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

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Resource Profile: Composition - Jurisdiction Live Birth Report

This Composition profile contains information of a live birth and the issuance of a Birth Certificate to be recorded and communicated to the national statistics agency.

Usage:

• Use this Resource Profile: Bundle - Document Birth Report
• Examples for this Resource Profile: Composition/composition-jurisdiction-live-birth-babyg-quinn

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Jurisdiction Live Birth Report
status		1..1	code	In the case of a live birth sent in error, a status of 'entered-in-error' must be set.
type		1..1	CodeableConcept	Jurisdiction live birth 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: 92011-6
subject		1..1	Reference(Patient - Child Vital Records)	The subject of the composition is the newborn baby
encounter		0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Encounter Maternity Reference URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
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 Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:motherPrenatal		0..1	BackboneElement	motherPrenatal Section on the Jurisdiction Live Birth 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:numberPrenatalCareVisits		0..1	Reference(Observation - Number of Prenatal Visits)	Number of prenatal care visits
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:numberOtherOutcomes		0..1	Reference(Observation - Number of Other Pregnancy Outcomes)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome		0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment		0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery		0..1	Reference(Observation - Mother Delivery Weight (reported in pounds))	Mother's weight at delivery
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 Live Birth 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:infectionsDuringPregnancy		0..*	Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures		0..1	Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures)	Obstetric procedures
entry:characteristicsLaborDelivery		0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
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(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities)	Maternal morbidity - complications associated with labor and delivery
section:newbornInformation		0..1	BackboneElement	newbornInformation Section on the Jurisdiction Live Birth 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: 57075-4
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the newbornInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight		0..1	Reference(Observation - Birth Weight)	Birthweight
entry:gestationalAgeAtDelivery		0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:APGARScore		0..2	Reference(Observation - APGAR Score)	APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery		0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:abnormalConditionsNewborn		0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn		0..*	Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn)	Congenital anomolies of the newborn
entry:infantLiving		0..1	Reference(Observation - Infant Living)	Is infant living at time of report?
entry:infantBreastfedAtDischarge		0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
section:motherInformation		0..1	BackboneElement	motherInformation Section on the Jurisdiction Live Birth 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:marriedDuringPregnancy		0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild		0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
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	fatherInformation Section on the Jurisdiction Live Birth 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: 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:$this.resolve()
entry:paternityAcknowledgementSigned		0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation		0..1	Reference(Observation - Education Level Vital Records)	Father's education
entry:fathersPresentJob		0..1	Reference(Observation - Present Job)	Father's Present Job
entry:fathersRaceEthnicity		0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Father's Input Race and Ethnicity
section:emergingIssues		0..1	BackboneElement	emergingIssues Section on the Jurisdiction Live Birth Report
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
code		1..1	code	Symbol in syntax defined by the system Fixed Value: emergingissues
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$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	Jurisdiction Live Birth Report
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 live birth 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 live birth 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: 92011-6
subject	Σ	1..1	Reference(Patient - Child Vital Records)	The subject of the composition is the newborn baby
encounter	Σ	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Encounter Maternity Reference URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
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 Live Birth Certificate. 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 Live Birth 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:numberPrenatalCareVisits	C	0..1	Reference(Observation - Number of Prenatal Visits)	Number of prenatal care visits
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:numberOtherOutcomes	C	0..1	Reference(Observation - Number of Other Pregnancy Outcomes)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	C	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	C	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	C	0..1	Reference(Observation - Mother Delivery Weight (reported in pounds))	Mother's weight at delivery
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 Live Birth 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:infectionsDuringPregnancy	C	0..*	Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	C	0..1	Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures)	Obstetric procedures
entry:characteristicsLaborDelivery	C	0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
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(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities)	Maternal morbidity - complications associated with labor and delivery
section:newbornInformation	C	0..1	BackboneElement	newbornInformation Section on the Jurisdiction Live Birth 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: 57075-4
