Vital Records Birth and Fetal Death Reporting
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This page is part of the Vital Records Birth and Fetal Death Reporting (v1.1.0: STU 1) based on FHIR 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

: 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>
    <versionId value="18"/>
    <lastUpdated value="2023-08-29T06:23:18.080Z"/>
    <profile
             value="http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-fetal-death-report"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Composition</b><a name="composition-provider-fetal-death-not-named"> </a></p><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">Resource Composition &quot;composition-provider-fetal-death-not-named&quot; Version &quot;18&quot; Updated &quot;2023-08-29 06:23:18+0000&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Composition-provider-fetal-death-report.html">Composition - Provider Fetal Death Report</a></p></div><p><b>Extension - Fetal Death Report Number</b>: Fetal Death Report ID: 9876</p><p><b>Extension - Fetal Death Local File Number</b>: Fetal Death Report File Number: 11111-11111</p><p><b>Extension - Date Received by Registrar</b>: 2019-02-12</p><p><b>identifier</b>: id: z03eab8c-11e8-4d0c-ad2a-b385395e27da</p><p><b>status</b>: final</p><p><b>type</b>: U.S. standard report of fetal death - 2003 revision <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#69045-3)</span></p><p><b>encounter</b>: <a href="Encounter-encounter-maternity-carmen-teresa-lee.html">Encounter/encounter-maternity-carmen-teresa-lee: Encounter - Maternity (Carmen Teresa Lee)</a></p><p><b>date</b>: 2019-01-09</p><p><b>author</b>: <a href="Practitioner-practitioner-vital-records-jessica-leung.html">Practitioner/practitioner-vital-records-jessica-leung: Practitioner - Vital Records (Jessica Leung)</a> &quot; JESSICA&quot;</p><p><b>title</b>: Provider fetal death report Document</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-number">
    <valueIdentifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="FDR"/>
        </coding>
      </type>
      <value value="9876"/>
    </valueIdentifier>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-local-file-number">
    <valueIdentifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="FDRFN"/>
        </coding>
      </type>
      <value value="11111-11111"/>
    </valueIdentifier>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-date-received-by-registrar">
    <valueDateTime value="2019-02-12"/>
  </extension>
  <identifier>
    <value value="z03eab8c-11e8-4d0c-ad2a-b385395e27da"/>
  </identifier>
  <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"/>
    <display value="Patient - Decedent Fetus (Fetus Not Named)"/>
  </subject>
  <encounter>
    <reference value="Encounter/encounter-maternity-carmen-teresa-lee"/>
    <display value="Encounter - Maternity (Carmen Teresa Lee)"/>
  </encounter>
  <date value="2019-01-09"/>
  <author>
    <reference value="Practitioner/practitioner-vital-records-jessica-leung"/>
    <display value="Practitioner - Vital Records (Jessica Leung)"/>
  </author>
  <title value="Provider fetal death report Document"/>
  <section>
    <title value="Mother (prenatal) Section on the Fetal Death Report"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="57073-9"/>
        <display value="Prenatal records"/>
      </coding>
    </code>
    <focus>
      <reference value="Patient/patient-mother-carmen-teresa-lee"/>
      <display value="Patient - Mother (Carmen Teresa Lee)"/>
    </focus>
    <entry>
      <reference
                 value="Observation/observation-planned-to-deliver-at-home-not-named"/>
      <display
               value="Observation - Planned to Deliver at Home (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee"/>
      <display
               value="Observation - Date of First Prenatal Care Visit (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-last-menstrual-period-carmen-teresa-lee"/>
      <display
               value="Observation - Last Menstrual Period (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-number-births-now-living-carmen-teresa-lee"/>
      <display
               value="Observation - Number Births Now Living (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-number-births-now-dead-carmen-teresa-lee"/>
      <display
               value="Observation - Number Births Now Dead (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-date-of-last-live-birth-carmen-teresa-lee"/>
      <display
               value="Observation - Date of Last Live Birth (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-mother-height-carmen-teresa-lee"/>
      <display value="Observation - Mother Height (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee"/>
      <display
