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: Composition - Provider Live Birth Report

Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-live-birth-report Version: 2.0.0
Active as of 2024-10-15 Computable Name: CompositionProviderLiveBirthReport
Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.12

This Composition profile defines constraints to address the use case in which information for live birth information is recorded and communicated to the jurisdictional Vital Records Office.

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

The data requirements for provider supplied live birth information are based on the

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

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

IJE Mapping

Natality
Use Case # Description IJE Name Field Type Value Set/Comments
Natality 243 Date of Registration--Year DOR_YR date dateTime Used for Jurisdiction Report also
Natality 244 Date of Registration--Month DOR_MO date dateTime Used for Jurisdiction Report also
Natality 245 Date of Registration--Day DOR_DY date dateTime Used for Jurisdiction Report also

Form Mapping

Form Mapping
Item # Form Field FHIR Profile Field Reference
13 Date Filed By Registrar date Certificate of Live Birth

Usage:

Formal Views of Profile Content

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

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition Provider Live Birth Report
... status 1..1 code In the case of a live birth sent in error, a status of 'entered-in-error' must be set.
... type 1..1 CodeableConcept U.S. standard certificate of live birth - 2003 revision
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68998-4
... subject 1..1 Reference(Patient - Child Vital Records) The subject of the composition is the newborn baby
.... Extension-encounter-maternity-reference 0..1 Reference(Encounter - Maternity) Encounter Maternity Reference
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
... date 1..1 dateTime Date report completed
... author 1..1 Reference(Practitioner - Vital Records) The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
... Slices for section 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate.
Slice: Unordered, Open by pattern:code
.... section:motherPrenatal 0..1 BackboneElement motherPrenatal Section on the Provider Live Birth Report
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57073-9
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the motherPrenatal Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:firstPrenatalCareVisit 0..1 Reference(Observation - Date of First Prenatal Care Visit) First prenatal care visit
...... entry:numberPrenatalCareVisits 0..1 Reference(Observation - Number of Prenatal Visits) Number of prenatal care visits
...... entry:dateLastNormalMenses 0..1 Reference(Observation - Last Menstrual Period) Date last normal menses began
...... entry:numberNowLiving 0..1 Reference(Observation - Number of Births Now Living) Number of previous live births now living
...... entry:numberNowDead 0..1 Reference(Observation - Number of Births Now Dead) Number of previous live births now dead
...... entry:dateLastLiveBirth 0..1 Reference(Observation - Date of Last Live Birth) Date of last live birth
...... entry:numberOtherOutcomes 0..1 Reference(Observation - Number of Other Pregnancy Outcomes) Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome 0..1 Reference(Observation - Date of Last Other Pregnancy Outcome) Date of last other pregnancy outcome
...... entry:principalSourceOfPayment 0..1 Reference(Coverage - Principal Payer for Delivery) Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery 0..1 Reference(Observation - Mother Delivery Weight (reported in pounds)) Mother's weight at delivery
...... entry:mothersHeight 0..1 Reference(Observation - Mother Height) Mother's height
...... entry:mothersPrepregnancyWeight 0..1 Reference(Observation - Mother Prepregnancy Weight) Mother's prepregnancy weight
...... entry:motherReceivedWICFood 0..1 Reference(Observation - Mother Recieved WIC Food) Use
...... entry:cigaretteSmokingBeforeDuringPregnancy 0..4 Reference(Observation - Cigarette Smoking Before and During Pregnancy) Cigarettes smoked by the mother before and during the pregnancy
.... section:medicalHealthInformation 0..1 BackboneElement medicalHealthInformation Section on the Provider Live Birth Report
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the medicalHealthInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors 0..* Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination | Procedure - Assisted Reproductive Technology | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors) Risk factors in this pregnancy
