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

: Composition - Provider Fetal Death Report - Fetus Not Named - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="composition-provider-fetal-death-not-named"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-fetal-death-report"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition composition-provider-fetal-death-not-named</b></p><a name="composition-provider-fetal-death-not-named"> </a><a name="hccomposition-provider-fetal-death-not-named"> </a><a name="composition-provider-fetal-death-not-named-en-US"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 69045-3}">U.S. standard report of fetal death - 2003 revision</span></p><p><b>encounter</b>: <a href="Encounter-encounter-maternity-carmen-teresa-lee.html">Encounter: extension = mother; identifier = http://hospital.smarthealthit.org#8937015; status = finished; class = inpatient encounter (ActCode#IMP); type = Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.; period = 2019-01-08 10:00:00-0700 --&gt; 2019-01-09 17:00:00-0700</a></p><p><b>date</b>: 2019-01-09</p><p><b>author</b>: <a href="Practitioner-practitioner-vital-records-jessica-leung.html">Practitioner Leung Jessica </a></p><p><b>title</b>: Provider fetal death report Document</p></div>
  </text>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="69045-3"/>
      <display value="U.S. standard report of fetal death - 2003 revision"/>
    </coding>
  </type>
  <subject>🔗 
    <reference value="Patient/patient-decedent-fetus-not-named"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/encounter-maternity-carmen-teresa-lee"/>
  </encounter>
  <date value="2019-01-09"/>
  <author>🔗 
    <reference value="Practitioner/practitioner-vital-records-jessica-leung"/>
  </author>
  <title value="Provider fetal death report Document"/>
  <section>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="57073-9"/>
      </coding>
    </code>
    <focus>🔗 
      <reference value="Patient/patient-mother-carmen-teresa-lee"/>
    </focus>
    <entry>🔗 
      <reference
                 value="Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-last-menstrual-period-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-number-births-now-living-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-number-births-now-dead-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-date-of-last-live-birth-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-mother-height-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-mother-received-wic-food-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55752-0"/>
      </coding>
    </code>
    <focus>🔗 
      <reference value="Patient/patient-mother-carmen-teresa-lee"/>
    </focus>
    <entry>🔗 
      <reference
                 value="Observation/observation-number-previous-cesareans-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-fetal-presentation-not-named"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Procedure/procedure-final-route-method-delivery-not-named"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Condition/condition-gestational-diabetes-carmen-teresa-lee"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="76400-1"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Observation/observation-birth-weight-not-named"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-gestational-age-at-delivery-not-named"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Condition/condition-fetal-death-cause-or-condition-not-named"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Condition/condition-fetal-death-other-significant-cause-not-named"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-fetal-death-time-point-not-named"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/observation-autopsy-performed-not-named"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-histological-placental-exam-performed-not-named"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-autopsy-histological-exam-results-used-not-named"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-number-deaths-this-delivery-carmen-teresa-lee"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="92014-0"/>
      </coding>
    </code>
    <focus>🔗 
      <reference value="Patient/patient-mother-carmen-teresa-lee"/>
    </focus>
    <entry>🔗 
      <reference
                 value="Observation/observation-parent-education-level-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-present-job-carmen-teresa-lee"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-input-race-and-ethnicity-carmen-teresa-lee"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="92013-2"/>
      </coding>
    </code>
    <focus>🔗 
      <reference
                 value="RelatedPerson/relatedperson-father-natural-tom-yan-lee"/>
    </focus>
    <entry>🔗 
      <reference value="Observation/observation-present-job-tom-yan-lee"/>
    </entry>
  </section>
  <section>
    <title value="Patient's QuestionnaireResponse Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="74465-6"/>
      </coding>
    </code>
    <focus>🔗 
      <reference value="Patient/patient-mother-carmen-teresa-lee"/>
    </focus>
    <entry>🔗 
      <reference
                 value="QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee"/>
    </entry>
  </section>
</Composition>