Birth And Fetal Death (BFDR) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-bfdr/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-jurisdiction-fetal-death-report | Version: 2.0.0 | |||
Active as of 2024-09-16 | Computable Name: CompositionJurisdictionFetalDeathReport | |||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.9 |
This Composition profile contains information of a fetal death and the creation of a jurisdictional file to be recorded and communicated to the national statistics agency.
The data requirements for jurisdictional reporting of fetal deaths are based on the Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death.
For information on IJE and Forms Mappings, see the CompositionProviderFetalDeathReport page.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Composition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | Composition | |||
status | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. | |
type | 1..1 | CodeableConcept | Jurisdiction fetal death report Document Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92010-8 | |
subject | 1..1 | Reference(Patient - Decedent Fetus) | The subject of the composition is the decedent fetus | |
encounter | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter. | |
date | 1..1 | dateTime | Date report completed | |
author | 1..1 | Reference(US Core Organization Profile) | The author is the jurisdictional Vital Records Office. | |
Slices for section | 0..* | BackboneElement | The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. Slice: Unordered, Open by pattern:code | |
section:motherPrenatal | 0..1 | BackboneElement | motherPrenatal Section on the Jurisdiction Fetal Death Report | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57073-9 | |
focus | 1..1 | Reference(Patient - Mother Vital Records) | The focus of this section is the mother | |
Slices for entry | 0..* | Reference(Resource) | Entries that are contained in the motherPrenatal Section Slice: Unordered, Open by profile:$this.resolve() | |
entry:firstPrenatalCareVisit | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit | |
entry:dateLastNormalMenses | 0..1 | Reference(Observation - Last Menstrual Period) | Date last normal menses began | |
entry:numberNowLiving | 0..1 | Reference(Observation - Number of Births Now Living) | Number of previous live births now living | |
entry:numberNowDead | 0..1 | Reference(Observation - Number of Births Now Dead) | Number of previous live births now dead | |
entry:dateLastLiveBirth | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth | |
entry:mothersHeight | 0..1 | Reference(Observation - Mother Height) | Mother's height | |
entry:mothersPrepregnancyWeight | 0..1 | Reference(Observation - Mother Prepregnancy Weight) | Mother's prepregnancy weight | |
entry:motherReceivedWICFood | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use | |
entry:cigaretteSmokingBeforeDuringPregnancy | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy | |
section:medicalHealthInformation | 0..1 | BackboneElement | medicalHealthInformation Section on the Jurisdiction Fetal Death Report | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55752-0 | |
focus | 1..1 | Reference(Patient - Mother Vital Records) | The focus of this section is the mother | |
Slices for entry | 0..* | Reference(Resource) | Entries that are contained in the medicalHealthInformation Section Slice: Unordered, Open by profile:$this.resolve() | |
entry:pregnancyRiskFactors | 0..* | Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination | Procedure - Assisted Reproductive Technology | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors) | Risk factors in this pregnancy | |
entry:numberPreviousCesareans | 0..1 | Reference(Observation - Number of Previous Cesareans) | If mother had a previous cesarean delivery, how many | |
entry:fetalPresentation | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth | |
entry:finalRouteMethodDelivery | 0..1 | Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery) | Final route and method of delivery | |
entry:maternalMorbidity | 0..* | Reference(Condition - Ruptured Uterus | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) | Maternal morbidity (complications associated with labor and delivery) | |
section:fetus | 0..1 | BackboneElement | fetus Section on the Jurisdiction Fetal Death Report | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 76400-1 | |
Slices for entry | 0..* | Reference(Resource) | Entries that are contained in the fetus Section Slice: Unordered, Open by profile:$this.resolve() | |
entry:deliveryWeight | 0..1 | Reference(Observation - Birth Weight) | Delivery weight | |
entry:gestationalAgeAtDelivery | 0..1 | Reference(Observation - Gestational Age at Delivery) | Obstetric estimate of gestation | |
entry:fetalRemainsDispositionMethod | 0..1 | Reference(Observation - Fetal Remains Disposition Method) | Method of decedent fetus disposition | |
entry:causeOfFetalDeath | 0..1 | Reference(Condition - Fetal Death Initiating Cause or Condition) | Initiating cause or condition of fetal death | |
entry:otherCauseOfDeath | 0..* | Reference(Condition - Fetal Death Other Cause or Condition) | Another significant cause or condition for the death of the fetus. | |