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the newbornInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	C	0..1	Reference(Observation - Birth Weight)	Birthweight
entry:gestationalAgeAtDelivery	C	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:APGARScore	C	0..2	Reference(Observation - APGAR Score)	APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery	C	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:abnormalConditionsNewborn	C	0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	C	0..*	Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn)	Congenital anomolies of the newborn
entry:infantLiving	C	0..1	Reference(Observation - Infant Living)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	C	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
section:motherInformation	C	0..1	BackboneElement	motherInformation Section on the Jurisdiction Live Birth 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:marriedDuringPregnancy	C	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	C	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
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	fatherInformation Section on the Jurisdiction Live Birth 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: 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:$this.resolve()
entry:paternityAcknowledgementSigned	C	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	C	0..1	Reference(Observation - Education Level Vital Records)	Father's education
entry:fathersPresentJob	C	0..1	Reference(Observation - Present Job)	Father's Present Job
entry:fathersRaceEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Father's Input Race and Ethnicity
section:emergingIssues	C	0..1	BackboneElement	emergingIssues Section on the Jurisdiction Live Birth Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
code		1..1	code	Symbol in syntax defined by the system Fixed Value: emergingissues
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve()
entry:EmergingIssues	C	0..1	Reference(Observation - Emerging Issues Vital Records)	Emerging Issues
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 92011-6 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.section:motherPrenatal.code	example	Pattern: LOINC Code 57073-9 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalHealthInformation.code	example	Pattern: LOINC Code 55752-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:newbornInformation.code	example	Pattern: LOINC Code 57075-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:motherInformation.code	example	Pattern: LOINC Code 92014-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:fatherInformation.code	example	Pattern: LOINC Code 92013-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:emergingIssues.code	example	Pattern: emergingissues http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Jurisdiction Live Birth Report
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. Additional Bindings Purpose AllLanguages Max Binding
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 live birth 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 live birth 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: 92011-6
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 - Child Vital Records)	The subject of the composition is the newborn baby
encounter	Σ	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
id		0..1	string	Unique id for inter-element referencing
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Encounter Maternity Reference URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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 Live Birth Certificate. 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 Live Birth 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:numberPrenatalCareVisits	C	0..1	Reference(Observation - Number of Prenatal Visits)	Number of prenatal care visits
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:numberOtherOutcomes	C	0..1	Reference(Observation - Number of Other Pregnancy Outcomes)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	C	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	C	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	C	0..1	Reference(Observation - Mother Delivery Weight (reported in pounds))	Mother's weight at delivery
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 Live Birth 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:infectionsDuringPregnancy	C	0..*	Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	C	0..1	Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures)	Obstetric procedures
entry:characteristicsLaborDelivery	C	0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
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(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | 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:newbornInformation	C	0..1	BackboneElement	newbornInformation Section on the Jurisdiction Live Birth 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: 57075-4
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 newbornInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	C	0..1	Reference(Observation - Birth Weight)	Birthweight
entry:gestationalAgeAtDelivery	C	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:APGARScore	C	0..2	Reference(Observation - APGAR Score)	APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery	C	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:abnormalConditionsNewborn	C	0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	C	0..*	Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn)	Congenital anomolies of the newborn
entry:infantLiving	C	0..1	Reference(Observation - Infant Living)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	C	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
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 Live Birth 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:marriedDuringPregnancy	C	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	C	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
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	fatherInformation Section on the Jurisdiction Live Birth 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: 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:paternityAcknowledgementSigned	C	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	C	0..1	Reference(Observation - Education Level Vital Records)	Father's education
entry:fathersPresentJob	C	0..1	Reference(Observation - Present Job)	Father's Present Job
