Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2 United States of America flag

Birth And Fetal Death (BFDR) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-bfdr/ and changes regularly. See the Directory of published versions

Resource Profile: CompositionProviderLiveBirthReport - Detailed Descriptions

Active as of 2024-10-15

Definitions for the Composition-provider-live-birth-report resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Composition
ShortProvider Live Birth Report
2. Composition.status
Definition

In the case of a live birth sent in error, a status of 'entered-in-error' must be set.

ShortIn the case of a live birth sent in error, a status of 'entered-in-error' must be set.
4. Composition.type
Definition

U.S. standard certificate of live birth - 2003 revision

ShortU.S. standard certificate of live birth - 2003 revision
Pattern Value{
  "coding" : [{
    "system" : "http://loinc.org",
    "code" : "68998-4"
  }]
}
6. Composition.subject
Definition

The subject of the composition as a whole is the newborn baby. Different sections in the composition have different focus (e.g.: the mother).

ShortThe subject of the composition is the newborn baby
Control1..?
TypeReference(Patient - Child Vital Records)
8. Composition.encounter
Definition

The Encounter for the Composition is the newborn's birth encounter. This Encounter links to the mother's encounter by the Encounter.partOf data element.

ShortThe Encounter for the Composition is the newborn's birth encounter.
TypeReference(Encounter - Birth)
10. Composition.encounter.extension
Control0..1
TypeExtension(Encounter Maternity Reference) (Extension Type: Reference(Encounter - Maternity))
12. Composition.date
Definition

Date report completed

ShortDate report completed
14. Composition.author
Definition

Name and title of person completing the report. May be, but need not be, the same as the attendant at delivery.

ShortThe author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
Control0..1
TypeReference(Practitioner - Vital Records)
16. Composition.section
Definition

The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Various administrative and demographic data in the Birth Certificate are contained in other locations in the Composition, such as the Patient and Encounter profiles.

ShortThe Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate.
Control1..?
SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
  • 18. Composition.section:motherPrenatal
    Slice NamemotherPrenatal
    Definition

    motherPrenatal

    ShortmotherPrenatal Section on the Provider Live Birth Report
    Control0..1
    20. Composition.section:motherPrenatal.code
    Control1..?
    Pattern Value{
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "57073-9"
      }]
    }
    22. Composition.section:motherPrenatal.focus
    Definition

    The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the mother.

    ShortThe focus of this section is the mother
    Control1..?
    TypeReference(Patient - Mother Vital Records)
    24. Composition.section:motherPrenatal.entry
    Definition

    Entries that are contained in the motherPrenatal Section

    ShortEntries that are contained in the motherPrenatal Section
    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • profile @ $this.resolve()
    • 26. Composition.section:motherPrenatal.entry:firstPrenatalCareVisit
      Slice NamefirstPrenatalCareVisit
      Definition

      Date that mother had her first prenatal care visit

      ShortFirst prenatal care visit
      Control0..1
      TypeReference(Observation - Date of First Prenatal Care Visit)
      28. Composition.section:motherPrenatal.entry:numberPrenatalCareVisits
      Slice NamenumberPrenatalCareVisits
      Definition

      Those visits which are listed in the mother's prenatal care and/or facility records.

      ShortNumber of prenatal care visits
      Control0..1
      TypeReference(Observation - Number of Prenatal Visits)
      30. Composition.section:motherPrenatal.entry:dateLastNormalMenses
      Slice NamedateLastNormalMenses
      Definition

      Date that the mother's last normal menses began. This item is used to compute the gestational age of the infant.

      ShortDate last normal menses began
      Control0..1
      TypeReference(Observation - Last Menstrual Period)
      32. Composition.section:motherPrenatal.entry:numberNowLiving
      Slice NamenumberNowLiving
      Definition

      The pregnancy history of the mother with respect to previous children born alive

      ShortNumber of previous live births now living
      Control0..1
      TypeReference(Observation - Number of Births Now Living)
      34. Composition.section:motherPrenatal.entry:numberNowDead
      Slice NamenumberNowDead
      Definition

      The pregnancy history of the mother with respect to previous children born alive

      ShortNumber of previous live births now dead
      Control0..1
      TypeReference(Observation - Number of Births Now Dead)
      36. Composition.section:motherPrenatal.entry:dateLastLiveBirth
      Slice NamedateLastLiveBirth
      Definition

      The pregnancy history of the mother with respect to previous children born alive

      ShortDate of last live birth
      Control0..1
      TypeReference(Observation - Date of Last Live Birth)
      38. Composition.section:motherPrenatal.entry:numberOtherOutcomes
      Slice NamenumberOtherOutcomes
      Definition

      The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies).

      ShortNumber of other pregnancy outcomes
      Control0..1
      TypeReference(Observation - Number of Other Pregnancy Outcomes)
      40. Composition.section:motherPrenatal.entry:dateLastOtherOutcome
      Slice NamedateLastOtherOutcome
      Definition

      The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies).

      ShortDate of last other pregnancy outcome
      Control0..1
      TypeReference(Observation - Date of Last Other Pregnancy Outcome)
      42. Composition.section:motherPrenatal.entry:principalSourceOfPayment
      Slice NameprincipalSourceOfPayment
      Definition

      The principal payer for this delivery

      ShortPrincipal source of payment for this delivery
      Control0..1
      TypeReference(Coverage - Principal Payer for Delivery)
      44. Composition.section:motherPrenatal.entry:mothersWeightAtDelivery
      Slice NamemothersWeightAtDelivery
      Definition

      The mother's weight at the time of delivery

      ShortMother's weight at delivery
      Control0..1
      TypeReference(Observation - Mother Delivery Weight (reported in pounds))
      46. Composition.section:motherPrenatal.entry:mothersHeight
      Slice NamemothersHeight
      Definition

      Mother's height

      ShortMother's height
      Control0..1
      TypeReference(Observation - Mother Height)
      48. Composition.section:motherPrenatal.entry:mothersPrepregnancyWeight
      Slice NamemothersPrepregnancyWeight
      Definition

      The mother's prepregnancy weight

      ShortMother's prepregnancy weight
      Control0..1
      TypeReference(Observation - Mother Prepregnancy Weight)
      50. Composition.section:motherPrenatal.entry:motherReceivedWICFood
      Slice NamemotherReceivedWICFood
      Definition

      Use of the Women, Infant's, and Children (WIC) nutritional program by the mother during the pregnancy.

      ShortUse
      Control0..1
      TypeReference(Observation - Mother Recieved WIC Food)
      52. Composition.section:motherPrenatal.entry:cigaretteSmokingBeforeDuringPregnancy
      Slice NamecigaretteSmokingBeforeDuringPregnancy
      Definition

      The number of cigarettes or packs of cigarettes the mother smoked 3 months before and at various intervals during the pregnancy

      ShortCigarettes smoked by the mother before and during the pregnancy
      Control0..4
      TypeReference(Observation - Cigarette Smoking Before and During Pregnancy)
      54. Composition.section:medicalHealthInformation
      Slice NamemedicalHealthInformation
      Definition

      medicalHealthInformation

      ShortmedicalHealthInformation Section on the Provider Live Birth Report
      Control0..1
      56. Composition.section:medicalHealthInformation.code
      Control1..?
      Pattern Value{
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "55752-0"
        }]
      }
      58. Composition.section:medicalHealthInformation.focus
      Definition

      The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the mother.

      ShortThe focus of this section is the mother
      Control1..?
      TypeReference(Patient - Mother Vital Records)
      60. Composition.section:medicalHealthInformation.entry
      Definition

      Entries that are contained in the medicalHealthInformation Section

      ShortEntries that are contained in the medicalHealthInformation Section
      SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • profile @ $this.resolve()
      • 62. Composition.section:medicalHealthInformation.entry:pregnancyRiskFactors
        Slice NamepregnancyRiskFactors
        Definition

        Selected medical risk factors of the mother during this pregnancy

        ShortRisk factors in this pregnancy
        Control0..*
        TypeReference(Condition - Prepregnancy Diabetes, Condition - Gestational Diabetes, Condition - Prepregnancy Hypertension, Condition - Gestational Hypertension, Condition - Eclampsia Hypertension, Observation - Previous Preterm Birth, Procedure - Infertility Treatment, Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination, Procedure - Assisted Reproductive Technology, Observation - Previous Cesarean, Observation - None Of Specified Pregnancy Risk Factors)
        64. Composition.section:medicalHealthInformation.entry:numberPreviousCesareans
        Slice NamenumberPreviousCesareans
        Definition

        Number of previous cesarean deliveries

        ShortIf mother had a previous cesarean delivery, how many
        Control0..1
        TypeReference(Observation - Number of Previous Cesareans)
        66. Composition.section:medicalHealthInformation.entry:infectionsDuringPregnancy
        Slice NameinfectionsDuringPregnancy
        Definition

        Selected infections that the mother had or was treated for during the course of this pregnancy

        ShortInfections present and/or treated during this pregnancy
        Control0..*
        TypeReference(Condition - Infection Present During Pregnancy, Observation - None Of Specified Infections During Pregnancy)
        68. Composition.section:medicalHealthInformation.entry:obstetricProcedures
        Slice NameobstetricProcedures
        Definition

        Selected medical treatments or invasive/manipulative procedures performed during this pregnancy specifically for management of labor and delivery

        ShortObstetric procedures
        Control0..1
        TypeReference(Procedure - Obstetric, Observation - None Of Specified Obstetric Procedures)
        70. Composition.section:medicalHealthInformation.entry:characteristicsLaborDelivery
        Slice NamecharacteristicsLaborDelivery
        Definition

        Information about the course of labor and delivery

        ShortCharacteristics of labor and delivery
        Control0..*
        TypeReference(Procedure - Induction of Labor, Procedure - Augmentation of Labor, Observation - Administration of Steroids for Fetal Lung Maturation, Observation - Antibiotics Administered During Labor, Condition - Chorioamnionitis, Procedure - Epidural or Spinal Anesthesia, Observation - None Of Specified Characteristics of Labor and Delivery)
        72. Composition.section:medicalHealthInformation.entry:fetalPresentation
        Slice NamefetalPresentation
        Definition

        Fetal presentation at birth

        ShortFetal presentation at birth
        Control0..1
        TypeReference(Observation - Fetal Presentation at Birth/Delivery)
        74. Composition.section:medicalHealthInformation.entry:finalRouteMethodDelivery
        Slice NamefinalRouteMethodDelivery
        Definition

        Final route and method of delivery

        ShortFinal route and method of delivery
        Control0..1
        TypeReference(Procedure - Final Route and Method of Delivery, Observation - Unknown Final Route and Method of Delivery)
        76. Composition.section:medicalHealthInformation.entry:maternalMorbidity
        Slice NamematernalMorbidity
        Definition

        Serious complications experienced by the mother associated with labor and delivery

        ShortMaternal morbidity - complications associated with labor and delivery
        Control0..*
        TypeReference(Procedure - Blood Transfusion, Condition - Perineal Laceration, Condition - Ruptured Uterus, Procedure - Unplanned Hysterectomy, Observation - ICU Admission, Observation - None Of Specified Maternal Morbidities)
        78. Composition.section:newbornInformation
        Slice NamenewbornInformation
        Definition

        newbornInformation

        ShortnewbornInformation Section on the Provider Live Birth Report
        Control0..1
        80. Composition.section:newbornInformation.code
        Control1..?
        Pattern Value{
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "57075-4"
          }]
        }
        82. Composition.section:newbornInformation.entry
        Definition

        Entries that are contained in the newbornInformation Section

        ShortEntries that are contained in the newbornInformation Section
        SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • profile @ $this.resolve()
        • 84. Composition.section:newbornInformation.entry:birthWeight
          Slice NamebirthWeight
          Definition

          The weight of the infant/fetus at birth/delivery

          ShortBirthweight
          Control0..1
          TypeReference(Observation - Birth Weight)
          86. Composition.section:newbornInformation.entry:gestationalAgeAtDelivery
          Slice NamegestationalAgeAtDelivery
          Definition

          The obstetric estimate of the infant's gestation in completed weeks based on the birth/delivery attendant's final estimate of gestation which should be determined by all perinatal factors and assessments such as ultrasound, but not the neonatal exam

          ShortObstetric estimate of gestation
          Control0..1
          TypeReference(Observation - Gestational Age at Delivery)
          88. Composition.section:newbornInformation.entry:APGARScore
          Slice NameAPGARScore
          Definition

          The Apgar Score for the child.

          ShortAPGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
          Control0..2
          TypeReference(Observation - APGAR Score)
          90. Composition.section:newbornInformation.entry:numberLiveBirthsThisDelivery
          Slice NamenumberLiveBirthsThisDelivery
          Definition

          Number of live births this delivery

          ShortNumber of live births this delivery
          Control0..1
          TypeReference(Observation - Number of Live Births This Delivery)
          92. Composition.section:newbornInformation.entry:abnormalConditionsNewborn
          Slice NameabnormalConditionsNewborn
          Definition

          Disorders or significant morbidity experienced by the newborn infant

          ShortAbnormal conditions of the newborn
          Control0..*
          TypeReference(Procedure - Assisted Ventilation Following Delivery, Procedure - Assisted Ventilation More Than Six Hours, Observation - NICU Admission, Procedure - Surfactant Replacement Therapy, Procedure - Antibiotic for Suspected Neonatal Sepsis, Condition - Seizure, Observation - None Of Specified Abnormal Conditions of Newborn)
          94. Composition.section:newbornInformation.entry:congenitalAnomaliesNewborn
          Slice NamecongenitalAnomaliesNewborn
          Definition

          Malformations of the newborn diagnosed prenatally or after delivery

          ShortCongenital anomolies of the newborn
          Control0..*
          TypeReference(Condition - Congenital Anomaly of Newborn, Observation - None Of Specified Congenital Anomolies Of The Newborn)
          96. Composition.section:newbornInformation.entry:infantLiving
          Slice NameinfantLiving
          Definition

          Information on the infant's survival

          ShortIs infant living at time of report?
          Control0..1
          TypeReference(Observation - Infant Living)
          98. Composition.section:newbornInformation.entry:infantBreastfedAtDischarge
          Slice NameinfantBreastfedAtDischarge
          Definition

          Information on whether the infant is being breastfed at discharge from the hospital

          ShortIs infant being breastfed at discharge?
          Control0..1
          TypeReference(Observation - Infant Breastfed at Discharge)
          100. Composition.section:motherInformation
          Slice NamemotherInformation
          Definition

          motherInformation

          ShortmotherInformation Section on the Provider Live Birth Report
          Control0..1
          102. Composition.section:motherInformation.code
          Control1..?
          Pattern Value{
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "92014-0"
            }]
          }
          104. Composition.section:motherInformation.focus
          Definition

          The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the mother.

          ShortThe focus of this section is the mother
          Control1..?
          TypeReference(Patient - Mother Vital Records)
          106. Composition.section:motherInformation.entry
          Definition

          Entries that are contained in the motherInformation Section

          ShortEntries that are contained in the motherInformation Section
          SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • profile @ $this.resolve()
          • 108. Composition.section:motherInformation.entry:marriedDuringPregnancy
            Slice NamemarriedDuringPregnancy
            Definition

            Was mother married at conception, at the time of birth, or at any time between conception and giving birth?

            ShortMother married during pregnancy
            Control0..1
            TypeReference(Observation - Mother Married During Pregnancy)
            110. Composition.section:motherInformation.entry:ssnRequestedForChild
            Slice NamessnRequestedForChild
            Definition

            Was social security number requested for the child

            ShortWas social security number requested for the child
            Control0..1
            TypeReference(Observation - Social Security Number Requested For Child)
            112. Composition.section:motherInformation.entry:mothersEducation
            Slice NamemothersEducation
            Definition

            Mother's education

            ShortMother's education
            Control0..1
            TypeReference(Observation - Education Level Vital Records)
            114. Composition.section:motherInformation.entry:mothersPresentJob
            Slice NamemothersPresentJob
            Definition

            Mother's Usual Work

            ShortMother's Usual Work
            Control0..1
            TypeReference(Observation - Present Job)
            116. Composition.section:motherInformation.entry:mothersRaceEthnicity
            Slice NamemothersRaceEthnicity
            Definition

            Mother's Input Race and Ethnicity

            ShortMother's Input Race and Ethnicity
            Control0..1
            TypeReference(Observation - Input Race and Ethnicity Vital Records)
            118. Composition.section:fatherInformation
            Slice NamefatherInformation
            Definition

            fatherInformation

            ShortfatherInformation Section on the Provider Live Birth Report
            Control0..1
            120. Composition.section:fatherInformation.code
            Control1..?
            Pattern Value{
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "92013-2"
              }]
            }
            122. Composition.section:fatherInformation.focus
            Definition

            The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the father.

            ShortThe focus of this section is the father
            Control1..?
            TypeReference(RelatedPerson - Father Natural Vital Records)
            124. Composition.section:fatherInformation.entry
            Definition

            Entries that are contained in the fatherInformation Section

            ShortEntries that are contained in the fatherInformation Section
            SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • profile @ $this.resolve()
            • 126. Composition.section:fatherInformation.entry:paternityAcknowledgementSigned
              Slice NamepaternityAcknowledgementSigned
              Definition

              Whether or not a paternity acknowledgement was signed by the father if the mother was not married at conception, at the time of birth, or at any time between conception and giving birth.

              ShortPaternity acknowledgement signed by father
              Control0..1
              TypeReference(Observation - Paternity Acknowledgement Signed)
              128. Composition.section:fatherInformation.entry:fathersEducation
              Slice NamefathersEducation
              Definition

              Father's education

              ShortFather's education
              Control0..1
              TypeReference(Observation - Education Level Vital Records)
              130. Composition.section:fatherInformation.entry:fathersPresentJob
              Slice NamefathersPresentJob
              Definition

              Father's Usual Work

              ShortFather's Present Job
              Control0..1
              TypeReference(Observation - Present Job)
              132. Composition.section:fatherInformation.entry:fathersRaceEthnicity
              Slice NamefathersRaceEthnicity
              Definition

              Father's Input Race and Ethnicity

              ShortFather's Input Race and Ethnicity
              Control0..1
              TypeReference(Observation - Input Race and Ethnicity Vital Records)
              134. Composition.section:patientsQuestionnaireResponse
              Slice NamepatientsQuestionnaireResponse
              ShortOptional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
              Control0..1
              136. Composition.section:patientsQuestionnaireResponse.code
              ShortQuestionnaire response Document
              Control1..?
              Pattern Value{
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "74465-6"
                }]
              }
              138. Composition.section:patientsQuestionnaireResponse.entry
              ShortQuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
              Control1..1
              TypeReference(QuestionnaireResponse)
              140. Composition.section:emergingIssues
              Slice NameemergingIssues
              Definition

              emergingIssues

              ShortemergingIssues Section on the Provider Live Birth Report
              Control0..1
              142. Composition.section:emergingIssues.code
              Control1..?
              Pattern Value{
                "coding" : [{
                  "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr",
                  "code" : "emergingissues"
                }]
              }
              144. Composition.section:emergingIssues.entry
              Definition

              Entries that are contained in the emergingIssues Section

              ShortEntries that are contained in the emergingIssues Section
              SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • profile @ $this.resolve()
              • 146. Composition.section:emergingIssues.entry:EmergingIssues
                Slice NameEmergingIssues
                Definition

                Emerging Issues

                ShortEmerging Issues
                Control0..1
                TypeReference(Observation - Emerging Issues Vital Records)

                Guidance on how to interpret the contents of this table can be found here

                0. Composition
                Definition

                A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

                ShortProvider Live Birth ReportA set of resources composed into a single coherent clinical statement with clinical attestation
                Comments

                While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

                Control0..*
                Is Modifierfalse
                Summaryfalse
                Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                dom-6: A resource should have narrative for robust management (text.`div`.exists())
                2. Composition.implicitRules
                Definition

                A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                ShortA set of rules under which this content was created
                Comments

                Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                Control0..1
                Typeuri
                Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                4. Composition.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                Summaryfalse
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                6. Composition.status
                Definition

                In the case of a live birth sent in error, a status of 'entered-in-error' must be set.


                The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

                ShortIn the case of a live birth sent in error, a status of 'entered-in-error' must be set.preliminary | final | amended | entered-in-error
                Comments

                If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

                Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

                Control1..1
                BindingThe codes SHALL be taken from CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1
                (required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)

                The workflow/clinical status of the composition.

                Typecode
                Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be able to mark interim, amended, or withdrawn compositions or documents.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                8. Composition.type
                Definition

                U.S. standard certificate of live birth - 2003 revision


                Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

                ShortU.S. standard certificate of live birth - 2003 revisionKind of composition (LOINC if possible)
                Comments

                For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

                Control1..1
                BindingThe codes SHOULD be taken from FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes
                (preferred to http://hl7.org/fhir/ValueSet/doc-typecodes)

                Type of a composition.

                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Requirements

                Key metadata element describing the composition, used in searching/filtering.

                Pattern Value{
                  "coding" : [{
                    "system" : "http://loinc.org",
                    "code" : "68998-4"
                  }]
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                10. Composition.subject
                Definition

                The subject of the composition as a whole is the newborn baby. Different sections in the composition have different focus (e.g.: the mother).


                Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

                ShortThe subject of the composition is the newborn babyWho and/or what the composition is about
                Comments

                For clinical documents, this is usually the patient.

                Control10..1
                TypeReference(Patient - Child Vital Records, Resource)
                Is Modifierfalse
                Summarytrue
                Requirements

                Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                12. Composition.encounter
                Definition

                The Encounter for the Composition is the newborn's birth encounter. This Encounter links to the mother's encounter by the Encounter.partOf data element.


                Describes the clinical encounter or type of care this documentation is associated with.

                ShortThe Encounter for the Composition is the newborn's birth encounter.Context of the Composition
                Control0..1
                TypeReference(Encounter - Birth, Encounter)
                Is Modifierfalse
                Summarytrue
                Requirements

                Provides context for the composition and supports searching.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                14. Composition.encounter.extension
                Definition

                This Extension profile is a reference to the maternity encounter.


                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortEncounter Maternity Reference
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..1
                TypeExtension(Encounter Maternity Reference) (Extension Type: Reference(Encounter - Maternity))
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                16. Composition.date
                Definition

                Date report completed


                The composition editing time, when the composition was last logically changed by the author.

                ShortDate report completedComposition editing time
                Comments

                The Last Modified Date on the composition may be after the date of the document was attested without being changed.

                Control1..1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.


                dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                18. Composition.author
                Definition

                Name and title of person completing the report. May be, but need not be, the same as the attendant at delivery.


                Identifies who is responsible for the information in the composition, not necessarily who typed it in.

                ShortThe author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.Who and/or what authored the composition
                Control1..1*
                TypeReference(Practitioner - Vital Records, Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                Is Modifierfalse
                Summarytrue
                Requirements

                Identifies who is responsible for the content.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                20. Composition.title
                Definition

                Official human-readable label for the composition.

                ShortHuman Readable name/title
                Comments

                For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

                Control1..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                22. Composition.section
                Definition

                The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Various administrative and demographic data in the Birth Certificate are contained in other locations in the Composition, such as the Patient and Encounter profiles.


                The root of the sections that make up the composition.

                ShortThe Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate.Composition is broken into sections
                Control10..*
                TypeBackboneElement
                Is Modifierfalse
                Summaryfalse
                Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • pattern @ code
                • 24. Composition.section.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  26. Composition.section:motherPrenatal
                  Slice NamemotherPrenatal
                  Definition

                  motherPrenatal


                  The root of the sections that make up the composition.

                  ShortmotherPrenatal Section on the Provider Live Birth ReportComposition is broken into sections
                  Control0..1*
                  TypeBackboneElement
                  Is Modifierfalse
                  Summaryfalse
                  Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                  cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                  cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                  28. Composition.section:motherPrenatal.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  30. Composition.section:motherPrenatal.code
                  Definition

                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                  ShortClassification of section (recommended)
                  Comments

                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                  Control10..1
                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                  Classification of a section of a composition/document.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Summaryfalse
                  Requirements

                  Provides computable standardized labels to topics within the document.

