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Source1

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