entry:fathersRaceEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Father'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:emergingIssues	C	0..1	BackboneElement	emergingIssues Section on the Jurisdiction Live Birth 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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 92011-6 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:motherPrenatal.code	example	Pattern: LOINC Code 57073-9 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:motherPrenatal.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:motherPrenatal.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:motherPrenatal.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:medicalHealthInformation.code	example	Pattern: LOINC Code 55752-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalHealthInformation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medicalHealthInformation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medicalHealthInformation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:newbornInformation.code	example	Pattern: LOINC Code 57075-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:newbornInformation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:newbornInformation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:newbornInformation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:motherInformation.code	example	Pattern: LOINC Code 92014-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:motherInformation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:motherInformation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:motherInformation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:fatherInformation.code	example	Pattern: LOINC Code 92013-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:fatherInformation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:fatherInformation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:fatherInformation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:emergingIssues.code	example	Pattern: emergingissues http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:emergingIssues.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:emergingIssues.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:emergingIssues.emptyReason	preferred	ListEmptyReasons http://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:

• Patient - Child Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr)
• Encounter - Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-birth)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• Patient - Mother Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr)
• Observation - Date of First Prenatal Care Visit (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit)
• Observation - Number of Prenatal Visits (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-prenatal-visits)
• Observation - Last Menstrual Period (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-last-menstrual-period)
• Observation - Number of Births Now Living (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-living)
• Observation - Number of Births Now Dead (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-dead)
• Observation - Date of Last Live Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth)
• Observation - Number of Other Pregnancy Outcomes (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-other-pregnancy-outcomes)
• Observation - Date of Last Other Pregnancy Outcome (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-other-pregnancy-outcome)
• Coverage - Principal Payer for Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Coverage-principal-payer-delivery)
• Observation - Mother Delivery Weight (reported in pounds) (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-delivery-weight)
• Observation - Mother Height (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-height)
• Observation - Mother Prepregnancy Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-prepregnancy-weight)
• Observation - Mother Recieved WIC Food (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-received-wic-food)
• Observation - Cigarette Smoking Before and During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy)
• Condition - Prepregnancy Diabetes (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-diabetes)
• Condition - Gestational Diabetes (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-diabetes)
• Condition - Prepregnancy Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-hypertension)
• Condition - Gestational Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-hypertension)
• Condition - Eclampsia Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-eclampsia-hypertension)
• Observation - Previous Preterm Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-previous-preterm-birth)
• Procedure - Infertility Treatment (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-infertility-treatment)
• Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-fertility-enhancing-drug-therapy-artificial-insem)
• Procedure - Assisted Reproductive Technology (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-reproductive-technology)
• Observation - Previous Cesarean (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-previous-cesarean)
• Observation - None Of Specified Pregnancy Risk Factors (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-pregnancy-risk-factors)
• Observation - Number of Previous Cesareans (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-previous-cesareans)
• Condition - Infection Present During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-infection-present-during-pregnancy)
• Observation - None Of Specified Infections During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-no-infections-present-during-pregnancy)
• Procedure - Obstetric (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-obstetric)
• Observation - None Of Specified Obstetric Procedures (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-obstetric-procedures)
• Procedure - Induction of Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-induction-of-labor)
• Procedure - Augmentation of Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-augmentation-of-labor)
• Observation - Administration of Steroids for Fetal Lung Maturation (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-steroids-fetal-lung-maturation)
• Observation - Antibiotics Administered During Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-antibiotics-administered-during-labor)
• Condition - Chorioamnionitis (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-chorioamnionitis)
• Procedure - Epidural or Spinal Anesthesia (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-epidural-or-spinal-anesthesia)