...... entry:numberPreviousCesareans 0..1 Reference(Observation - Number of Previous Cesareans) If mother had a previous cesarean delivery, how many
...... entry:infectionsDuringPregnancy 0..* Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy) Infections present and/or treated during this pregnancy
...... entry:obstetricProcedures 0..1 Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures) Obstetric procedures
...... entry:characteristicsLaborDelivery 0..* Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery) Characteristics of labor and delivery
...... entry:fetalPresentation 0..1 Reference(Observation - Fetal Presentation at Birth/Delivery) Fetal presentation at birth
...... entry:finalRouteMethodDelivery 0..1 Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery) Final route and method of delivery
...... entry:maternalMorbidity 0..* Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) Maternal morbidity - complications associated with labor and delivery
.... section:newbornInformation 0..1 BackboneElement newbornInformation Section on the Provider Live Birth Report
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57075-4
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the newbornInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:birthWeight 0..1 Reference(Observation - Birth Weight) Birthweight
...... entry:gestationalAgeAtDelivery 0..1 Reference(Observation - Gestational Age at Delivery) Obstetric estimate of gestation
...... entry:APGARScore 0..2 Reference(Observation - APGAR Score) APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
...... entry:numberLiveBirthsThisDelivery 0..1 Reference(Observation - Number of Live Births This Delivery) Number of live births this delivery
...... entry:abnormalConditionsNewborn 0..* Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn) Abnormal conditions of the newborn
...... entry:congenitalAnomaliesNewborn 0..* Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn) Congenital anomolies of the newborn
...... entry:infantLiving 0..1 Reference(Observation - Infant Living) Is infant living at time of report?
...... entry:infantBreastfedAtDischarge 0..1 Reference(Observation - Infant Breastfed at Discharge) Is infant being breastfed at discharge?
.... section:motherInformation 0..1 BackboneElement motherInformation Section on the Provider Live Birth Report
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 92014-0
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the motherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:marriedDuringPregnancy 0..1 Reference(Observation - Mother Married During Pregnancy) Mother married during pregnancy
...... entry:ssnRequestedForChild 0..1 Reference(Observation - Social Security Number Requested For Child) Was social security number requested for the child
...... entry:mothersEducation 0..1 Reference(Observation - Education Level Vital Records) Mother's education
...... entry:mothersPresentJob 0..1 Reference(Observation - Present Job) Mother's Usual Work
...... entry:mothersRaceEthnicity 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) Mother's Input Race and Ethnicity
.... section:fatherInformation 0..1 BackboneElement fatherInformation Section on the Provider Live Birth Report
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 92013-2
..... focus 1..1 Reference(RelatedPerson - Father Natural Vital Records) The focus of this section is the father
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the fatherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:paternityAcknowledgementSigned 0..1 Reference(Observation - Paternity Acknowledgement Signed) Paternity acknowledgement signed by father
...... entry:fathersEducation 0..1 Reference(Observation - Education Level Vital Records) Father's education
...... entry:fathersPresentJob 0..1 Reference(Observation - Present Job) Father's Present Job
...... entry:fathersRaceEthnicity 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) Father's Input Race and Ethnicity
.... section:patientsQuestionnaireResponse 0..1 BackboneElement Optional section containing a QuestionnaireResponse with recorded answers to the Questionnaire - Patient's Worksheet for Fetal Death Report
..... code 1..1 CodeableConcept Questionnaire response Document
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74465-6
..... entry 1..1 Reference(QuestionnaireResponse) QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
.... section:emergingIssues 0..1 BackboneElement emergingIssues Section on the Provider Live Birth Report
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: emergingissues
..... Slices for entry 0..* Reference(Resource) Entries that are contained in the emergingIssues Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:EmergingIssues 0..1 Reference(Observation - Emerging Issues Vital Records) Emerging Issues

