather)
subject: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
focus: See above (RelatedPerson/relatedperson-father-natural-james-brandon-quinn)
component
code: White (Local Component Codes#White)
value: true
component
code: Black Or African American (Local Component Codes#BlackOrAfricanAmerican)
value: false
component
code: American Indian Or Alaska Native (Local Component Codes#AmericanIndianOrAlaskanNative)
value: false
component
code: Asian Indian (Local Component Codes#AsianIndian)
value: false
component
code: Chinese (Local Component Codes#Chinese)
value: false
component
code: Filipino (Local Component Codes#Filipino)
value: false
component
code: Japanese (Local Component Codes#Japanese)
value: false
component
code: Korean (Local Component Codes#Korean)
value: false
component
code: Vietnamese (Local Component Codes#Vietnamese)
value: false
component
code: Other Asian (Local Component Codes#OtherAsian)
value: false
component
code: Native Hawaiian (Local Component Codes#NativeHawaiian)
value: false
component
code: Guamanian Or Chamorro (Local Component Codes#GuamanianOrChamorro)
value: false
component
code: Samoan (Local Component Codes#Samoan)
value: false
component
code: Other Pacific Islander (Local Component Codes#OtherPacificIslander)
value: false
component
code: Other Race (Local Component Codes#OtherRace)
value: false
component
code: First Other Asian Literal (Local Component Codes#FirstOtherAsianLiteral)
value: Malaysian
component
code: First American Indian Or Alaska Native Literal (Local Component Codes#FirstAmericanIndianOrAlaskanNativeLiteral)
value: Arikara
component
code: Hispanic Mexican (Local Component Codes#HispanicMexican)
value: No (v2 Y/N Indicator#N)
component
code: Hispanic Cuban (Local Component Codes#HispanicCuban)
value: No (v2 Y/N Indicator#N)
component
code: Hispanic Puerto Rican (Local Component Codes#HispanicPuertoRican)
value: No (v2 Y/N Indicator#N)
component
code: Hispanic Other (Local Component Codes#HispanicOther)
value: No (v2 Y/N Indicator#N)
55. http://www.example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-mothers-live-birth-jada-quinn (QuestionnaireResponse/QuestionnaireResponse-mothers-live-birth-jada-quinn)
LinkId Text Definition Answer QuestionnaireResponse-mothers-live-birth-jada-quinn QuestionnaireResponse mother-current-legal-name What is your current legal name? child-name What will be your baby's legal name (as it should appear on the birth certificate)? mother-address Where do you usually live - that is - where is your household/residence located? inside-city-limits Is this household inside city limits (inside the incorporated limits of the city, town, or location where you live)? mother-mail What is your mailing address mother-dob What is your date of birth? mother-birthplace In what State, U.S. territory, or foreign country were you born? Please specify one of the following: mother-education 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). mother-ethnicity Are you Spanish/Hispanic/Latina? If not Spanish/Hispanic/Latina, check the “No” box. If Spanish/Hispanic/Latina, check the appropriate box. mother-race What is your race? (Please check one or more races to indicate what you consider yourself to be). receive-wic Did you receive WIC (Women, Infants and Children) food for yourself during this pregnancy? infertility-treatment Did this pregnancy result from infertility treatment? (If yes, please answer 12a and 12b) mothers-height What is your height? mothers-prepregnancy-weight lbs mothers-smoking 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. mother-prior-name What name did you use prior to your first marriage? married-conception 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] father-current-legal-name What is the current legal name of your baby's father? father-dob What the father's date of birth? father-birthplace In what State, U.S. territory, or foreign country was the father born? Please specify one of the following: father-education 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). father-ethnicity Is the father Spanish/Hispanic/Latina? If not Spanish/Hispanic/Latina, check the “No” box. If Spanish/Hispanic/Latina, check the appropriate box. father-race What is the father's race? (Please check one or more races to indicate what he considers himself to be). parents-ssn 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. baby-ssn Do you want a Social Security Number issued for your baby? [If yes, please sign request below informant-name If other than the mother, what is the name of the person providing information for this worksheet? informant-relationship What is your relationship to the baby's mother?
Documentation for this format
56. http://www.example.org/fhir/Location/location-east-hospital (Location/location-east-hospital)
Resource Location "location-east-hospital"
Profile: US Core Location Profile
status: ACTIVE
name: East Hospital
type: Hospital (RoleCode#HOSP)
57. http://www.example.org/fhir/Location/location-south-hospital (Location/location-south-hospital)
Resource Location "location-south-hospital"
Profile: US Core Location Profile
identifier: id: #116441967701
status: ACTIVE
name: South Hospital
type: Hospital (RoleCode#HOSP)
address: 2100 North Ave Salt Lake City UT 84116 US
managingOrganization: See above (Organization/organization-south-hospital: Organization - South Hospital)
58. http://www.example.org/fhir/Location/location-north-hospital (Location/location-north-hospital)
Resource Location "location-north-hospital"
Profile: US Core Location Profile
status: ACTIVE
name: North Hospital
type: Hospital (RoleCode#HOSP)
59. http://www.example.org/fhir/Organization/organization-south-hospital (Organization/organization-south-hospital)
Generated Narrative: Organization
Resource Organization "organization-south-hospital"
identifier: id: #5555512
active: true
type: Hospital (RoleCode#HOSP)
name: South Hospital
Contacts
Telecom Address +1-555-555-1111, mail@southhospital.com 2100 North Ave Salt Lake City UT 84116 US
60. http://www.example.org/fhir/Observation/observation-labor-trial-attempted-babyg-quinn (Observation/observation-labor-trial-attempted-babyg-quinn)
Generated Narrative: Observation
Resource Observation "observation-labor-trial-attempted-babyg-quinn"
Profile: Observation - Labor Trial Attempted
status: FINAL
code: If cesarean, a trial of labor was attempted [US Standard Certificate of Live Birth] (LOINC#73760-1)
subject: See above (Patient/patient-mother-jada-ann-quinn: Patient - Mother (Jada Ann Quinn))
focus: See above (Patient/patient-child-babyg-quinn: BabyG Quinn)
effective: 2019-12-02
performer: See above (Practitioner/practitioner-vital-records-janet-seito)
value: true