Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2  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: Procedure - Infertility Treatment

Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Procedure-infertility-treatment Version: 2.0.0
Active as of 2025-02-19 Computable Name: ProcedureInfertilityTreatment
Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.96

This Procedure profile records that infertility treatment was used to initiate the pregnancy. Includes fertility-enhancing drugs (e.g., Clomid, Pergonal), artificial insemination, or intrauterine insemination and assisted reproduction technology procedures (e.g., IVF, GIFT and ZIFT).

IJE Mapping

Natality
Use Case # Description IJE Name Field Type Value Set/Comments
Natality 164 Risk Factors--Infertility Treatment (SEE ADDITIONAL SUBCATEGORIES IN LOCATIONS 925-926) INFT - na See note on missing pregnancy risk factors data

Fetal Death
Use Case # Description IJE Name Field Type Value Set/Comments
Fetal Death 117 Risk Factors--Infertility Treatment (SEE ADDITIONAL SUBCATEGORIES IN LOCATIONS 574-575) INFT - na See note on missing pregnancy risk factors data

Form Mapping

Form Mapping
Item # Form Field FHIR Profile Field Reference
41.8 Risk factors in this pregnancy: Pregnancy resulted from infertility treatment - Certificate of Live Birth
14.7 Risk factors in this pregnancy: Pregnancy resulted from infertility treatment - Facility Worksheet for the Live Birth Certificate
36.8 Risk factors in this pregnancy: Pregnancy resulted from infertility treatment - Report of Fetal Death
11.6 Risk factors in this pregnancy: Pregnancy resulted from infertility treatment - Facility Worksheet for the Report of Fetal Death

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure C 0..* USCoreProcedureProfile An action that is being or was performed on a patient
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
us-core-7: Performed SHALL be present if the status is 'completed' or 'in-progress'
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!SΣC 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required)
ele-1: All FHIR elements must have a @value or children
.... 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: 73775-9
... code SΣ 1..1 CodeableConcept Procedure relating to reproduction (procedure)
Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure


ele-1: All FHIR elements must have a @value or children
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://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 773261007
... subject SΣ 1..1 Reference(Patient - Mother Vital Records) Who the procedure was performed on
ele-1: All FHIR elements must have a @value or children
... performed[x] SΣC 0..1 When the procedure was performed
ele-1: All FHIR elements must have a @value or children
.... performedDateTime dateTime

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status
from the FHIR Standard
Procedure.categoryexamplePattern: LOINC Code 73775-9
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeextensiblePattern: SNOMED-CT Code 773261007
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code

 

Other representations of profile: CSV, Excel, Schematron