entry:estimatedTimeFetalDeath | 0..1 | Reference(Observation - Fetal Death Time Point) | The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery. | |
entry:autopsyPerformed | 0..1 | Reference(Observation - Autopsy Performed Indicator) | An indication if an autopsy has been performed on the subject. | |
entry:histologicalExamPerformed | 0..1 | Reference(Observation - Histological Placental Exam Performed) | Whether or not a histological placental examination was performed. | |
entry:autopsyOrHistologicalExamUsed | 0..1 | Reference(Observation - Autopsy or Histological Exam Results Used) | Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death. | |
entry:numberFetalDeathsThisDelivery | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery) | Number of fetal deaths this delivery | |
section:motherInformation | 0..1 | BackboneElement | motherInformation Section on the Jurisdiction Fetal Death Report | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92014-0 | |
focus | 1..1 | Reference(Patient - Mother Vital Records) | The focus of this section is the mother | |
Slices for entry | 0..* | Reference(Resource) | Entries that are contained in the motherInformation Section Slice: Unordered, Open by profile:$this.resolve() | |
entry:mothersEducation | 0..1 | Reference(Observation - Education Level Vital Records) | Mother's Education | |
entry:mothersPresentJob | 0..1 | Reference(Observation - Present Job) | Mother's Present Job | |
entry:mothersRaceEthnicity | 0..1 | Reference(Observation - Input Race and Ethnicity Vital Records) | Mother's Input Race and Ethnicity | |
section:fatherInformation | 0..1 | BackboneElement | Father Administrative Section on the Fetal Death Report | |
code | 1..1 | CodeableConcept | Father's administrative information Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92013-2 | |
focus | 1..1 | Reference(RelatedPerson - Father Natural Vital Records) | The focus of this section is the father | |
Slices for entry | 0..* | Reference(Resource) | Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve() | |
entry:fathersPresentJob | 0..1 | Reference(Observation - Present Job) | Father's Present Job | |
section:emergingIssues | 0..1 | BackboneElement | emergingIssues Section on the Jurisdiction Fetal Death Report | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: emergingissues | |
Slices for entry | 0..* | Reference(Resource) | Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve() | |
entry:EmergingIssues | 0..1 | Reference(Observation - Emerging Issues Vital Records) | Emerging Issues | |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
type | Σ | 1..1 | CodeableConcept | Jurisdiction fetal death report Document Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92010-8 | |
subject | Σ | 1..1 | Reference(Patient - Decedent Fetus) | The subject of the composition is the decedent fetus |
encounter | Σ | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter. |
date | Σ | 1..1 | dateTime | Date report completed |
author | Σ | 1..1 | Reference(US Core Organization Profile) | The author is the jurisdictional Vital Records Office. |
title | Σ | 1..1 | string | Human Readable name/title |
Slices for section | C | 0..* | BackboneElement | The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
section:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
section:motherPrenatal | C | 0..1 | BackboneElement | motherPrenatal Section on the Jurisdiction Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57073-9 | |
focus | 1..1 | Reference(Patient - Mother Vital Records) | The focus of this section is the mother | |
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the motherPrenatal Section Slice: Unordered, Open by profile:$this.resolve() |
entry:firstPrenatalCareVisit | C | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit |
entry:dateLastNormalMenses | C | 0..1 | Reference(Observation - Last Menstrual Period) | Date last normal menses began |
entry:numberNowLiving | C | 0..1 | Reference(Observation - Number of Births Now Living) | Number of previous live births now living |
entry:numberNowDead | C | 0..1 | Reference(Observation - Number of Births Now Dead) | Number of previous live births now dead |
entry:dateLastLiveBirth | C | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth |
entry:mothersHeight | C | 0..1 | Reference(Observation - Mother Height) | Mother's height |
entry:mothersPrepregnancyWeight | C | 0..1 | Reference(Observation - Mother Prepregnancy Weight) | Mother's prepregnancy weight |
entry:motherReceivedWICFood | C | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use |
entry:cigaretteSmokingBeforeDuringPregnancy | C | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy |
section:medicalHealthInformation | C | 0..1 | BackboneElement | medicalHealthInformation Section on the Jurisdiction Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55752-0 | |
focus | 1..1 | Reference(Patient - Mother Vital Records) | The focus of this section is the mother | |
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the medicalHealthInformation Section Slice: Unordered, Open by profile:$this.resolve() |
