Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2 - CIBuild
Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2 - CIBuild
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
| Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Coverage-principal-payer-delivery | Version: 2.0.0 | ||||
| Standards status: Draft | Computable Name: CoveragePrincipalPayerDelivery | ||||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.26 | |||||
This Coverage profile represents the principal payer for this delivery.
| Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments |
|---|---|---|---|---|---|---|
| Natality | 153 | Principal source of Payment for this delivery | PAY | type | codeable | BirthAndFetalDeathFinancialClassVS |
| Item # | Form Field | FHIR Profile Field | Reference |
|---|---|---|---|
| 38 | Principal Source of Payment for This Delivery | type | Certificate of Live Birth |
| 21 | Principal source of payment for this delivery | type | Facility Worksheet for the Live Birth Certificate |
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Coverage |
0..* | Coverage | Insurance or medical plan or a payment agreement | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | |
 type |
1..1 | CodeableConcept | The value set contains the list of values used to indicate the principle source of payment for the labor and delivery (from codesystem https://nahdo.org/sopt). Binding: Birth and Fetal Death Financial Class (required): Birth and Fetal Death Financial Class (NCHS) | |
 beneficiary |
1..1 | Reference(Patient) | Plan beneficiary | |
 payor |
1..* | Reference(Organization | Patient | RelatedPerson) | Issuer of the policy | |
  Slices for extension |
Content/Rules for all slices | |||
  extension:dataAbsentReason |
0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Coverage.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| Coverage.type | Base | required | Birth and Fetal Death Financial Class | 📦2.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Coverage
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Coverage |
0..* | Coverage | Insurance or medical plan or a payment agreement | |
 type |
1..1 | CodeableConcept | The value set contains the list of values used to indicate the principle source of payment for the labor and delivery (from codesystem https://nahdo.org/sopt). Binding: Birth and Fetal Death Financial Class (required): Birth and Fetal Death Financial Class (NCHS) | |
| payor |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:dataAbsentReason |
0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Coverage.type | Base | required | Birth and Fetal Death Financial Class | 📦2.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Coverage |
0..* | Coverage | Insurance or medical plan or a payment agreement | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business Identifier for the coverage | |||||
| status |
1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | |||||
| type |
1..1 | CodeableConcept | The value set contains the list of values used to indicate the principle source of payment for the labor and delivery (from codesystem https://nahdo.org/sopt). Binding: Birth and Fetal Death Financial Class (required): Birth and Fetal Death Financial Class (NCHS) | |||||
| policyHolder |
0..1 | Reference(Patient | RelatedPerson | Organization) | Owner of the policy | |||||
| subscriber |
0..1 | Reference(Patient | RelatedPerson) | Subscriber to the policy | |||||
| subscriberId |
0..1 | string | ID assigned to the subscriber | |||||
| beneficiary |
1..1 | Reference(Patient) | Plan beneficiary | |||||
| dependent |
0..1 | string | Dependent number | |||||
| relationship |
0..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | |||||
| period |
0..1 | Period | Coverage start and end dates | |||||
 payor |
1..* | Reference(Organization | Patient | RelatedPerson) | Issuer of the policy | |||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:dataAbsentReason |
0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
 display |
0..1 | string | Text alternative for the resource | |||||
| class |
0..* | BackboneElement | Additional coverage classifications | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc. | |||||
| value |
1..1 | string | Value associated with the type | |||||
| name |
0..1 | string | Human readable description of the type and value | |||||
| order |
0..1 | positiveInt | Relative order of the coverage | |||||
| network |
0..1 | string | Insurer network | |||||
| costToBeneficiary |
0..* | BackboneElement | Patient payments for services/products | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
0..1 | CodeableConcept | Cost category Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified. | |||||
 value[x] |
1..1 | The amount or percentage due from the beneficiary | ||||||
| valueQuantity |
Quantity(SimpleQuantity) | |||||||
| valueMoney |
Money | |||||||
| exception |
0..* | BackboneElement | Exceptions for patient payments | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
1..1 | CodeableConcept | Exception category Binding: ExampleCoverageFinancialExceptionCodes (example): The types of exceptions from the part or full value of financial obligations such as copays. | |||||
| period |
0..1 | Period | The effective period of the exception | |||||
| subrogation |
0..1 | boolean | Reimbursement to insurer | |||||
| contract |
0..* | Reference(Contract) | Contract details | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Coverage.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Coverage.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| Coverage.type | Base | required | Birth and Fetal Death Financial Class | 📦2.0.0 | This IG |
| Coverage.relationship | Base | extensible | SubscriberPolicyholder Relationship Codes | 📍4.0.1 | FHIR Std. |
| Coverage.payor.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Coverage.class.type | Base | extensible | Coverage Class Codes | 📍4.0.1 | FHIR Std. |
| Coverage.costToBeneficiary.type | Base | extensible | Coverage Copay Type Codes | 📍4.0.1 | FHIR Std. |
| Coverage.costToBeneficiary.exception.type | Base | example | Example Coverage Financial Exception Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Coverage
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Coverage |
0..* | Coverage | Insurance or medical plan or a payment agreement | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | |
| type |
1..1 | CodeableConcept | The value set contains the list of values used to indicate the principle source of payment for the labor and delivery (from codesystem https://nahdo.org/sopt). Binding: Birth and Fetal Death Financial Class (required): Birth and Fetal Death Financial Class (NCHS) | |
| beneficiary |
1..1 | Reference(Patient) | Plan beneficiary | |
| payor |
1..* | Reference(Organization | Patient | RelatedPerson) | Issuer of the policy | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:dataAbsentReason |
0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Coverage.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| Coverage.type | Base | required | Birth and Fetal Death Financial Class | 📦2.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from Coverage
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Coverage |
0..* | Coverage | Insurance or medical plan or a payment agreement | |
| type |
1..1 | CodeableConcept | The value set contains the list of values used to indicate the principle source of payment for the labor and delivery (from codesystem https://nahdo.org/sopt). Binding: Birth and Fetal Death Financial Class (required): Birth and Fetal Death Financial Class (NCHS) | |
| payor |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:dataAbsentReason |
0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Coverage.type | Base | required | Birth and Fetal Death Financial Class | 📦2.0.0 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Coverage |
0..* | Coverage | Insurance or medical plan or a payment agreement | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business Identifier for the coverage | |||||
| status |
1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | |||||
| type |
1..1 | CodeableConcept | The value set contains the list of values used to indicate the principle source of payment for the labor and delivery (from codesystem https://nahdo.org/sopt). Binding: Birth and Fetal Death Financial Class (required): Birth and Fetal Death Financial Class (NCHS) | |||||
| policyHolder |
0..1 | Reference(Patient | RelatedPerson | Organization) | Owner of the policy | |||||
| subscriber |
0..1 | Reference(Patient | RelatedPerson) | Subscriber to the policy | |||||
| subscriberId |
0..1 | string | ID assigned to the subscriber | |||||
| beneficiary |
1..1 | Reference(Patient) | Plan beneficiary | |||||
| dependent |
0..1 | string | Dependent number | |||||
| relationship |
0..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | |||||
| period |
0..1 | Period | Coverage start and end dates | |||||
| payor |
1..* | Reference(Organization | Patient | RelatedPerson) | Issuer of the policy | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:dataAbsentReason |
0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| class |
0..* | BackboneElement | Additional coverage classifications | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc. | |||||
| value |
1..1 | string | Value associated with the type | |||||
| name |
0..1 | string | Human readable description of the type and value | |||||
| order |
0..1 | positiveInt | Relative order of the coverage | |||||
| network |
0..1 | string | Insurer network | |||||
| costToBeneficiary |
0..* | BackboneElement | Patient payments for services/products | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
0..1 | CodeableConcept | Cost category Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified. | |||||
| value[x] |
1..1 | The amount or percentage due from the beneficiary | ||||||
| valueQuantity |
Quantity(SimpleQuantity) | |||||||
| valueMoney |
Money | |||||||
| exception |
0..* | BackboneElement | Exceptions for patient payments | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
1..1 | CodeableConcept | Exception category Binding: ExampleCoverageFinancialExceptionCodes (example): The types of exceptions from the part or full value of financial obligations such as copays. | |||||
| period |
0..1 | Period | The effective period of the exception | |||||
| subrogation |
0..1 | boolean | Reimbursement to insurer | |||||
| contract |
0..* | Reference(Contract) | Contract details | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Coverage.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Coverage.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| Coverage.type | Base | required | Birth and Fetal Death Financial Class | 📦2.0.0 | This IG |
| Coverage.relationship | Base | extensible | SubscriberPolicyholder Relationship Codes | 📍4.0.1 | FHIR Std. |
| Coverage.payor.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Coverage.class.type | Base | extensible | Coverage Class Codes | 📍4.0.1 | FHIR Std. |
| Coverage.costToBeneficiary.type | Base | extensible | Coverage Copay Type Codes | 📍4.0.1 | FHIR Std. |
| Coverage.costToBeneficiary.exception.type | Base | example | Example Coverage Financial Exception Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Coverage
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Public Health.
Package hl7.fhir.us.bfdr#2.0.0 based on FHIR 4.0.1.
Generated
2026-11-09
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