• Observation - None Of Specified Characteristics of Labor and Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-characteristics-labor-delivery)
• Observation - Fetal Presentation at Birth/Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation)
• Procedure - Final Route and Method of Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery)
• Observation - Unknown Final Route and Method of Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-unknown-final-route-and-method-of-delivery)
• Procedure - Blood Transfusion (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-blood-transfusion)
• Condition - Perineal Laceration (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-perineal-laceration)
• Condition - Ruptured Uterus (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-ruptured-uterus)
• Procedure - Unplanned Hysterectomy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-unplanned-hysterectomy)
• Observation - ICU Admission (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-icu-admission)
• Observation - None Of Specified Maternal Morbidities (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-maternal-morbidities)
• Observation - Birth Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-birth-weight)
• Observation - Gestational Age at Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-gestational-age-at-delivery)
• Observation - APGAR Score (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-apgar-score)
• Observation - Number of Live Births This Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-live-births-this-delivery)
• Procedure - Assisted Ventilation Following Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-ventilation-following-delivery)
• Procedure - Assisted Ventilation More Than Six Hours (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-ventilation-more-than-six-hours)
• Observation - NICU Admission (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-nicu-admission)
• Procedure - Surfactant Replacement Therapy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-surfactant-replacement-therapy)
• Procedure - Antibiotic for Suspected Neonatal Sepsis (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-antibiotic-suspected-neonatal-sepsis)
• Condition - Seizure (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-seizure)
• Observation - None Of Specified Abnormal Conditions of Newborn (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-abnormal-conditions-of-newborn)
• Condition - Congenital Anomaly of Newborn (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn)
• Observation - None Of Specified Congenital Anomolies Of The Newborn (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-congenital-anomolies-of-the-newborn)
• Observation - Infant Living (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-living)
• Observation - Infant Breastfed at Discharge (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-breastfed-at-discharge)
• Observation - Mother Married During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-married-during-pregnancy)
• Observation - Social Security Number Requested For Child (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-ssn-requested-for-child)
• Observation - Education Level Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr)
• Observation - Present Job (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job)
• Observation - Input Race and Ethnicity Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr)
• RelatedPerson - Father Natural Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr)
• Observation - Paternity Acknowledgement Signed (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-paternity-acknowledgement-signed)
• Observation - Emerging Issues Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section
• The element 1 is sliced based on the value of Composition.section.entry

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Jurisdiction Live Birth Report
status		1..1	code	In the case of a live birth sent in error, a status of 'entered-in-error' must be set.
type		1..1	CodeableConcept	Jurisdiction live birth 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: 92011-6
subject		1..1	Reference(Patient - Child Vital Records)	The subject of the composition is the newborn baby
encounter		0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Encounter Maternity Reference URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
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 Live Birth Certificate. Slice: Unordered, Open by pattern:code
section:motherPrenatal		0..1	BackboneElement	motherPrenatal Section on the Jurisdiction Live Birth 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:numberPrenatalCareVisits		0..1	Reference(Observation - Number of Prenatal Visits)	Number of prenatal care visits
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:numberOtherOutcomes		0..1	Reference(Observation - Number of Other Pregnancy Outcomes)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome		0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment		0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery		0..1	Reference(Observation - Mother Delivery Weight (reported in pounds))	Mother's weight at delivery
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 Live Birth 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:infectionsDuringPregnancy		0..*	Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures		0..1	Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures)	Obstetric procedures
entry:characteristicsLaborDelivery		0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
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(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities)	Maternal morbidity - complications associated with labor and delivery
section:newbornInformation		0..1	BackboneElement	newbornInformation Section on the Jurisdiction Live Birth 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: 57075-4
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the newbornInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight		0..1	Reference(Observation - Birth Weight)	Birthweight
entry:gestationalAgeAtDelivery		0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:APGARScore		0..2	Reference(Observation - APGAR Score)	APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery		0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:abnormalConditionsNewborn		0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn		0..*	Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn)	Congenital anomolies of the newborn
entry:infantLiving		0..1	Reference(Observation - Infant Living)	Is infant living at time of report?
entry:infantBreastfedAtDischarge		0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
section:motherInformation		0..1	BackboneElement	motherInformation Section on the Jurisdiction Live Birth 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:marriedDuringPregnancy		0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild		0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
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	fatherInformation Section on the Jurisdiction Live Birth 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: 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:$this.resolve()
entry:paternityAcknowledgementSigned		0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation		0..1	Reference(Observation - Education Level Vital Records)	Father's education
entry:fathersPresentJob		0..1	Reference(Observation - Present Job)	Father's Present Job
entry:fathersRaceEthnicity		0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Father's Input Race and Ethnicity
section:emergingIssues		0..1	BackboneElement	emergingIssues Section on the Jurisdiction Live Birth Report
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
code		1..1	code	Symbol in syntax defined by the system Fixed Value: emergingissues
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve()
entry:EmergingIssues		0..1	Reference(Observation - Emerging Issues Vital Records)	Emerging Issues
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Jurisdiction Live Birth Report
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 live birth 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 live birth 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: 92011-6
subject	Σ	1..1	Reference(Patient - Child Vital Records)	The subject of the composition is the newborn baby
encounter	Σ	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Encounter Maternity Reference URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
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 Live Birth Certificate. 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 Live Birth 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:numberPrenatalCareVisits	C	0..1	Reference(Observation - Number of Prenatal Visits)	Number of prenatal care visits
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:numberOtherOutcomes	C	0..1	Reference(Observation - Number of Other Pregnancy Outcomes)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	C	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	C	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	C	0..1	Reference(Observation - Mother Delivery Weight (reported in pounds))	Mother's weight at delivery
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 Live Birth 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:infectionsDuringPregnancy	C	0..*	Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	C	0..1	Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures)	Obstetric procedures
entry:characteristicsLaborDelivery	C	0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
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(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities)	Maternal morbidity - complications associated with labor and delivery
section:newbornInformation	C	0..1	BackboneElement	newbornInformation Section on the Jurisdiction Live Birth 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: 57075-4
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the newbornInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	C	0..1	Reference(Observation - Birth Weight)	Birthweight
entry:gestationalAgeAtDelivery	C	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:APGARScore	C	0..2	Reference(Observation - APGAR Score)	APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery	C	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:abnormalConditionsNewborn	C	0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	C	0..*	Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn)	Congenital anomolies of the newborn
entry:infantLiving	C	0..1	Reference(Observation - Infant Living)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	C	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
section:motherInformation	C	0..1	BackboneElement	motherInformation Section on the Jurisdiction Live Birth 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:marriedDuringPregnancy	C	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	C	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
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	fatherInformation Section on the Jurisdiction Live Birth 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: 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:$this.resolve()
entry:paternityAcknowledgementSigned	C	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	C	0..1	Reference(Observation - Education Level Vital Records)	Father's education
entry:fathersPresentJob	C	0..1	Reference(Observation - Present Job)	Father's Present Job
entry:fathersRaceEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Father's Input Race and Ethnicity
section:emergingIssues	C	0..1	BackboneElement	emergingIssues Section on the Jurisdiction Live Birth Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
code		1..1	code	Symbol in syntax defined by the system Fixed Value: emergingissues
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve()
entry:EmergingIssues	C	0..1	Reference(Observation - Emerging Issues Vital Records)	Emerging Issues
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 92011-6 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.section:motherPrenatal.code	example	Pattern: LOINC Code 57073-9 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalHealthInformation.code	example	Pattern: LOINC Code 55752-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:newbornInformation.code	example	Pattern: LOINC Code 57075-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:motherInformation.code	example	Pattern: LOINC Code 92014-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:fatherInformation.code	example	Pattern: LOINC Code 92013-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:emergingIssues.code	example	Pattern: emergingissues http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Jurisdiction Live Birth Report
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. Additional Bindings Purpose AllLanguages Max Binding
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 live birth 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 live birth 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: 92011-6
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 - Child Vital Records)	The subject of the composition is the newborn baby
encounter	Σ	0..1	Reference(Encounter - Birth)	The Encounter for the Composition is the newborn's birth encounter.
id		0..1	string	Unique id for inter-element referencing
Extension-encounter-maternity-reference		0..1	Reference(Encounter - Maternity)	Encounter Maternity Reference URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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 Live Birth Certificate. 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 Live Birth 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:numberPrenatalCareVisits	C	0..1	Reference(Observation - Number of Prenatal Visits)	Number of prenatal care visits
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:numberOtherOutcomes	C	0..1	Reference(Observation - Number of Other Pregnancy Outcomes)	Number of other pregnancy outcomes
entry:dateLastOtherOutcome	C	0..1	Reference(Observation - Date of Last Other Pregnancy Outcome)	Date of last other pregnancy outcome
entry:principalSourceOfPayment	C	0..1	Reference(Coverage - Principal Payer for Delivery)	Principal source of payment for this delivery
entry:mothersWeightAtDelivery	C	0..1	Reference(Observation - Mother Delivery Weight (reported in pounds))	Mother's weight at delivery
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 Live Birth 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:infectionsDuringPregnancy	C	0..*	Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy)	Infections present and/or treated during this pregnancy
entry:obstetricProcedures	C	0..1	Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures)	Obstetric procedures
entry:characteristicsLaborDelivery	C	0..*	Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery)	Characteristics of labor and delivery
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(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | 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:newbornInformation	C	0..1	BackboneElement	newbornInformation Section on the Jurisdiction Live Birth 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: 57075-4
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 newbornInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:birthWeight	C	0..1	Reference(Observation - Birth Weight)	Birthweight
entry:gestationalAgeAtDelivery	C	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:APGARScore	C	0..2	Reference(Observation - APGAR Score)	APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
entry:numberLiveBirthsThisDelivery	C	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
entry:abnormalConditionsNewborn	C	0..*	Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn)	Abnormal conditions of the newborn
entry:congenitalAnomaliesNewborn	C	0..*	Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn)	Congenital anomolies of the newborn
entry:infantLiving	C	0..1	Reference(Observation - Infant Living)	Is infant living at time of report?
entry:infantBreastfedAtDischarge	C	0..1	Reference(Observation - Infant Breastfed at Discharge)	Is infant being breastfed at discharge?
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 Live Birth 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:marriedDuringPregnancy	C	0..1	Reference(Observation - Mother Married During Pregnancy)	Mother married during pregnancy
entry:ssnRequestedForChild	C	0..1	Reference(Observation - Social Security Number Requested For Child)	Was social security number requested for the child
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	fatherInformation Section on the Jurisdiction Live Birth 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: 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:paternityAcknowledgementSigned	C	0..1	Reference(Observation - Paternity Acknowledgement Signed)	Paternity acknowledgement signed by father
entry:fathersEducation	C	0..1	Reference(Observation - Education Level Vital Records)	Father's education
entry:fathersPresentJob	C	0..1	Reference(Observation - Present Job)	Father's Present Job
entry:fathersRaceEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Father'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:emergingIssues	C	0..1	BackboneElement	emergingIssues Section on the Jurisdiction Live Birth 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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 92011-6 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:motherPrenatal.code	example	Pattern: LOINC Code 57073-9 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:motherPrenatal.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:motherPrenatal.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:motherPrenatal.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:medicalHealthInformation.code	example	Pattern: LOINC Code 55752-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalHealthInformation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medicalHealthInformation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medicalHealthInformation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:newbornInformation.code	example	Pattern: LOINC Code 57075-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:newbornInformation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:newbornInformation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:newbornInformation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:motherInformation.code	example	Pattern: LOINC Code 92014-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:motherInformation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:motherInformation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:motherInformation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:fatherInformation.code	example	Pattern: LOINC Code 92013-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:fatherInformation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:fatherInformation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:fatherInformation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:emergingIssues.code	example	Pattern: emergingissues http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:emergingIssues.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:emergingIssues.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:emergingIssues.emptyReason	preferred	ListEmptyReasons http://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:

• Patient - Child Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr)
• Encounter - Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-birth)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• Patient - Mother Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr)
• Observation - Date of First Prenatal Care Visit (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-first-prenatal-care-visit)
• Observation - Number of Prenatal Visits (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-prenatal-visits)
• Observation - Last Menstrual Period (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-last-menstrual-period)
• Observation - Number of Births Now Living (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-living)
• Observation - Number of Births Now Dead (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-births-now-dead)
• Observation - Date of Last Live Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-live-birth)
• Observation - Number of Other Pregnancy Outcomes (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-other-pregnancy-outcomes)
