Birth And Fetal Death (BFDR) - STU2-ballot
2.0.0-Preview1 - trial-use United States of America flag

Birth And Fetal Death (BFDR) - STU2-ballot, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-Preview1 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

Resource Profile: Composition - Provider Fetal Death Report

Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-fetal-death-report Version: 2.0.0-Preview1
Active as of 2024-07-17 Computable Name: CompositionProviderFetalDeathReport
Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.9

This Composition profile contains constraints to address the use case describing the need for fetal death information to be recorded and communicated to the jurisdictional Vital Records Office.

For the most part, labor and delivery takes place at a healthcare provider site. When the delivery takes place at home, or on the way to the hospital, the mother and fetus will be taken to the hospital for evaluation and possible treatment. Personal and pregnancy information is collected from the mother or an informant, while information regarding labor and delivery and the fetus is collected from the responsible party at the healthcare facility.

The data requirements for provider supplied fetal death information are based on the

The jurisdiction may have additional data requirements and edit specifications that will be addressed at the jurisdictional level.

The 1992 Revision of the Model State Vital Statistics Act and Regulations recommends the following definition of fetal death:

“Fetal death” means death prior to the complete expulsion or extraction from its mother of a product of human conception, irrespective of the duration of pregnancy and which is not an induced termination of pregnancy. The death is indicated by the fact that after such expulsion or extraction, the fetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles. Heartbeats are to be distinguished from transient cardiac contractions; respirations are to be distinguished from fleeting respiratory efforts or gasps.

See Patient Worksheet Questionnaires for information about including a QuestionnaireResponse in this Composition.

IJE Mapping

Fetal Death
Use Case # Description IJE Name Field Type Value Set/Comments
Fetal Death 176 Date of Registration--Year DOR_YR date dateTime Used for Jurisdiction Report also
Fetal Death 177 Date of Registration--Month DOR_MO date dateTime Used for Jurisdiction Report also
Fetal Death 178 Date of Registration--Day DOR_DY date dateTime Used for Jurisdiction Report also

Form Mapping

Form Mapping
Item # Form Field FHIR Profile Field Reference
16 Date Report Completed date Report of Fetal Death
17 Date Received By Registrar date Report of Fetal Death
15 Date report completed date Facility Worksheet for the Report of Fetal Death

Usage:

Formal Views of Profile Content

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

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition Composition
... status 1..1 code In the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
... type 1..1 CodeableConcept U.S. standard report of fetal death - 2003 revision
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: 69045-3
... subject 1..1 Reference(Patient - Decedent Fetus) The subject of the composition is the decedent fetus
.... Extension-encounter-maternity-reference 0..* 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(Practitioner - Vital Records) The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
... Slices for section 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern:code
.... section:motherPrenatal 0..1 BackboneElement motherPrenatal Section on the Provider Fetal Death Report
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57073-9
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the motherPrenatal Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:firstPrenatalCareVisit 0..1 Reference(Observation - Date of First Prenatal Care Visit) First prenatal care visit
...... entry:dateLastNormalMenses 0..1 Reference(Observation - Last Menstrual Period) Date last normal menses began
...... entry:numberNowLiving 0..1 Reference(Observation - Number of Births Now Living) Number of previous live births now living
...... entry:numberNowDead 0..1 Reference(Observation - Number of Births Now Dead) Number of previous live births now dead
...... entry:dateLastLiveBirth 0..1 Reference(Observation - Date of Last Live Birth) Date of last live birth
...... entry:mothersHeight 0..1 Reference(Observation - Mother Height) Mother's height
...... entry:mothersPrepregnancyWeight 0..1 Reference(Observation - Mother Prepregnancy Weight) Mother's prepregnancy weight
...... entry:motherReceivedWICFood 0..1 Reference(Observation - Mother Recieved WIC Food) Use
...... entry:cigaretteSmokingBeforeDuringPregnancy 0..4 Reference(Observation - Cigarette Smoking Before and During Pregnancy) Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation 0..1 BackboneElement medicalHealthInformation Section on the Provider Fetal Death Report
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the medicalHealthInformation Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... 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 - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors) Risk factors in this pregnancy
..... Slices for entry Content/Rules for all slices
...... entry:numberPreviousCesareans 0..1 Reference(Observation - Number of Previous Cesareans) If mother had a previous cesarean delivery, how many
..... Slices for entry Content/Rules for all slices
...... entry:fetalPresentation 0..1 Reference(Observation - Fetal Presentation at Birth/Delivery) Fetal presentation at birth
..... Slices for entry Content/Rules for all slices
...... 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
..... Slices for entry Content/Rules for all slices
...... 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:fetus 0..1 BackboneElement fetus Section on the Provider Fetal Death Report
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 76400-1
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the fetus Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:deliveryWeight 0..1 Reference(Observation - Birth Weight) Delivery weight
..... Slices for entry Content/Rules for all slices
...... entry:gestationalAgeAtDelivery 0..1 Reference(Observation - Gestational Age at Delivery) Obstetric estimate of gestation
..... Slices for entry Content/Rules for all slices
...... entry:fetalRemainsDispositionMethod 0..1 Reference(Observation - Fetal Remains Disposition Method) Method of decedent fetus disposition
..... Slices for entry Content/Rules for all slices
...... entry:causeOfFetalDeath 0..1 Reference(Condition - Fetal Death Initiating Cause or Condition) Initiating cause or condition of fetal death
..... Slices for entry Content/Rules for all slices
...... entry:otherCauseOfDeath 0..* Reference(Condition - Fetal Death Other Cause or Condition) Another significant cause or condition for the death of the fetus.
..... Slices for entry Content/Rules for all slices
...... entry:estimatedTimeFetalDeath 0..1 Reference(Observation - Fetal Death Time Point) The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
..... Slices for entry Content/Rules for all slices
...... entry:autopsyPerformed 0..1 Reference(Observation - Autopsy Performed Indicator Vital Records) An indication if an autopsy has been performed on the subject.
..... Slices for entry Content/Rules for all slices
...... entry:histologicalExamPerformed 0..1 Reference(Observation - Histological Placental Exam Performed) Whether or not a histological placental examination was performed.
..... Slices for entry Content/Rules for all slices
...... entry:autopsyOrHistologicalExamUsed 0..1 Reference(Observation - Autopsy or Histological Exam Results Used) Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
..... Slices for entry Content/Rules for all slices
...... entry:numberLiveBirthsThisDelivery 0..1 Reference(Observation - Number of Live Births This Delivery) Number of live births this delivery
..... Slices for entry Content/Rules for all slices
...... entry:numberFetalDeathsThisDelivery 0..1 Reference(Observation - Number of Fetal Deaths This Delivery) Number of fetal deaths this delivery
.... section:motherInformation 0..1 BackboneElement motherInformation Section on the Provider Fetal Death Report
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 92014-0
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the motherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:mothersEducation 0..1 Reference(Observation - Education Level Vital Records) Mother's Education
..... Slices for entry Content/Rules for all slices
...... entry:mothersPresentJob 0..1 Reference(Observation - Present Job) Mother's Present Job
..... Slices for entry Content/Rules for all slices
...... entry:mothersRaceEthnicity 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) Mother's Input Race and Ethnicity
.... section:fatherInformation 0..1 BackboneElement Father Administrative Section on the Fetal Death Report
..... code 1..1 CodeableConcept Father's administrative information
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 92013-2
..... focus 1..1 Reference(RelatedPerson - Father Natural Vital Records) The focus of this section is the father
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the fatherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:fathersPresentJob 0..1 Reference(Observation - Present Job) Father's Present Job
.... section:patientsQuestionnaireResponse 0..1 BackboneElement Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
..... code 1..1 CodeableConcept Questionnaire response Document
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74465-6
..... entry 1..1 Reference(QuestionnaireResponse) QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
.... section:emergingIssues 0..1 BackboneElement emergingIssues Section on the Provider Fetal Death Report
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: emergingissues
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the emergingIssues Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:EmergingIssues 0..1 Reference(Observation - Emerging Issues Vital Records) Emerging Issues

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code In the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

.... 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: 69045-3
... subject Σ 1..1 Reference(Patient - Decedent Fetus) The subject of the composition is the decedent fetus
... encounter Σ 0..1 Reference(Encounter - Maternity) The Encounter for the Composition is the mother's maternity encounter.
.... Extension-encounter-maternity-reference 0..* 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(Practitioner - Vital Records) The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
... title Σ 1..1 string Human Readable name/title
... Slices for section C 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:motherPrenatal C 0..1 BackboneElement motherPrenatal Section on the Provider Fetal Death Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57073-9
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the motherPrenatal Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:firstPrenatalCareVisit C 0..1 Reference(Observation - Date of First Prenatal Care Visit) First prenatal care visit
...... entry:dateLastNormalMenses C 0..1 Reference(Observation - Last Menstrual Period) Date last normal menses began
...... entry:numberNowLiving C 0..1 Reference(Observation - Number of Births Now Living) Number of previous live births now living
...... entry:numberNowDead C 0..1 Reference(Observation - Number of Births Now Dead) Number of previous live births now dead
...... entry:dateLastLiveBirth C 0..1 Reference(Observation - Date of Last Live Birth) Date of last live birth
...... entry:mothersHeight C 0..1 Reference(Observation - Mother Height) Mother's height
...... entry:mothersPrepregnancyWeight C 0..1 Reference(Observation - Mother Prepregnancy Weight) Mother's prepregnancy weight
...... entry:motherReceivedWICFood C 0..1 Reference(Observation - Mother Recieved WIC Food) Use
...... entry:cigaretteSmokingBeforeDuringPregnancy C 0..4 Reference(Observation - Cigarette Smoking Before and During Pregnancy) Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation C 0..1 BackboneElement medicalHealthInformation Section on the Provider Fetal Death Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the medicalHealthInformation Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... 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 - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors) Risk factors in this pregnancy
..... Slices for entry Content/Rules for all slices
...... entry:numberPreviousCesareans C 0..1 Reference(Observation - Number of Previous Cesareans) If mother had a previous cesarean delivery, how many
..... Slices for entry Content/Rules for all slices
...... entry:fetalPresentation C 0..1 Reference(Observation - Fetal Presentation at Birth/Delivery) Fetal presentation at birth
..... Slices for entry Content/Rules for all slices
...... 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
..... Slices for entry Content/Rules for all slices
...... 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:fetus C 0..1 BackboneElement fetus Section on the Provider Fetal Death Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 76400-1
..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the fetus Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:deliveryWeight C 0..1 Reference(Observation - Birth Weight) Delivery weight
..... Slices for entry Content/Rules for all slices
...... entry:gestationalAgeAtDelivery C 0..1 Reference(Observation - Gestational Age at Delivery) Obstetric estimate of gestation
..... Slices for entry Content/Rules for all slices
...... entry:fetalRemainsDispositionMethod C 0..1 Reference(Observation - Fetal Remains Disposition Method) Method of decedent fetus disposition
..... Slices for entry Content/Rules for all slices
...... entry:causeOfFetalDeath C 0..1 Reference(Condition - Fetal Death Initiating Cause or Condition) Initiating cause or condition of fetal death
..... Slices for entry Content/Rules for all slices
...... entry:otherCauseOfDeath C 0..* Reference(Condition - Fetal Death Other Cause or Condition) Another significant cause or condition for the death of the fetus.
..... Slices for entry Content/Rules for all slices
...... entry:estimatedTimeFetalDeath C 0..1 Reference(Observation - Fetal Death Time Point) The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
..... Slices for entry Content/Rules for all slices
...... entry:autopsyPerformed C 0..1 Reference(Observation - Autopsy Performed Indicator Vital Records) An indication if an autopsy has been performed on the subject.
..... Slices for entry Content/Rules for all slices
...... entry:histologicalExamPerformed C 0..1 Reference(Observation - Histological Placental Exam Performed) Whether or not a histological placental examination was performed.
..... Slices for entry Content/Rules for all slices
...... entry:autopsyOrHistologicalExamUsed C 0..1 Reference(Observation - Autopsy or Histological Exam Results Used) Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
..... Slices for entry Content/Rules for all slices
...... entry:numberLiveBirthsThisDelivery C 0..1 Reference(Observation - Number of Live Births This Delivery) Number of live births this delivery
..... Slices for entry Content/Rules for all slices
...... entry:numberFetalDeathsThisDelivery C 0..1 Reference(Observation - Number of Fetal Deaths This Delivery) Number of fetal deaths this delivery
.... section:motherInformation C 0..1 BackboneElement motherInformation Section on the Provider Fetal Death Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 92014-0
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the motherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:mothersEducation C 0..1 Reference(Observation - Education Level Vital Records) Mother's Education
..... Slices for entry Content/Rules for all slices
...... entry:mothersPresentJob C 0..1 Reference(Observation - Present Job) Mother's Present Job
..... Slices for entry Content/Rules for all slices
...... entry:mothersRaceEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) Mother's Input Race and Ethnicity
.... section:fatherInformation C 0..1 BackboneElement Father Administrative Section on the Fetal Death Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Father's administrative information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 92013-2
..... focus 1..1 Reference(RelatedPerson - Father Natural Vital Records) The focus of this section is the father
..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the fatherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:fathersPresentJob C 0..1 Reference(Observation - Present Job) Father's Present Job
.... section:patientsQuestionnaireResponse C 0..1 BackboneElement Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
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 Questionnaire response Document
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: 74465-6
..... entry C 1..1 Reference(QuestionnaireResponse) QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
.... section:emergingIssues C 0..1 BackboneElement emergingIssues Section on the Provider Fetal Death Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: emergingissues
..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the emergingIssues Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:EmergingIssues C 0..1 Reference(Observation - Emerging Issues Vital Records) Emerging Issues

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 69045-3
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.section:motherPrenatal.codeexamplePattern: LOINC Code 57073-9
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:medicalHealthInformation.codeexamplePattern: LOINC Code 55752-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:fetus.codeexamplePattern: LOINC Code 76400-1
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:motherInformation.codeexamplePattern: LOINC Code 92014-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:fatherInformation.codeexamplePattern: LOINC Code 92013-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.codeexamplePattern: LOINC Code 74465-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:emergingIssues.codeexamplePattern: emergingissues
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Version-independent identifier for the Composition
... status ?!Σ 1..1 code In the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ 1..1 CodeableConcept U.S. standard report of fetal death - 2003 revision
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: 69045-3
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ 1..1 Reference(Patient - Decedent Fetus) The subject of the composition is the decedent fetus
... encounter Σ 0..1 Reference(Encounter - Maternity) The Encounter for the Composition is the mother's maternity encounter.
.... id 0..1 string Unique id for inter-element referencing
.... Extension-encounter-maternity-reference 0..* 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(Practitioner - Vital Records) The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
... 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 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:motherPrenatal C 0..1 BackboneElement motherPrenatal Section on the Provider Fetal Death Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57073-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the motherPrenatal Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:firstPrenatalCareVisit C 0..1 Reference(Observation - Date of First Prenatal Care Visit) First prenatal care visit
..... Slices for entry Content/Rules for all slices
...... entry:dateLastNormalMenses C 0..1 Reference(Observation - Last Menstrual Period) Date last normal menses began
..... Slices for entry Content/Rules for all slices
...... entry:numberNowLiving C 0..1 Reference(Observation - Number of Births Now Living) Number of previous live births now living
..... Slices for entry Content/Rules for all slices
...... entry:numberNowDead C 0..1 Reference(Observation - Number of Births Now Dead) Number of previous live births now dead
..... Slices for entry Content/Rules for all slices
...... entry:dateLastLiveBirth C 0..1 Reference(Observation - Date of Last Live Birth) Date of last live birth
..... Slices for entry Content/Rules for all slices
...... entry:mothersHeight C 0..1 Reference(Observation - Mother Height) Mother's height
..... Slices for entry Content/Rules for all slices
...... entry:mothersPrepregnancyWeight C 0..1 Reference(Observation - Mother Prepregnancy Weight) Mother's prepregnancy weight
..... Slices for entry Content/Rules for all slices
...... entry:motherReceivedWICFood C 0..1 Reference(Observation - Mother Recieved WIC Food) Use
..... Slices for entry Content/Rules for all slices
...... 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 Provider Fetal Death Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55752-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the medicalHealthInformation Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... 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 - Artificial Insemination | Procedure - Assisted Fertilization | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors) Risk factors in this pregnancy
..... Slices for entry Content/Rules for all slices
...... entry:numberPreviousCesareans C 0..1 Reference(Observation - Number of Previous Cesareans) If mother had a previous cesarean delivery, how many
..... Slices for entry Content/Rules for all slices
...... entry:fetalPresentation C 0..1 Reference(Observation - Fetal Presentation at Birth/Delivery) Fetal presentation at birth
..... Slices for entry Content/Rules for all slices
...... 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
..... Slices for entry Content/Rules for all slices
...... 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:fetus C 0..1 BackboneElement fetus Section on the Provider Fetal Death Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 76400-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the fetus Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:deliveryWeight C 0..1 Reference(Observation - Birth Weight) Delivery weight
..... Slices for entry Content/Rules for all slices
...... entry:gestationalAgeAtDelivery C 0..1 Reference(Observation - Gestational Age at Delivery) Obstetric estimate of gestation
..... Slices for entry Content/Rules for all slices
...... entry:fetalRemainsDispositionMethod C 0..1 Reference(Observation - Fetal Remains Disposition Method) Method of decedent fetus disposition
..... Slices for entry Content/Rules for all slices
...... entry:causeOfFetalDeath C 0..1 Reference(Condition - Fetal Death Initiating Cause or Condition) Initiating cause or condition of fetal death
..... Slices for entry Content/Rules for all slices
...... entry:otherCauseOfDeath C 0..* Reference(Condition - Fetal Death Other Cause or Condition) Another significant cause or condition for the death of the fetus.
..... Slices for entry Content/Rules for all slices
...... entry:estimatedTimeFetalDeath C 0..1 Reference(Observation - Fetal Death Time Point) The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
..... Slices for entry Content/Rules for all slices
...... entry:autopsyPerformed C 0..1 Reference(Observation - Autopsy Performed Indicator Vital Records) An indication if an autopsy has been performed on the subject.
..... Slices for entry Content/Rules for all slices
...... entry:histologicalExamPerformed C 0..1 Reference(Observation - Histological Placental Exam Performed) Whether or not a histological placental examination was performed.
..... Slices for entry Content/Rules for all slices
...... entry:autopsyOrHistologicalExamUsed C 0..1 Reference(Observation - Autopsy or Histological Exam Results Used) Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
..... Slices for entry Content/Rules for all slices
...... entry:numberLiveBirthsThisDelivery C 0..1 Reference(Observation - Number of Live Births This Delivery) Number of live births this delivery
..... Slices for entry Content/Rules for all slices
...... entry:numberFetalDeathsThisDelivery C 0..1 Reference(Observation - Number of Fetal Deaths This Delivery) Number of fetal deaths this delivery
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:motherInformation C 0..1 BackboneElement motherInformation Section on the Provider Fetal Death Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 92014-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the motherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:mothersEducation C 0..1 Reference(Observation - Education Level Vital Records) Mother's Education
..... Slices for entry Content/Rules for all slices
...... entry:mothersPresentJob C 0..1 Reference(Observation - Present Job) Mother's Present Job
..... Slices for entry Content/Rules for all slices
...... entry:mothersRaceEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) Mother's Input Race and Ethnicity
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:fatherInformation C 0..1 BackboneElement Father Administrative Section on the Fetal Death Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Father's administrative information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 92013-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 1..1 Reference(RelatedPerson - Father Natural Vital Records) The focus of this section is the father
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the fatherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
..... Slices for entry Content/Rules for all slices
...... entry:fathersPresentJob C 0..1 Reference(Observation - Present Job) Father's Present Job
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:patientsQuestionnaireResponse C 0..1 BackboneElement Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
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
.....