                  Pattern Value{
                    "coding" : [{
                      "system" : "http://loinc.org",
                      "code" : "57073-9"
                    }]
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  32. Composition.section:motherPrenatal.focus
                  Definition

                  The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the mother.


                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                  ShortThe focus of this section is the motherWho/what the section is about, when it is not about the subject of composition
                  Comments

                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                  Control10..1
                  TypeReference(Patient - Mother Vital Records, Resource)
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  34. Composition.section:motherPrenatal.entry
                  Definition

                  Entries that are contained in the motherPrenatal Section


                  A reference to the actual resource from which the narrative in the section is derived.

                  ShortEntries that are contained in the motherPrenatal SectionA reference to data that supports this section
                  Comments

                  If there are no entries in the list, an emptyReason SHOULD be provided.

                  Control0..*
                  This element is affected by the following invariants: cmp-2
                  TypeReference(Resource)
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • profile @ $this.resolve()
                  • 36. Composition.section:motherPrenatal.entry:firstPrenatalCareVisit
                    Slice NamefirstPrenatalCareVisit
                    Definition

                    Date that mother had her first prenatal care visit


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortFirst prenatal care visitA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Date of First Prenatal Care Visit, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    38. Composition.section:motherPrenatal.entry:numberPrenatalCareVisits
                    Slice NamenumberPrenatalCareVisits
                    Definition

                    Those visits which are listed in the mother's prenatal care and/or facility records.


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortNumber of prenatal care visitsA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Number of Prenatal Visits, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    40. Composition.section:motherPrenatal.entry:dateLastNormalMenses
                    Slice NamedateLastNormalMenses
                    Definition

                    Date that the mother's last normal menses began. This item is used to compute the gestational age of the infant.


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortDate last normal menses beganA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Last Menstrual Period, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    42. Composition.section:motherPrenatal.entry:numberNowLiving
                    Slice NamenumberNowLiving
                    Definition

                    The pregnancy history of the mother with respect to previous children born alive


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortNumber of previous live births now livingA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Number of Births Now Living, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    44. Composition.section:motherPrenatal.entry:numberNowDead
                    Slice NamenumberNowDead
                    Definition

                    The pregnancy history of the mother with respect to previous children born alive


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortNumber of previous live births now deadA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Number of Births Now Dead, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    46. Composition.section:motherPrenatal.entry:dateLastLiveBirth
                    Slice NamedateLastLiveBirth
                    Definition

                    The pregnancy history of the mother with respect to previous children born alive


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortDate of last live birthA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Date of Last Live Birth, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    48. Composition.section:motherPrenatal.entry:numberOtherOutcomes
                    Slice NamenumberOtherOutcomes
                    Definition

                    The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies).


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortNumber of other pregnancy outcomesA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Number of Other Pregnancy Outcomes, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    50. Composition.section:motherPrenatal.entry:dateLastOtherOutcome
                    Slice NamedateLastOtherOutcome
                    Definition

                    The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies).


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortDate of last other pregnancy outcomeA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Date of Last Other Pregnancy Outcome, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    52. Composition.section:motherPrenatal.entry:principalSourceOfPayment
                    Slice NameprincipalSourceOfPayment
                    Definition

                    The principal payer for this delivery


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortPrincipal source of payment for this deliveryA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Coverage - Principal Payer for Delivery, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    54. Composition.section:motherPrenatal.entry:mothersWeightAtDelivery
                    Slice NamemothersWeightAtDelivery
                    Definition

                    The mother's weight at the time of delivery


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortMother's weight at deliveryA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Mother Delivery Weight (reported in pounds), Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    56. Composition.section:motherPrenatal.entry:mothersHeight
                    Slice NamemothersHeight
                    Definition

                    Mother's height


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortMother's heightA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Mother Height, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    58. Composition.section:motherPrenatal.entry:mothersPrepregnancyWeight
                    Slice NamemothersPrepregnancyWeight
                    Definition

                    The mother's prepregnancy weight


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortMother's prepregnancy weightA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Mother Prepregnancy Weight, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    60. Composition.section:motherPrenatal.entry:motherReceivedWICFood
                    Slice NamemotherReceivedWICFood
                    Definition

                    Use of the Women, Infant's, and Children (WIC) nutritional program by the mother during the pregnancy.


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortUseA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..1*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Mother Recieved WIC Food, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    62. Composition.section:motherPrenatal.entry:cigaretteSmokingBeforeDuringPregnancy
                    Slice NamecigaretteSmokingBeforeDuringPregnancy
                    Definition

                    The number of cigarettes or packs of cigarettes the mother smoked 3 months before and at various intervals during the pregnancy


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortCigarettes smoked by the mother before and during the pregnancyA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..4*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Observation - Cigarette Smoking Before and During Pregnancy, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    64. Composition.section:medicalHealthInformation
                    Slice NamemedicalHealthInformation
                    Definition

                    medicalHealthInformation


                    The root of the sections that make up the composition.

                    ShortmedicalHealthInformation Section on the Provider Live Birth ReportComposition is broken into sections
                    Control0..1*
                    TypeBackboneElement
                    Is Modifierfalse
                    Summaryfalse
                    Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                    66. Composition.section:medicalHealthInformation.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    68. Composition.section:medicalHealthInformation.code
                    Definition

                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                    ShortClassification of section (recommended)
                    Comments

                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                    Control10..1
                    BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                    Classification of a section of a composition/document.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Provides computable standardized labels to topics within the document.

                    Pattern Value{
                      "coding" : [{
                        "system" : "http://loinc.org",
                        "code" : "55752-0"
                      }]
                    }
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    70. Composition.section:medicalHealthInformation.focus
                    Definition

                    The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the mother.


                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                    ShortThe focus of this section is the motherWho/what the section is about, when it is not about the subject of composition
                    Comments

                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                    Control10..1
                    TypeReference(Patient - Mother Vital Records, Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    72. Composition.section:medicalHealthInformation.entry
                    Definition

                    Entries that are contained in the medicalHealthInformation Section


                    A reference to the actual resource from which the narrative in the section is derived.

                    ShortEntries that are contained in the medicalHealthInformation SectionA reference to data that supports this section
                    Comments

                    If there are no entries in the list, an emptyReason SHOULD be provided.

                    Control0..*
                    This element is affected by the following invariants: cmp-2
                    TypeReference(Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • profile @ $this.resolve()
                    • 74. Composition.section:medicalHealthInformation.entry:pregnancyRiskFactors
                      Slice NamepregnancyRiskFactors
                      Definition

                      Selected medical risk factors of the mother during this pregnancy


                      A reference to the actual resource from which the narrative in the section is derived.

                      ShortRisk factors in this pregnancyA reference to data that supports this section
                      Comments

                      If there are no entries in the list, an emptyReason SHOULD be provided.

                      Control0..*
                      This element is affected by the following invariants: cmp-2
                      TypeReference(Condition - Prepregnancy Diabetes, Condition - Gestational Diabetes, Condition - Prepregnancy Hypertension, Condition - Gestational Hypertension, Condition - Eclampsia Hypertension, Observation - Previous Preterm Birth, Procedure - Infertility Treatment, Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination, Procedure - Assisted Reproductive Technology, Observation - Previous Cesarean, Observation - None Of Specified Pregnancy Risk Factors, Resource)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      76. Composition.section:medicalHealthInformation.entry:numberPreviousCesareans
                      Slice NamenumberPreviousCesareans
                      Definition

                      Number of previous cesarean deliveries


                      A reference to the actual resource from which the narrative in the section is derived.

                      ShortIf mother had a previous cesarean delivery, how manyA reference to data that supports this section
                      Comments

                      If there are no entries in the list, an emptyReason SHOULD be provided.

                      Control0..1*
                      This element is affected by the following invariants: cmp-2
                      TypeReference(Observation - Number of Previous Cesareans, Resource)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      78. Composition.section:medicalHealthInformation.entry:infectionsDuringPregnancy
                      Slice NameinfectionsDuringPregnancy
                      Definition

                      Selected infections that the mother had or was treated for during the course of this pregnancy


                      A reference to the actual resource from which the narrative in the section is derived.

                      ShortInfections present and/or treated during this pregnancyA reference to data that supports this section
                      Comments

                      If there are no entries in the list, an emptyReason SHOULD be provided.

                      Control0..*
                      This element is affected by the following invariants: cmp-2
                      TypeReference(Condition - Infection Present During Pregnancy, Observation - None Of Specified Infections During Pregnancy, Resource)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      80. Composition.section:medicalHealthInformation.entry:obstetricProcedures
                      Slice NameobstetricProcedures
                      Definition

                      Selected medical treatments or invasive/manipulative procedures performed during this pregnancy specifically for management of labor and delivery


                      A reference to the actual resource from which the narrative in the section is derived.

                      ShortObstetric proceduresA reference to data that supports this section
                      Comments

                      If there are no entries in the list, an emptyReason SHOULD be provided.

                      Control0..1*
                      This element is affected by the following invariants: cmp-2
                      TypeReference(Procedure - Obstetric, Observation - None Of Specified Obstetric Procedures, Resource)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      82. Composition.section:medicalHealthInformation.entry:characteristicsLaborDelivery
                      Slice NamecharacteristicsLaborDelivery
                      Definition

                      Information about the course of labor and delivery


                      A reference to the actual resource from which the narrative in the section is derived.

                      ShortCharacteristics of labor and deliveryA reference to data that supports this section
                      Comments

                      If there are no entries in the list, an emptyReason SHOULD be provided.

                      Control0..*
                      This element is affected by the following invariants: cmp-2
                      TypeReference(Procedure - Induction of Labor, Procedure - Augmentation of Labor, Observation - Administration of Steroids for Fetal Lung Maturation, Observation - Antibiotics Administered During Labor, Condition - Chorioamnionitis, Procedure - Epidural or Spinal Anesthesia, Observation - None Of Specified Characteristics of Labor and Delivery, Resource)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      84. Composition.section:medicalHealthInformation.entry:fetalPresentation
                      Slice NamefetalPresentation
                      Definition

                      Fetal presentation at birth


                      A reference to the actual resource from which the narrative in the section is derived.

                      ShortFetal presentation at birthA reference to data that supports this section
                      Comments

                      If there are no entries in the list, an emptyReason SHOULD be provided.

                      Control0..1*
                      This element is affected by the following invariants: cmp-2
                      TypeReference(Observation - Fetal Presentation at Birth/Delivery, Resource)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      86. Composition.section:medicalHealthInformation.entry:finalRouteMethodDelivery
                      Slice NamefinalRouteMethodDelivery
                      Definition

                      Final route and method of delivery


                      A reference to the actual resource from which the narrative in the section is derived.

                      ShortFinal route and method of deliveryA reference to data that supports this section
                      Comments

                      If there are no entries in the list, an emptyReason SHOULD be provided.

                      Control0..1*
                      This element is affected by the following invariants: cmp-2
                      TypeReference(Procedure - Final Route and Method of Delivery, Observation - Unknown Final Route and Method of Delivery, Resource)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      88. Composition.section:medicalHealthInformation.entry:maternalMorbidity
                      Slice NamematernalMorbidity
                      Definition

                      Serious complications experienced by the mother associated with labor and delivery


                      A reference to the actual resource from which the narrative in the section is derived.

                      ShortMaternal morbidity - complications associated with labor and deliveryA reference to data that supports this section
                      Comments

                      If there are no entries in the list, an emptyReason SHOULD be provided.

                      Control0..*
                      This element is affected by the following invariants: cmp-2
                      TypeReference(Procedure - Blood Transfusion, Condition - Perineal Laceration, Condition - Ruptured Uterus, Procedure - Unplanned Hysterectomy, Observation - ICU Admission, Observation - None Of Specified Maternal Morbidities, Resource)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      90. Composition.section:newbornInformation
                      Slice NamenewbornInformation
                      Definition

                      newbornInformation


                      The root of the sections that make up the composition.

                      ShortnewbornInformation Section on the Provider Live Birth ReportComposition is broken into sections
                      Control0..1*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summaryfalse
                      Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                      92. Composition.section:newbornInformation.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      94. Composition.section:newbornInformation.code
                      Definition

                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                      ShortClassification of section (recommended)
                      Comments

                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                      Control10..1
                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                      Classification of a section of a composition/document.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Summaryfalse
                      Requirements

                      Provides computable standardized labels to topics within the document.

                      Pattern Value{
                        "coding" : [{
                          "system" : "http://loinc.org",
                          "code" : "57075-4"
                        }]
                      }
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      96. Composition.section:newbornInformation.entry
                      Definition

                      Entries that are contained in the newbornInformation Section


                      A reference to the actual resource from which the narrative in the section is derived.

                      ShortEntries that are contained in the newbornInformation SectionA reference to data that supports this section
                      Comments

                      If there are no entries in the list, an emptyReason SHOULD be provided.

                      Control0..*
                      This element is affected by the following invariants: cmp-2
                      TypeReference(Resource)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • profile @ $this.resolve()
                      • 98. Composition.section:newbornInformation.entry:birthWeight
                        Slice NamebirthWeight
                        Definition

                        The weight of the infant/fetus at birth/delivery


                        A reference to the actual resource from which the narrative in the section is derived.

                        ShortBirthweightA reference to data that supports this section
                        Comments

                        If there are no entries in the list, an emptyReason SHOULD be provided.

                        Control0..1*
                        This element is affected by the following invariants: cmp-2
                        TypeReference(Observation - Birth Weight, Resource)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        100. Composition.section:newbornInformation.entry:gestationalAgeAtDelivery
                        Slice NamegestationalAgeAtDelivery
                        Definition

                        The obstetric estimate of the infant's gestation in completed weeks based on the birth/delivery attendant's final estimate of gestation which should be determined by all perinatal factors and assessments such as ultrasound, but not the neonatal exam


                        A reference to the actual resource from which the narrative in the section is derived.

                        ShortObstetric estimate of gestationA reference to data that supports this section
                        Comments

                        If there are no entries in the list, an emptyReason SHOULD be provided.

                        Control0..1*
                        This element is affected by the following invariants: cmp-2
                        TypeReference(Observation - Gestational Age at Delivery, Resource)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        102. Composition.section:newbornInformation.entry:APGARScore
                        Slice NameAPGARScore
                        Definition

                        The Apgar Score for the child.


                        A reference to the actual resource from which the narrative in the section is derived.

                        ShortAPGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.A reference to data that supports this section
                        Comments

                        If there are no entries in the list, an emptyReason SHOULD be provided.

                        Control0..2*
                        This element is affected by the following invariants: cmp-2
                        TypeReference(Observation - APGAR Score, Resource)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        104. Composition.section:newbornInformation.entry:numberLiveBirthsThisDelivery
                        Slice NamenumberLiveBirthsThisDelivery
                        Definition

                        Number of live births this delivery


                        A reference to the actual resource from which the narrative in the section is derived.

                        ShortNumber of live births this deliveryA reference to data that supports this section
                        Comments

                        If there are no entries in the list, an emptyReason SHOULD be provided.

                        Control0..1*
                        This element is affected by the following invariants: cmp-2
                        TypeReference(Observation - Number of Live Births This Delivery, Resource)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        106. Composition.section:newbornInformation.entry:abnormalConditionsNewborn
                        Slice NameabnormalConditionsNewborn
                        Definition

                        Disorders or significant morbidity experienced by the newborn infant


                        A reference to the actual resource from which the narrative in the section is derived.

                        ShortAbnormal conditions of the newbornA reference to data that supports this section
                        Comments

                        If there are no entries in the list, an emptyReason SHOULD be provided.

                        Control0..*
                        This element is affected by the following invariants: cmp-2
                        TypeReference(Procedure - Assisted Ventilation Following Delivery, Procedure - Assisted Ventilation More Than Six Hours, Observation - NICU Admission, Procedure - Surfactant Replacement Therapy, Procedure - Antibiotic for Suspected Neonatal Sepsis, Condition - Seizure, Observation - None Of Specified Abnormal Conditions of Newborn, Resource)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        108. Composition.section:newbornInformation.entry:congenitalAnomaliesNewborn
                        Slice NamecongenitalAnomaliesNewborn
                        Definition

                        Malformations of the newborn diagnosed prenatally or after delivery


                        A reference to the actual resource from which the narrative in the section is derived.

                        ShortCongenital anomolies of the newbornA reference to data that supports this section
                        Comments

                        If there are no entries in the list, an emptyReason SHOULD be provided.

                        Control0..*
                        This element is affected by the following invariants: cmp-2
                        TypeReference(Condition - Congenital Anomaly of Newborn, Observation - None Of Specified Congenital Anomolies Of The Newborn, Resource)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        110. Composition.section:newbornInformation.entry:infantLiving
                        Slice NameinfantLiving
                        Definition

                        Information on the infant's survival


                        A reference to the actual resource from which the narrative in the section is derived.

                        ShortIs infant living at time of report?A reference to data that supports this section
                        Comments

                        If there are no entries in the list, an emptyReason SHOULD be provided.

                        Control0..1*
                        This element is affected by the following invariants: cmp-2
                        TypeReference(Observation - Infant Living, Resource)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        112. Composition.section:newbornInformation.entry:infantBreastfedAtDischarge
                        Slice NameinfantBreastfedAtDischarge
                        Definition

                        Information on whether the infant is being breastfed at discharge from the hospital


                        A reference to the actual resource from which the narrative in the section is derived.

                        ShortIs infant being breastfed at discharge?A reference to data that supports this section
                        Comments

                        If there are no entries in the list, an emptyReason SHOULD be provided.

                        Control0..1*
                        This element is affected by the following invariants: cmp-2
                        TypeReference(Observation - Infant Breastfed at Discharge, Resource)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        114. Composition.section:motherInformation
                        Slice NamemotherInformation
                        Definition

                        motherInformation


                        The root of the sections that make up the composition.

                        ShortmotherInformation Section on the Provider Live Birth ReportComposition is broken into sections
                        Control0..1*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summaryfalse
                        Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                        116. Composition.section:motherInformation.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        118. Composition.section:motherInformation.code
                        Definition

                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                        ShortClassification of section (recommended)
                        Comments

                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                        Control10..1
                        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                        Classification of a section of a composition/document.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Summaryfalse
                        Requirements

                        Provides computable standardized labels to topics within the document.

                        Pattern Value{
                          "coding" : [{
                            "system" : "http://loinc.org",
                            "code" : "92014-0"
                          }]
                        }
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        120. Composition.section:motherInformation.focus
                        Definition

                        The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the mother.


                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                        ShortThe focus of this section is the motherWho/what the section is about, when it is not about the subject of composition
                        Comments

                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                        Control10..1
                        TypeReference(Patient - Mother Vital Records, Resource)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        122. Composition.section:motherInformation.entry
                        Definition

                        Entries that are contained in the motherInformation Section


                        A reference to the actual resource from which the narrative in the section is derived.

                        ShortEntries that are contained in the motherInformation SectionA reference to data that supports this section
                        Comments

                        If there are no entries in the list, an emptyReason SHOULD be provided.

                        Control0..*
                        This element is affected by the following invariants: cmp-2
                        TypeReference(Resource)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • profile @ $this.resolve()
                        • 124. Composition.section:motherInformation.entry:marriedDuringPregnancy
                          Slice NamemarriedDuringPregnancy
                          Definition

                          Was mother married at conception, at the time of birth, or at any time between conception and giving birth?


                          A reference to the actual resource from which the narrative in the section is derived.

                          ShortMother married during pregnancyA reference to data that supports this section
                          Comments

                          If there are no entries in the list, an emptyReason SHOULD be provided.

                          Control0..1*
                          This element is affected by the following invariants: cmp-2
                          TypeReference(Observation - Mother Married During Pregnancy, Resource)
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          126. Composition.section:motherInformation.entry:ssnRequestedForChild
                          Slice NamessnRequestedForChild
                          Definition

                          Was social security number requested for the child


                          A reference to the actual resource from which the narrative in the section is derived.

                          ShortWas social security number requested for the childA reference to data that supports this section
                          Comments

                          If there are no entries in the list, an emptyReason SHOULD be provided.

                          Control0..1*
                          This element is affected by the following invariants: cmp-2
                          TypeReference(Observation - Social Security Number Requested For Child, Resource)
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          128. Composition.section:motherInformation.entry:mothersEducation
                          Slice NamemothersEducation
                          Definition

                          Mother's education


                          A reference to the actual resource from which the narrative in the section is derived.

                          ShortMother's educationA reference to data that supports this section
                          Comments

                          If there are no entries in the list, an emptyReason SHOULD be provided.

                          Control0..1*
                          This element is affected by the following invariants: cmp-2
                          TypeReference(Observation - Education Level Vital Records, Resource)
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          130. Composition.section:motherInformation.entry:mothersPresentJob
                          Slice NamemothersPresentJob
                          Definition

                          Mother's Usual Work


                          A reference to the actual resource from which the narrative in the section is derived.

                          ShortMother's Usual WorkA reference to data that supports this section
                          Comments

                          If there are no entries in the list, an emptyReason SHOULD be provided.

                          Control0..1*
                          This element is affected by the following invariants: cmp-2
                          TypeReference(Observation - Present Job, Resource)
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          132. Composition.section:motherInformation.entry:mothersRaceEthnicity
                          Slice NamemothersRaceEthnicity
                          Definition

                          Mother's Input Race and Ethnicity


                          A reference to the actual resource from which the narrative in the section is derived.

                          ShortMother's Input Race and EthnicityA reference to data that supports this section
                          Comments

                          If there are no entries in the list, an emptyReason SHOULD be provided.

                          Control0..1*
                          This element is affected by the following invariants: cmp-2
                          TypeReference(Observation - Input Race and Ethnicity Vital Records, Resource)
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          134. Composition.section:fatherInformation
                          Slice NamefatherInformation
                          Definition

                          fatherInformation


                          The root of the sections that make up the composition.

                          ShortfatherInformation Section on the Provider Live Birth ReportComposition is broken into sections
                          Control0..1*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summaryfalse
                          Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                          cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                          cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                          136. Composition.section:fatherInformation.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          138. Composition.section:fatherInformation.code
                          Definition

                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                          ShortClassification of section (recommended)
                          Comments

                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                          Control10..1
                          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                          Classification of a section of a composition/document.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Summaryfalse
                          Requirements

                          Provides computable standardized labels to topics within the document.

                          Pattern Value{
                            "coding" : [{
                              "system" : "http://loinc.org",
                              "code" : "92013-2"
                            }]
                          }
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          140. Composition.section:fatherInformation.focus
                          Definition

                          The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the father.


                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                          ShortThe focus of this section is the fatherWho/what the section is about, when it is not about the subject of composition
                          Comments

                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                          Control10..1
                          TypeReference(RelatedPerson - Father Natural Vital Records, Resource)
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          142. Composition.section:fatherInformation.entry
                          Definition

                          Entries that are contained in the fatherInformation Section


                          A reference to the actual resource from which the narrative in the section is derived.

                          ShortEntries that are contained in the fatherInformation SectionA reference to data that supports this section
                          Comments

                          If there are no entries in the list, an emptyReason SHOULD be provided.

                          Control0..*
                          This element is affected by the following invariants: cmp-2
                          TypeReference(Resource)
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • profile @ $this.resolve()
                          • 144. Composition.section:fatherInformation.entry:paternityAcknowledgementSigned
                            Slice NamepaternityAcknowledgementSigned
                            Definition

                            Whether or not a paternity acknowledgement was signed by the father if the mother was not married at conception, at the time of birth, or at any time between conception and giving birth.


                            A reference to the actual resource from which the narrative in the section is derived.

                            ShortPaternity acknowledgement signed by fatherA reference to data that supports this section
                            Comments

                            If there are no entries in the list, an emptyReason SHOULD be provided.

                            Control0..1*
                            This element is affected by the following invariants: cmp-2
                            TypeReference(Observation - Paternity Acknowledgement Signed, Resource)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            146. Composition.section:fatherInformation.entry:fathersEducation
                            Slice NamefathersEducation
                            Definition

                            Father's education


                            A reference to the actual resource from which the narrative in the section is derived.

                            ShortFather's educationA reference to data that supports this section
                            Comments

                            If there are no entries in the list, an emptyReason SHOULD be provided.

                            Control0..1*
                            This element is affected by the following invariants: cmp-2
                            TypeReference(Observation - Education Level Vital Records, Resource)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            148. Composition.section:fatherInformation.entry:fathersPresentJob
                            Slice NamefathersPresentJob
                            Definition

                            Father's Usual Work


                            A reference to the actual resource from which the narrative in the section is derived.

                            ShortFather's Present JobA reference to data that supports this section
                            Comments

                            If there are no entries in the list, an emptyReason SHOULD be provided.

                            Control0..1*
                            This element is affected by the following invariants: cmp-2
                            TypeReference(Observation - Present Job, Resource)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            150. Composition.section:fatherInformation.entry:fathersRaceEthnicity
                            Slice NamefathersRaceEthnicity
                            Definition

                            Father's Input Race and Ethnicity


                            A reference to the actual resource from which the narrative in the section is derived.

                            ShortFather's Input Race and EthnicityA reference to data that supports this section
                            Comments

                            If there are no entries in the list, an emptyReason SHOULD be provided.

                            Control0..1*
                            This element is affected by the following invariants: cmp-2
                            TypeReference(Observation - Input Race and Ethnicity Vital Records, Resource)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            152. Composition.section:patientsQuestionnaireResponse
                            Slice NamepatientsQuestionnaireResponse
                            Definition

                            The root of the sections that make up the composition.

                            ShortOptional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death ReportComposition is broken into sections
                            Control0..1*
                            TypeBackboneElement
                            Is Modifierfalse
                            Summaryfalse
                            Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                            cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                            cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                            154. Composition.section:patientsQuestionnaireResponse.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            156. Composition.section:patientsQuestionnaireResponse.code
                            Definition

                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                            ShortQuestionnaire response DocumentClassification of section (recommended)
                            Comments

                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                            Control10..1
                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                            Classification of a section of a composition/document.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Summaryfalse
                            Requirements

                            Provides computable standardized labels to topics within the document.

                            Pattern Value{
                              "coding" : [{
                                "system" : "http://loinc.org",
                                "code" : "74465-6"
                              }]
                            }
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            158. Composition.section:patientsQuestionnaireResponse.entry
                            Definition

                            A reference to the actual resource from which the narrative in the section is derived.

                            ShortQuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth CertificateA reference to data that supports this section
                            Comments

                            If there are no entries in the list, an emptyReason SHOULD be provided.

                            Control10..1*
                            This element is affected by the following invariants: cmp-2
                            TypeReference(QuestionnaireResponse, Resource)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            160. Composition.section:emergingIssues
                            Slice NameemergingIssues
                            Definition

                            emergingIssues


                            The root of the sections that make up the composition.

                            ShortemergingIssues Section on the Provider Live Birth ReportComposition is broken into sections
                            Control0..1*
                            TypeBackboneElement
                            Is Modifierfalse
                            Summaryfalse
                            Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                            cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                            cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                            162. Composition.section:emergingIssues.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            164. Composition.section:emergingIssues.code
                            Definition

                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                            ShortClassification of section (recommended)
                            Comments

                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                            Control10..1
                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                            Classification of a section of a composition/document.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Summaryfalse
                            Requirements

                            Provides computable standardized labels to topics within the document.

                            Pattern Value{
                              "coding" : [{
                                "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr",
                                "code" : "emergingissues"
                              }]
                            }
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            166. Composition.section:emergingIssues.entry
                            Definition

                            Entries that are contained in the emergingIssues Section


                            A reference to the actual resource from which the narrative in the section is derived.

                            ShortEntries that are contained in the emergingIssues SectionA reference to data that supports this section
                            Comments

                            If there are no entries in the list, an emptyReason SHOULD be provided.

                            Control0..*
                            This element is affected by the following invariants: cmp-2
                            TypeReference(Resource)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • profile @ $this.resolve()
                            • 168. Composition.section:emergingIssues.entry:EmergingIssues
                              Slice NameEmergingIssues
                              Definition

                              Emerging Issues


                              A reference to the actual resource from which the narrative in the section is derived.

                              ShortEmerging IssuesA reference to data that supports this section
                              Comments

                              If there are no entries in the list, an emptyReason SHOULD be provided.

                              Control0..1*
                              This element is affected by the following invariants: cmp-2
                              TypeReference(Observation - Emerging Issues Vital Records, Resource)
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                              Guidance on how to interpret the contents of this table can be found here

                              0. Composition
                              Definition

                              A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

                              ShortProvider Live Birth Report
                              Comments

                              While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

                              Control0..*
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                              dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                              dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                              dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                              dom-6: A resource should have narrative for robust management (text.`div`.exists())
                              2. Composition.id
                              Definition

                              The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                              ShortLogical id of this artifact
                              Comments

                              The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                              Control0..1
                              Typeid
                              Is Modifierfalse
                              Summarytrue
                              4. Composition.meta
                              Definition

                              The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                              ShortMetadata about the resource
                              Control0..1
                              TypeMeta
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              6. Composition.implicitRules
                              Definition

                              A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                              ShortA set of rules under which this content was created
                              Comments

                              Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                              Control0..1
                              Typeuri
                              Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              8. Composition.language
                              Definition

                              The base language in which the resource is written.

                              ShortLanguage of the resource content
                              Comments

                              Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                              Control0..1
                              BindingThe codes SHOULD be taken from CommonLanguages
                              (preferred to http://hl7.org/fhir/ValueSet/languages)

                              A human language.

                              Additional BindingsPurpose
                              AllLanguagesMax Binding
                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              10. Composition.text
                              Definition

                              A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                              ShortText summary of the resource, for human interpretation
                              Comments

                              Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                              Control0..1
                              TypeNarrative
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesnarrative, html, xhtml, display
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              12. Composition.contained
                              Definition

                              These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                              ShortContained, inline Resources
                              Comments

                              This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                              Control0..*
                              TypeResource
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesinline resources, anonymous resources, contained resources
                              14. Composition.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              16. Composition.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                              Summaryfalse
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              18. Composition.identifier
                              Definition

                              A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

                              ShortVersion-independent identifier for the Composition
                              Comments

                              Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

                              NoteThis is a business identifier, not a resource identifier (see discussion)
                              Control0..1
                              TypeIdentifier
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              20. Composition.status
                              Definition

                              In the case of a live birth sent in error, a status of 'entered-in-error' must be set.

                              ShortIn the case of a live birth sent in error, a status of 'entered-in-error' must be set.
                              Comments

                              If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

                              Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

                              Control1..1
                              BindingThe codes SHALL be taken from CompositionStatus
                              (required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)

                              The workflow/clinical status of the composition.

                              Typecode
                              Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              Need to be able to mark interim, amended, or withdrawn compositions or documents.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              22. Composition.type
                              Definition

                              U.S. standard certificate of live birth - 2003 revision

                              ShortU.S. standard certificate of live birth - 2003 revision
                              Comments

                              For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

                              Control1..1
                              BindingThe codes SHOULD be taken from FHIRDocumentTypeCodes
                              (preferred to http://hl7.org/fhir/ValueSet/doc-typecodes)

                              Type of a composition.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Key metadata element describing the composition, used in searching/filtering.

                              Pattern Value{
                                "coding" : [{
                                  "system" : "http://loinc.org",
                                  "code" : "68998-4"
                                }]
                              }
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              24. Composition.category
                              Definition

                              A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

                              ShortCategorization of Composition
                              Comments

                              This is a metadata field from XDS/MHD.

                              Control0..*
                              BindingFor example codes, see DocumentClassValueSet
                              (example to http://hl7.org/fhir/ValueSet/document-classcodes)

                              High-level kind of a clinical document at a macro level.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              26. Composition.subject
                              Definition

                              The subject of the composition as a whole is the newborn baby. Different sections in the composition have different focus (e.g.: the mother).

                              ShortThe subject of the composition is the newborn baby
                              Comments

                              For clinical documents, this is usually the patient.

                              Control1..1
                              TypeReference(Patient - Child Vital Records)
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              28. Composition.encounter
                              Definition

                              The Encounter for the Composition is the newborn's birth encounter. This Encounter links to the mother's encounter by the Encounter.partOf data element.

                              ShortThe Encounter for the Composition is the newborn's birth encounter.
                              Control0..1
                              TypeReference(Encounter - Birth)
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Provides context for the composition and supports searching.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              30. Composition.encounter.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              32. Composition.encounter.extension
                              Definition

                              This Extension profile is a reference to the maternity encounter.

                              ShortEncounter Maternity Reference
                              Control0..1
                              TypeExtension(Encounter Maternity Reference) (Extension Type: Reference(Encounter - Maternity))
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              34. Composition.encounter.reference
                              Definition

                              A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                              ShortLiteral reference, Relative, internal or absolute URL
                              Comments

                              Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                              Control0..1
                              This element is affected by the following invariants: ref-1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              36. Composition.encounter.type
                              Definition

                              The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                              The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                              ShortType the reference refers to (e.g. "Patient")
                              Comments

                              This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                              Control0..1
                              BindingUnless not suitable, these codes SHALL be taken from ResourceType
                              (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                              Aa resource (or, for logical models, the URI of the logical model).

                              Typeuri
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              38. Composition.encounter.identifier
                              Definition

                              An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                              ShortLogical reference, when literal reference is not known
                              Comments

                              When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                              When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                              Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                              Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                              NoteThis is a business identifier, not a resource identifier (see discussion)
                              Control0..1
                              TypeIdentifier
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              40. Composition.encounter.display
                              Definition

                              Plain text narrative that identifies the resource in addition to the resource reference.

                              ShortText alternative for the resource
                              Comments

                              This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              42. Composition.date
                              Definition

                              Date report completed

                              ShortDate report completed
                              Comments

                              The Last Modified Date on the composition may be after the date of the document was attested without being changed.

                              Control1..1
                              TypedateTime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              44. Composition.author
                              Definition

                              Name and title of person completing the report. May be, but need not be, the same as the attendant at delivery.

                              ShortThe author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
                              Control1..1
                              TypeReference(Practitioner - Vital Records)
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Identifies who is responsible for the content.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              46. Composition.title
                              Definition

                              Official human-readable label for the composition.

                              ShortHuman Readable name/title
                              Comments

                              For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

                              Control1..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              48. Composition.confidentiality
                              Definition

                              The code specifying the level of confidentiality of the Composition.

                              ShortAs defined by affinity domain
                              Comments

                              The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.

                              Control0..1
                              BindingThe codes SHALL be taken from v3.ConfidentialityClassification (2014-03-26)
                              (required to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26)

                              Codes specifying the level of confidentiality of the composition.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              50. Composition.attester
                              Definition

                              A participant who has attested to the accuracy of the composition/document.

                              ShortAttests to accuracy of composition
                              Comments

                              Only list each attester once.

                              Control0..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Summaryfalse
                              Requirements

                              Identifies responsibility for the accuracy of the composition content.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              52. Composition.attester.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              54. Composition.attester.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              56. Composition.attester.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              58. Composition.attester.mode
                              Definition

                              The type of attestation the authenticator offers.

                              Shortpersonal | professional | legal | official
                              Control1..1
                              BindingThe codes SHALL be taken from CompositionAttestationMode
                              (required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

                              The way in which a person authenticated a composition.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Requirements

                              Indicates the level of authority of the attestation.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              60. Composition.attester.time
                              Definition

                              When the composition was attested by the party.

                              ShortWhen the composition was attested
                              Control0..1
                              TypedateTime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Requirements

                              Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              62. Composition.attester.party
                              Definition

                              Who attested the composition in the specified way.

                              ShortWho attested the composition
                              Control0..1
                              TypeReference(Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)
                              Is Modifierfalse
                              Summaryfalse
                              Requirements

                              Identifies who has taken on the responsibility for accuracy of the composition content.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              64. Composition.custodian
                              Definition

                              Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

                              ShortOrganization which maintains the composition
                              Comments

                              This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.

                              Control0..1
                              TypeReference(Organization)
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Identifies where to go to find the current version, where to report issues, etc.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              66. Composition.relatesTo
                              Definition

                              Relationships that this composition has with other compositions or documents that already exist.

                              ShortRelationships to other compositions/documents
                              Comments

                              A document is a version specific composition.

                              Control0..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              68. Composition.relatesTo.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              70. Composition.relatesTo.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              72. Composition.relatesTo.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              74. Composition.relatesTo.code
                              Definition

                              The type of relationship that this composition has with anther composition or document.

                              Shortreplaces | transforms | signs | appends
                              Comments

                              If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

                              Control1..1
                              BindingThe codes SHALL be taken from DocumentRelationshipType
                              (required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

                              The type of relationship between documents.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              76. Composition.relatesTo.target[x]
                              Definition

                              The target composition/document of this relationship.

                              ShortTarget of the relationship
                              Control1..1
                              TypeChoice of: Identifier, Reference(Composition)
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              78. Composition.event
                              Definition

                              The clinical service, such as a colonoscopy or an appendectomy, being documented.

                              ShortThe clinical service(s) being documented
                              Comments

                              The event needs to be consistent with the type element, though can provide further information if desired.

                              Control0..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              80. Composition.event.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              82. Composition.event.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              84. Composition.event.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              86. Composition.event.code
                              Definition

                              This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

                              ShortCode(s) that apply to the event being documented
                              Comments

                              An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

                              Control0..*
                              BindingFor example codes, see v3 Code System ActCode
                              (example to http://terminology.hl7.org/ValueSet/v3-ActCode)

                              This list of codes represents the main clinical acts being documented.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              88. Composition.event.period
                              Definition

                              The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

                              ShortThe period covered by the documentation
                              Control0..1
                              TypePeriod
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              90. Composition.event.detail
                              Definition

                              The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

                              ShortThe event(s) being documented
                              Control0..*
                              TypeReference(Resource)
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              92. Composition.section
                              Definition

                              The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Various administrative and demographic data in the Birth Certificate are contained in other locations in the Composition, such as the Patient and Encounter profiles.

                              ShortThe Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate.
                              Control1..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Summaryfalse
                              Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                              cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • pattern @ code
                              • 94. Composition.section.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                96. Composition.section.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                98. Composition.section.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                100. Composition.section.title
                                Definition

                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                ShortLabel for section (e.g. for ToC)
                                Comments

                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summaryfalse
                                Requirements

                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                Alternate Namesheader, label, caption
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                102. Composition.section.code
                                Definition

                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                ShortClassification of section (recommended)
                                Comments

                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                Control0..1
                                BindingFor example codes, see DocumentSectionCodes
                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                Classification of a section of a composition/document.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                Provides computable standardized labels to topics within the document.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                104. Composition.section.author
                                Definition

                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                ShortWho and/or what authored the section
                                Control0..*
                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                Identifies who is responsible for the content.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                106. Composition.section.focus
                                Definition

                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                ShortWho/what the section is about, when it is not about the subject of composition
                                Comments

                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                Control0..1
                                TypeReference(Resource)
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                108. Composition.section.text
                                Definition

                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                ShortText summary of the section, for human interpretation
                                Comments

                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                Control0..1
                                This element is affected by the following invariants: cmp-1
                                TypeNarrative
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                110. Composition.section.mode
                                Definition

                                How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                Shortworking | snapshot | changes
                                Comments

                                This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                Control0..1
                                BindingThe codes SHALL be taken from ListMode
                                (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                The processing mode that applies to this section.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summaryfalse
                                Requirements

                                Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                112. Composition.section.orderedBy
                                Definition

                                Specifies the order applied to the items in the section entries.

                                ShortOrder of section entries
                                Comments

                                Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                Control0..1
                                BindingThe codes SHOULD be taken from ListOrderCodes
                                (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                What order applies to the items in the entry.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                114. Composition.section.entry
                                Definition

                                A reference to the actual resource from which the narrative in the section is derived.

                                ShortA reference to data that supports this section
                                Comments

                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                Control0..*
                                This element is affected by the following invariants: cmp-2
                                TypeReference(Resource)
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                116. Composition.section.emptyReason
                                Definition

                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                ShortWhy the section is empty
                                Comments

                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                Control0..1
                                This element is affected by the following invariants: cmp-2
                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                If a section is empty, why it is empty.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                118. Composition.section.section
                                Definition

                                A nested sub-section within this section.

                                ShortNested Section
                                Comments

                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                Control0..*
                                This element is affected by the following invariants: cmp-1
                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                120. Composition.section:motherPrenatal
                                Slice NamemotherPrenatal
                                Definition

                                motherPrenatal

                                ShortmotherPrenatal Section on the Provider Live Birth Report
                                Control0..1
                                TypeBackboneElement
                                Is Modifierfalse
                                Summaryfalse
                                Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                122. Composition.section:motherPrenatal.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                124. Composition.section:motherPrenatal.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                126. Composition.section:motherPrenatal.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                128. Composition.section:motherPrenatal.title
                                Definition

                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                ShortLabel for section (e.g. for ToC)
                                Comments

                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summaryfalse
                                Requirements

                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                Alternate Namesheader, label, caption
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                130. Composition.section:motherPrenatal.code
                                Definition

                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                ShortClassification of section (recommended)
                                Comments

                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                Control1..1
                                BindingFor example codes, see DocumentSectionCodes
                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                Classification of a section of a composition/document.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                Provides computable standardized labels to topics within the document.

                                Pattern Value{
                                  "coding" : [{
                                    "system" : "http://loinc.org",
                                    "code" : "57073-9"
                                  }]
                                }
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                132. Composition.section:motherPrenatal.author
                                Definition

                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                ShortWho and/or what authored the section
                                Control0..*
                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                Identifies who is responsible for the content.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                134. Composition.section:motherPrenatal.focus
                                Definition

                                The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the mother.

                                ShortThe focus of this section is the mother
                                Comments

                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                Control1..1
                                TypeReference(Patient - Mother Vital Records)
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                136. Composition.section:motherPrenatal.text
                                Definition

                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                ShortText summary of the section, for human interpretation
                                Comments

                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                Control0..1
                                This element is affected by the following invariants: cmp-1
                                TypeNarrative
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                138. Composition.section:motherPrenatal.mode
                                Definition

                                How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                Shortworking | snapshot | changes
                                Comments

                                This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                Control0..1
                                BindingThe codes SHALL be taken from ListMode
                                (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                The processing mode that applies to this section.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summaryfalse
                                Requirements

                                Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                140. Composition.section:motherPrenatal.orderedBy
                                Definition

                                Specifies the order applied to the items in the section entries.

                                ShortOrder of section entries
                                Comments

                                Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                Control0..1
                                BindingThe codes SHOULD be taken from ListOrderCodes
                                (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                What order applies to the items in the entry.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                142. Composition.section:motherPrenatal.entry
                                Definition

                                Entries that are contained in the motherPrenatal Section

                                ShortEntries that are contained in the motherPrenatal Section
                                Comments

                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                Control0..*
                                This element is affected by the following invariants: cmp-2
                                TypeReference(Resource)
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • profile @ $this.resolve()
                                • 144. Composition.section:motherPrenatal.entry:firstPrenatalCareVisit
                                  Slice NamefirstPrenatalCareVisit
                                  Definition

                                  Date that mother had her first prenatal care visit

                                  ShortFirst prenatal care visit
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Date of First Prenatal Care Visit)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  146. Composition.section:motherPrenatal.entry:numberPrenatalCareVisits
                                  Slice NamenumberPrenatalCareVisits
                                  Definition

                                  Those visits which are listed in the mother's prenatal care and/or facility records.

                                  ShortNumber of prenatal care visits
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Number of Prenatal Visits)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  148. Composition.section:motherPrenatal.entry:dateLastNormalMenses
                                  Slice NamedateLastNormalMenses
                                  Definition

                                  Date that the mother's last normal menses began. This item is used to compute the gestational age of the infant.

                                  ShortDate last normal menses began
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Last Menstrual Period)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  150. Composition.section:motherPrenatal.entry:numberNowLiving
                                  Slice NamenumberNowLiving
                                  Definition

                                  The pregnancy history of the mother with respect to previous children born alive

                                  ShortNumber of previous live births now living
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Number of Births Now Living)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  152. Composition.section:motherPrenatal.entry:numberNowDead
                                  Slice NamenumberNowDead
                                  Definition

                                  The pregnancy history of the mother with respect to previous children born alive

                                  ShortNumber of previous live births now dead
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Number of Births Now Dead)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  154. Composition.section:motherPrenatal.entry:dateLastLiveBirth
                                  Slice NamedateLastLiveBirth
                                  Definition

                                  The pregnancy history of the mother with respect to previous children born alive

                                  ShortDate of last live birth
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Date of Last Live Birth)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  156. Composition.section:motherPrenatal.entry:numberOtherOutcomes
                                  Slice NamenumberOtherOutcomes
                                  Definition

                                  The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies).

                                  ShortNumber of other pregnancy outcomes
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Number of Other Pregnancy Outcomes)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  158. Composition.section:motherPrenatal.entry:dateLastOtherOutcome
                                  Slice NamedateLastOtherOutcome
                                  Definition

                                  The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies).

                                  ShortDate of last other pregnancy outcome
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Date of Last Other Pregnancy Outcome)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  160. Composition.section:motherPrenatal.entry:principalSourceOfPayment
                                  Slice NameprincipalSourceOfPayment
                                  Definition

                                  The principal payer for this delivery

                                  ShortPrincipal source of payment for this delivery
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Coverage - Principal Payer for Delivery)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  162. Composition.section:motherPrenatal.entry:mothersWeightAtDelivery
                                  Slice NamemothersWeightAtDelivery
                                  Definition

                                  The mother's weight at the time of delivery

                                  ShortMother's weight at delivery
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Mother Delivery Weight (reported in pounds))
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  164. Composition.section:motherPrenatal.entry:mothersHeight
                                  Slice NamemothersHeight
                                  Definition

                                  Mother's height

                                  ShortMother's height
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Mother Height)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  166. Composition.section:motherPrenatal.entry:mothersPrepregnancyWeight
                                  Slice NamemothersPrepregnancyWeight
                                  Definition

                                  The mother's prepregnancy weight

                                  ShortMother's prepregnancy weight
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Mother Prepregnancy Weight)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  168. Composition.section:motherPrenatal.entry:motherReceivedWICFood
                                  Slice NamemotherReceivedWICFood
                                  Definition

                                  Use of the Women, Infant's, and Children (WIC) nutritional program by the mother during the pregnancy.

                                  ShortUse
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Mother Recieved WIC Food)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  170. Composition.section:motherPrenatal.entry:cigaretteSmokingBeforeDuringPregnancy
                                  Slice NamecigaretteSmokingBeforeDuringPregnancy
                                  Definition

                                  The number of cigarettes or packs of cigarettes the mother smoked 3 months before and at various intervals during the pregnancy

                                  ShortCigarettes smoked by the mother before and during the pregnancy
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..4
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Observation - Cigarette Smoking Before and During Pregnancy)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  172. Composition.section:motherPrenatal.emptyReason
                                  Definition

                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                  ShortWhy the section is empty
                                  Comments

                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-2
                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                  If a section is empty, why it is empty.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  174. Composition.section:motherPrenatal.section
                                  Definition

                                  A nested sub-section within this section.

                                  ShortNested Section
                                  Comments

                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                  Control0..*
                                  This element is affected by the following invariants: cmp-1
                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  176. Composition.section:medicalHealthInformation
                                  Slice NamemedicalHealthInformation
                                  Definition

                                  medicalHealthInformation

                                  ShortmedicalHealthInformation Section on the Provider Live Birth Report
                                  Control0..1
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                  cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  178. Composition.section:medicalHealthInformation.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  180. Composition.section:medicalHealthInformation.extension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  ShortAdditional content defined by implementations
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  182. Composition.section:medicalHealthInformation.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  184. Composition.section:medicalHealthInformation.title
                                  Definition

                                  The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                  ShortLabel for section (e.g. for ToC)
                                  Comments

                                  The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Requirements

                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                  Alternate Namesheader, label, caption
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  186. Composition.section:medicalHealthInformation.code
                                  Definition

                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                  ShortClassification of section (recommended)
                                  Comments

                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                  Control1..1
                                  BindingFor example codes, see DocumentSectionCodes
                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                  Classification of a section of a composition/document.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Provides computable standardized labels to topics within the document.

                                  Pattern Value{
                                    "coding" : [{
                                      "system" : "http://loinc.org",
                                      "code" : "55752-0"
                                    }]
                                  }
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  188. Composition.section:medicalHealthInformation.author
                                  Definition

                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                  ShortWho and/or what authored the section
                                  Control0..*
                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Identifies who is responsible for the content.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  190. Composition.section:medicalHealthInformation.focus
                                  Definition

                                  The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the mother.

                                  ShortThe focus of this section is the mother
                                  Comments

                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                  Control1..1
                                  TypeReference(Patient - Mother Vital Records)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  192. Composition.section:medicalHealthInformation.text
                                  Definition

                                  A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                  ShortText summary of the section, for human interpretation
                                  Comments

                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                  Control0..1
                                  This element is affected by the following invariants: cmp-1
                                  TypeNarrative
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  194. Composition.section:medicalHealthInformation.mode
                                  Definition

                                  How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                  Shortworking | snapshot | changes
                                  Comments

                                  This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                  Control0..1
                                  BindingThe codes SHALL be taken from ListMode
                                  (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                  The processing mode that applies to this section.

                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Requirements

                                  Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  196. Composition.section:medicalHealthInformation.orderedBy
                                  Definition

                                  Specifies the order applied to the items in the section entries.

                                  ShortOrder of section entries
                                  Comments

                                  Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                  Control0..1
                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                  (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                  What order applies to the items in the entry.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  198. Composition.section:medicalHealthInformation.entry
                                  Definition

                                  Entries that are contained in the medicalHealthInformation Section

                                  ShortEntries that are contained in the medicalHealthInformation Section
                                  Comments

                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                  Control0..*
                                  This element is affected by the following invariants: cmp-2
                                  TypeReference(Resource)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • profile @ $this.resolve()
                                  • 200. Composition.section:medicalHealthInformation.entry:pregnancyRiskFactors
                                    Slice NamepregnancyRiskFactors
                                    Definition

                                    Selected medical risk factors of the mother during this pregnancy

                                    ShortRisk factors in this pregnancy
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control0..*
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Condition - Prepregnancy Diabetes, Condition - Gestational Diabetes, Condition - Prepregnancy Hypertension, Condition - Gestational Hypertension, Condition - Eclampsia Hypertension, Observation - Previous Preterm Birth, Procedure - Infertility Treatment, Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination, Procedure - Assisted Reproductive Technology, Observation - Previous Cesarean, Observation - None Of Specified Pregnancy Risk Factors)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    202. Composition.section:medicalHealthInformation.entry:numberPreviousCesareans
                                    Slice NamenumberPreviousCesareans
                                    Definition

                                    Number of previous cesarean deliveries

                                    ShortIf mother had a previous cesarean delivery, how many
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control0..1
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Observation - Number of Previous Cesareans)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    204. Composition.section:medicalHealthInformation.entry:infectionsDuringPregnancy
                                    Slice NameinfectionsDuringPregnancy
                                    Definition

                                    Selected infections that the mother had or was treated for during the course of this pregnancy

                                    ShortInfections present and/or treated during this pregnancy
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control0..*
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Condition - Infection Present During Pregnancy, Observation - None Of Specified Infections During Pregnancy)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    206. Composition.section:medicalHealthInformation.entry:obstetricProcedures
                                    Slice NameobstetricProcedures
                                    Definition

                                    Selected medical treatments or invasive/manipulative procedures performed during this pregnancy specifically for management of labor and delivery

                                    ShortObstetric procedures
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control0..1
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Procedure - Obstetric, Observation - None Of Specified Obstetric Procedures)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    208. Composition.section:medicalHealthInformation.entry:characteristicsLaborDelivery
                                    Slice NamecharacteristicsLaborDelivery
                                    Definition

                                    Information about the course of labor and delivery

                                    ShortCharacteristics of labor and delivery
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control0..*
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Procedure - Induction of Labor, Procedure - Augmentation of Labor, Observation - Administration of Steroids for Fetal Lung Maturation, Observation - Antibiotics Administered During Labor, Condition - Chorioamnionitis, Procedure - Epidural or Spinal Anesthesia, Observation - None Of Specified Characteristics of Labor and Delivery)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    210. Composition.section:medicalHealthInformation.entry:fetalPresentation
                                    Slice NamefetalPresentation
                                    Definition

                                    Fetal presentation at birth

                                    ShortFetal presentation at birth
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control0..1
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Observation - Fetal Presentation at Birth/Delivery)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    212. Composition.section:medicalHealthInformation.entry:finalRouteMethodDelivery
                                    Slice NamefinalRouteMethodDelivery
                                    Definition

                                    Final route and method of delivery

                                    ShortFinal route and method of delivery
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control0..1
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Procedure - Final Route and Method of Delivery, Observation - Unknown Final Route and Method of Delivery)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    214. Composition.section:medicalHealthInformation.entry:maternalMorbidity
                                    Slice NamematernalMorbidity
                                    Definition

                                    Serious complications experienced by the mother associated with labor and delivery

                                    ShortMaternal morbidity - complications associated with labor and delivery
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control0..*
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Procedure - Blood Transfusion, Condition - Perineal Laceration, Condition - Ruptured Uterus, Procedure - Unplanned Hysterectomy, Observation - ICU Admission, Observation - None Of Specified Maternal Morbidities)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    216. Composition.section:medicalHealthInformation.emptyReason
                                    Definition

                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                    ShortWhy the section is empty
                                    Comments

                                    The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                    Control0..1
                                    This element is affected by the following invariants: cmp-2
                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                    If a section is empty, why it is empty.

                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summaryfalse
                                    Requirements

                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    218. Composition.section:medicalHealthInformation.section
                                    Definition

                                    A nested sub-section within this section.

                                    ShortNested Section
                                    Comments

                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                    Control0..*
                                    This element is affected by the following invariants: cmp-1
                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    220. Composition.section:newbornInformation
                                    Slice NamenewbornInformation
                                    Definition

                                    newbornInformation

                                    ShortnewbornInformation Section on the Provider Live Birth Report
                                    Control0..1
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    222. Composition.section:newbornInformation.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    224. Composition.section:newbornInformation.extension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                    ShortAdditional content defined by implementations
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    226. Composition.section:newbornInformation.modifierExtension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Summarytrue
                                    Requirements

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    228. Composition.section:newbornInformation.title
                                    Definition

                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                    ShortLabel for section (e.g. for ToC)
                                    Comments

                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summaryfalse
                                    Requirements

                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                    Alternate Namesheader, label, caption
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    230. Composition.section:newbornInformation.code
                                    Definition

                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                    ShortClassification of section (recommended)
                                    Comments

                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                    Control1..1
                                    BindingFor example codes, see DocumentSectionCodes
                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                    Classification of a section of a composition/document.

                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summaryfalse
                                    Requirements

                                    Provides computable standardized labels to topics within the document.

                                    Pattern Value{
                                      "coding" : [{
                                        "system" : "http://loinc.org",
                                        "code" : "57075-4"
                                      }]
                                    }
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    232. Composition.section:newbornInformation.author
                                    Definition

                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                    ShortWho and/or what authored the section
                                    Control0..*
                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Requirements

                                    Identifies who is responsible for the content.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    234. Composition.section:newbornInformation.focus
                                    Definition

                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                    ShortWho/what the section is about, when it is not about the subject of composition
                                    Comments

                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                    Control0..1
                                    TypeReference(Resource)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    236. Composition.section:newbornInformation.text
                                    Definition

                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                    ShortText summary of the section, for human interpretation
                                    Comments

                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                    Control0..1
                                    This element is affected by the following invariants: cmp-1
                                    TypeNarrative
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    238. Composition.section:newbornInformation.mode
                                    Definition

                                    How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                    Shortworking | snapshot | changes
                                    Comments

                                    This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                    Control0..1
                                    BindingThe codes SHALL be taken from ListMode
                                    (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                    The processing mode that applies to this section.

                                    Typecode
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summaryfalse
                                    Requirements

                                    Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    240. Composition.section:newbornInformation.orderedBy
                                    Definition

                                    Specifies the order applied to the items in the section entries.

                                    ShortOrder of section entries
                                    Comments

                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                    Control0..1
                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                    What order applies to the items in the entry.

                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summaryfalse
                                    Requirements

                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    242. Composition.section:newbornInformation.entry
                                    Definition

                                    Entries that are contained in the newbornInformation Section

                                    ShortEntries that are contained in the newbornInformation Section
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control0..*
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Resource)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • profile @ $this.resolve()
                                    • 244. Composition.section:newbornInformation.entry:birthWeight
                                      Slice NamebirthWeight
                                      Definition

                                      The weight of the infant/fetus at birth/delivery

                                      ShortBirthweight
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Observation - Birth Weight)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      246. Composition.section:newbornInformation.entry:gestationalAgeAtDelivery
                                      Slice NamegestationalAgeAtDelivery
                                      Definition

                                      The obstetric estimate of the infant's gestation in completed weeks based on the birth/delivery attendant's final estimate of gestation which should be determined by all perinatal factors and assessments such as ultrasound, but not the neonatal exam

                                      ShortObstetric estimate of gestation
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Observation - Gestational Age at Delivery)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      248. Composition.section:newbornInformation.entry:APGARScore
                                      Slice NameAPGARScore
                                      Definition

                                      The Apgar Score for the child.

                                      ShortAPGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..2
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Observation - APGAR Score)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      250. Composition.section:newbornInformation.entry:numberLiveBirthsThisDelivery
                                      Slice NamenumberLiveBirthsThisDelivery
                                      Definition

                                      Number of live births this delivery

                                      ShortNumber of live births this delivery
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Observation - Number of Live Births This Delivery)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      252. Composition.section:newbornInformation.entry:abnormalConditionsNewborn
                                      Slice NameabnormalConditionsNewborn
                                      Definition

                                      Disorders or significant morbidity experienced by the newborn infant

                                      ShortAbnormal conditions of the newborn
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..*
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Procedure - Assisted Ventilation Following Delivery, Procedure - Assisted Ventilation More Than Six Hours, Observation - NICU Admission, Procedure - Surfactant Replacement Therapy, Procedure - Antibiotic for Suspected Neonatal Sepsis, Condition - Seizure, Observation - None Of Specified Abnormal Conditions of Newborn)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      254. Composition.section:newbornInformation.entry:congenitalAnomaliesNewborn
                                      Slice NamecongenitalAnomaliesNewborn
                                      Definition

                                      Malformations of the newborn diagnosed prenatally or after delivery

                                      ShortCongenital anomolies of the newborn
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..*
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Condition - Congenital Anomaly of Newborn, Observation - None Of Specified Congenital Anomolies Of The Newborn)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      256. Composition.section:newbornInformation.entry:infantLiving
                                      Slice NameinfantLiving
                                      Definition

                                      Information on the infant's survival

                                      ShortIs infant living at time of report?
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Observation - Infant Living)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      258. Composition.section:newbornInformation.entry:infantBreastfedAtDischarge
                                      Slice NameinfantBreastfedAtDischarge
                                      Definition

                                      Information on whether the infant is being breastfed at discharge from the hospital

                                      ShortIs infant being breastfed at discharge?
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Observation - Infant Breastfed at Discharge)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      260. Composition.section:newbornInformation.emptyReason
                                      Definition

                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                      ShortWhy the section is empty
                                      Comments

                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                      Control0..1
                                      This element is affected by the following invariants: cmp-2
                                      BindingThe codes SHOULD be taken from ListEmptyReasons
                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                      If a section is empty, why it is empty.

                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      262. Composition.section:newbornInformation.section
                                      Definition

                                      A nested sub-section within this section.

                                      ShortNested Section
                                      Comments

                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                      Control0..*
                                      This element is affected by the following invariants: cmp-1
                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      264. Composition.section:motherInformation
                                      Slice NamemotherInformation
                                      Definition

                                      motherInformation

                                      ShortmotherInformation Section on the Provider Live Birth Report
                                      Control0..1
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      266. Composition.section:motherInformation.id
                                      Definition

                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      268. Composition.section:motherInformation.extension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                      ShortAdditional content defined by implementations
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      270. Composition.section:motherInformation.modifierExtension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Summarytrue
                                      Requirements

                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                      Alternate Namesextensions, user content, modifiers
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      272. Composition.section:motherInformation.title
                                      Definition

                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                      ShortLabel for section (e.g. for ToC)
                                      Comments

                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Requirements

                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                      Alternate Namesheader, label, caption
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      274. Composition.section:motherInformation.code
                                      Definition

                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                      ShortClassification of section (recommended)
                                      Comments

                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                      Control1..1
                                      BindingFor example codes, see DocumentSectionCodes
                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                      Classification of a section of a composition/document.

                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Provides computable standardized labels to topics within the document.

                                      Pattern Value{
                                        "coding" : [{
                                          "system" : "http://loinc.org",
                                          "code" : "92014-0"
                                        }]
                                      }
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      276. Composition.section:motherInformation.author
                                      Definition

                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                      ShortWho and/or what authored the section
                                      Control0..*
                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Identifies who is responsible for the content.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      278. Composition.section:motherInformation.focus
                                      Definition

                                      The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the mother.

                                      ShortThe focus of this section is the mother
                                      Comments

                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                      Control1..1
                                      TypeReference(Patient - Mother Vital Records)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      280. Composition.section:motherInformation.text
                                      Definition

                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                      ShortText summary of the section, for human interpretation
                                      Comments

                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                      Control0..1
                                      This element is affected by the following invariants: cmp-1
                                      TypeNarrative
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      282. Composition.section:motherInformation.mode
                                      Definition

                                      How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                      Shortworking | snapshot | changes
                                      Comments

                                      This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                      Control0..1
                                      BindingThe codes SHALL be taken from ListMode
                                      (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                      The processing mode that applies to this section.

                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Requirements

                                      Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      284. Composition.section:motherInformation.orderedBy
                                      Definition

                                      Specifies the order applied to the items in the section entries.

                                      ShortOrder of section entries
                                      Comments

                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                      Control0..1
                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                      (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                      What order applies to the items in the entry.

                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      286. Composition.section:motherInformation.entry
                                      Definition

                                      Entries that are contained in the motherInformation Section

                                      ShortEntries that are contained in the motherInformation Section
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..*
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Resource)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • profile @ $this.resolve()
                                      • 288. Composition.section:motherInformation.entry:marriedDuringPregnancy
                                        Slice NamemarriedDuringPregnancy
                                        Definition

                                        Was mother married at conception, at the time of birth, or at any time between conception and giving birth?

                                        ShortMother married during pregnancy
                                        Comments

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Control0..1
                                        This element is affected by the following invariants: cmp-2
                                        TypeReference(Observation - Mother Married During Pregnancy)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        290. Composition.section:motherInformation.entry:ssnRequestedForChild
                                        Slice NamessnRequestedForChild
                                        Definition

                                        Was social security number requested for the child

                                        ShortWas social security number requested for the child
                                        Comments

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Control0..1
                                        This element is affected by the following invariants: cmp-2
                                        TypeReference(Observation - Social Security Number Requested For Child)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        292. Composition.section:motherInformation.entry:mothersEducation
                                        Slice NamemothersEducation
                                        Definition

                                        Mother's education

                                        ShortMother's education
                                        Comments

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Control0..1
                                        This element is affected by the following invariants: cmp-2
                                        TypeReference(Observation - Education Level Vital Records)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        294. Composition.section:motherInformation.entry:mothersPresentJob
                                        Slice NamemothersPresentJob
                                        Definition

                                        Mother's Usual Work

                                        ShortMother's Usual Work
                                        Comments

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Control0..1
                                        This element is affected by the following invariants: cmp-2
                                        TypeReference(Observation - Present Job)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        296. Composition.section:motherInformation.entry:mothersRaceEthnicity
                                        Slice NamemothersRaceEthnicity
                                        Definition

                                        Mother's Input Race and Ethnicity

                                        ShortMother's Input Race and Ethnicity
                                        Comments

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Control0..1
                                        This element is affected by the following invariants: cmp-2
                                        TypeReference(Observation - Input Race and Ethnicity Vital Records)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        298. Composition.section:motherInformation.emptyReason
                                        Definition

                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                        ShortWhy the section is empty
                                        Comments

                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                        Control0..1
                                        This element is affected by the following invariants: cmp-2
                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                        If a section is empty, why it is empty.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summaryfalse
                                        Requirements

                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        300. Composition.section:motherInformation.section
                                        Definition

                                        A nested sub-section within this section.

                                        ShortNested Section
                                        Comments

                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                        Control0..*
                                        This element is affected by the following invariants: cmp-1
                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        302. Composition.section:fatherInformation
                                        Slice NamefatherInformation
                                        Definition

                                        fatherInformation

                                        ShortfatherInformation Section on the Provider Live Birth Report
                                        Control0..1
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        304. Composition.section:fatherInformation.id
                                        Definition

                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        306. Composition.section:fatherInformation.extension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                        ShortAdditional content defined by implementations
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        308. Composition.section:fatherInformation.modifierExtension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                        ShortExtensions that cannot be ignored even if unrecognized
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                        Summarytrue
                                        Requirements

                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                        Alternate Namesextensions, user content, modifiers
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        310. Composition.section:fatherInformation.title
                                        Definition

                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                        ShortLabel for section (e.g. for ToC)
                                        Comments

                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summaryfalse
                                        Requirements

                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                        Alternate Namesheader, label, caption
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        312. Composition.section:fatherInformation.code
                                        Definition

                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                        ShortClassification of section (recommended)
                                        Comments

                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                        Control1..1
                                        BindingFor example codes, see DocumentSectionCodes
                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                        Classification of a section of a composition/document.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summaryfalse
                                        Requirements

                                        Provides computable standardized labels to topics within the document.

                                        Pattern Value{
                                          "coding" : [{
                                            "system" : "http://loinc.org",
                                            "code" : "92013-2"
                                          }]
                                        }
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        314. Composition.section:fatherInformation.author
                                        Definition

                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                        ShortWho and/or what authored the section
                                        Control0..*
                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Requirements

                                        Identifies who is responsible for the content.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        316. Composition.section:fatherInformation.focus
                                        Definition

                                        The subject of the composition as a whole is the fetus baby. The focus of this section in the composition is the father.

                                        ShortThe focus of this section is the father
                                        Comments

                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                        Control1..1
                                        TypeReference(RelatedPerson - Father Natural Vital Records)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        318. Composition.section:fatherInformation.text
                                        Definition

                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                        ShortText summary of the section, for human interpretation
                                        Comments

                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                        Control0..1
                                        This element is affected by the following invariants: cmp-1
                                        TypeNarrative
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        320. Composition.section:fatherInformation.mode
                                        Definition

                                        How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                        Shortworking | snapshot | changes
                                        Comments

                                        This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                        Control0..1
                                        BindingThe codes SHALL be taken from ListMode
                                        (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                        The processing mode that applies to this section.

                                        Typecode
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summaryfalse
                                        Requirements

                                        Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        322. Composition.section:fatherInformation.orderedBy
                                        Definition

                                        Specifies the order applied to the items in the section entries.

                                        ShortOrder of section entries
                                        Comments

                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                        Control0..1
                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                        (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                        What order applies to the items in the entry.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summaryfalse
                                        Requirements

                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        324. Composition.section:fatherInformation.entry
                                        Definition

                                        Entries that are contained in the fatherInformation Section

                                        ShortEntries that are contained in the fatherInformation Section
                                        Comments

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Control0..*
                                        This element is affected by the following invariants: cmp-2
                                        TypeReference(Resource)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • profile @ $this.resolve()
                                        • 326. Composition.section:fatherInformation.entry:paternityAcknowledgementSigned
                                          Slice NamepaternityAcknowledgementSigned
                                          Definition

                                          Whether or not a paternity acknowledgement was signed by the father if the mother was not married at conception, at the time of birth, or at any time between conception and giving birth.

                                          ShortPaternity acknowledgement signed by father
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(Observation - Paternity Acknowledgement Signed)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          328. Composition.section:fatherInformation.entry:fathersEducation
                                          Slice NamefathersEducation
                                          Definition

                                          Father's education

                                          ShortFather's education
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(Observation - Education Level Vital Records)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          330. Composition.section:fatherInformation.entry:fathersPresentJob
                                          Slice NamefathersPresentJob
                                          Definition

                                          Father's Usual Work

                                          ShortFather's Present Job
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(Observation - Present Job)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          332. Composition.section:fatherInformation.entry:fathersRaceEthnicity
                                          Slice NamefathersRaceEthnicity
                                          Definition

                                          Father's Input Race and Ethnicity

                                          ShortFather's Input Race and Ethnicity
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(Observation - Input Race and Ethnicity Vital Records)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          334. Composition.section:fatherInformation.emptyReason
                                          Definition

                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                          ShortWhy the section is empty
                                          Comments

                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                          If a section is empty, why it is empty.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summaryfalse
                                          Requirements

                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          336. Composition.section:fatherInformation.section
                                          Definition

                                          A nested sub-section within this section.

                                          ShortNested Section
                                          Comments

                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                          Control0..*
                                          This element is affected by the following invariants: cmp-1
                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          338. Composition.section:patientsQuestionnaireResponse
                                          Slice NamepatientsQuestionnaireResponse
                                          Definition

                                          The root of the sections that make up the composition.

                                          ShortOptional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
                                          Control0..1
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                          cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          340. Composition.section:patientsQuestionnaireResponse.id
                                          Definition

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          342. Composition.section:patientsQuestionnaireResponse.extension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                          ShortAdditional content defined by implementations
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          344. Composition.section:patientsQuestionnaireResponse.modifierExtension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          Requirements

                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                          Alternate Namesextensions, user content, modifiers
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          346. Composition.section:patientsQuestionnaireResponse.title
                                          Definition

                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                          ShortLabel for section (e.g. for ToC)
                                          Comments

                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summaryfalse
                                          Requirements

                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                          Alternate Namesheader, label, caption
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          348. Composition.section:patientsQuestionnaireResponse.code
                                          Definition

                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                          ShortQuestionnaire response Document
                                          Comments

                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                          Control1..1
                                          BindingFor example codes, see DocumentSectionCodes
                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                          Classification of a section of a composition/document.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summaryfalse
                                          Requirements

                                          Provides computable standardized labels to topics within the document.

                                          Pattern Value{
                                            "coding" : [{
                                              "system" : "http://loinc.org",
                                              "code" : "74465-6"
                                            }]
                                          }
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          350. Composition.section:patientsQuestionnaireResponse.author
                                          Definition

                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                          ShortWho and/or what authored the section
                                          Control0..*
                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Requirements

                                          Identifies who is responsible for the content.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          352. Composition.section:patientsQuestionnaireResponse.focus
                                          Definition

                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                          ShortWho/what the section is about, when it is not about the subject of composition
                                          Comments

                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                          Control0..1
                                          TypeReference(Resource)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          354. Composition.section:patientsQuestionnaireResponse.text
                                          Definition

                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                          ShortText summary of the section, for human interpretation
                                          Comments

                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-1
                                          TypeNarrative
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          356. Composition.section:patientsQuestionnaireResponse.mode
                                          Definition

                                          How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                          Shortworking | snapshot | changes
                                          Comments

                                          This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                          Control0..1
                                          BindingThe codes SHALL be taken from ListMode
                                          (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                          The processing mode that applies to this section.

                                          Typecode
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summaryfalse
                                          Requirements

                                          Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          358. Composition.section:patientsQuestionnaireResponse.orderedBy
                                          Definition

                                          Specifies the order applied to the items in the section entries.

                                          ShortOrder of section entries
                                          Comments

                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                          Control0..1
                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                          (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                          What order applies to the items in the entry.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summaryfalse
                                          Requirements

                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          360. Composition.section:patientsQuestionnaireResponse.entry
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortQuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control1..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(QuestionnaireResponse)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          362. Composition.section:patientsQuestionnaireResponse.emptyReason
                                          Definition

                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                          ShortWhy the section is empty
                                          Comments

                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                          (