• Observation - Date of Last Other Pregnancy Outcome (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-date-of-last-other-pregnancy-outcome)
• Coverage - Principal Payer for Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Coverage-principal-payer-delivery)
• Observation - Mother Delivery Weight (reported in pounds) (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-delivery-weight)
• Observation - Mother Height (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-height)
• Observation - Mother Prepregnancy Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-prepregnancy-weight)
• Observation - Mother Recieved WIC Food (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-received-wic-food)
• Observation - Cigarette Smoking Before and During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-cigarette-smoking-before-during-pregnancy)
• Condition - Prepregnancy Diabetes (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-diabetes)
• Condition - Gestational Diabetes (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-diabetes)
• Condition - Prepregnancy Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-prepregnancy-hypertension)
• Condition - Gestational Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-gestational-hypertension)
• Condition - Eclampsia Hypertension (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-eclampsia-hypertension)
• Observation - Previous Preterm Birth (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-previous-preterm-birth)
• Procedure - Infertility Treatment (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-infertility-treatment)
• Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-fertility-enhancing-drug-therapy-artificial-insem)
• Procedure - Assisted Reproductive Technology (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-reproductive-technology)
• Observation - Previous Cesarean (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-previous-cesarean)
• Observation - None Of Specified Pregnancy Risk Factors (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-pregnancy-risk-factors)
• Observation - Number of Previous Cesareans (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-previous-cesareans)
• Condition - Infection Present During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-infection-present-during-pregnancy)
• Observation - None Of Specified Infections During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-no-infections-present-during-pregnancy)
• Procedure - Obstetric (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-obstetric)
• Observation - None Of Specified Obstetric Procedures (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-obstetric-procedures)
• Procedure - Induction of Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-induction-of-labor)
• Procedure - Augmentation of Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-augmentation-of-labor)
• Observation - Administration of Steroids for Fetal Lung Maturation (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-steroids-fetal-lung-maturation)
• Observation - Antibiotics Administered During Labor (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-antibiotics-administered-during-labor)
• Condition - Chorioamnionitis (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-chorioamnionitis)
• Procedure - Epidural or Spinal Anesthesia (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-epidural-or-spinal-anesthesia)
• Observation - None Of Specified Characteristics of Labor and Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-characteristics-labor-delivery)
• Observation - Fetal Presentation at Birth/Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-fetal-presentation)
• Procedure - Final Route and Method of Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-final-route-method-delivery)
• Observation - Unknown Final Route and Method of Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-unknown-final-route-and-method-of-delivery)
• Procedure - Blood Transfusion (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-blood-transfusion)
• Condition - Perineal Laceration (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-perineal-laceration)
• Condition - Ruptured Uterus (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-ruptured-uterus)
• Procedure - Unplanned Hysterectomy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-unplanned-hysterectomy)
• Observation - ICU Admission (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-icu-admission)
• Observation - None Of Specified Maternal Morbidities (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-maternal-morbidities)
• Observation - Birth Weight (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-birth-weight)
• Observation - Gestational Age at Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-gestational-age-at-delivery)
• Observation - APGAR Score (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-apgar-score)
• Observation - Number of Live Births This Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-number-live-births-this-delivery)
• Procedure - Assisted Ventilation Following Delivery (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-ventilation-following-delivery)
• Procedure - Assisted Ventilation More Than Six Hours (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-assisted-ventilation-more-than-six-hours)
• Observation - NICU Admission (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-nicu-admission)
• Procedure - Surfactant Replacement Therapy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-surfactant-replacement-therapy)
• Procedure - Antibiotic for Suspected Neonatal Sepsis (http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-antibiotic-suspected-neonatal-sepsis)
• Condition - Seizure (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-seizure)
• Observation - None Of Specified Abnormal Conditions of Newborn (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-of-specified-abnormal-conditions-of-newborn)
• Condition - Congenital Anomaly of Newborn (http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn)
• Observation - None Of Specified Congenital Anomolies Of The Newborn (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-none-congenital-anomolies-of-the-newborn)
• Observation - Infant Living (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-living)
• Observation - Infant Breastfed at Discharge (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-infant-breastfed-at-discharge)
• Observation - Mother Married During Pregnancy (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-mother-married-during-pregnancy)
• Observation - Social Security Number Requested For Child (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-ssn-requested-for-child)
• Observation - Education Level Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr)
• Observation - Present Job (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-present-job)
• Observation - Input Race and Ethnicity Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr)
• RelatedPerson - Father Natural Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr)
• Observation - Paternity Acknowledgement Signed (http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-paternity-acknowledgement-signed)
• Observation - Emerging Issues Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section
• The element 1 is sliced based on the value of Composition.section.entry