entry:pregnancyRiskFactors | C | 0..* | Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination | Procedure - Assisted Reproductive Technology | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors) | Risk factors in this pregnancy |
entry:numberPreviousCesareans | C | 0..1 | Reference(Observation - Number of Previous Cesareans) | If mother had a previous cesarean delivery, how many |
entry:fetalPresentation | C | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth |
entry:finalRouteMethodDelivery | C | 0..1 | Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery) | Final route and method of delivery |
entry:maternalMorbidity | C | 0..* | Reference(Condition - Ruptured Uterus | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) | Maternal morbidity (complications associated with labor and delivery) |
section:fetus | C | 0..1 | BackboneElement | fetus Section on the Jurisdiction Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 76400-1 | |
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the fetus Section Slice: Unordered, Open by profile:$this.resolve() |
entry:deliveryWeight | C | 0..1 | Reference(Observation - Birth Weight) | Delivery weight |
entry:gestationalAgeAtDelivery | C | 0..1 | Reference(Observation - Gestational Age at Delivery) | Obstetric estimate of gestation |
entry:fetalRemainsDispositionMethod | C | 0..1 | Reference(Observation - Fetal Remains Disposition Method) | Method of decedent fetus disposition |
entry:causeOfFetalDeath | C | 0..1 | Reference(Condition - Fetal Death Initiating Cause or Condition) | Initiating cause or condition of fetal death |
entry:otherCauseOfDeath | C | 0..* | Reference(Condition - Fetal Death Other Cause or Condition) | Another significant cause or condition for the death of the fetus. |
entry:estimatedTimeFetalDeath | C | 0..1 | Reference(Observation - Fetal Death Time Point) | The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery. |
entry:autopsyPerformed | C | 0..1 | Reference(Observation - Autopsy Performed Indicator) | An indication if an autopsy has been performed on the subject. |
entry:histologicalExamPerformed | C | 0..1 | Reference(Observation - Histological Placental Exam Performed) | Whether or not a histological placental examination was performed. |
entry:autopsyOrHistologicalExamUsed | C | 0..1 | Reference(Observation - Autopsy or Histological Exam Results Used) | Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death. |
entry:numberFetalDeathsThisDelivery | C | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery) | Number of fetal deaths this delivery |
section:motherInformation | C | 0..1 | BackboneElement | motherInformation Section on the Jurisdiction Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92014-0 | |
focus | 1..1 | Reference(Patient - Mother Vital Records) | The focus of this section is the mother | |
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the motherInformation Section Slice: Unordered, Open by profile:$this.resolve() |
entry:mothersEducation | C | 0..1 | Reference(Observation - Education Level Vital Records) | Mother's Education |
entry:mothersPresentJob | C | 0..1 | Reference(Observation - Present Job) | Mother's Present Job |
entry:mothersRaceEthnicity | C | 0..1 | Reference(Observation - Input Race and Ethnicity Vital Records) | Mother's Input Race and Ethnicity |
section:fatherInformation | C | 0..1 | BackboneElement | Father Administrative Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 1..1 | CodeableConcept | Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92013-2 | |
focus | 1..1 | Reference(RelatedPerson - Father Natural Vital Records) | The focus of this section is the father | |
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve() |
entry:fathersPresentJob | C | 0..1 | Reference(Observation - Present Job) | Father's Present Job |
section:emergingIssues | C | 0..1 | BackboneElement | emergingIssues Section on the Jurisdiction Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: emergingissues | |
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve() |
entry:EmergingIssues | C | 0..1 | Reference(Observation - Emerging Issues Vital Records) | Emerging Issues |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | |
Composition.type | preferred | Pattern: LOINC Code 92010-8http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard | |
Composition.section:motherPrenatal.code | example | Pattern: LOINC Code 57073-9http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:medicalHealthInformation.code | example | Pattern: LOINC Code 55752-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:fetus.code | example | Pattern: LOINC Code 76400-1http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:motherInformation.code | example | Pattern: LOINC Code 92014-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:fatherInformation.code | example | Pattern: LOINC Code 92013-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:emergingIssues.code | example | Pattern: emergingissueshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
status | ?!Σ | 1..1 | code | In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
type | Σ | 1..1 | CodeableConcept | Jurisdiction fetal death report Document Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92010-8 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
subject | Σ | 1..1 | Reference(Patient - Decedent Fetus) | The subject of the composition is the decedent fetus | ||||
encounter | Σ | 0..1 | Reference(Encounter - Maternity) | The Encounter for the Composition is the mother's maternity encounter. | ||||
date | Σ | 1..1 | dateTime | Date report completed | ||||
author | Σ | 1..1 | Reference(US Core Organization Profile) | The author is the jurisdictional Vital Records Office. | ||||
title | Σ | 1..1 | string | Human Readable name/title | ||||
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
time | 0..1 | dateTime | When the composition was attested | |||||
party | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
target[x] | 1..1 | Target of the relationship | ||||||
targetIdentifier | Identifier | |||||||
targetReference | Reference(Composition) | |||||||
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
period | Σ | 0..1 | Period | The period covered by the documentation | ||||
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
Slices for section | C | 0..* | BackboneElement | The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report. Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
section:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:motherPrenatal | C | 0..1 | BackboneElement | motherPrenatal Section on the Jurisdiction Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57073-9 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 1..1 | Reference(Patient - Mother Vital Records) | The focus of this section is the mother | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the motherPrenatal Section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:firstPrenatalCareVisit | C | 0..1 | Reference(Observation - Date of First Prenatal Care Visit) | First prenatal care visit | ||||
entry:dateLastNormalMenses | C | 0..1 | Reference(Observation - Last Menstrual Period) | Date last normal menses began | ||||
entry:numberNowLiving | C | 0..1 | Reference(Observation - Number of Births Now Living) | Number of previous live births now living | ||||
entry:numberNowDead | C | 0..1 | Reference(Observation - Number of Births Now Dead) | Number of previous live births now dead | ||||
entry:dateLastLiveBirth | C | 0..1 | Reference(Observation - Date of Last Live Birth) | Date of last live birth | ||||
entry:mothersHeight | C | 0..1 | Reference(Observation - Mother Height) | Mother's height | ||||
entry:mothersPrepregnancyWeight | C | 0..1 | Reference(Observation - Mother Prepregnancy Weight) | Mother's prepregnancy weight | ||||
entry:motherReceivedWICFood | C | 0..1 | Reference(Observation - Mother Recieved WIC Food) | Use | ||||
entry:cigaretteSmokingBeforeDuringPregnancy | C | 0..4 | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | Cigarettes smoked by the mother before and during the pregnancy | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:medicalHealthInformation | C | 0..1 | BackboneElement | medicalHealthInformation Section on the Jurisdiction Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55752-0 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 1..1 | Reference(Patient - Mother Vital Records) | The focus of this section is the mother | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the medicalHealthInformation Section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:pregnancyRiskFactors | C | 0..* | Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination | Procedure - Assisted Reproductive Technology | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors) | Risk factors in this pregnancy | ||||
entry:numberPreviousCesareans | C | 0..1 | Reference(Observation - Number of Previous Cesareans) | If mother had a previous cesarean delivery, how many | ||||
entry:fetalPresentation | C | 0..1 | Reference(Observation - Fetal Presentation at Birth/Delivery) | Fetal presentation at birth | ||||
entry:finalRouteMethodDelivery | C | 0..1 | Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery) | Final route and method of delivery | ||||
entry:maternalMorbidity | C | 0..* | Reference(Condition - Ruptured Uterus | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) | Maternal morbidity (complications associated with labor and delivery) | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:fetus | C | 0..1 | BackboneElement | fetus Section on the Jurisdiction Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 76400-1 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the fetus Section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:deliveryWeight | C | 0..1 | Reference(Observation - Birth Weight) | Delivery weight | ||||
entry:gestationalAgeAtDelivery | C | 0..1 | Reference(Observation - Gestational Age at Delivery) | Obstetric estimate of gestation | ||||
entry:fetalRemainsDispositionMethod | C | 0..1 | Reference(Observation - Fetal Remains Disposition Method) | Method of decedent fetus disposition | ||||
entry:causeOfFetalDeath | C | 0..1 | Reference(Condition - Fetal Death Initiating Cause or Condition) | Initiating cause or condition of fetal death | ||||
entry:otherCauseOfDeath | C | 0..* | Reference(Condition - Fetal Death Other Cause or Condition) | Another significant cause or condition for the death of the fetus. | ||||
entry:estimatedTimeFetalDeath | C | 0..1 | Reference(Observation - Fetal Death Time Point) | The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery. | ||||
entry:autopsyPerformed | C | 0..1 | Reference(Observation - Autopsy Performed Indicator) | An indication if an autopsy has been performed on the subject. | ||||
entry:histologicalExamPerformed | C | 0..1 | Reference(Observation - Histological Placental Exam Performed) | Whether or not a histological placental examination was performed. | ||||
entry:autopsyOrHistologicalExamUsed | C | 0..1 | Reference(Observation - Autopsy or Histological Exam Results Used) | Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death. | ||||
entry:numberFetalDeathsThisDelivery | C | 0..1 | Reference(Observation - Number of Fetal Deaths This Delivery) | Number of fetal deaths this delivery | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:motherInformation | C | 0..1 | BackboneElement | motherInformation Section on the Jurisdiction Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92014-0 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 1..1 | Reference(Patient - Mother Vital Records) | The focus of this section is the mother | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the motherInformation Section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:mothersEducation | C | 0..1 | Reference(Observation - Education Level Vital Records) | Mother's Education | ||||
entry:mothersPresentJob | C | 0..1 | Reference(Observation - Present Job) | Mother's Present Job | ||||
entry:mothersRaceEthnicity | C | 0..1 | Reference(Observation - Input Race and Ethnicity Vital Records) | Mother's Input Race and Ethnicity | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:fatherInformation | C | 0..1 | BackboneElement | Father Administrative Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 1..1 | CodeableConcept | Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92013-2 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 1..1 | Reference(RelatedPerson - Father Natural Vital Records) | The focus of this section is the father | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:fathersPresentJob | C | 0..1 | Reference(Observation - Present Job) | Father's Present Job | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:emergingIssues | C | 0..1 | BackboneElement | emergingIssues Section on the Jurisdiction Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: emergingissues | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | C | 0..* | Reference(Resource) | Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve() | ||||
entry:EmergingIssues | C | 0..1 | Reference(Observation - Emerging Issues Vital Records) | Emerging Issues | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | ||||
Composition.type | preferred | Pattern: LOINC Code 92010-8http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard | ||||
Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard | ||||
Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard | ||||
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | ||||
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard | ||||
Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:motherPrenatal.code | example | Pattern: LOINC Code 57073-9http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:motherPrenatal.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:motherPrenatal.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:motherPrenatal.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:medicalHealthInformation.code | example | Pattern: LOINC Code 55752-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:medicalHealthInformation.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:medicalHealthInformation.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:medicalHealthInformation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:fetus.code | example | Pattern: LOINC Code 76400-1http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:fetus.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:fetus.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:fetus.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:motherInformation.code | example | Pattern: LOINC Code 92014-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:motherInformation.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:motherInformation.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:motherInformation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:fatherInformation.code | example | Pattern: LOINC Code 92013-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:fatherInformation.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:fatherInformation.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:fatherInformation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:emergingIssues.code | example | Pattern: emergingissueshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:emergingIssues.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:emergingIssues.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:emergingIssues.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard |
This structure is derived from Composition
Summary
Mandatory: 1 element(10 nested mandatory elements)
Structures
This structure refers to these other structures: