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

• 2003 Revision of the U.S. Standard Report of Fetal Death
• 2019 US Standard Facility Worksheet for the Report of Fetal Death
• 2019 US Standard Patient’s Worksheet for the Report of Fetal Death

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

Form Mapping

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

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition			Composition
status		1..1	code	In the case of a fetal death sent in error, a status of 'entered-in-error' must be set.
type		1..1	CodeableConcept	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
encounter		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
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()
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
entry:numberPreviousCesareans		0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:fetalPresentation		0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery		0..1	Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity		0..*	Reference(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()
entry:deliveryWeight		0..1	Reference(Observation - Birth Weight)	Delivery weight
entry:gestationalAgeAtDelivery		0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:fetalRemainsDispositionMethod		0..1	Reference(Observation - Fetal Remains Disposition Method)	Method of decedent fetus disposition
entry:causeOfFetalDeath		0..1	Reference(Condition - Fetal Death Cause or Condition)	Initiating cause or condition of fetal death
entry:otherCauseOfDeath		0..*	Reference(Condition - Fetal Death Other Cause or Condition)	Another significant cause or condition for the death of the fetus.
entry:estimatedTimeFetalDeath		0..1	Reference(Observation - Fetal Death Time Point)	The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
entry:autopsyPerformed		0..1	Reference(Observation - Autopsy Performed Indicator Vital Records)	An indication if an autopsy has been performed on the subject.
entry:histologicalExamPerformed		0..1	Reference(Observation - Histological Placental Exam Performed)	Whether or not a histological placental examination was performed.
entry:autopsyOrHistologicalExamUsed		0..1	Reference(Observation - Autopsy or Histological Exam Results Used)	Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
entry:numberLiveBirthsThisDelivery		0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
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()
entry:mothersEducation		0..1	Reference(Observation - Education Level Vital Records)	Mother's Education
entry:mothersUsualWork		0..1	Reference(Observation - Usual Work)	Mother's Usual Work
entry:mothersRaceEthnicity		0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Mother's Input Race and Ethnicity
section:fatherInformation		0..1	BackboneElement	Father Administrative Section on the Fetal Death Report
code		1..1	CodeableConcept	Father's administrative information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
focus		1..1	Reference(RelatedPerson - Father Natural Vital Records)	The focus of this section is the father
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:fathersUsualWork		0..1	Reference(Observation - Usual Work)	Father's Usual Work
section:patientsQuestionnaireResponse		0..1	BackboneElement	Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
code		1..1	CodeableConcept	Questionnaire response Document Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 74465-6
entry		1..1	Reference(QuestionnaireResponse)	QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
section:emergingIssues		0..1	BackboneElement	emergingIssues Section on the Provider Fetal Death Report
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
code		1..1	code	Symbol in syntax defined by the system Fixed Value: emergingissues
Slices for entry		0..*	Reference(Resource)	Entries that are contained in the emergingIssues Section Slice: Unordered, Open by profile:$this.resolve()
entry:EmergingIssues		0..1	Reference(Observation - Emerging Issues Vital Records)	Emerging Issues
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	In the case of a fetal death sent in error, a status of 'entered-in-error' must be set. Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	U.S. standard report of fetal death - 2003 revision 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: 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()
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
entry:numberPreviousCesareans	C	0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:fetalPresentation	C	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	C	0..1	Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	C	0..*	Reference(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()
entry:deliveryWeight	C	0..1	Reference(Observation - Birth Weight)	Delivery weight
entry:gestationalAgeAtDelivery	C	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:fetalRemainsDispositionMethod	C	0..1	Reference(Observation - Fetal Remains Disposition Method)	Method of decedent fetus disposition
entry:causeOfFetalDeath	C	0..1	Reference(Condition - Fetal Death Cause or Condition)	Initiating cause or condition of fetal death
entry:otherCauseOfDeath	C	0..*	Reference(Condition - Fetal Death Other Cause or Condition)	Another significant cause or condition for the death of the fetus.
entry:estimatedTimeFetalDeath	C	0..1	Reference(Observation - Fetal Death Time Point)	The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
entry:autopsyPerformed	C	0..1	Reference(Observation - Autopsy Performed Indicator Vital Records)	An indication if an autopsy has been performed on the subject.
entry:histologicalExamPerformed	C	0..1	Reference(Observation - Histological Placental Exam Performed)	Whether or not a histological placental examination was performed.
entry:autopsyOrHistologicalExamUsed	C	0..1	Reference(Observation - Autopsy or Histological Exam Results Used)	Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
entry:numberLiveBirthsThisDelivery	C	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
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()
entry:mothersEducation	C	0..1	Reference(Observation - Education Level Vital Records)	Mother's Education
entry:mothersUsualWork	C	0..1	Reference(Observation - Usual Work)	Mother's Usual Work
entry:mothersRaceEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Mother's Input Race and Ethnicity
section:fatherInformation	C	0..1	BackboneElement	Father Administrative Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
focus		1..1	Reference(RelatedPerson - Father Natural Vital Records)	The focus of this section is the father
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:fathersUsualWork	C	0..1	Reference(Observation - Usual Work)	Father's Usual Work
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()
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 69045-3 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:fetus.code	example	Pattern: LOINC code 76400-1 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:patientsQuestionnaireResponse.code	example	Pattern: LOINC code 74465-6 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	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. 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 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()
entry:firstPrenatalCareVisit	C	0..1	Reference(Observation - Date of First Prenatal Care Visit)	First prenatal care visit
entry:dateLastNormalMenses	C	0..1	Reference(Observation - Last Menstrual Period)	Date last normal menses began
entry:numberNowLiving	C	0..1	Reference(Observation - Number of Births Now Living)	Number of previous live births now living
entry:numberNowDead	C	0..1	Reference(Observation - Number of Births Now Dead)	Number of previous live births now dead
entry:dateLastLiveBirth	C	0..1	Reference(Observation - Date of Last Live Birth)	Date of last live birth
entry:mothersHeight	C	0..1	Reference(Observation - Mother Height)	Mother's height
entry:mothersPrepregnancyWeight	C	0..1	Reference(Observation - Mother Prepregnancy Weight)	Mother's prepregnancy weight
entry:motherReceivedWICFood	C	0..1	Reference(Observation - Mother Recieved WIC Food)	Use
entry:cigaretteSmokingBeforeDuringPregnancy	C	0..4	Reference(Observation - Cigarette Smoking Before and During Pregnancy)	Cigarettes smoked by the mother before and during the pregnancy
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:medicalHealthInformation	C	0..1	BackboneElement	medicalHealthInformation Section on the 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()
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
entry:numberPreviousCesareans	C	0..1	Reference(Observation - Number of Previous Cesareans)	If mother had a previous cesarean delivery, how many
entry:fetalPresentation	C	0..1	Reference(Observation - Fetal Presentation at Birth/Delivery)	Fetal presentation at birth
entry:finalRouteMethodDelivery	C	0..1	Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery)	Final route and method of delivery
entry:maternalMorbidity	C	0..*	Reference(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()
entry:deliveryWeight	C	0..1	Reference(Observation - Birth Weight)	Delivery weight
entry:gestationalAgeAtDelivery	C	0..1	Reference(Observation - Gestational Age at Delivery)	Obstetric estimate of gestation
entry:fetalRemainsDispositionMethod	C	0..1	Reference(Observation - Fetal Remains Disposition Method)	Method of decedent fetus disposition
entry:causeOfFetalDeath	C	0..1	Reference(Condition - Fetal Death Cause or Condition)	Initiating cause or condition of fetal death
entry:otherCauseOfDeath	C	0..*	Reference(Condition - Fetal Death Other Cause or Condition)	Another significant cause or condition for the death of the fetus.
entry:estimatedTimeFetalDeath	C	0..1	Reference(Observation - Fetal Death Time Point)	The estimated time of fetal death; the time of death is characterized by the relationship to the time of delivery.
entry:autopsyPerformed	C	0..1	Reference(Observation - Autopsy Performed Indicator Vital Records)	An indication if an autopsy has been performed on the subject.
entry:histologicalExamPerformed	C	0..1	Reference(Observation - Histological Placental Exam Performed)	Whether or not a histological placental examination was performed.
entry:autopsyOrHistologicalExamUsed	C	0..1	Reference(Observation - Autopsy or Histological Exam Results Used)	Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
entry:numberLiveBirthsThisDelivery	C	0..1	Reference(Observation - Number of Live Births This Delivery)	Number of live births this delivery
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()
entry:mothersEducation	C	0..1	Reference(Observation - Education Level Vital Records)	Mother's Education
entry:mothersUsualWork	C	0..1	Reference(Observation - Usual Work)	Mother's Usual Work
entry:mothersRaceEthnicity	C	0..1	Reference(Observation - Input Race and Ethnicity Vital Records)	Mother's Input Race and Ethnicity
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:fatherInformation	C	0..1	BackboneElement	Father Administrative Section on the Fetal Death Report cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Father's administrative information Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92013-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		1..1	Reference(RelatedPerson - Father Natural Vital Records)	The focus of this section is the father
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the fatherInformation Section Slice: Unordered, Open by profile:$this.resolve()
entry:fathersUsualWork	C	0..1	Reference(Observation - Usual Work)	Father's Usual Work
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
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	Questionnaire response Document 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: 74465-6
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
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	1..1	Reference(QuestionnaireResponse)	QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
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 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://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 69045-3 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:fetus.code	example	Pattern: LOINC code 76400-1 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:fetus.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:fetus.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:fetus.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:patientsQuestionnaireResponse.code	example	Pattern: LOINC code 74465-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.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