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Packagehl7.fhir.us.bfdr.r4
Resource TypeComposition
IdComposition-composition-provider-fetal-death-not-named.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Composition composition-provider-fetal-death-not-named

status: Final

type: U.S. standard report of fetal death - 2003 revision

encounter: 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 --> 2019-01-09 17:00:00-0700

date: 2019-01-09

author: Practitioner Leung Jessica

title: Provider fetal death report Document


Source1

{
  "resourceType": "Composition",
  "id": "composition-provider-fetal-death-not-named",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-fetal-death-report"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "69045-3",
        "display": "U.S. standard report of fetal death - 2003 revision"
      }
    ]
  },
  "subject": {
    "reference": "Patient/patient-decedent-fetus-not-named"
  },
  "encounter": {
    "reference": "Encounter/encounter-maternity-carmen-teresa-lee"
  },
  "date": "2019-01-09",
  "author": [
    {
      "reference": "Practitioner/practitioner-vital-records-jessica-leung"
    }
  ],
  "title": "Provider fetal death report Document",
  "section": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "57073-9"
          }
        ]
      },
      "focus": {
        "reference": "Patient/patient-mother-carmen-teresa-lee"
      },
      "entry": [
        {
          "reference": "Observation/observation-date-of-first-prenatal-care-visit-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-last-menstrual-period-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-number-births-now-living-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-number-births-now-dead-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-date-of-last-live-birth-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-mother-height-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-mother-prepregnancy-weight-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-mother-received-wic-food-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-cig-smoking-pregnancy-1-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-cig-smoking-pregnancy-2-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-cig-smoking-pregnancy-3-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-cig-smoking-pregnancy-4-carmen-teresa-lee"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "55752-0"
          }
        ]
      },
      "focus": {
        "reference": "Patient/patient-mother-carmen-teresa-lee"
      },
      "entry": [
        {
          "reference": "Observation/observation-number-previous-cesareans-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-fetal-presentation-not-named"
        },
        {
          "reference": "Procedure/procedure-final-route-method-delivery-not-named"
        },
        {
          "reference": "Condition/condition-gestational-diabetes-carmen-teresa-lee"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "76400-1"
          }
        ]
      },
      "entry": [
        {
          "reference": "Observation/observation-birth-weight-not-named"
        },
        {
          "reference": "Observation/observation-gestational-age-at-delivery-not-named"
        },
        {
          "reference": "Condition/condition-fetal-death-cause-or-condition-not-named"
        },
        {
          "reference": "Condition/condition-fetal-death-other-significant-cause-not-named"
        },
        {
          "reference": "Observation/observation-fetal-death-time-point-not-named"
        },
        {
          "reference": "Observation/observation-autopsy-performed-not-named"
        },
        {
          "reference": "Observation/observation-histological-placental-exam-performed-not-named"
        },
        {
          "reference": "Observation/observation-autopsy-histological-exam-results-used-not-named"
        },
        {
          "reference": "Observation/observation-number-deaths-this-delivery-carmen-teresa-lee"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "92014-0"
          }
        ]
      },
      "focus": {
        "reference": "Patient/patient-mother-carmen-teresa-lee"
      },
      "entry": [
        {
          "reference": "Observation/observation-parent-education-level-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-present-job-carmen-teresa-lee"
        },
        {
          "reference": "Observation/observation-input-race-and-ethnicity-carmen-teresa-lee"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "92013-2"
          }
        ]
      },
      "focus": {
        "reference": "RelatedPerson/relatedperson-father-natural-tom-yan-lee"
      },
      "entry": [
        {
          "reference": "Observation/observation-present-job-tom-yan-lee"
        }
      ]
    },
    {
      "title": "Patient's QuestionnaireResponse Section",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "74465-6"
          }
        ]
      },
      "focus": {
        "reference": "Patient/patient-mother-carmen-teresa-lee"
      },
      "entry": [
        {
          "reference": "QuestionnaireResponse/QuestionnaireResponse-patients-fetal-death-carmen-lee"
        }
      ]
    }
  ]
}