               value="Observation - Mother Prepregnancy Weight (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-mother-received-wic-food-carmen-teresa-lee"/>
      <display
               value="Observation - Mother Received WIC Food (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (3 months prior: Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (first 3 months: Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (last 3 months: Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee"/>
      <display
               value="Observation - Cigarette Smoking Before/During Pregnancy (second 3 months: Carmen Teresa Lee)"/>
    </entry>
  </section>
  <section>
    <title value="Medical and Health Information on the Fetal Death Report"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55752-0"/>
        <display value="Clinical information"/>
      </coding>
    </code>
    <focus>
      <reference value="Patient/patient-mother-carmen-teresa-lee"/>
      <display value="Patient - Mother (Carmen Teresa Lee)"/>
    </focus>
    <entry>
      <reference
                 value="Observation/observation-number-previous-cesareans-carmen-teresa-lee"/>
      <display
               value="Observation - Number Previous Cesareans (Carmen Teresa Lee)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-fetal-presentation-not-named"/>
      <display value="Observation - Fetal Presentation (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Procedure/procedure-final-route-method-delivery-not-named"/>
      <display
               value="Procedure - Final Route and Method of Delivery (Fetus Not Named)"/>
    </entry>
  </section>
  <section>
    <title
           value="Fetal delivery information section on the Fetal Death Report"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="76400-1"/>
        <display
                 value="Fetal delivery information Document [US Standard Report of Fetal Death]"/>
      </coding>
    </code>
    <entry>
      <reference value="Observation/observation-birth-weight-not-named"/>
      <display value="Observation - Birth Weight (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-gestational-age-at-delivery-not-named"/>
      <display
               value="Observation - Gestational Age at Delivery (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Condition/condition-fetal-death-cause-or-condition-not-named"/>
      <display
               value="Condition - Fetal Death Cause or Condition (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Condition/condition-fetal-death-other-significant-cause-not-named"/>
      <display
               value="Example of Condition-fetal-death-other-significant-cause profile (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-fetal-death-time-point-not-named"/>
      <display
               value="Example of Observation-estimated-fetal-death-time-point profile (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference value="Observation/observation-autopsy-performed-not-named"/>
      <display
               value="Example of Observation-autopsy-performed profile (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-histological-placental-exam-performed-not-named"/>
      <display
               value="Observation - Histological Placental Exam Performed (Fetus Not Named)"/>
    </entry>
    <entry>
      <reference
                 value="Observation/observation-autopsy-histological-exam-results-used-not-named"/>
      <display
               value="Observation - Autopsy or Histological Exam Results Used"/>
    </entry>
  </section>
  <section>
    <title value="Mother Administrative Section on the Fetal Death Report"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="92014-0"/>
        <display value="Mother's administrative information"/>
      </coding>
    </code>
    <focus>
      <reference value="Patient/patient-mother-carmen-teresa-lee"/>
      <display value="Patient - Mother (Carmen Teresa Lee)"/>
    </focus>
    <entry>
      <reference
                 value="Observation/observation-parent-education-level-carmen-teresa-lee"/>
      <display
               value="Observation - Parent Education Level (Carmen Teresa Lee)"/>
    </entry>
  </section>
  <section>
    <title value="Patient's QuestionnaireResponse Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="74465-6"/>
        <display value="Questionnaire response Document"/>
      </coding>
    </code>
    <focus>
      <reference value="Patient/patient-mother-carmen-teresa-lee"/>
      <display value="Patient - Mother (Carmen Teresa Lee)"/>
    </focus>
    <entry>
      <reference
                 value="QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee"/>
      <display
               value="QuestionnaireResponse - Patient's Worksheet for Fetal Death Report"/>
    </entry>
  </section>
</Composition>