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition Provider Live Birth Report
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code In the case of a live birth sent in error, a status of 'entered-in-error' must be set.
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68998-4
... subject Σ 1..1 Reference(Patient - Child Vital Records) The subject of the composition is the newborn baby
... encounter Σ 0..1 Reference(Encounter - Birth) The Encounter for the Composition is the newborn's birth encounter.
.... Extension-encounter-maternity-reference 0..1 Reference(Encounter - Maternity) Encounter Maternity Reference
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
Slice: Unordered, Open by value:url
... date Σ 1..1 dateTime Date report completed
... author Σ 1..1 Reference(Practitioner - Vital Records) The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
... title Σ 1..1 string Human Readable name/title
... Slices for section C 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate.
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:motherPrenatal C 0..1 BackboneElement motherPrenatal Section on the Provider Live Birth Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the medicalHealthInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors C 0..* Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination | Procedure - Assisted Reproductive Technology | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors) Risk factors in this pregnancy
...... entry:numberPreviousCesareans C 0..1 Reference(Observation - Number of Previous Cesareans) If mother had a previous cesarean delivery, how many
...... entry:infectionsDuringPregnancy C 0..* Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy) Infections present and/or treated during this pregnancy
...... entry:obstetricProcedures C 0..1 Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures) Obstetric procedures
...... entry:characteristicsLaborDelivery C 0..* Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery) Characteristics of labor and delivery
...... entry:fetalPresentation C 0..1 Reference(Observation - Fetal Presentation at Birth/Delivery) Fetal presentation at birth
...... entry:finalRouteMethodDelivery C 0..1 Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery) Final route and method of delivery
...... entry:maternalMorbidity C 0..* Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) Maternal morbidity - complications associated with labor and delivery
.... section:newbornInformation C 0..1 BackboneElement newbornInformation Section on the Provider Live Birth Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57075-4
..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the newbornInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:birthWeight C 0..1 Reference(Observation - Birth Weight) Birthweight
...... entry:gestationalAgeAtDelivery C 0..1 Reference(Observation - Gestational Age at Delivery) Obstetric estimate of gestation
...... entry:APGARScore C 0..2 Reference(Observation - APGAR Score) APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
...... entry:numberLiveBirthsThisDelivery C 0..1 Reference(Observation - Number of Live Births This Delivery) Number of live births this delivery
...... entry:abnormalConditionsNewborn C 0..* Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn) Abnormal conditions of the newborn
...... entry:congenitalAnomaliesNewborn C 0..* Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn) Congenital anomolies of the newborn
...... entry:infantLiving C 0..1 Reference(Observation - Infant Living) Is infant living at time of report?
...... entry:infantBreastfedAtDischarge C 0..1 Reference(Observation - Infant Breastfed at Discharge) Is infant being breastfed at discharge?
.... section:motherInformation C 0..1 BackboneElement motherInformation Section on the Provider Live Birth Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 92014-0
..... focus 1..1 Reference(Patient - Mother Vital Records) The focus of this section is the mother
..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the motherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:marriedDuringPregnancy C 0..1 Reference(Observation - Mother Married During Pregnancy) Mother married during pregnancy
...... entry:ssnRequestedForChild C 0..1 Reference(Observation - Social Security Number Requested For Child) Was social security number requested for the child
...... entry:mothersEducation C 0..1 Reference(Observation - Education Level Vital Records) Mother's education
...... entry:mothersPresentJob C 0..1 Reference(Observation - Present Job) Mother's Usual Work
...... entry:mothersRaceEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) Mother's Input Race and Ethnicity
.... section:fatherInformation C 0..1 BackboneElement fatherInformation Section on the Provider Live Birth Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74465-6
..... entry C 1..1 Reference(QuestionnaireResponse) QuestionnaireResponse with recorded answers to the Questionnaire - Mother's Worksheet for Child's Birth Certificate
.... section:emergingIssues C 0..1 BackboneElement emergingIssues Section on the Provider Live Birth Report
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 68998-4
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.section:motherPrenatal.codeexamplePattern: LOINC Code 57073-9
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:medicalHealthInformation.codeexamplePattern: LOINC Code 55752-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:newbornInformation.codeexamplePattern: LOINC Code 57075-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:motherInformation.codeexamplePattern: LOINC Code 92014-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:fatherInformation.codeexamplePattern: LOINC Code 92013-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientsQuestionnaireResponse.codeexamplePattern: LOINC Code 74465-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:emergingIssues.codeexamplePattern: emergingissues
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition Provider Live Birth Report
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Version-independent identifier for the Composition
... status ?!Σ 1..1 code In the case of a live birth sent in error, a status of 'entered-in-error' must be set.
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ 1..1 CodeableConcept U.S. standard certificate of live birth - 2003 revision
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68998-4
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ 1..1 Reference(Patient - Child Vital Records) The subject of the composition is the newborn baby
... encounter Σ 0..1 Reference(Encounter - Birth) The Encounter for the Composition is the newborn's birth encounter.
.... id 0..1 string Unique id for inter-element referencing
.... Extension-encounter-maternity-reference 0..1 Reference(Encounter - Maternity) Encounter Maternity Reference
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-encounter-maternity-reference
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date Σ 1..1 dateTime Date report completed
... author Σ 1..1 Reference(Practitioner - Vital Records) The author is the person who verifies/approves the accuracy of the data to be sent to the vital records system.
... title Σ 1..1 string Human Readable name/title
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1 dateTime When the composition was attested
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 1..* BackboneElement The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate.
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

