Questionnaire - Patient's Worksheet for the Report of Fetal Death

draft

This Questionnaire represents the [Patient's Worksheet for the Report of Fetal Death](https://www.cdc.gov/nchs/data/dvs/fetal-death-mother-worksheet-english-2019-508.pdf).

Questionnaire-Questionnaire-patients-fetal-death.json

Resource Details

Resource Type: Questionnaire
Resource ID: Questionnaire-patients-fetal-death
Identifier: urn:ietf:rfc:3986|urn:oid:2.16.840.1.113883.4.642.40.13.35.2

Example Metadata

Index metadata for this example. The full FHIR resource body is not loaded in the workbench.

{
  "resourceType": "Questionnaire",
  "id": "Questionnaire-patients-fetal-death",
  "filename": "Questionnaire-Questionnaire-patients-fetal-death.json",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.40.13.35.2"
  },
  "status": "draft",
  "title": "Questionnaire - Patient's Worksheet for the Report of Fetal Death",
  "description": "This Questionnaire represents the [Patient's Worksheet for the Report of Fetal Death](https://www.cdc.gov/nchs/data/dvs/fetal-death-mother-worksheet-english-2019-508.pdf)."
}