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

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

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

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


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

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

..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the motherPrenatal Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:firstPrenatalCareVisit C 0..1 Reference(Observation - Date of First Prenatal Care Visit) First prenatal care visit
...... entry:numberPrenatalCareVisits C 0..1 Reference(Observation - Number of Prenatal Visits) Number of prenatal care visits
...... entry:dateLastNormalMenses C 0..1 Reference(Observation - Last Menstrual Period) Date last normal menses began
...... entry:numberNowLiving C 0..1 Reference(Observation - Number of Births Now Living) Number of previous live births now living
...... entry:numberNowDead C 0..1 Reference(Observation - Number of Births Now Dead) Number of previous live births now dead
...... entry:dateLastLiveBirth C 0..1 Reference(Observation - Date of Last Live Birth) Date of last live birth
...... entry:numberOtherOutcomes C 0..1 Reference(Observation - Number of Other Pregnancy Outcomes) Number of other pregnancy outcomes
...... entry:dateLastOtherOutcome C 0..1 Reference(Observation - Date of Last Other Pregnancy Outcome) Date of last other pregnancy outcome
...... entry:principalSourceOfPayment C 0..1 Reference(Coverage - Principal Payer for Delivery) Principal source of payment for this delivery
...... entry:mothersWeightAtDelivery C 0..1 Reference(Observation - Mother Delivery Weight (reported in pounds)) Mother's weight at delivery
...... entry:mothersHeight C 0..1 Reference(Observation - Mother Height) Mother's height
...... entry:mothersPrepregnancyWeight C 0..1 Reference(Observation - Mother Prepregnancy Weight) Mother's prepregnancy weight
...... entry:motherReceivedWICFood C 0..1 Reference(Observation - Mother Recieved WIC Food) Use
...... entry:cigaretteSmokingBeforeDuringPregnancy C 0..4 Reference(Observation - Cigarette Smoking Before and During Pregnancy) Cigarettes smoked by the mother before and during the pregnancy
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

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


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

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

..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the medicalHealthInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors C 0..* Reference(Condition - Prepregnancy Diabetes | Condition - Gestational Diabetes | Condition - Prepregnancy Hypertension | Condition - Gestational Hypertension | Condition - Eclampsia Hypertension | Observation - Previous Preterm Birth | Procedure - Infertility Treatment | Procedure - Fertility Enhancing Drug Therapy, Artificial or Intrauterine Insemination | Procedure - Assisted Reproductive Technology | Observation - Previous Cesarean | Observation - None Of Specified Pregnancy Risk Factors) Risk factors in this pregnancy
...... entry:numberPreviousCesareans C 0..1 Reference(Observation - Number of Previous Cesareans) If mother had a previous cesarean delivery, how many
...... entry:infectionsDuringPregnancy C 0..* Reference(Condition - Infection Present During Pregnancy | Observation - None Of Specified Infections During Pregnancy) Infections present and/or treated during this pregnancy
...... entry:obstetricProcedures C 0..1 Reference(Procedure - Obstetric | Observation - None Of Specified Obstetric Procedures) Obstetric procedures
...... entry:characteristicsLaborDelivery C 0..* Reference(Procedure - Induction of Labor | Procedure - Augmentation of Labor | Observation - Administration of Steroids for Fetal Lung Maturation | Observation - Antibiotics Administered During Labor | Condition - Chorioamnionitis | Procedure - Epidural or Spinal Anesthesia | Observation - None Of Specified Characteristics of Labor and Delivery) Characteristics of labor and delivery
...... entry:fetalPresentation C 0..1 Reference(Observation - Fetal Presentation at Birth/Delivery) Fetal presentation at birth
...... entry:finalRouteMethodDelivery C 0..1 Reference(Procedure - Final Route and Method of Delivery | Observation - Unknown Final Route and Method of Delivery) Final route and method of delivery
...... entry:maternalMorbidity C 0..* Reference(Procedure - Blood Transfusion | Condition - Perineal Laceration | Condition - Ruptured Uterus | Procedure - Unplanned Hysterectomy | Observation - ICU Admission | Observation - None Of Specified Maternal Morbidities) Maternal morbidity - complications associated with labor and delivery
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

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


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57075-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the newbornInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:birthWeight C 0..1 Reference(Observation - Birth Weight) Birthweight
...... entry:gestationalAgeAtDelivery C 0..1 Reference(Observation - Gestational Age at Delivery) Obstetric estimate of gestation
...... entry:APGARScore C 0..2 Reference(Observation - APGAR Score) APGAR Score - while the APGAR timing value set contains 3 possible values, 5 and 10 are the only scores used.
...... entry:numberLiveBirthsThisDelivery C 0..1 Reference(Observation - Number of Live Births This Delivery) Number of live births this delivery
...... entry:abnormalConditionsNewborn C 0..* Reference(Procedure - Assisted Ventilation Following Delivery | Procedure - Assisted Ventilation More Than Six Hours | Observation - NICU Admission | Procedure - Surfactant Replacement Therapy | Procedure - Antibiotic for Suspected Neonatal Sepsis | Condition - Seizure | Observation - None Of Specified Abnormal Conditions of Newborn) Abnormal conditions of the newborn
...... entry:congenitalAnomaliesNewborn C 0..* Reference(Condition - Congenital Anomaly of Newborn | Observation - None Of Specified Congenital Anomolies Of The Newborn) Congenital anomolies of the newborn
...... entry:infantLiving C 0..1 Reference(Observation - Infant Living) Is infant living at time of report?
...... entry:infantBreastfedAtDischarge C 0..1 Reference(Observation - Infant Breastfed at Discharge) Is infant being breastfed at discharge?
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

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


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

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

..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the motherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:marriedDuringPregnancy C 0..1 Reference(Observation - Mother Married During Pregnancy) Mother married during pregnancy
...... entry:ssnRequestedForChild C 0..1 Reference(Observation - Social Security Number Requested For Child) Was social security number requested for the child
...... entry:mothersEducation C 0..1 Reference(Observation - Education Level Vital Records) Mother's education
...... entry:mothersPresentJob C 0..1 Reference(Observation - Present Job) Mother's Usual Work
...... entry:mothersRaceEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) Mother's Input Race and Ethnicity
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

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


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

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

..... Slices for entry C 0..* Reference(Resource) Entries that are contained in the fatherInformation Section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:paternityAcknowledgementSigned C 0..1 Reference(Observation - Paternity Acknowledgement Signed) Paternity acknowledgement signed by father
...... entry:fathersEducation C 0..1 Reference(Observation - Education Level Vital Records) Father's education
...... entry:fathersPresentJob C 0..1 Reference(Observation - Present Job) Father's Present Job
...... entry:fathersRaceEthnicity C 0..1 Reference(Observation - Input Race and Ethnicity Vital Records) Father's Input Race and Ethnicity
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

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


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74465-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy